Nursing Journal of The Ministry of Public Health 2021-04-28T11:21:52+07:00 ดร.ศุกร์ใจ เจริญสุข 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> Game-based Education for a Transformation of Nursing Students’ Learning Experiences: The STEM Education Project 2021-04-25T14:09:31+07:00 Penphan Pitaksongkram Laiad Jamjan <p>Twenty-first century education emphasizes the development of the competence of students to be able to apply their knowledge to practice in their work and life in the context of changing society. Game Based Education (GBE) is a teaching method that brings fun so as to motivate students to continuously learn. GBE provides opportunities for teachers to promptly give reasons and suggestions after ending activities. The steps of GBE consist of designing games, planning teaching activities, implementing teaching methods, and conducting evaluation. Evaluation methods include authentic assessment and reflection since the students learn in real situations. The evaluation should assess performance, process, and products of learning. Reflection is an individual evaluation by allowing students contemplatively think about their learning situations. Reflection is an important step in transforming students’ learning. The STEM education project is an example of applying GBE as a teaching method in this article. The teacher needs to analyze the course content and desired learning outcomes in order to design games to motivate students’ learning from the project and to achieve desired learning outcomes. The GBE would be able to transform students learning experiences if appropriately de­signed.</p> 2021-04-25T00:00:00+07:00 Copyright (c) The Development of Clinical Nursing Practice Guideline for Patients with Diabetic Ketoacidosis in Critical Phase 2021-04-25T14:18:36+07:00 Nuchrapee Suthikul Sumalee Jarusukthavorn Yaowapa Ponwiang <p>This research and development study aimed to develop clinical nursing practice guidelines (CNPG) for patients with diabetic ketoacidosis in the critical phase and to evaluate the results of applying the developed CNPG. The study was conducted in a medical ward, Rajavithi Hospital, during January 2019-October 2020, which consisted of 4 phases, as follows: 1) situation analysis, 2) CNPG development, 3) implementation of CNPG, and 4) the CNPG outcome evaluation. The development process was conducted based on the Deming cycle and the concept of CNPG development of the National Health and Medical Research Council; Australia. A purposive sampling method was used to select samples, which were 1) 40 registered nurses, and 2) 70 DKA patients composed of 35 allocated to a control group and 35 to an experimental group. The data were analyzed using frequency, percentage, mean, standard deviation and paired t-test statistics. The study found that CNPG for patients with diabetic ketoacidosis was divided into 4 phases: 1) critical phase, 2) post-critical phase, 3) discharge planning phase, and 4) return for follow-up examination phase. The CNPG was then evaluated. It was found that 1) the duration of time of the patients were out of ketone retention decreased from 28.23 hours to 16.18 hours, 2) none was re-admitted to the hospital within 28 days, 3) glycemic control increased from 11.4% to 35.1%, 4) the mean behavioral score of glycemic control of the experimental group after using CNPG was significantly higher than before using the CNPG for each item and overall at the 0.05 level, and 5) the majority of registered nurses (86.25%) reported a high score on the application of the CNPG. However; nursing practice based on this CNPG should be continuously monitor using PDCA process to cover all categories and all issues.</p> 2021-04-25T00:00:00+07:00 Copyright (c) The Effect of Ruesi Dadton Exercise on Balance Ability and Quality of Life of Early Stage Knee Osteoarthritis in Middle-aged Women 2021-04-25T14:42:32+07:00 Pariyapat Singthong Phaksachiphon Khanthong Kannanat Thepsuriyanon Orachon Duangkeaw <p>This study used a quasi-experimental research design to compare the effects of Ruesi Dadton exercise on balance ability and quality of life in middle-aged women with early stage knee osteoarthritis. The sample of 16 middle-aged women with early stage knee osteoarthritis, were equally allocated to an experimental group (n=8) and a control group (n=8). The research instruments consisted of the Ruesi Dadton exercise video, Berg Balance Scale (BBS), a self-administered (WHOQOL-BREF-THAI) quality of life questionnaire and satisfaction assessment form. The implementation and data collection were conducted from November, 2016 to June 2017. Statistics used