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Journal of Health Science Boromarajonani College of Nursing Sunpasitthiprasong
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  This is an Open Access Journal Open Access journal
ISSN (Print) 2673-0723
Published by Boromarajonani College of Nursing Homepage  [5 journals]
  • Editorial Note

    • Authors: Kunthida Kulprateepunya
      PubDate: 2022-04-30
      Issue No: Vol. 6, No. 1 (2022)
       
  • Nursing Care of a Patient Receiving Intra-Aortic Balloon Pump for
           Treatment: A Case Study

    • Authors: Chantira Chiaranai, Sudarat Peungngean , Surangkhana Prommart , Nudchaporn Doommai
      Pages: 1 - 15
      Abstract: Cardiogenic shock (CS) is a life-threatening clinical condition caused by inadequate tissue perfusion due to cardiac dysfunction. It is a hemodynamically complex syndrome characterized by a low cardiac output that often culminates in multiorgan system failure and death. It is the main cause of death related to acute myocardial infarction (AMI), with a mortality rate of 45-70% in the absence of aggressive and highly specialized technical care. The intra-aortic balloon pump (IABP) is one of the most widely used mechanical assistance devices, also known as temporary hemodynamic support systems, used to augment cardiac output. The use of IABP has increased substantially over the decades, despite being expensive. Therefore, this article aims to provide information for the safe effective use of IABP therapy. The article includes the following issues: 1) IABP principles of operation, 2) objectives, indications, and contraindications for the use of IABP, 3) complications of IABP use, 4) weaning and termination of IABP, 5) nursing care for patients treated with IABP, and 6) a case study and nursing care. This article benefits critical care nurses by promoting their competency to accurately assess complications and resolve issues that may arise from using IABP correctly and quickly, as well as being able to provide proper, holistic care for patients treated with IABP.
      PubDate: 2022-04-30
      Issue No: Vol. 6, No. 1 (2022)
       
  • Prevalence of Stress and Depression among Service Recipients at the
           Ubonratchathani Cancer Hospital During the Covid-19 Pandemic Situation

    • Authors: Chaliya Wamaloon , Petthai Niramansakulpong , Sopit Tubtimhin , Kunyanich Anekboon , Petmanee Boonchawee , Pimpisa Morakotkhew
      Pages: 16 - 30
      Abstract: The COVID-19 pandemic has had a significant impact on public mental health. This cross-sectional analytical study aimed to determine the prevalence and factors associated with the stress and depression among service recipients at the Ubon Ratchathani Cancer Hospital, Thailand during first, second and third wave of the COVID-19 pandemic situation. The sample selected using purposive sampling comprised 300 service recipients. Instrument included a questionnaire about 1) the demographics, 2) stress (ST5), and 3) depression risk assessment (2Q; 9Q). The data were analyzed by descriptive statistics and ordinal logistic regression. The results of this research showed that the prevalence of stress symptoms was 12% for the moderate to severe level and 54% for the depression risk, while the prevalence of depressive symptoms was 19% for the mild to severe depression level. The multivariate analysis revealed that the most consistent significant factors associated with the stress symptoms were the respondents who received service during the third wave of the COVID-19 pandemic in Thailand and cancer patients. Statistically significant increased risks of depression in service recipients were those respondents who received service during the first and third waves of the COVID-19 pandemic, cancer patients, age, and stress symptoms. From the results of this study, it was concluded that service recipients at the Ubon Ratchathani Cancer Hospital, were different during the pandemic period with regard to the risk of stress and depression. Therefore, there should be surveillance, screening, and mental healthcare guidelines for reducing the impact that could occur in vulnerable groups, so to be able to have the empowerment of a proper livelihood in the situation of the COVID-19 pandemic.
      PubDate: 2022-04-30
      Issue No: Vol. 6, No. 1 (2022)
       
  • Development of Clinical Nursing Practice Guidelines for Nurse Anesthetists
           assisting with Tracheal Intubation and Extubation of Suspected or
           Confirmed COVID-19 Patients undergoing General Anesthesia

