https://he02.tci-thaijo.org/index.php/tnaph/issue/feed Nursing Journal of The Ministry of Public Health 2021-08-07T16:41:09+07:00 ดร.ศุกร์ใจ เจริญสุข n.tnaph@gmail.com Open Journal Systems <p><span style="text-decoration: underline;"><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">วัตถุประสงค์</span></span></span></span></span></span></span></span><br></strong></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">วารสารพยาบาลกระทรวงสาธารณสุขจัดทำขึ้นเพื่อส่งเสริมและเผยแพร่ผลงานวิจัยและงานวิชาการด้านการพยาบาลทุกสาขาและงานด้านการแพทย์</span></span></span></span></span></span></span></span></p> <p><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">ตั้งแต่ปี 2555 วารสารการพิมพ์ปีที่ 3 มกราคม - เมษายน, ฉบับที่ 2 พฤษภาคม - สิงหาคม, ฉบับที่ 3 กันยายน - ธันวาคม</span></span></span></span></span></span></span></span></p> <div id="__if72ru4sdfsdfrkjahiuyi_once" style="display: none;">&nbsp;</div> <div id="__if72ru4sdfsdfruh7fewui_once" style="display: none;">&nbsp;</div> <div id="__hggasdgjhsagd_once" style="display: none;">&nbsp;</div> https://he02.tci-thaijo.org/index.php/tnaph/article/view/252558 High Risk Pregnancy: Nurses’ Roles in Promoting Perception of Pregnancy Risk 2021-08-07T12:18:06+07:00 Natthapat Karanyasin natthapat@bnc.ac.th Kittiporn Prachasaisoradej n.tnaph@gmail.com Penphan Pitaksongkram n.tnaph@gmail.com <p>The perception of pregnancy risk involves the thoughts, feelings and awareness of pregnant women about the nature and severity of the risks and complications affecting the health of pregnant women, the fetus and newborns. The awareness of pregnancy risks is an important factor in motivating and influencing the decision to select appropriate health care behaviors based on that risk. Nurses play an important role in promoting the perception of pregnancy risk by assessing risk perception of pregnant women and the complications of pregnancy using effective tools. This leads to the promotion of pregnant women in the development of real perception of risk in line with that of health personnel. This allows for the proper acceptance and implementation of recommendations. It reduces the likelihood of undesirable outcomes during pregnancy and delivery, in particular, reducing chance of death of a mother, fetus or the newborn.</p> 2021-08-05T00:00:00+07:00 Copyright (c) https://he02.tci-thaijo.org/index.php/tnaph/article/view/252562 Effects of a Problem Based Learning Online Program for Nursing Students during COVID-19 Global Pandemic on Learning Outcomes according to Thai Qualifications Framework for Higher Education 2021-08-07T12:20:43+07:00 Yupawan Thongtanunam yupawan@bnc.ac.th Worapanit Sukrapat n.tnaph@gmail.com Suppakorn Wankrathok n.tnaph@gmail.com Pattanin Santayakorn n.tnaph@gmail.com <p>As the coronavirus (COVID-19) pandemic spread across the world, Thailand declared a state of emergency throughout the Kingdom. Educational institutions were required to online teaching and learning pedagogies. This pre-posttest one group quasi-experimental research aimed to study the results of PBL-OP on the learning outcomes according to Thai Qualifications Framework for Higher Education. The sample consisted of 153 third-year nursing students. The data were collected using the online questionnaires which consisted of Self-perception based on Thai Qualifications Framework for Higher Education (S-p TQF-HEd) questionnaires, as well as the knowledge test regarding nursing care of patients with neurological disorders. Based on the measurement properties tested, the IOC of the questionnaires ranged from .67-1.00 and the questionnaire reliabilities ranged from .78-.96. The face validity (S-CVI/UA) of knowledge test was .80 and the difficulty index of the test ranged from .20-.62. The research results revealed that after completion of study, students had scores of S-p TQF-HEd and knowledge test at the good level. In addition, the scores after studying were statistically significantly higher than those before studying at the p-value of .05 (t=2.817, p=.005; t=2.652, p=.009; t=5.285, p=.000; t=13.95, p=.000, respectively). In conclusion, the development of the problem-based online learning program should be further promoted and integrated with face-to-face learning as a blended-hybrid learning program.