for data analysis included the Wilcoxon signed rank test and Mann-Whitney U test. The research results revealed that, 1) after the experiment, in the experimental group there was a statistically significantly higher mean of balance ability (p&lt;.05), 2) after the experiment, the mean balance ability of the experimental group was significantly higher than that of the control group (p&lt;.01), and 3) after the ex­periment, the means of quality of life in physical psychological social relationships and overall quality of life of the experimental group were significantly higher than those of the control group (p&lt;.05). This research suggests that Ruesi Dadton exercise is one way to improve balance and quality of life in middle-aged women with early stage knee osteoarthritis.</p> 2021-04-25T00:00:00+07:00 Copyright (c) Effects of Lifestyle Modification Program on Blood Pressure in Female Older Adults with Prehypertension 2021-04-25T15:20:23+07:00 Worawut Chompoopan Thagoon Kechit Warangkana Chompoopan Saowalak Seedaket Jareeya Yomseeken Atchara Chanaboon <p>This quasi-experimental research study aimed to determine the effects of a lifestyle modification program on blood pressure and resting pulse rate among female older adults with prehypertension living in Na Ngio Sub District, Khao Suan Kwang District, Khon Kaen Province. The subjects were 64 older female adults with pre-hypertension (32 subjects in each group). The lifestyle modification program composed of three mains activities: exercising twice a day (in the morning and the evening), taking low saturated fat, sugar and salt diet, and drilling proper breathing. Blood pressure and heart rate record sheets were used for collecting the data. The resulting data were analyzed using descriptive statistics such as frequency, percentage, and standard deviation. An ANCOVA was used to compare means between the intervention and the control groups. Comparing means in each group used a paired t-test. Results show that systolic blood pressure (SBP) levels significantly decreased more among intervention subjects than among control subjects. Mean difference of SBP levels between intervention and control subjects was 9.72 mmHg (95% CI=7.73-11.71, p&lt;.001). Diastolic blood pressure (DBP) levels also significantly decreased more among intervention subjects than the other subjects in which the difference of DBP level means between the two groups was 8.35 mmHg (95% CI=4.82-11.87, p&lt;.001). Additionally, there was a significant reduction in the resting pulse rate among the intervention subjects less than the other subjects. Means difference of the resting pulse rate between the intervention and control subjects was 8.54 bpm. (95% CI=6.03-11.06, p&lt;.001).</p> 2021-04-25T00:00:00+07:00 Copyright (c) Relation between selected variables and the moral characteristics among junior high school students in extended opportunity schools 2021-04-25T15:37:58+07:00 Sawitree Wonginjun Jinjutha Chaisena Dallas Wanita Kwansumran Wachareekorn Aungkaprasatchai <p>This research aimed to examine factors related to the moral characteristics among junior high school students in extended opportunity schools. The Stratified random sampling was used to recruit the samples. There included 121 junior high school students in extended opportunity schools from Educational Service Area Office 1, Muang, Chonburi Province. Research instruments consisted of 1) a demographic questionnaire, 2) a parenting styles assessment 3) game addiction screening test 4) the Rosenberg self - esteem scale, and 5) the moral behavior questionnaire. There Cronbach’s alpha reliabilities ranged from .85 - .91. Data were analyzed by using descriptive statistic and Pearson correlation coefficients. The study results showed that the sample’s mean score of moral characteristic was at moderate level (M=3.36, SD=.63). Authoritative parent­ing style had a high level of positive correlation (r = .56, p &lt;.01) and self-esteem had a positive correlation at the moderate level (r = .43, p &lt;.01), while the neglectful, authoritarian and indulgent parenting styles were negatively related at medium and low levels (r = -. 39, r = -. 37 and r = -. 24, p &lt;.01, respectively). Moreover also found that Internet gaming addiction have a negative relationship at the moderate level (r=- .37, p&lt;.01). These findings suggest that the nurses, teachers, and personnel who work with early adolescents should emphasize on the promotion of authoritative parenting style and self - esteem. Game addiction in youths should be also concerned and watched out. These ways would cultivate moral characteristics and pro­mote psychosocial adaptation in early adolescents.