    • Authors: Sarinra Thongmee , Khampin Kaewkanok , Orawan Ruangchat , Sirithip Sanguanwongwan , Wipapan Chaijaroenwan
      Pages: 31 - 44
      Abstract: Due to the situation during the COVID-19 pandemic, nurse anesthetists are health care workers with high risk exposure to COVID-19 because aerosol generation related to airway management procedures, such as facemask ventilation, and tracheal intubation and extubation. The purpose of this action research was to develop clinical nursing practice guidelines (CNPGs) for nurse anesthetist assisting with tracheal intubation and extubation of suspected or confirmed COVID-19 patients undergoing general anesthesia at Sunpasitthiprasong Hospital, Ubon Ratchathani, Thailand. Participants were 52 nurse anesthetists and 11 COVID-19 patients who undergoing general anesthesia for surgery. The research instruments were composed of 1) the CNPG for Assisting with Tracheal Intubation and Extubation of Suspected or Confirmed Covid-19 Patients Undergoing General Anesthesia, 2) the Performance Assessment Form, and 3) the Opinion Assessment Form for Nurse Anesthetists about CNPG. The data were analyzed using descriptive statistics and Wilcoxon matched-pairs signed rank tests. The results found that the CNPG consisted of five categories as follows: 1) anesthetic drug and airway equipment preparation, 2) airborne precautions, 3) nurse anesthetist roles and responsibilities in the anesthesia team, 4) assisting anesthesiologists with tracheal intubation and extubation, and 5) transferring the patient from the operating room to the COVID-19 ward after surgery. The overall overview of the feasibility of applying the CNPG was high (73.40%); overall, 100% of the nurses conformed to; and nurse anesthetists had statistically significant higher mean of knowledge scores than before using CNPG (Z = -6.25, p< 0.01). There were no Incidents of work-related COVID-19 infection among the nurse anesthetists.
      PubDate: 2022-04-30
      Issue No: Vol. 6, No. 1 (2022)
       
  • Preparing to be a Potential Elderly of Registered Nurses in a Tertiary
           Hospital

    • Authors: Suladi Kittiworavej, Sawitree Singhard , Supian Pokathip
      Pages: 45 - 57
      Abstract: Preparing for the stage of early adulthood is to prepare the elderly for living peacefully with well-beings and entering a quality old age in the future. This descriptive research aimed to study the level of preparation and factors related to the preparation to become a potential elderly of registered nurses in a tertiary care hospital. The samples consisted of 340 professional nurses working at a tertiary care hospital, and the data were collected from a general questionnaire, and a questionnaire evaluating the preparation for being a potential elderly. The general data were analyzed via descriptive statistics and the researchers examine the factors related to preparing for a potential elderly of registered nurses by using Chi-square and Pearson's correlation statistics. In the holistic view, the results showed that the preparation of professional nurses was at a moderate level. The highest mean scores fell into the aspects of technology and innovation (= 3.94, SD.= 0.47), and economy ( = 3.73, S.D.= 0.58) whereas the moderate mean scores were health ( = 3.42, SD.= 0.41), home and environment ( = 3.34, S.D.= 0.79) and social aspects ( = 3.28, S.D.= 0.65) respectively. Moreover, factors related to the preparation to become a potential elderly of registered nurses were age (r = 0.75) and income (c2 = 16.247), showing the statistical significance at the .01 level. However, other factors such as sex, marital status, highest educational background and current position had no statistical significance. In short, the results can be effectively implemented to develop a model or a program for the appropriate preparation of becoming a potential senior citizen of registered nurses.
      PubDate: 2022-04-30
      Issue No: Vol. 6, No. 1 (2022)
       
  • Effects of Maternal Preparation Program on Self-Efficacy to Prevent
           Infection in Preterm Infants before Discharge and Readmission Rates before
           Follow-Up Appointments

    • Authors: Sakonsupa Apichutboonchock
      Pages: 58 - 71
      Abstract: Mothers who had perception of self-efficacy in their baby care, show that they are able to care for preterm infants to prevent infection. Maternal prepare program may enhance their perception of self-efficacy. The purposes were 1) to compare the mean scores of the mother’s self-efficacy to prevent the preterm infants’ infection among before, after, and follow-up maternal prepare program; and 2) to compare the readmission rates of preterm infants before follow-up appointment after the program. Quasi-experimental research design was conducted in three trials. The samples were 50 pair mothers and their preterm infants who were admitted in pediatric II unit. The research tools were 1) maternal prepare program to prevent preterm infants’ infection; 2) the assessment form of mothers’ perception of self-efficacy to prevent the preterm infants’ infection; 3) the preterm infant record form; 4) the follow-up record form; and 5) the guideline of focus group questions. Descriptive statistics and one-way repeated measure ANOVA were used to analyzed quantitative data, whereas content analysis was used to analyzed qualitative data. The results showed two parts. Firstly, the mean score of mother’s self-efficacy to prevent preterm infants’ infection in the follow-up program was significantly higher than the mean scores of mothers’ self-efficacy to prevent preterm infants’ infection after and before program (p< .01). Secondly, the readmission rate before follow-up appointment was equal to 0 percent. In conclusion, maternal preparation program enhances mother’s self-efficacy to prevent preterm infants’ infection before discharge and reduce readmission rates before follow-up appointments. The maternal preparation program will be concerned in neonatal unit and in nursing education for nursing students.
      PubDate: 2022-04-30
      Issue No: Vol. 6, No. 1 (2022)
       