</p> 2021-08-05T00:00:00+07:00 Copyright (c) https://he02.tci-thaijo.org/index.php/tnaph/article/view/252563 The Development of a Competency Enhancement Model for Perioperative Nurses in Rajavithi Hospital 2021-08-07T12:26:46+07:00 Srisuda Peerawanichkul srisuda.toa@gmail.com Anong Sornchai n.tnaph@gmail.com Wilawan Tantisittiporn n.tnaph@gmail.com Kampong Kamnon n.tnaph@gmail.com Wonpen Sugsang n.tnaph@gmail.com <p>This research and development study aimed to 1) study the competency and the need for competency enhancement of perioperative nurses, Rajavithi hospital, 2) develop a competency enhancement model for perioperative nurses, and 3) determine the effectiveness of the developed model. The research was divided into four phases. Phase 1: The study of competency and the need for competency enhancement of perioperative nurses. One hundred and two nurses answered the questionnaire on needs and competency enhancement. Head nurses of each unit also completed the same questionnaire. Phase 2: The development of enhancing competency model involved a series of team workshops and brainstorming with experts. Phase 3: A quasi-experimental study (One group pre-posttest design) assessed the effectiveness of the model. Thirty-six nurses were selected by purposive sampling for the study over a four-week period. Descriptive statistics such as mean and percentage were reported. The differences of quantitative variables were compared using paired t-test. Phase 4: The competency enhancement model was approved by three experts. The results revealed that 1) the competency for perioperative nurses was at a high level, as both evaluated by themselves and the unit’s head nurses. Average competency scores were 273.43 and 247.84, respectively. 2) The four main components of the competency enhancement model consisted of principles, objectives, development, and evaluation. 3) The competency enhancement model was effective in enhancing perioperative nurses’ performance. Nurses reported a high satisfaction with the model. The incidence of an adverse event was likely reduced. The competency enhancement model was approved by experts, and can be used as a guideline to develop the competency of perioperative nurses in other hospitals.</p> 2021-08-05T00:00:00+07:00 Copyright (c) https://he02.tci-thaijo.org/index.php/tnaph/article/view/252565 The Development of Work Engagement Scale for Professional Nurses in General Hospitals under the Ministry of Public Health 2021-08-07T12:30:37+07:00 Pranee Meehanpong meehanpong@yahoo.com Suneerat Boonsin n.tnaph@gmail.com Sineenat Thipmusik n.tnaph@gmail.com Phechnoy Singchungchai n.tnaph@gmail.com <p>This study aimed to develop a scale of work engagement for professional nurses in General Hospitals under the Ministry of Public Health and to validate the model . The participants consisted of 420 professional nurses in General Hospitals under the Ministry of Public Health randomly selected using multi-stage sampling. Data were collected using a questionnaire of work engagement for professional nurses. Data were analyzed using factor analysis with principle component and Varimax rotation. Construct validity was analyzed using a software package program. The results showed that a scale of work engagement for professional nurses in General Hospitals under the Ministry of Public Health consisted of four factors: 1) Enthusiasm, 2) Vigor, 3) Dedication, and 4) Absorption, including 23 items with factor loading of .54-.80 and accounted for 54.02 % of total variance. The measurement model of work engagement for professional nurses in general hospitals under the Ministry of Public Health was consistent with the empirical data with Chi-square=267.67, df=192, χ2/df= 1.39 GFI=.94, AGFI=.92, RMSEA=.03. This research can be used as a guide to develop research tools of work engagement for professional nurses in other hospitals under the Ministry of Public Health. However, content validity should be evaluated for context in each hospital prior to the use this tool.</p> 2021-08-05T00:00:00+07:00 Copyright (c) https://he02.tci-thaijo.org/index.php/tnaph/article/view/252567 Needs Assessment of Health Literacy and Behavior Promotion in Elderly People with Chronic Non-Communicable Diseases in Bueng Yitho Medical and Rehabilitation Center, Pathumthani Province 2021-08-07T13:03:56+07:00 Orathai Rungvachira orathai.ru@ssru.ac.th Wilailak Langka n.tnaph@gmail.com Rungtiwa Yamrung n.tnaph@gmail.com Sunee Lagampan n.tnaph@gmail.com <p>This descriptive research was aimed to assess and prioritize the needs of health literacy and behavior promotion for elderly people with chronic non-communicable diseases. The sample consisted of 137 elderly people between the ages of 60-69 