</p> 2021-04-25T00:00:00+07:00 Copyright (c) Predicting Factors of Depressive Symptoms among Community-Dwelling Older People with Diabetes Mellitus 2021-04-25T15:45:14+07:00 Arunya Namwong Krittapat Fukfon Bauban Yana <p>The purpose of this predictive correlational research study was to examine predicting factors of depressive symptoms among older people with Type 2 diabetes mellitus for at least 6 months. The participants consisted of 130 older people in a community of Tumbon Bantom, Phayao. The acceptable structure interview with seven questionnaires were used to collect data, which consisted of the Demographic Data Questionnaire, The Chula Activities of Daily Living Index, Chula Mental Test, Family Relationship Scale, Social Support Scale, Spiritual well-being Scale of Thai older Buddhists and the Thai Geriatric Depression Scale-15 (TGDS-15). Data were analyzed using descriptive statistics, correlation and stepwise multiple regression analysis. The study results revealed that cognitive function and spiritual well-being were significantly negatively correlated with depressive symptoms (r=-.26, p&lt;.01) and (r=-.40, p&lt;.01), respectively. In contrast, the instrumental activities daily living, family relationship and social support had no relationship with depressive symptoms. In multiple regression analysis, cognitive function (β=-.19, t=-2.38, p&lt;.05) and spiritual well-being (β=-.37, t=-4.56, p&lt;.01) could significantly predict depressive symptoms. These two variables could jointly explain 20.00% of the variance of depressive symptoms (R2=.20, SEE=1.45, F=15.64, p&lt;.01). Therefore, focusing on continuous enhancement of cognitive function and spiritual well-being among older adults with diabetes mellitus may be able to reduce the incidence of depressive symptoms.</p> 2021-04-25T00:00:00+07:00 Copyright (c) Effects of Experiential Learning on Knowledge, Screening Practice, and Advising on Colorectal Cancer Prevention among Village Health Volunteers 2021-04-26T16:26:43+07:00 Umpiga Kuntajai Decha Tamdee Sivaporn Aungwattana <p>The purpose of this quasi-experimental study with two-group Pretest-Posttest research design was to examine the effects of experiential learning on knowledge, screening practice, and advice on colorectal cancer prevention among village health volunteers. A sample of 40 village health volunteers in Ko Kha district in Lampang province was equally assigned to a group with experiential learning and a control group with regular advice from public health officers. The research tools were divided into 2 parts: 1) The experimental tools consisted of (i) an experiential learning package of knowledge, screening practice and advice regarding the prevention of colorectal cancer of the village health volunteers, (ii) the experiential learning tools, and (iii) a manual of knowledge, screening practice, and advice regarding prevention colorectal cancer for the village health volunteers. 2) The data collected consisted of: demographic data, a questionnaire based on prevention of colorectal cancer, a screening practice observation form, and advising practice observation form based on prevention of colorectal cancer. Descriptive statistics, McNemar test, and Fisher’s Exact test were used for data analysis. After participating in experiential learning, the level of knowledge, screening practice and advising practice on prevention of colorectal cancer among the village health volunteers was statistically significantly higher than before participation in the experiential learning (p&lt;.001). Also, after participating in experiential learning, the experimental group had statistically significantly higher scores for all the results than those of the control group (p=.003, p&lt;.001, p&lt;.001) respectively.</p> 2021-04-25T00:00:00+07:00 Copyright (c) Factors Influencing Decision-Making for Cesarean Section among Primigravidae 2021-04-26T21:36:28+07:00 Kanokwan Tienmontree Sopen Chunuan Sasikarn Kala <p>This descriptive study aimed to explore the influencing factors on decision-making for cesarean section among primigravidae. The sample consisted of 325 primigravidae who visited antenatal clinics at Hatyai Hospital and Songkhla Hospital from January to April 2019. They were recruited with a purposive clustering method. The research instruments for data collection comprised 6 sets of questionnaires to obtain information on 1)demographic characteristics, 2)fear of childbirth, 3) attitudes toward giving birth, 4)social support from health care providers, 5) perception of the risks of cesarean