  • Developing Integration of CIPPA Model Instruction with Academic services
           on Nursing Student’s Competencies Based on Thai Qualification Framework
           for Higher Education in Maternal Child Nursing and Midwifery 1

    • Authors: Sivaporn Panmuang , Kanya Toontham , Pimlada Luddangam, Supaporn Pranudta
      Pages: 72 - 86
      Abstract: Enhancing student’s competencies based on Thai Qualification Framework for Higher Education (TQF) is a vital goal for nursing education. Developing integration of CIPPA Model instruction with academic services may reach the goal. The rresearch and development aims to study learning satisfaction, knowledge, and competencies based on TQF after the integration in Maternal Child Nursing and Midwifery 1. The participants in the study were 136 junior nursing students at Srimahasarakham Nursing College who enrolled in maternal child health nursing and midwifery 1. The instruments for the study used 1) CIPPA lesson plan included family planning and academic service integration with teaching and learning practicum, 2) knowledge test, 3) student’s learning satisfaction questionnaire, and 4) learning outcome questionnaires based on TQF. Data were analyzed by percentage, mean, standard deviation, and t-test. The result of the study revealed four parts. First, before and after using the integration, the mean scores of learning satisfaction were 4.16 (S.D. = 0.57) and 4.58 (S.D.= 0.53) respectively. Second, the mean scores of knowledges were 3.87 (S.D. = 0.38) and 4.27 (S.D. = 0.45) respectively. Third, the mean score of learning outcomes under TQF were 4.16 (S.D. = 0.57) and 4.58 (S.D.= 0.53) respectively. Lastly, there had significant differences before and after using the integration in the mean scores of learning satisfaction, knowledge, and learning outcomes under TQF. The findings suggest that integration of CIPPA Model instruction with academic services enhances learning satisfaction, knowledge, and learning outcomes under TQF.
      PubDate: 2022-04-30
      Issue No: Vol. 6, No. 1 (2022)
       
  • The Relationship between Self-motivation and COVID-19 Prevention Behaviors
           among Village Health Volunteers

    • Authors: Jongkolnee Tuicharoen, Nontanun Chaiwong , Patcharin Tuayharn
      Pages: 87 - 99
      Abstract: Village Health Volunteers (VHV) have an essential role in COVID-19 surveillance and prevention in the community. Because of this, they should have appropriate prevention behaviors. This study aimed to reveal the relationship between self-motivation and COVID-19 prevention behaviors among VHVs. The sample was 319 VHVs selected by a cluster random sampling. Data were collected using questioners about motivation and prevention that used a 5-point Likert scale (higher scores indicating more appropriate prevention behavior). The content consistencies of the questionnaires were acceptable, with index of item-objective congruences of 0.81 and 0.91 and reliability of Cronbach’s alpha coefficients of 0.87 and 0.77, respectively. Descriptive statistics and Pearson’s Moment Product coefficients were employed to analyze the data. The results found that the mean score for the overall motivation of VHVs was at strongly agree (= 4.24, S.D. = 0.78). Considering each motivation aspect, the highest mean scores were related to perceived severity (= 4.72, S.D. = 0.50), the lowest mean score was related to perceived susceptibility (= 3.14, S.D. = 1.25). The overall mean score for prevention behaviors among VHVs was high (= 3.39, S.D. = 0.33). Considering each prevention behavior, the highest mean scores were for wearing a mask (= 3.88, S.D. = 0.37); whereas, the lowest was a dining set for a person (= 2.91, S.D. = 0.98). There was a significantly positive relationship between motivation and disease prevention behaviors (r = 0.32, p < .01). Therefore, enhancing motivation among VHVs is necessary to promote appropriate COVID-19 prevention behaviors.
      PubDate: 2022-04-30
      Issue No: Vol. 6, No. 1 (2022)
       
  • Developing Guidelines for Using Lemon Juice, Wheatgrass Juice, and SKT 1
           and 2 Meditation Exercises to Reduce Blood Sugar Levels for Diabetic
           Patients