years with high blood pressure and diabetes, who were treated in Bueng Yitho Medical and Rehabilitation Center. The sample size was calculated from the Yamane formula. The research instrument was a five-level scale questionnaire with a dual-response format and a checklist with open-ended comments. The data were analyzed by using the modified priority needs index (PNI Modified) to prioritize the needs from a high to low score. The results found that, in the dimension for developing the skill of health literacy, the sample had similar needs in four areas including information accessibility, understanding, appraisal, and applicability, with PNIModified at .55, .57, .58, and .34, respectively. In the dimension that affects health, the needs of screening and selection of health products were the top priority (PNIModified=.68). Regarding the needs in health behaviors promotion, healthy food needs were the top priority (PNIModified=.57). Therefore, health workers should use the prioritization of needs assessment for planning activities to promote health literacy and health behaviors to meet the real needs of elderly people with chronic non-communicable diseases.</p> 2021-08-05T00:00:00+07:00 Copyright (c) https://he02.tci-thaijo.org/index.php/tnaph/article/view/252569 3E 2S Health Behaviors of the Elderly in Narathiwat Province under the Coronavirus 2019 Pandemic 2021-08-07T15:27:19+07:00 Rorbia Nawakaning patcharawadee.t@pnu.ac.th Napeesah Cheleng n.tnaph@gmail.com Hudaibah Salae n.tnaph@gmail.com Thaweeporn Pengmak n.tnaph@gmail.com Tippayawan Niltaya n.tnaph@gmail.com Patcharawadee Tongnuang patcharawadee.t@pnu.ac.th <p>This study aimed to investigate and compare the 3E 2S (Eating, Exercise, Emotion, Stop smoking, Stop alcohol drinking) health behaviors of the elderly in Narathiwat Province during the coronavirus 2019 (COVID-19) pandemic. The sample of 1,087 people aged 60 years and over living in Narathiwat Province were obtained from multistage random sampling. A questionnaire consisted of demographic data and the 3E 2S Health Behavior in the elderly parts, which were content validated by experts. The Cronbach’s Alpha coefficient was .81 for reliability. Data were analyzed using descriptive statistics, t-test, and one-way ANOVA. The findings revealed that the total score for 3E 2S health behaviors among the elderly in Narathiwat Province under COVID-19 pandemic was at a good level ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 3.86, .59). Considering each aspect separately, the score for stop smoking and stop alcohol drinking were at a very good level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> =4.89 and 4.98; SD=.38 and .17, respectively). In addition, the score for eating, exercise, and emotion were at a good level ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> =3.08, 3.55, and 3.59; SD=1.25, 1.50, and 1.26, respectively). Moreover, elderly who varied in education and their ability in the use of medication had a significantly different level of 3E 2S health behaviors among the elderly in Narathiwat Province</p> 2021-08-05T00:00:00+07:00 Copyright (c) https://he02.tci-thaijo.org/index.php/tnaph/article/view/252573 The Relationship among Knowledge, Health Beliefs and COVID-19 Prevention and Control Behavior of Staff and Nursing Students, Faculty of Nursing Rajamangala University of Technology Thanyaburi 2021-08-07T15:32:15+07:00 Malee Geounuppakul Nart.geo54@gmail.com Suwimon Panawatanakul n.tnaph@gmail.com Phereya Nuntananate n.tnaph@gmail.com <p>This research aimed to study the levels of knowledge, health beliefs, and prevention and control behavior related to COVID-19 among faculties, staff, and nursing students and to examine the relationship between those variables during Coronavirus Disease 2019 (COVID-19) Pandemic. The samples of 125 participants were selected by stratified random sampling from faculties, staff, and nursing students. The data were collected online using research tools. The research instruments included demographic, knowledge, health beliefs, and prevention and control behavior related to COVID-19 questionnaires. These tools were approved for the content validity by 3 experts. The reliabilities of knowledge and COVID-19 prevention and control behavior questionaires were tested using Kuder-Richardson -20, and they were .73 and .79. The Cronbach’s alpha coefficient was used to examine the reliability of health belief questionnaire, and it was .84. Data were analyzed using descriptive