section, and 6) decision-making for cesarean section. Data were analyzed using descriptive statistics and logistic regression. The results of this study showed three predictive variables significant in the final model, including fear of childbirth, attitude toward birth and perception of the risks of cesarean section, and could explain the decision-making for cesarean section among primigravidae with statistical significance and prediction of 48% (Nagelkerke R2=.48, p&lt;.05), and the final model correctly clarified 78.50% (overall percentage=78.50). Therefore, nurses should provide essential information to reduce fear of childbirth, encourage pregnant women to have positive attitudes toward giving natural birth, and promote the correct comprehensive content of the risk of cesarean section in order to reduce the cesarean section rate among primigravidae.</p> 2021-04-25T00:00:00+07:00 Copyright (c) Effects of a Capacity Development Program for Student Leaders Through Activity-based Learning on Knowledge and Practices of Visual Examination in a School 2021-04-26T21:51:30+07:00 Sirikarn Inthachai Sivaporn Aungwattana Wilawan Tuanrat <p>Vision impairment is one of a health problem among school students. This study aimed at investigating the effects of a Capacity Development Program on knowledge and practices among student leaders for visual examination in a school through Activity Based Learning (ABL) at Wat Weruwan School, Chiang Mai. The sample consisted of 33 student leaders. The instruments used in this study included a general information questionnaire, knowledge assessment form on visual examination, practice assessment form on visual examination, and a capacity development program for student leaders. The overall content validity indexwas 0.93 and reliability of knowledge assessment form and practices form were 0.77 and 1.00, respectively. The research was divided into three phases: pre-activity, implementation, and evaluation. The data were analyzed using frequency, percentage, means, standard deviation, a paired sample t-test and McNemar test. The results showed that student leaders had higher average scores of visual examination knowledge with statistical significance (p&lt;.001) and student leaders had a more accurate ability of visual examination practices at the school with statistical significance (p&lt;.001). Therefore, we can use a Capacity Development Program to develop the capacity of student leaders for visual examination.</p> 2021-04-25T00:00:00+07:00 Copyright (c) Factors related to Antibiotic Use Behaviors among Patients in Outpatient Departments of Community Hospitals 2021-04-26T22:00:28+07:00 Amphorn Yana Donnapa Chumchai <p>This descriptive research was aimed to determine antibiotic use behavior and factors related to antibiotic use behavior among patients in the outpatient department of five community hospitals in Phayao province. Four hundred participants were recruited using multi-stage random sampling. The research tools included an antibiotic knowledge test (reliability=.72) and antibiotic use behavior questionnaire (reliability=.85). Demo­graphic data was analyzed using descriptive statistics. Pearson’s correlation coefficient and Chi-square analy­sis were used to test the relationship between factors and antibiotic use behavior. The research revealed that 48.75% of participants was advised regarding antibiotic use around 1-2 times and 37.75% had physical health problems. The majority of them (95.75%) had never had drug allergies. The majority (84.25%) had a moderate level of antibiotic knowledge. About half (50.50%) had a moderate level of antibiotic use behav­ior. Five factors were significantly related to antibiotic use behavior; age with a low level of negative correlation (r=-.253, p&lt;.001), antibiotic knowledge with a low level of positive correlation (r=.222, p&lt;.001). In addition, educational level, occupation, and physical health problems were significantly related to antibiotic use behav­ior (p&lt;.05). This research suggests that health care staff should provide more methods of antibiotic education to patients in the Outpatient Departments of community hospitals by taking into account the differences in education, career, age and congenital disease of patients in order to promote appropriate antibiotic use behav­ior.