Authors:Amornrat Luenam, Duanghathai Sangsawang, Wipawan Pengpanich, Pataraporn Yubonpunt, Kitti Prachuntasen, Chirattikarn Kaoian Pages: 155 - 167 Abstract: The aims of this study were to assess the level of happiness at work and analyze the relationship between factors in the organization, quality of life, and the happiness at work of personnel working in support and service departments in a government hospital in Nakhon Sri Thammarat Province. This cross-sectional study was conducted from March to April 2018 among 105 participants. A self-administered questionnaire was used. Descriptive statistics were used to access the level of happiness. The Pearson’s Product-Moment Correlation Coefficient was used to analyze the relationship between happiness at work, factors of organization, and quality of life. The result showed that the majority of participants (68.57%) had a fair level of happiness at work followed by a high (30.48%) ( ±S.D; 3.39±0.54, 95%CI; 3.29 – 3.50), respectively. While the factors of an organization comprised of leadership and management policy were positive correlations with happy heart, happy society and happy relax, respectively. In addition, working environment, workplace relationship, and job description were positive correlations with happy heart, happy society, respectively. All eight aspects of happiness at work were positive correlations with quality of life with the statistically significant level of 0.05. It is suggested that administrators need to work together to strengthen and support to build happiness at work in all aspects, especially happy brain, happy relax, and happy money. Since they were less happy at work than others aspect. PubDate: 2021-12-28 Issue No:Vol. 25, No. 2 (2021)
Authors:Trin Thipsut, Winthanyou Bunthan, Siriwan Turongruang, Jitprapa Rungruang, Ruksuda Choosrithong, Naowarut Kramulroj, Kanlaya Munluan Pages: 168 - 179 Abstract: This research aims to study the factors influencing health promotion behavior in the prevention of COVID-19 infection among first-year students, Huachiew Chalermprakiet University. The sample consisted of 136 first-year students of Huachiew Chalermprakiet University in the 2020 academic year. The research instruments consisted of the assessment of factors influencing health promotion behaviors for prevention of COVID-19, which were validated for accuracy the content was based on five experts and Cronbach's alpha coefficients were .887, .895, .859, .842, .899, .919, and .853, respectively. Data was collected in November-December 2017. The data were analyzed by Multiple Regression Analysis statistics as Stepwise method. The results showed that the first-year students of Huachiew Chalermprakiet university have an average score to Perceived benefits of action, Perceived self-efficacy, Activity-related effect, Interpersonal influences, Situational influences were at a high level, except for the average score of Perceived barriers to action was at a moderate level, and had a high average score of health promotion behavior in the prevention of COVID-19 infection. In the multiple regression analysis, it was found that the Perceived self-efficacy factor and the Interpersonal influences factor were able to predict health promotion behaviors in the prevention of Coronavirus Disease (COVID-19) of the first-year students of Huachiew Chalermprakiet university were 39.50 percent at statistically significant (p <.05). Perceived self-efficacy Influence on health promotion behavior to prevent coronavirus 2019 (COVID 19) infection of first-year students at Huachiew Chalermprakiet university. PubDate: 2021-12-28 Issue No:Vol. 25, No. 2 (2021)
Authors:Panian Grasung, Jerasak Thappa Pages: 180 - 195 Abstract: The objectives of the study were to 1) compare blood glucose levels and blood pressure levels of the experimental group before and after applying the health promotion model based on the principles of Dhamma’s way in Ban Chang subdistrict, Muang district, Pathum Thani province, 2) compare blood glucose levels and blood pressure levels between the experimental group and the control group after applying the health promotion model based on the principles of Dhamma’s way, and 3) compare the behaviors in practice in the health promotion between the experimental group and the control group after applying the health promotion model based on the principles of Dhamma’s way. The samples were divided into 2 groups, which were the experimental group and the control group. The experimental group consisted of 36 diabetes and hypertension patients as a chronic non-communicable disease, and the control group was 36 non-disease persons which were selected by purposive sampling. The tool for the experiment was the health promotion model based on the principles of Dhamma’s way comprising 3 ส. practices ( praying practice, meditation practice, and Dhamma dialogue practice), 3 อ. Practice (physical exercises, foods, and emotions), 1 น. Practice ( implementation of 3 ส., 3 อ. for the way of life. In each activity of practice consumed 1 hour which was