statistics and Pearson’s correlation coefficient.The results showed that the average score of knowledge was at the highest level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> =14.88, SD=.14). Health belief score was high ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> =122.33, SD=12.76) and prevention and control behavior was in the highest level ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> =11.92, SD=.30). There was no statically significant relationship between knowledge, health beliefs, and prevention and control behavior among faculties, staff, and nursing students (r=-.001, p-value=.995; r=.042, p-value=.641, respectively). To promote the COVID-19 prevention and control behavior of faculties, staff, and students, the university should continuously support essential material and equipments to protect and prevent the disease.</p> 2021-08-05T00:00:00+07:00 Copyright (c) https://he02.tci-thaijo.org/index.php/tnaph/article/view/252576 Factors Related to Risk Management Behaviors of Professional Nurses: A Case Study of Hatyai Hospital 2021-08-07T15:36:21+07:00 Supakit Chaiphom supakit8753@gmail.com Sopen Chunuan n.tnaph@gmail.com Wanna Aungkasuwan1 n.tnaph@gmail.com <p>This descriptive correlational study aimed to examine the level of professional nurses’ risk management behaviors and the relationships between factors and risk management behaviors of the professional nurses who worked at Hatyai hospital. The sample consisted of 258 professional nurses who were selected by purposive random sampling. The questionnaire used to collect the data consisted of six parts, including: 1) demographic characteristics, 2) professional nurses’ risk management behaviors, 3) communication skills, 4) attitudes towards risk management, 5) participatory risk management, and 6) risk management motivation. The reliabilities of Parts 2 to 6 of the questionnaire were tested using Cronbach’s alpha coefficient, yielding values of .92, .95, .90, .94 and .96 respectively. The data were analyzed using frequency, percentage, mean, standard deviation, and Pearson’s product moment correlation. The results revealed that the overall mean score of the professional nurses’ risk management behaviors was at a high level. There were moderate positive correlations of risk management motivation, communication skills, participation in risk management and attitudes towards risk management with the risk management behaviors among professional nurses (r=.601, r=.560, r=.468 and r=.321, respectively, p&lt;.001). These research findings could be used to develop the promotion of risk management behaviors among professional nurses.</p> 2021-08-05T00:00:00+07:00 Copyright (c) https://he02.tci-thaijo.org/index.php/tnaph/article/view/252580 The Relationships among Learning Styles, Critical Thinking Deposition and Learning Achievement of Nursing Students 2021-08-07T15:39:28+07:00 Orranuch Chusri Orranuch_chu@dusit.ac.th Natrapee Jaingam n.tnaph@gmail.com Rungson Marapen n.tnaph@gmail.com Sresuda Wongwiseskul n.tnaph@gmail.com Petcharat Jermrod n.tnaph@gmail.com Jiraporn Chonmasuk n.tnaph@gmail.com <p>The objective of this descriptive research was to study the relationship among learning styles, critical thinking dispositions, and learning achievement. The population was the 250 nursing students of Suan Dusit University studying in Years 1-4 of the Nursing bachelor’s degree. The data were collected by a 3 part questionnaires, including demographic data, class, learning achievement, critical thinking deposition, and learning styles. Cronbach’s alpha coefficients were .84, and .87, respectively. The data were analyzed by descriptive statistics, Spearman’s Rank Correlation Coefficient, and Kruskal-Wallis tests. The results showed that mean age of the sample was 20.3 years (SD=1.72) and grade point average was 3.00-3.50. Most of the students were freshmen. The 4th year students had the highest median score for overall scores of critical thinking deposition (median=225) and for the categories of systematicity (median=37), analyticity (median=32), and inquisitiveness (median=31). Students in different years of study were not different in their learning styles. in the two main styles were dependent style and independent style. There was a positive significant relationship between competitive style and critical thinking deposition in overall dimensions (r=.21, p&lt;.01), inquisitiveness (r=.14, p&lt;.05), maturity (r=.15, p&lt;.05), and truth-seeking (r=.23, p&lt;.01), whereas learning achievement was not found to be statistically significant. The findings support teaching and learning methods with group discussions, the sharing of ideas, and team work, will develop critical thinking among nursing students.