</p> 2021-04-25T00:00:00+07:00 Copyright (c) Effectiveness of a Continuing Nutrition Care at Home Program on the Growth of Children with Congenital Heart Disease in a Primary Health Care Unit 2021-04-26T22:14:51+07:00 Tidarat Wangsawat Auyapaksorn Jaisomkom Yunee Pongjaturawit Praseat Piboonrungroj Wanisa Hayeese <p>The purpose of this research and development study were to develop a continuing nutrition care at home program in a primary health care unit and to determine the effectiveness of this program on the growth of children with congenital heart disease (CHD). The sample was recruited by a multi-stage random sampling technique. Ninety participants were categorized into 3 groups including health personnel, caregivers, and children with congenital heart disease. Data were collected from of October 2018 to September 2019 using the research instruments which consisted of the continuing nutrition care at the home program and growth record form for children with CHD. Descriptive statistics and paired t-tests were used for data analyses. The research results found that 66.6% of children with CHD were malnourished, classified as level 2 at 33.3%, level 1 at 20.0%, and level 3 at 13.3%. Those with normal weight and overweight were at 16.7%. When comparing the growth of children with CHD, it was found that the mean weight for age after receiving the program was significantly higher than before receiving the program (t=2.95, p=.006). The mean height for age of children with CHD before and after receiving the program was not significantly different (t=.36, p=.72).</p> 2021-04-25T00:00:00+07:00 Copyright (c) Effects of Continuous Labor Support Programme on Fear of Childbirth and Childbirth Outcomes among Primiparous Women 2021-04-26T22:25:00+07:00 Sudarak Prasan Supit Siriarunrat Tatirat Tachasuksri <p>Labor support is an important independent role of the midwives. This quasi- experimental research aimed to study the effects of continuous labor support on fear of childbirth and outcomes of labor among primiparous women. Participants were 48 primiparous pregnant women who attended at antenatal clinic and gave birth at 38-40 weeks of gestational age in the delivery room at Srisaket hospital. The sample was selected by inclusion criteria and simple a random sampling technique and equally divided into the experiment group and the control group. Each group consisted of 24 pregnant women. Data were collected using a personal and demographic questionnaire, pregnancy and labor records, and the fear of birth scale. Data were analyzed by descriptive statistics, Chi-square tests, and independent t-tests. The results found that the experimental group had significantly decreased average score of fear of childbirth during pregnancy period compared to that of the control group (t=2.447, p=.009). The participants in the experimental group also had a significantly lesser the proportion of oxytocin used than those in the control group ( X<sup>2</sup>=11.11, df=1, p=&lt;.001) These findings suggest that the nurse-midwives in labor rooms should provide childbirth preparation and give continuous labor support for parturient, especially the first-time mothers, to decrease fear and oxytocin administration.</p> 2021-04-25T00:00:00+07:00 Copyright (c) Entrustable Professional Activities (EPAs) for Newly Graduated Nurses: A Preliminary Study in Thailand 2021-04-27T10:02:11+07:00 Pitsini Mongkhonsiri Jureerat Kitsomporn Streerut Thadakant Sulee Tongvichean Soiy Anusornteerakul Wacharee Amornrojanavaravutti Kittiporn Nawsuwan Penpak Luk-in Krongkaew Rastsadondee Ampicha Nawai Nualyai Pitsachart Chonnipha Jaidee <p>The purpose of this study was to establish a list of nursing psychomotor skills identified to be Entrustable Professional Activities (EPAs) for newly graduated nurses. Twelve nursing instructors from 8 nursing schools discussed and established 147 nursing activities taught in the nursing and midwifery curriculum in Thailand. The list of these activities was constructed to be a questionaire and approved by three experts. Each activity was classified into 5 levels of performance. Experts’ opinions were collected by the two-round Delphi technique from 240 registered nurses recruited by purposive sampling. The participants had been working in the nursing profession for 10-46 years in mixing fields of nursing education and services both in public and private institutes comprised of 119 nursing instructors from 8 nursing institutes and 121 registered nurses from various levels of service sectors. Data was analysed by frequency, percentage, mean and median. Results showed classification of the 147 nursing activities into 4 levels of EPAs which were 41 (27.89 %), 83 (56.46 %), 22 (14.97 %) and 1 (0.68 %) for EPA level’s 5, 4, 3, and 2, respectively. No activity determined to be EPA level 1. There was a total of 124 EPAs (84.35 %) classified to be EPAs level 4 and 5, which experts expected newly graduated nurses to perform entrustedly with distanced supervision or without supervision. The remaining 23 activities (15.65 %) were allowed for new nurses to perform but with close supervision. However, there were only 12 activities of EPAs considered to be level 5 that obtained over 80 % frequencies of the experts’ opinions. This research was the first study to identify EPAs for nurses newly graduated from the nursing and midwifery curriculum in Thailand. The result is useful for nursing pedagogy development, especially for concrete assessments.