intermittent time 1 week. The tool for collecting data was a questionnaire on the health promotion model based on the principles of Dhamma’s way and checked the content validity by 5 experts. The index of Item-Objective Congruence (IOC) of a questionnaire was 0.71 with a reliability level of 0.70. The data were analyzed by the statistics of percentage, mean and standard deviation. The comparisons of blood glucose levels and blood pressure levels of the experimental group before and after applying the health promotion model are based on the principles of Dhamma’s way using pair sample t-test. While the comparisons of blood glucose levels and blood pressure levels between experimental group and control group as well as behaviors in practice after applying using independent sample t-test. The results of this study showed that blood glucose levels and systolic blood pressure levels of the experimental group after applying the health promotion model based on the principles of Dhamma’s way had lower than before applying, at a statistical significance level of .01. The blood glucose levels and systolic blood pressure levels of the experimental group revealed that reduce more than the control group at a statistical significance level of .01. While the mean of the experimental group after the health promotion model based on the principles of Dhamma’s way had higher than the control group at a statistical significance level of .01. PubDate: 2021-12-28 Issue No:Vol. 25, No. 2 (2021)
Authors:Poonyaphat Siriteerathitikul Pages: 196 - 209 Abstract: This study was survey research with the objectives to 1) study the health behaviors of students at the University of Phayao; 2) analyze and differentiate the early syndrome of students at the University of Phayao according to the Eight Principles of Syndrome Differentiation in Traditional Chinese Medicine (Ba Gang Bian Zheng), and 3) study the relationships between health behaviors and early syndrome of students at University of Phayao according to Ba Gang Bian Zheng principles. In this study, a questionnaire as a research instrument in collecting data from a total of 392 students at the University of Phayao. The analysis and differentiation of the syndrome showed that 18.62% of the syndrome could be classified as Exterior syndrome, 11.48% were Deficiency Cold syndrome and 10.20% were Excess Cold syndrome. For personal behaviors of students, it was found that the most common behaviors were staying up late, not getting enough, and not being active (with an average of 2.85 and 3.09, respectively). The behaviors with moderate frequency included consuming cold drinks or food, consuming hot drinks or food, consuming fast food, being hot-tempered, and being easily irritable (with an average of 5.68, 8.58, 6.24, and 5.41, respectively). The behaviors with low frequency included drinking alcohol and depression (with an average of 2.00 and 1.91, respectively). The analysis of relationships between behaviors and syndromes using Pearson’s chi-square test showed that staying up late and not getting enough sleep affected all the syndromes according to Ba Gang Bian Zheng principles (Exterior/Interior/Cold (Yin)/Hot (Yang)/ Deficiency / Excess syndrome), while emotion and not being active affected the Exterior/Interior/Hot (Yang)/ Deficiency/Excess syndrome, and drinking cold drinks and food affected the Cold syndrome. In addition, drinking hot drinks or food affected the Hot syndrome, and consuming fast food and drinking alcohol affected the Interior/Deficiency/Excess syndrome at the statistical significance level of p < 0.05 and p < 0.01. PubDate: 2021-12-28 Issue No:Vol. 25, No. 2 (2021)
Authors:Siriwan Thongkeaw, Nongnut Boonyoung, Sasithorn Laimak Pages: 210 - 222 Abstract: This action research aimed to develop a Nursing Department communication model through a digital platform in a private hospital, southern region, and to study the results of the Nursing development of communication model through digital platforms. Apply the concept of organizational communication and participation in the organization. The research methodology used Kammis and McTaggart action research in conjunction with the design thinking process. The research was divided into three phases. Phase 1, the planning stage. Qualitative data were collected about the organizational communication situation of the nursing department by in-depth interviews. 8 nursing administrators and 10 registered nurses used semi-structured questions with a content validity index of 0.86. Phase 2, Act and Observe which involved 20 nursing administrators and 177 registered nurses The tool consisted of 2 parts: 1) Draft communication model via the digital platform (prototype) that has been considered by 3 experts. 2) Evaluation tool is the communication response behavior questionnaire. The confidence test by Test Re-test method is equal to 0.87. Satisfaction and Organizational Communication Participation Questionnaire Confidence test with Cronbach's alpha coefficient were 0.96 and 0.96. 