</p> 2021-08-05T00:00:00+07:00 Copyright (c) https://he02.tci-thaijo.org/index.php/tnaph/article/view/252582 Effects of Game – Based Learning on Learning Achievement in Primary Medical Care among Nurse Students, Boromarajonani Collage of Nursing, Nonthaburi Province 2021-08-07T15:42:44+07:00 Aunreun Sornarkas aunreun@bcnnon.ac.th <p>This quasi–experimental research aimed to: 1) compare learning achievement in primary medical care before and after Game-Based Learning, and 2) study the satisfaction with Game-Based Learning. The target population were 163 final year nursing students at Boromarajonani College of Nursing, Changwat Nonthaburi. The research instruments were: 1) teaching documents in primary medical care, 2) a card game about primary medical care. The tools used in this research were: 1) the questionnaire of primary medical care, 2) the questionnaire on student satisfaction towards Game-Based Learning. Statistical analyses were descriptive statistics and the dependent t-test. The research results showed that learning achievements of the target population were statistically significant difference at a level of .05. The students were satisfied with Game-Based Learning at a high level (Mean=3.60, SD=.56)</p> 2021-08-05T00:00:00+07:00 Copyright (c) https://he02.tci-thaijo.org/index.php/tnaph/article/view/252591 Predictive Factors of Postpartum Depression among First Postpartum Women 2021-08-07T15:46:11+07:00 Kusumon Saenbunma Kusumon@bnc.ac.th Thunyamol Suriyanimitsuk n.tnaph@gmail.com Kittyporn Prachasisoradech n.tnaph@gmail.com Navaporn Mamark n.tnaph@gmail.com <p>Postpartum depression affects both baby and mother after birth, and involves both physical and mental effects, including maternal role adjustment, and is especially common among first-time mothers. This predictive study aimed to determine predictive factors of postpartum depression among first postpartum women including marital satisfaction, self-esteem, childcare stress, life stress and social support. A total of 164 participants took part in this study. Participants were 4-8 weeks postpartum and visited postpartum clinics or took their babies to well-baby clinics in the hospitals located in Chonburi province. Simple random sampling was used to identify these participants. Data collection was conducted during August to October 2019. A set of questionnaires collected demographic data, Thai Edinburgh Postnatal Depression (EPDS) scale, Thai version of the Dyad Adjustment Scale, Self-Esteem scale, Thai Childcare Stress Inventory, Life events questionnaire, and Postpartum support questionnaires were used for data collection. Descriptive statistics and logistic regression analysis were used to analyze the data. Results showed that 33.33 % of first postpartum women had postpartum depression. The results showed that taking care of the child, life event stresses, and social support, were likely to predict the rate of postpartum depression at 16.50% (Adjust R2 .165, F=7.351, p&lt;.05). The most important predictor was childcare stress (β=.379) followed by life event stress (β=.219) and social support (β=.215). The findings of this study suggest nurses should pay more attention to the assessment and screening of postpartum depression for all first postpartum women. A health education program that involves family members regarding how to overcome stress during the postpartum period should be implemented to prevent postpartum depression for first postpartum women.</p> 2021-08-05T00:00:00+07:00 Copyright (c) https://he02.tci-thaijo.org/index.php/tnaph/article/view/252592 Quality of Life of the Elderly Living in Thanyaburi District, Pathum Thani Province 2021-08-07T15:51:55+07:00 Monrudee Petlamul monrudee@eau.ac.th Nitikul Boonkaew n.tnaph@gmail.com <p>According to the changing situation of the increasing proportion of the elderly in the population, the government has a policy to provide care, solve problems, and promote the elderly to have a good quality of life. This research study aims to study the quality of life of a sample of 429 elderly in the district of Thanyaburi Pathumthani Province. Data were collected using the World Health Organization Quality of Life for Older Persons (WHOQOL-OLD) questionnaire. The tool was translated by