</p> 2021-04-25T00:00:00+07:00 Copyright (c) Active Ageing Levels and Time Use Patterns in Social Participation of Active Ageing 2021-04-27T14:32:06+07:00 Autchariya Punyakaew Hsui-Yun Hsu Suchitporn Lersilp Supawadee Putthinoi <p>This study was a survey research study that examined active ageing levels and investigated time use patterns of active ageing in social participation. It was conducted with 140 older persons aged 60 years and over. They met the criterion of passing the Mental State Examination: Thai version (MMSE-Thai 2002). After that, they were examined using an active ageing questionnaire. The time use patterns of active ageing in the social participation of older persons were investigated using a time diary. The results showed that most of the older persons were at the moderate level (AAI=0.79). Investigation of time use patterns found that older persons with the same proportion of high and moderate active ageing levels spent more time in social participation than those with a low active ageing level. Social participation is essential for old age. It is one of the most important key indicators for active ageing that relates to good health and well-being for the elderly. Therefore, promoting a balance in activities that comprise health, social participation and security could bring about active ageing in elderly people.</p> 2021-04-25T00:00:00+07:00 Copyright (c) The Relationship between Sense of Coherence and Health Promoting Behaviors Among Patients with Ovarian Cancer Receiving Chemotherapy 2021-04-27T14:42:00+07:00 Worapanit Sukrapat Porntipa Taksin Ranida Chaismithkul <p>The purposes of this descriptive research study were to explore sense of coherence and health promoting behaviors, and examine the relationship between sense of coherence and health promoting behaviors among patients with ovarian cancer receiving chemotherapy. One hundred and fifty patients with ovarian cancer receiving chemotherapy were recruited using purposive sampling. The questionnaire consisted of three parts, as follows, 1) personal data, 2) senses of coherence, and 3) health promoting behaviors. Instrument quality was validated by 3 experts. The Cronbach alpha reliabilities of the questionnaire Parts 2 and 3 were 0.88 and 0.79, respectively. Data were analyzed using Pearson’s product moment correlation coefficient. The study findings revealed that patients with ovarian cancer receiving chemotherapy had senses of coherence and health promoting behaviors at a high level ( <img title="\bar{x}" src="\bar{x}"> =161.40, SD=23.25; <img title="\bar{x}" src="\bar{x}"> =3.69, SD=.32). Sense of coherence was statistically significantly correlated with health promoting behavior. (p&lt;.01)</p> 2021-04-25T00:00:00+07:00 Copyright (c) Relationship between Personal Factors, Attitude, Knowledge and English Skills of Health Professionals Working in Health Service Regions, the Thai Ministry of Public Health 2021-04-27T15:10:46+07:00 Suparpit von Bormann Susheewa Wichaikull Kamolrat Turner Surasak Soonthorn Wilaiporn Khamwong Sudkanung Ritruechai Benjaporn Tippayaphalapholgul <p>This correlational research study was aimed to investigate the relationship between personal factors, attitudes, knowledge and English skills of health professionals. The sample consisted of 198 health professionals working in 11 health service regions and attending the English skill development workshop organized by the Thai Ministry of Public Health. Research instruments for data collection included: 1) a personal factor question­naire, 2) an attitude towards English questionnaire, 3) an English test, and 4) an English skill questionnaire. Data were analyzed using descriptive statistics, Spearman’s Correllation Coefficient and Chi-square tests. Results showed a good level of attitude towards English (Mean=4.57, SD=.52), a fair level of knowledge (Mean=43.23, SD=11.43), a moderate level of English language skills in all aspects, a positive relationship between age and writing skills at p&lt;.05 (r=.172), a positive relationship between working duration and writing skills at p&lt;.01 (r=.203) as well as overall English skills at p&lt;.05 (r=.147), and a negative relationship between knowledge and listening, reading, writing, and overall English skills at p&lt;.05 (r =-.143, -.170, -.082 and -.175, respectively). The results of this study imply that a person who has high knowledge in English long vage may not always have high English skills. Therefore, English courses should not focus only on knowledge but also the chance for Thai health professionals to practice their English skills to master the demands of the international health care system in the future.