1) Communication responding behaviors Test-retest index of 0.87 2) Satisfaction to the organizational communication model, and 3) Participation in organizational communication (alpha Cronbach’s coefficient index = 0.96 and 0.91, respectively). The last phase was Reflection which was done by interviewing 6 nursing administrators and 14 registered nurse participants. Qualitative data were analyzed by content analysis method, while quantitative data analysis used descriptive statistics. There are two parts of the research findings: 1) Draft a model of corporate communication through a digital platform for nursing departments; It is a participatory form of corporate communication. Two-way communication is available through the digital platform. For organization management and learning promotion with a nurse informaticist as the manager of the communication and learning system. This study revealed that the communication model is divided into 3 levels, which are organization communication, division, and individual. by prioritizing communication, it is divided into urgent communication in 24 hours and according to the appropriate time. with the nursing department to determine the learning model through the digital platform arises from the participation of the sample, consisting of 2 levels the nursing department to the operating department (downward) and the nurse selected to learn on their own (upward). Outcomes of model participation included three parts. 1) Communication responding behaviors showed that most participants spent 1 to 12 hours to respond after messaging was sent (38.66%), The period that the platforms were mostly used to respond was during after-work time (60.90%), followed by a participant’s day off (28.70%). Most participants accessed the platform around 1-2 times/day (84.35%). The department which was the fastest responder was the Health Promotion, the highest frequency of responding was from the Intensive Care Unit, 2) the average satisfaction score was at a high level and 3) the average score of participation in organizational communication was at a moderate level. The study results suggest that participation of nurse administrators and unit nurses is important to the development of communication and learning within the Nursing Department using the digital platform as well as the variety of communication technology and communication channels. Nurses who have knowledge and capability of information technology should be supported to get involved in the management of the organization's communication. PubDate: 2021-12-28 Issue No:Vol. 25, No. 2 (2021)
Authors:Watcharin Rangsipanuratn, Sirintra Juntokull, Kornwipa Wikainapakul, Patcharee Kammarnjassadakul Pages: 223 - 233 Abstract: This study aimed to compare the efficacy of phenotypic detection of CPE (carbapenemase-producing Enterobacterales) between simplified carbapenem inactivation method (sCIM) and modified carbapenem inactivation method (mCIM) comparable with genotypic method (multiplex PCR; polymerase chain reaction). The sCIM is based on the mCIM with the improvement of experimental procedures. Instead of 4-hours incubating the meropenem disk in trypticase soy broth medium, the organism was smeared directly onto the imipenem disk in the sCIM. The results revealed that the prevalence of CRE (carbapenem-resistant Enterobacterales) was 1.38%, classified as Klebsiella pneumoniae, Enterobacter cloacae, and Escherichia coli (64.42, 19.23, and 16.35%, respectively). Comparing the results of CPE detection, both methods and multiplex PCR showed 100% concordance with positive results for all 103 strains and negative results for 1 strain. (Cohen’s kappa = 1.0, 95%CI =1.0-1.0). Thus, the sCIM is easy to perform, reducing the step to make it more convenient, cost-effective, and does not require special tools, however, the amount of bacterial load has been carefully considered. Therefore, the sCIM may be suitable for routine use in clinical microbiology laboratories. PubDate: 2021-12-28 Issue No:Vol. 25, No. 2 (2021)
Authors:Tuangporn Katanyutanon, Sudarat Jinda, Namthip Jitchuen, Ornkanya Likitbantoon, Siramol Palawat, Phutsadee Srinak, Ruslawatee Naeha Pages: 234 - 246 Abstract: The objectives of this cross-sectional descriptive research were to study the public mind level and the factors relating to the public mind of the students. The sample was 190 students of the Faculty of Public and Environmental Health, Huachiew Chalermprakiet University in academic year of 2020 and was selected by using the stratified random sampling based on gender, year of study, and major, following with the systematic random sampling. Data were obtained by using questionnaire. Statistical analysis of data was done by using frequency, percentage, mean, standard deviation, Chi-square test and Spearman’s rank correlation. The results revealed that the level of the public mind of students was at a high level (=3.98, SD=0.47). For each aspect, it was found that the item “respect public rights” was at the highest respect public rights, it was at the highest level (=4.40, SD=0.69), Insert “and