    • Authors: Onwanya Sriwarom, Patcharee Jaigarun , Rattana Boonpha , Pawinee Harasan
      Pages: 100 - 111
      Abstract: Encouraging diabetic patients to maintain their blood sugar levels in the normal range can help reduce complications. Based on the evidence bases, lemon juice along with wheatgrass juice and SKT 1 and 2 meditation were considered as an alternative way to reduce blood sugar levels in diabetic patients. Thus, the objectives of this research were: 1) to develop guidelines for using lemon juice, wheatgrass juice combined with SKT 1 and 2 meditation exercises on reducing blood sugar levels, and 2) to study the effectiveness of lemon juice, wheatgrass juice with meditation exercises of SKT 1 and 2 to reduce blood sugar levels. This research is development research based on the evidence consisting of four phases problem analysis, evidence-based investigation, implementation, and the continued implementation of the developed model. From a simple random technique, the samples were 48 diabetic patients at Nong Lak Sub-District Health Promoting Hospital, Muang Sam Sip District, Ubon Ratchathani Province. The instruments included the recording forms consisting of 1) problem analysis and evidence bases, 2) package 0f practice, and 3) a general information and patients’ blood sugar levels. The data were analyzed through descriptive statistics and repeated measure ANOVA. The results showed that there had unstable level, 12 evidence-based papers (at the level 1.c= 5 , 2.c= 1, 2.d= 5, 5.b=1), and guideline of using lemon juice along with wheatgrass juice and SKT 1 and 2 meditation before breakfast 30 minutes. In addition, the variability in glucose levels in blood during the months 0, 1, 2, and 3 were significantly different (F = 4.76, p = .009). Moreover, it clearly showed that with the use of lemon juice, wheatgrass juice with meditation exercises of SKT 1 and 2, patients could effectively reduce blood sugar levels. Further, for the suggestions of further studies, there should be an investigation on a comparative trial between two groups in a longer experimental period.
      PubDate: 2022-04-30
      Issue No: Vol. 6, No. 1 (2022)
       
  • Effects of Contemplative Education on Happiness Learning and Holistic
           Nursing among Nursing Students

    • Authors: Piyapong Sornlob, Suwannee Sroisong , Panthiracha Fuongtong, Nanthawan Thiraphong
      Pages: 112 - 126
      Abstract: Nursing students’ holistic care in nursing and happiness in learning are one of goals for nursing education. Contemplative education is a learning and teaching pattern to reach this goal. The purpose of this research was to study the effects of contemplative education approaches toward happiness in learning and holistic care in nursing. Quasi-experimental research was conducted in two group pretest posttest design. Samples were 27 sophomore nursing students who enrolled in 2020, divided into two groups: 14 for experimental group and 13 for control group respectively. Instruments were 1) contemplative education as research instrument, and 2) a questionnaire as collecting data including happiness in learning, and holistic care in nursing. Data analysis included percentage, median statistics, Wilcoxon matched–pairs signed–ranks test, and Man–Whitney–U test for the quantitative data, whereas content analysis for the qualitative data. The results revealed three parts. Firstly, in experimental group, median scores of happiness in learning and holistic care in nursing of the post test were higher than those of post test one and there was significantly different at .05 level. Secondly, in experimental group, median scores of happiness in learning and holistic care in nursing were higher than those of the control group and there was a statistically significant difference at the .01. Lastly, nursing students’ opinion included contemplative education help to relax and reduce learning pressure. The study suggests that the applying contemplative education into practical section of nursing education enhance nursing students’ happiness, and holistic care during their training.
      PubDate: 2022-04-30
      Issue No: Vol. 6, No. 1 (2022)
       
  • Factors Related to Attitudes toward End-of-Life Care among Nursing
           Students

    • Authors: Suparat Phisaiphanth, Supatra Buatee, Panphet Sakulkoo , Rungnapa Prayoonsirisak , Rojana Warawitsaranggoon
      Pages: 127 - 141
      Abstract: Nursing students’ attitudes toward end-of-life care is important for the quality of end-of-life care provided to terminal patients and their family members. This correlational research aimed to study attitudes toward end-of-life care and to investigate factors related to attitudes toward end-of-life care among nursing students at Boromarajonani College of Nursing Udonthani, Udonthani Province. A simple random sampling was used to select 138 senior nursing students. Data were collected by using the Demographic Questionnaire, the Palliative Care Quiz for Nursing, the Resilience Quotient Test, and the Frommelt Attitude toward Care of the Dying. The data were analyzed by using descriptive statistics and Spearman’s rank correlation coefficients of significance statistic at the 0.05 level. Results showed that nursing students had positive attitudes toward end-of-life care (= 100.49, S.D.= 8.61). Factors related to attitudes toward end-of-life care was resilience. The relationship between resilience and attitudes toward end-of-life care was slightly positive (rs= .26, p<0.01). There was no statistically significant relationship between knowledge about end-of-life care and attitudes toward end-of-life care (rs= 0.16, p> 0.05). This study recommends that resilience should be integrated into learning plan to enhance positive attitude towards end-of-life care among nursing students.
      PubDate: 2022-04-30
      Issue No: Vol. 6, No. 1 (2022)
       
 
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