Thai Journal of Cardio-Thoracic Nursing https://he02.tci-thaijo.org/index.php/journalthaicvtnurse <p>เป็นวารสารที่จัดทำโดยสมาคมพยาบาลโรคหัวใจและทรวงอก ซึ่งเป็นสมาคมพยาบาลที่มีสมาชิกที่มีความเชี่ยวชาญในสาขาการดูแลผู้ป่วยโรคหัวใจและทรวงอกร่วมกันจัดทำวารสารเพื่อเป็นศูนย์กลางแลกเปลี่ยนความรู้ ประสบการณ์ และเผยแพร่วิทยาการใหม่ๆ เช่น งานวิจัย นวัตกรรม ในสาขาการดูแลรักษาและการพยาบาลโรคหัวใจและทรวงอก โรคเรื้อรัง รวมทั้งศาสตร์อื่นๆ ที่เกี่ยวข้อง ในสมาชิกสมาคมพยาบาลโรคหัวใจและทรวงอกและผู้ที่สนใจ ปีละ 2 เล่ม มกราคม -มิถุนายน และ กรกฎาคม - ธันวาคม</p> สมาคมพยาบาลโรคหัวใจและทรวงอก(ประเทศไทย) en-US Thai Journal of Cardio-Thoracic Nursing 0857-605X บทความนี้ยังไม่เคยตีพิมพ์หรืออยู่ในระหว่างส่งไปตีพิมพ์ในวารสารอื่นๆ มาก่อน และกองบรรณาธิการขอสงวนสิทธิ์ในการตรวจทาน และแก้ไขต้นฉบับตามเกณฑ์ของวารสาร ในกรณีที่เรื่องของท่านได้ได้รับการตีพิมพ์ในวารสารฉบับนี้ถือว่าเป็น ลิขสิทธิ์ของวารสารพยาบาลโรคหัวใจและทรวงอก Massage From Editor https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/200404 <p>บรรณาธิการแถลง</p> ดวงกมล วัตราดุลย์ Copyright (c) 2019-07-01 2019-07-01 30 1 1 1 Nursing Practice for Continuous Monitoring of the Nutrition Status in Critically Ill https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/175669 <p>Critically ill condition affects to gastrointestinal changes as a result of neurological and hormonal disorders that are involved in gastrointestinal control. The movement of the digestive system is abnormal, may have an increased risk of malnutrition, Increases risk of infection in the body. As a result, patients need to stay in hospital for longer and increased Mortality rated followed.</p> <p>The purpose of this article aimed to point out the importance of monitoring nutritional status in critically ill patients for critical care nurses should not be overlooked. Nurses who are close to the patient should increase awareness and focus on continuous monitoring of patient nutrition. This is to enable the critical patient to receive appropriate nutritional supplements according to the needs of the body, which can be helpful in increasing the body mass, maintain a healthy body, helps patients recover through recovery. It also improves the quality of treatment and survival of patients.</p> <p>Critical care nurses must be early assessment of nutrition status and collecting data for planning to preventing malnutrition in critical ill patients. Improving nursing care in critical ills patients with coordinated multidisciplinary care team for quality of care management to appropriated nutrition therapy and achieve to continuity of care Critically ill patients.</p> Waratya Kulnitichai Copyright (c) 2019 Thai Journal of Cardio-Thoracic Nursing https://creativecommons.org/licenses/by-nc-nd/4.0 2019-07-09 2019-07-09 30 1 2 16 Extracorporeal Membrane Oxygenation in Patients after Cardiac Surgery: Problems and Nursing Care https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/146258 <p>Extracorporeal membrane oxygenation (ECMO) is an established treatment option for adult patients with refractory cardiogenic shock that provides prolonged yet temporary cardiac and respiratory support. ECMO is a high-risk therapy with potentially adverse effects such as bleeding, stroke, infection, distal limb ischemia, and acute renal failure. Nurses are integral members of the ECMO team whose responsibilities include monitoring for and preventing complications as well as evaluating the patient’s response to the therapy. It is very important for nurses to understand the principles of ECMO, modes of ECMO support, indications and contraindications of ECMO, its complications, and nursing care. The nurses dealing with patients with ECMO should be able to assess the complications correctly and provide the appropriate nursing care when these complications happen. Furthermore, nurses must pay attention to individual needs of the patient’s caregivers and activate all available support systems to help them cope with the stress and strain of providing care to the patients with ECMO.