the items on social responsibility responsibility, volunteering in the public sector and preservation of public property were at high levels ( =3.89, 3.89, 4.15 ; SD=0.53, 0.53, 0.52). Please rephrase: Concerning the personal factors, Grade Point Average (GPA) had a very low positive correlation with the public mind of students with a statistical significance of 0.05 (r=0.241, p-value=0.001). Also, age as a factor had a very low had a very low negative correlation with a public mind at a statistical significance of 0.05 (r=-0.162, p-value=0.026). But factors like gender, year of study, major, monthly income were not significantly related to the public mind. The internal factors were perceived self-efficacy and following others which had a low, very low positive correlation with the public mind of students with a statistical significance of 0.05. (r=0.413,0.227 p-value=0.000). The external factors such as family support, university support, peer support, and mass media support were positively correlated at a low level with public mind at the statistically significant level of 0.05 (r=0.227, 0.380, 0.416, 0.424, 0.368, p-value=0.000). – if all factors were at a low level. Among the external factors such as family support, university support, peer support, mass media support was positively correlated at a low level with public mind at the statistically significant level of 0.05 (r=0.227, 0.380, 0.416, 0.424, 0.368, p-value=0.000). – if only mass media support was at a low level therefore, the results suggest that the public mind of the students should be supported by the family, the university, and the media. PubDate: 2021-12-28 Issue No:Vol. 25, No. 2 (2021)
Authors:Niwat Songsin, Waraporn Boonchieng Pages: 247 - 257 Abstract: The objectives of this research were to study problems and obstacle to emergency service systems of monks and to study knowledge to emergency service systems of monks in northern provinces of Thailand. This research is qualitative. The method of data collection uses an in-depth interview with a sample of seven monks. The results of the interviews of the samples revealed that most of the problems and obstacles of the monks in using the emergency medical service system are caused by the delay of the emergency ambulance, which is why the service is not called. And the call to report the incident involves many difficult steps, wherein sometimes the officers use impolite words. Most of the time, there are 2 ways to receive emergency medical services, which are by yourself because it is convenient, no wasting time waiting for an emergency ambulance, or waiting for it because it is safe, and there are support staff to help while taking them to the hospital. Each method has different significance and most monks still lack knowledge of the emergency medical service system, thus the monks do not know how to help themselves first during an emergency. The results of this study can be used to guide the development of emergency medical systems for monks. PubDate: 2021-12-28 Issue No:Vol. 25, No. 2 (2021)
Authors:Piyanee Oniam Pages: 258 - 272 Abstract: This research is a descriptive research. The objectives were to study and analyze trends in drug distribution for each drug group classified by ABC–VEN analysis, and use the results of this study as a guideline for planning drug inventory management to be appropriate for each drug group to reduce the cost of drug budget expenditure, increase the efficiency of drug administration and promote rational use of drugs. The population in this study was the annual expenditures incurred on each item of drugs in the pharmacy department of Raj Pracha Samasai Institute for fiscal years 2017 – 2020. The ABC analysis (Always, Better, Control) based on drug expenditure, VEN analysis (Vital, Essential, Non-essential) based on the criticality of drugs and ABC-VEN Matrix analysis were used to group the different types of drugs to three categories I, II and III. Data analysis was conducted by Microsoft Office Excel 2010 and by statistical method. In four fiscal-years ABC analysis, group A account for a large proportion of fund (79.89%) in the small number items (16.10%) while group C account for a large number of items (64.20%) but small proportion of drug expenditure (5.03%). The VEN analysis showed group V account for a small proportion of drug expenditure (0.13%) in the small number items (2.25%) while group N account for medium number of items (24.02%) but large proportion of drug expenditure (46.41%) nearby group E account for large proportion of drug expenditure (53.46%) in the large number items (73.73%). Form the ABC-VEN matrix analysis, majority of drug expenditure were Category I which includes drug group AV, AE, AN, BV and CV. Most of the category I were AE and AN groups, CV groups were vital drugs which require most attention for availability and control. ABC-VEN analysis should be routinely performed before initiation of new fiscal year for efficient management to improvement in patient care and also efficient use of resources. PubDate: 2021-12-28 Issue No:Vol. 25, No. 2 (2021)