</p> 2021-04-25T00:00:00+07:00 Copyright (c) Selected Factors Affecting Rational Antibiotic Use Behaviors of Nursing Students at Boromarajonani College of Nursing, Surin 2021-04-28T11:12:37+07:00 Sarinya Polsingchan Komwat Rungruang <p>The purposes of this research study were to investigate rational antibiotic use behavior, selection factors related to rational antibiotic use behavior and selection factors affecting the rational antibiotic use behavior of nursing students based on the theoretical framework of knowledge, attitude and behavior.14 The sample consisted of 328 nursing students in the academic year 2020 at Boromarajonani College of Nursing, Surin, which were obtained by stratified random sampling. The research instruments comprised 4 parts: 1) demographic data, 2) knowledge of antibiotic use, 3) attitude towards antibiotic use, and 4) rational antibiotic use behavior; with content validity between .67 and 1.00. The overall reliability of the questionnaires, using Cronbach’s alpha coefficient, was equal to .89. The data were analyzed using mean, standard deviation and multiple regression analysis. The results revealed as follows. Rational antibiotic use behavior of nursing students at Boromarajonani College of Nursing, Surin had the mean score of rational antibiotic use behavior for overall at a good level ( X =4.07, SD=.72).The relationship between each factor and rational antibiotic use behavior found that age, knowledge of antibiotic use and attitude towards antibiotic use had a positive correlation with statistical significance at .01 level, with correlation coefficient between .22 and .70. For selected factors affecting rational antibiotic use behaviors among nursing students, it was found that attitudes toward antibiotic use, age and knowledge of antibiotic use, can explain the variance of rational antibiotic use behavior at 51.90 percent with statistical significance at the level of .01 (R2=.52, p&lt;.01) which creates a model of multiple regression equation by creating the equation in the form of the standardized coefficients as follow Ŷ=.61 (attitude towards antibiotic use)+.17 (knowledge of antibiotic use)+.10 (age).</p> 2021-04-25T00:00:00+07:00 Copyright (c) The Effects of Nutrition Promotion Program on Food and Iron Supplement Consumption Behaviors and Hematocrit among Teenage Pregnant Women with Anemia 2021-04-28T11:21:51+07:00 Saranya Lamoh Sununta Youngwanichsetha เบญญาภา ธิติมาพงษ์ <p>This quasi-experimental study aimed to test the effects of nutrition promotion program on food and iron supplement consumption behaviors and hematocrit among teenage pregnant women with anemia. The sample consisted of 50 teenage pregnant women with anemia who were receiving antenatal care at a community hospital in Southern Thailand. They were purposively selected and assigned into an experimental group (n=25) or control group (n=25). The experimental group received the nutrition promotion program in addition to regular antenatal care service. The control group received regular antenatal care service. The research instruments consisted of 1) the demographic data form, 2) the pregnancy data form, and 3) the Food and Iron Supplement Consumption Behaviors Form. The reliability of the questionnaire using Cronbach’s alpha coefficient was .90. The data were analyzed descriptively using frequency, percentage, mean and standard deviation. The hypotheses were tested using inferential statistics: independent t-tests and paired t-tests. The results revealed that the teenage pregnant women who received the additional nutrition promotion program had significantly higher mean score of food and iron supplement consumption behaviors and hematocrit after intervention than before the intervention, and higher than those of the control group (p&lt;.001). The study findings indicate that the nutrition promotion program can improve food and iron supplement consumption behaviors and hematocrit among teenage pregnant women with anemia.</p> 2021-04-25T00:00:00+07:00 Copyright (c) 2021