language experts. Content validity was checked by experts and the reliability was tested with the sample alike yielding a coefficient of .86. The questionnaire consisted of 6 parts: 1) sensory abilities, 2) autonomy, 3) past, present, and future activities, 4) social participation, 5) death and dying, and 6) intimacy. The research results revealed that the quality of life of the elderly was at a good level, with an average score of 94.11. The scores on each part were at a high level. Based on the research results, knowledge should be given regarding health care for the elderly. Promoting activities to create jobs and thus to generate income can improve the quality of life of the elderly. A survey should be furtherly conducted in the socially different elderly groups in order to obtain more information to solve problems appropriately for the particular group.</p> 2021-08-05T00:00:00+07:00 Copyright (c) https://he02.tci-thaijo.org/index.php/tnaph/article/view/252585 Management Model for Preventing Unwanted Pregnancy in Teenagers: A Systematic Review 2021-08-05T19:29:01+07:00 Duanghathai Srisujarit duanghathai@bcnsurat.ac.th Lalitwadee Techakampholsarakit n.tnaph@gmail.com Kantaporn Phongpate n.tnaph@gmail.com <p>The purpose of this systematic review was to explore characteristics of studies focusing on management models for prevention of unwanted pregnancies among Thai teenagers and to summarize evidence-based knowledge derived from these studies. The seven research studies published during the year 2007-2018 in Thailand were selected from 501 studies. The data extraction method developed by the Joanna Briggs Institute (JBI) was used for data collection. Data were analyzed using descriptive statistics and content analysis. The results were as follows: all research studies reviewed in this study reached level 2C of the JBI. All of the samples in the studies were female teenagers. Management models for the prevention of unwanted pregnancies consisted of health education, motivation and behavioral skills. All management models for the prevention of unwanted pregnancies could improve knowledge and unwanted pregnancy prevention skills of study groups. This systematic research could be used to develop a management model for preventing unwanted pregnancy in teenagers by providing information positive motivation, and social support as well as improving skills to avoid sexual risk behaviors which can also help solving other health problems.</p> 2021-08-05T00:00:00+07:00 Copyright (c) https://he02.tci-thaijo.org/index.php/tnaph/article/view/252586 Causal Factors Influencing Physical Functional Recovery of the Elderly Following Hip Surgery 2021-08-07T16:41:09+07:00 Sadakan Eamchunprathip Sadakan-e@hotmail.co.th Titaree Phanwichatkul n.tnaph@gmail.com <p>Functional recovery in the elderly following hip surgery affects their quality of life. This study was conducted to examine causal factors influencing the physical functional recovery in the elderly following hip surgery over a period of 3 to 6 months, in 12 hospitals. Eight tertiary and 4 medical hospitals were included. A stratified random sampling method was used to select the sample. The sample size was calculated by using the probability proportional to size sampling (PPS) method. The number of samples was 37-41 depending on the difference in the number of surgical patients in each hospital. Samples were randomly selected by the convenience method to answer the self-administered questionnaires. Instruments used for data collection were general information questionnaires, a family caregiver support questionnaire, a self-management questionnaire, a health service system questionnaire, and a physical function recovery questionnaire. Data were analyzed using path analysis with the AMOS program. The results revealed that age, comorbidity, pain, support from family caregivers, and care models had a direct effect on self-management, indirect effect on the physical functional recovery, and explained 24 % of the variance in self-management (R2=.244, p&lt;.001), and self-management explained 2.4% of the variance in physical functional recovery (R2=.0244, p&lt;.001). These study findings suggest that the physical functional recovery following hip surgery in the elderly is related to many factors, with both direct and indirect effects. Although self-management had a direct effect on post-operative recov­ery, self-management for a healthy recovery needs to control the underlying condition, pain management, family caregiver support, and continuing health services post-discharge.