Authors:Chotika Somsuvun, Apinya Yaowaboot Pages: 273 - 287 Abstract: The objective of this study was to investigate the caregiver roles and study factors associated with caregiver roles for chronically ill elders in muang district, Ubonratchathani province. Participants were 157 people who are the primary caregivers, who were 18 years old and above, such as off-springs and relatives of the elderly in the family. They were selected by random sampling method. Data were collected by questionnaire and were analyzed by Chi-square test and Pearson’s Product Moment Correlation. The results showed that the elderly carers with chronic illnesses had caregiver roles in a moderate level. When considering each aspect, it was found that the roles of a caregiver in physical, mental, social and economic care were moderate level. Statistically significant factors that were positively associated with caregiver roles for chronically ill elders are predisposing factor: caregiver’s occupation, age of caregiver, enabling factors: sufficiency of obtaining health information, distance of access to health services, costs of access to health service and reinforcing factors: social support. Statistically significant factors that was negatively associated with caregiver roles for chronically ill elders is a number of elderly people in care. PubDate: 2021-12-28 Issue No:Vol. 25, No. 2 (2021)
Authors:Nuchanat Charoenruk, Taweesak Kasiphol, Noppathat Chumpathat, Jariyawat Kompayak Pages: 288 - 300 Abstract: This descriptive correlation research aimed to examine the level of health-promoting behavior and explore the relationship between perceived benefits of action, perceived barriers to action, perceived self-efficacy, interpersonal influence, and health-promoting behavior among working-age people. The 132 participants included working-age people living in Nong Prue subdistrict, Bang Phli district, Samut Prakan Province between March 1 and May 31, 2021. The research instruments included a demographic data questionnaire, a health-promoting behavior questionnaire, and a factors-related to health-promoting behavior questionnaire-- which was modified by the researcher from Pender’s health promotion model. Descriptive statistics and Pearson’s Product Moment Correlation statistics were used to analyze the data. The results of the study revealed that the sample group had overall health-promoting behavior at a moderate level ( = 1.49, SD = 0.30). When considering each aspect, it was found found that health- promoting behavior in nutrition and physical activity were at moderate level as well ( = 1.78, SD = 0.43, = 1.20, SD = 0.51, respectively). Perceived benefits of action and perceived self-efficacy had a positive correlation with health-promoting behavior (r = .567, r = .451, p = <.01, respectively), perceived barriers to action had a negative correlation with health-promoting behavior, (r = .461, p = <.01, respectively), but no correlation was found between interpersonal influence and health-promoting behavior. The findings from this study can be used as baseline data to design activities or programs for enhancement health-promoting behavior in working-age people. PubDate: 2021-12-28 Issue No:Vol. 25, No. 2 (2021)
Authors:chutchavarn wongsaree, Surasit Chouyboon, Nahareuthai Nareumanphokin, Chitralada Sompasert, Daowan Khunyotying, Walianaree Promla, Thanannipha Phaksuknithiwat, Sudthicharat Charoenphong Pages: 301 - 311 Abstract: From the past situation, evident showed Vaccination can help prevent infection and reduce the severity of disease. At the same time, the side effects and complications of vaccine are also very serious. Professional nurses play a direct role in promoting health safety measures against the against coronavirus disease 2019 (COVID-19) vaccine to Thai people. This article aimed to raise awareness of vaccination against COVID-19 for nurses in 3 roles as follows: 1) health screening, nurses identify clients into 3 groups; first, are those who are healthy and able to vaccinate at all; second, are those patients who must consult with a doctor before vaccination like those with a history of vaccine allergy, cardiovascular disease, psychiatric syndromes and epilepsy etc.; and third, are those patients who had to postpone vaccination due to fever, those who have received blood or components in the past 3 months, people who have had COVID-19 or after treatment in the past 3 months, who received cell therapy, and patients who relied on discharge from the hospital. 2) Vaccination techniques, after sterilization, the nurses the nurses pull the skin up, pierce the needle 90 degrees, about 1 inch deep, and immediately administer the drug without the blood draw. and 3) the role of continuing care and nursing record after vaccination. The nurse must attach a recommendation document for the service recipient to go home as well. The author hopes that this knowledge will encourage nurses to take care of patients more safely. PubDate: 2021-12-28 Issue No:Vol. 25, No. 2 (2021)