Journal of Nursing and Public Health Research

The Effects of a Teaching Program on Knowledge Among Pediatric Caregivers and the Recurrence Rate of Pneumonia in a Pediatric Clinic, Narathiwat Ratchanakarin Hospital

Wipathinee Norjan, Wantanee Pumiapiradee, Kittiporn Nawsuwan — Wed, 03 Aug 2022 00:00:00 +0700

The objectives of this quasi-experimental study were to examine the effects of an educational program on knowledge among pediatric caregivers and the recurrence rate of pneumonia. Participants were 20 child caregivers and 20 children who were diagnosed with pneumonia in a Pediatric Clinic, Narathiwat Ratchanakarin Hospital. The research instruments were: 1) an educational program on knowledge among pediatric caregivers and the recurrence rate of pneumonia that proposed by the concept of Orem (2001); 2) a questionnaire to evaluate the knowledge about pneumonia with correlation coefficients range between 0.67 - 1.00; and 3) a self-management skill questionnaire which obtained the Cronbach's alpha coefficient of confidence of 0.99. Data were analyzed using descriptive statistics. The Wilcoxon Sign Rank test was used to compare average scores of knowledge before and after applying an educational program.

The results revealed that after attending an educational program, the mean score of knowledge level among pediatric caregivers was significantly higher than before attending the program. The recurrence rate of pneumonia after applying was at 5%. Thus, hospitals and other health agencies can apply or develop this program to their patients in order to reduce the recurrence of pneumonia in pediatric patients.

The Effects of Using the KNfun Model on Oral Health Knowledge and Behavior Among Parents; and on Dental Plaque Among Preschool Children

Suraiya Manratoh, Onchinee Palanukunwong, Yulithi Like — Tue, 30 Aug 2022 00:00:00 +0700

The objectives of the one-group pretest-posttest design were to examine the effects of using the KNfun program on oral health knowledge and oral health behavior of parents and dental plaque levels of preschool children in the Preschool Child Development Centers in Songkla province. Participants were 30 patients and preschool children in the Child Development Centers. The research instruments were the KNfun program, an oral health knowledge, a toothbrushing skills assessment form, a plaque control record, and a bringing baby bottle milk feeding record. The Index of Item-Objective Congruence of an oral health knowledge and a toothbrushing skills assessment form was between 0.67-1.00. The reliability of these questionnaires was 0.62. Data were analyzed using descriptive statistics and the paired sample t-test.

The results showed that after using the KNfun program, the mean score of parents’ oral health knowledge and toothbrushing skills were significantly higher than before attending the program(p-value <0.001). The plaque index score of children was significantly lower than before attending the program (p-value <0.001). The rate of bringing a bottle of milk to the child development center of preschool children dropped from 74.1 % to 0 %. Therefore, the KNfun program can reduce the risk of caries among preschool children. The KNfun program should be continued in order to address the prevalence of dental caries among preschool children.

Effect of an Information Management Program on Anxiety of Mothers of Pediatric Patients Admitted in Inpatient Department

Tammanoon Premjai, Kittiporn Nawsuwan, Noppcha Singweratham — Wed, 31 Aug 2022 00:00:00 +0700

The objective of this quasi-experimental research study through a one-group pretest-posttest design was to examine the effect of an information management program on anxiety of mothers of pediatric patients aged 0-5 years, admitted in inpatient department, Sadao hospital. Twenty-seven mothers of pediatric patients were recruited by random sampling. An information management program included four stages: 1) before hospital admission, 2) during hospital admission, 3) during planning for discharge, and 4) during discharging. Research instruments were a demographic data questionnaire and an anxiety measurement. The Item Objective Congruence Index of an anxiety questionnaire was 0.67 - 1.00. The reliability of an anxiety measurement was tested using Cronbach’s alpha coefficient, yielding a value of 0.80. Data were analyzed using descriptive statistics. The paired t-test was used to compare the pretest and posttest average scores of anxiety levels of mothers of pediatric patients.

The results showed that after enrolling an information management program, the mean score of anxiety levels among mothers of pediatric patients was significantly lower than the mean score before enrolling the program (Mean= 1.71, S.D.= 0.31 and Mean= 2.31, S.D.= 0.40), respectively (p-value < 0.001). Thus, the Information management program can help to reduce an anxiety level among mothers of pediatric patients in the inpatient department.

The development of the COVID 2019 screening guideline in acute respiratory infection clinic, Sakaeo Crown Prince Hospital Province

Narumon Pinit — Tue, 30 Aug 2022 00:00:00 +0700

The objectives of this study were to develop the COVID 2019 screening guideline and examine the outcomes after applying the guideline, Sakaeo Crown Prince Hospital. This guideline included 4 stages: 1) study the context; 2) develop disease screening guidelines; 3) implement a guideline in a clinic and 4) evaluate the outcomes. Participants were 30 registered nurses who worked in acute respiratory infection clinic. Data instruments were: a semi-structured questionnaire, a socio-demographic questionnaire, a knowledge assessment, a clinical practice questionnaire, and a satisfaction questionnaire on the guideline. Data were analyzed using descriptive analysis and paired t-test.

The results showed that the COVID 2019 screening guideline included seven elements: 1) preparing knowledge about COVID 2019, 2) improving communication between patients and healthcare providers, 3) determining roles and responsibilities, and operational teams, 4) preparing settings and equipment,s 5) screening patients into the system, 6) organizing screening program, and 7) referring a patient to the infectious diseases department. After applying this guideline, the mean scores of knowledge, practice procedures, and satisfaction on the guideline were significantly higher than before applying the program (p-value= 0.000). It can be concluded that this guideline is effective for improving knowledge, practice procedures, and satisfaction levels of registered nurses. Then, this guideline could be applied in a respiratory infection clinic in order to provide the effective screening system on COVID 2019.

Factors Related to the Performance According to the Role of Village Health Volunteers in Wiangnonglong District, Lamphun Province

Bunyat Akasriworn — Tue, 30 Aug 2022 00:00:00 +0700

The objective of this descriptive study was to examine factors related to the performance according to the role of village health volunteers. Participants were village health volunteers working in Wingnonglong District, Lamphun Province at least one year. The sample size was calculated using the formula of Krejcie & Morgan (1970). With a confidence level of 95%, the sample size was 257. Research instruments included a socio-demographic questionnaire, an operational support questionnaire, a working knowledge questionnaire, a motivation questionnaire, and a performance questionnaire regarding village health volunteers. Data was analyzed using descriptive statistics and the Pearson correlation coefficient.

The results showed that there was a moderate positive relationship between an operational support and the performance of village health volunteers (r= 0.45, p-value < 0.01). The operational knowledge factor had a low positive relationship with the performance of village health volunteers (r = 0.14, p-value < 0.05). Performance motivation included motivation and hygiene factors. A motivation factor had a positive association with the performance of village health volunteers at the moderate level (r = 0.55, p-value < 0.01). A hygiene factor had a positive association to the performance of village health volunteers at a high level (r = 0.70, p-value < 0.01). The level of performance according to the role of village health volunteers was at a high level (Mean= 4.16, S.D.= 0.50). This study suggested that healthcare agencies should be motivated and provided basic hygiene factors in order to improve work performance of village health volunteers.