</p> SOMLUK TEPSURIYANONT Copyright (c) 2019 Thai Journal of Cardio-Thoracic Nursing https://creativecommons.org/licenses/by-nc-nd/4.0 2019-07-09 2019-07-09 30 1 17 31 Knowledge and practice of radiation safety among cardiac catheterization laboratory personnel in public Thailand hospitals, Thailand https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/200410 <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The purpose of this cross-sectional descriptive study was to examine the knowledge and practice of radiation safety among cardiac catheterization laboratory personnel. The sample of this study consisted of 404 physicians, nurses, nurse aides, patient assistants, radiologic technologists and cardio thoracic technologists who have worked in cardiac catheterization laboratories of 27 public hospitals throughout Thailand. A self-administered questionnaire was used to collect data on personal demographics, knowledge and practice relating to radiation protection. Data were collected from June to November 2017. Data were then analyzed by using mean and standard deviation, percentage, chi square statistic and Pearson’s correlation.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results of this study showed that 88.4% of the sample had insufficient knowledge of radiation safety and 35.9% of them had insufficient practice of radiation safety. It was found that radiation protection devices were rarely used, mostly due to the lack of equipment. In addition, there was weak relationship between radiation safety knowledge and practice scores.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The findings implied that most of the personnel in the cardiac catheterization laboratories had insufficient knowledge and practice of radiation safety, and radiation protection devices in most cardiac catheterization laboratories were inadequate. Therefore, training courses on radiation protection should be held to educate nurses, nurse aides and patient assistants.&nbsp; Sufficient amount of radiation protection equipment should be provided and regularly checked.</p> <p>&nbsp; &nbsp; &nbsp;</p> อภิเดช ชีวะประเสริฐ วิโรจน์ เจียมจรัสรังษี Copyright (c) 2019-07-01 2019-07-01 30 1 32 45 Relationships between working experiences, educational training, emotional intelligence, working environment, and nurse competency in cardiothoracic surgical ward, the tertiary hospitals https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/200412 <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;The purposes of this study were to study nurse competency, emotional intelligence, working environment in cardiothoracic ward, including to examine and to search for the variables which could predict nurse competency in cardiothoracic. The samples consisted of 125 professional nurses at cardiothoracic ward in seven tertiary hospitals.&nbsp; Data was collected using the questionnaires as: nurse competency, emotional intelligence, working environment.&nbsp; The data were analyzed by using mean, standard deviation, Chi-square, Pearson’s product moment correlation coefficient and stepwise multiple regression analysis.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results were as follows: nurse competency in cardiothoracic surgical ward, emotional intelligence and working environment was at a high level (mean= 4.23, 4.01 and 4.17 respectively). Working experiences (r =.368), educational training (r= .315), emotional intelligence (r= .631) and working environment (r=.593) were positively related to nurse competency in cardiothoracic surgical ward (p&lt;.05). Factor significantly predicted nurse competency in cardiothoracic surgical ward were working environment, emotional intelligence and working experiences at .05 level. These predictors were accounted for 53.3 percent (R2= .533).</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results of this study suggest that nurse administrator should develop guideline to promote nurses working at cardiothoracic surgical ward to improve their better competency,</p> นฤมล ศิลวิศาล วาสินี วิเศษฤทธิ์ Copyright (c) 2019 https://creativecommons.org/licenses/by-nc-nd/4.0 2019-07-01 2019-07-01 30 1 46 59 Self – care behaviors of persons after heart transplantation https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/200439 <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; This descriptive research aimed to assess self-care behavior after heart transplant and compare such behaviors between 1-5 years survivors after surgery and those more than 5 years after surgery based on Orem's self-care concepts. The sample study was 35 heart transplant survivors who had routine post-transplant follow-up visits between October 2016 and February 2017 at King Chulalongkorn Memorial Hospital, Thai Red Cross Society. Research instruments consisted of personal information questionnaire, health information questionnaire and self-care behavior after heart transplant. Data were analyzed by using percentage, mean, standard deviation, and median. In addition, self-care behavior scores were compared between 1-5 years survivors after surgery and those more than 5 years by using the Mann–Whitney U test.