</p> 2021-08-05T00:00:00+07:00 Copyright (c) https://he02.tci-thaijo.org/index.php/tnaph/article/view/252593 Factors associated with Happiness among Registered Nurses 2021-08-07T16:36:20+07:00 Nawara Laowanich wara_warinny@hotmail.com Malinee Punyaratabandhu n.tnaph@gmail.com Napatsawan Patcharatanasan n.tnaph@gmail.com Eakkarin Lukkanalikitkul n.tnaph@gmail.com <p>This study is a cross-sectional descriptive study which aims to study the factors related to the happiness towards working of registered nurses using secondary data collected by the happiness self-assessment questionnaire (Happinometer) from November 1, 2018 - January 31, 2019, then analyzed by using binary logistic regression analysis to find factors that were related to the happiness of nurses. The results showed that the sample group had an overall score of happiness level at 60.21 points which was classified as happy. According to the dimension of happiness, the sample group had the lowest score in the relaxation dimension (50.47 points), and the highest score was in the spiritual dimension (69.07 points). After testing the hypothesis, it was found that shift work was a statistically significant factor related to the happiness of nurses (OR 4.22, p=.02). The Pearson product-moment correlation coefficient was used to determine the correlation between final happiness score calculated from nine dimensions and overall happiness score rated by themselves. The questionnaire responses showed a statistically significant moderate relationship (r=.65), reflecting consistency of questionnaire responses. Shift work was identified as a factor that was significantly related to happiness level. The results of this research can serve as supporting data for executives in developing policy and modifying management to enhance happiness level among their nurses. Certainly, organizations with happy personnel can operate with stability and efficiency.</p> 2021-08-05T00:00:00+07:00 Copyright (c) https://he02.tci-thaijo.org/index.php/tnaph/article/view/252588 The Effects of a Booster Program for Sexual Risk Behavior Prevention on Attitude, Subjective Norm, Perceived Behavior Control and Sexual Abstinence Intention of the 9th Graders 2021-08-07T16:38:32+07:00 Rassawan Sankammeun ruja.phu@mahidol.ac.th Rutja Phuphaibul n.tnaph@gmail.com Autchareeya Patoomwan n.tnaph@gmail.com <p>Sexual risk behaviors of adolescents are causes of teenage pregnancy and sexually transmitted diseases. They are considered to be public health problems that require urgent remediation. If sexual abstinence could be achieved, problems from sexual risk behaviors among adolescents could effectively be reduced. This quasi-experimental study aimed to examine the effect of a booster program for sexual risk behavior prevention on attitudes, subjective norms, perceived behavioral control, and sexual abstinence intention of ninth graders. Purposive sampling was employed, and the participants from two schools were those who previously attended “the Sexual Risk Behavior Prevention Program for Sixth Graders” 3 years earlier. The sample included 27 participants in a control group and 27 in an experimental group. The experimental booster instrument was an activity plan. Data-collection instruments were questionnaires on general information, attitudes towards sexual behaviors, subjective norms about sexual behaviors, and perceived behavioral control. Data were analyzed using descriptive statistics, Independent t-test, Mann Whitney U-test, Paired t-test and Wilcoxon signed rank test. Results revealed that 1) after the experiment, the participants with the booster program for sexual risk behavior prevention demonstrated higher means of sexual abstinence intention than before the experiment with statistical significance (p&lt;.05), but indicated no significant difference in means of attitudes, subjective norms, and perceived behavioral control with statistical significance (p&gt;.05); and 2) the participants with the booster program showed higher means of attitudes, subjective norms, perceived behavioral control, and sexual abstinence intention than those in the control group with statistical significance (p&lt;.05). Based on this study, it is recommended that for the booster program to promote desirable behaviors and outcomes, it should be consistently implemented since such behaviors might diminish over time.</p> 2021-08-05T00:00:00+07:00 Copyright (c)