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The research results showed that the sample’s group self-care behavior scores were at the “very good” level both overall and 7 dimensions including eating and drinking, medication use, infection prevention, daily activities, symptom observation, emotion management, and follow-up visits. Except the score of dimension of exercise behavior, which was at the “good” level. The self-care behaviors between 1-5 years group of survivors and more than 5 years survivors after surgery, were not different.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; This study demonstrated that post heart transplant survivors exhibited very good self-care behavior. Nurses should promote patients to maintain good self-care behavior to extend their lives.</p> ภาวิตา พัฒน์มณี นิโรบล กนกสุนทรรัตน์ กุสุมา คุววัฒนสัมฤทธิ์ Copyright (c) 2019-07-02 2019-07-02 30 1 60 73 The relationships among severity of aggressive behaviors of patients after traumatic brain injury, coping strategies, and caregiving burden of family caregivers https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/200443 <p>&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;This study aimed to identify the severity of aggressive behaviors of patients after traumatic brain injury, coping strategies, and caregiving burden perceived by family caregivers, and to examine the relationships among severity of aggressive behaviors of patients after traumatic brain injury, coping strategies, and caregiving burden. Eighty-five family caregivers of patients after traumatic brain injury from Songkhla province were purposively recruited. Data were collected using four measurements consisting of 1) The General Data Form of Patients and Family Caregivers, 2) The Modified Version of the Overt Aggression Scale, 3) The Jalowiec Coping Scale, and 4) The Zarit Burden Interview. The data were analyzed using descriptive statistic and Spearman rank correlation coefficient.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results showed that the family caregivers perceived that patients after traumatic brain injury showed a severity of aggressive behaviors, mostly with a low level (94.1%). The family caregivers used confrontive coping strategy at the highest level (80 %), palliative coping strategy was used at a high level (63.5%), and emotive coping strategy was used at a low level (67.1%). Overall caregiving burden was at a low level (64.7%). Considering each dimension of caregiving burden, social; physical; and psychological burdens were at a low level (74.1%, 72.9%, and 68.2%, respectively). However, the financial burden at a high level (54.1%). The severity of aggressive behaviors had statistically significant positive correlation with caregiving burden (rs = .29, p &lt; .01). Confrontive coping strategy had statistically significant negative correlation with caregiving burden (rs = -.38, p &lt; .001). Palliative coping and emotive coping strategies had statistically significant positive correlation with caregiving burden (rs = .41, p &lt; .001; rs = .65, p &lt; .001, respectively).</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The findings of this study suggest that nurses and multidisciplinary team should provide education and counselling to family caregivers regarding aggressive behaviors of patients after traumatic brain injury and appropriate use of coping strategies. In addition, they should coordinate with the associated organizations to the improve patients’ physical, psychological, and occupational rehabilitation to reduce caregiving burden of family caregivers.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p> มุขรินทร์ ทองหอม ลัพณา กิจรุ่งโรจน์ จินตนา ดำเกลี้ยง Copyright (c) 2019-07-02 2019-07-02 30 1 74 88 Effect of learning-activated-telephone-home visiting (lath) program on quality of life among patients with coronary artery disease https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/200449 <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;This two-group pretest-posttest quasi-experimental research was conducted to evaluate the effect of a Learning-Activated-Telephone-Home Visiting (LATH) program on the quality of life among patients with coronary artery disease. One hundred patients with coronary artery disease were selected through purposive sampling and randomly allocated to experimental or comparison group with 50 patients per group. The experimental group was given standard care along with LATH program consisting of teaching for learning, activating, telephone, and home visiting whereas the comparison group received standard care. Data were collected by using personal data questionnaire and Ferrans &amp; Powers’s Quality of life index-cardiac version IV. Data were analyzed by percentage, mean, standard deviation and independent t-test.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results showed that most of the samples in both experimental and comparison group were female with 56.22 ± 9.39 and 56.40 ± 9.79 years old, respectively. After the intervention, the quality of life score was 21.58 ± 1.66 in the experimental group and 14.57 ± 3.19 in the comparison group, making for a significant difference (p &lt; .001).</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Based on the findings, school of health and hospitals should coach and apply this LATH program to take care of patients with coronary artery disease in order to increase their quality of life.</p> จันทิมา ฤกษ์เลื่อนฤทธิ์ Copyright (c) 2019-07-02 2019-07-02 30 1 89 101 The effect of supportive and education nursing program on self care and quality of life in ischemic heart disease patients https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/200453 <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; This research is the quasi experimental, one group pretest-posttest design. The purpose was to study the effect of supportive and education nursing program on self-care and quality of life in ischemic heart disease patients. Thirty ischemic heart disease pateints who admitted at Sukhothai Hospital were selected by purposive sampling. The subjects received a supportive and education nursing program based on Orem’s theory which composed of teaching, guiding, supporting and creating the enviroment. The instruments consisted of general information questionnaire, Self-care questionnaire and quality of life questionnaire in thai patients with ischemic heart disease. Data were analyzed mean score, standard deviation and paired t-test.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results showed that after receiving supportive and education nursing program, the subjects had mean score of self-care at a good level (Mean= 4.29, SD&nbsp; = .24) and mean score of quality of life at a good level (Mean= 4.30, SD =.12). After the subjects had receiving&nbsp; supportive and education nursing program, the subject had significantly higher mean score of self care and quality of life than before receiving the supportive and educative nursing program (p &lt; .001)</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; This research suggested that the supportive and education nursing programe could be use as a guideline to promote self – care and enhanced quality of life in ischemic heart disease patients continuously.</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;</p> วรพรรณ มหาศรานนท์ ฐิติอาภา ตั้งค้าวานิช รุ้งนภา ชัยรัตน์ Copyright (c) 2019-07-02 2019-07-02 30 1 102 116 The Role Development towards being In-charge Nurses of Pediatric Surgery Department at a Government University Hospital in Bangkok Metropolis https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/201696 <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; This qualitative research aimed to study a role development to be in-charge nurses of the pediatric surgery department of a government university hospital in Bangkok Metropolis. Fourteen key informants whose work related to take care of pediatric patients undergoing surgical treatment, including ten professional nurses who had experienced as in-charge nurses for more than 1 year, two nurse administrators, and two pediatricians were recruited in the study. Verbatim transcription was used. Data were analyzed by content analysis.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The results showed that four themes associated to a role development to be in-charge nurse were as follows. 1) Preparation before positioning both from the department and nurses themselves. 2) Developed their in-charge nurses during in-service roles. 3) Coped with their stress and growing in maturity of their “new in-charge nurses”, and 4) Factors strengthening to the new in-charge nurses.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; This study can be applied as a guideline of preparation for effective in-charge nurses and professional development.</p> พวงยุพา ยิ้มเจริญ สมใจ พุทธาพิทักษ์ผล พรศรี ศรีอัษฏาพร Copyright (c) 2019-07-02 2019-07-02 30 1 117 130