APHEIT Journal of Nursing and Health https://rsujournals.rsu.ac.th/index.php/ajnh วารสารการพยาบาลและสุขภาพ สสอท. เป็นวารสารทางวิชาการที่สามารถเข้าถึงได้ง่าย (Open Access) มีผู้ทรงคุณวุฒิแต่ละสาขาเป็นผู้.... Subcommittees on Nursing Science, APHEIT en-US APHEIT Journal of Nursing and Health 2697-4622 <p>เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวารสารการพยาบาลและสุขภาพ สสอท. ถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรง ซึ่งกองบรรณาธิการวารสารไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใดๆ</p> <p>บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวารสารการพยาบาลและสุขภาพ สสอท. ถือเป็นลิขสิทธิ์ของวารสารการพยาบาลและสุขภาพ สสอท. หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมด หรือส่วนหนึ่งส่วนใดไปเผยแพร่ หรือเพื่อกระทำการใดๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากวารสารการพยาบาลและสุขภาพ สสอท. ก่อนเท่านั้น</p> Development of Cognitive Flexibility and Inhibition Control Recovery Program on Coping in Patient with Schizophrenia https://rsujournals.rsu.ac.th/index.php/ajnh/article/view/2635 <p>The patients with Schizophrenia are deficit in thinking, perception, emotion and behaviors. Deficits in cognitive mechanisms result in the patient's inability to think flexibly and to inhibit behavior appropriately leading to ineffective coping and stress adaptation processes, which cause of readmission. This project aimed to develop cognitive flexibility and inhibition control recovery program on coping, and compared cognitive flexibility and inhibition control of coping abilities in patients with schizophrenia before and after received program. Project implementations comprised situational analysis of recurrence of schizophrenic patients that found the association with impaired cognitive flexibility and inhibition control, development of cognitive flexibility and inhibition control recovery program, content validity checks and revision of the program, tryout with 144 schizophrenic patients, and program evaluation using cognitive flexibility and inhibition control in coping skill questionnaire. The mean score comparison before and after conducting the program was analyzed by paired t test.</p> <p>The results showed that after received the program, patients with schizophrenia had significantly higher average scores of cognitive flexibility and inhibition control of coping abilities than that of the before (p&lt;.01). The satisfaction of nurses and schizophrenic patients participated in this program ranged from high to the highest level. This program should be used for psychosocial rehabilitation of schizophrenic patients in all in-patient departments and also develop abilities of nursing professionals to use this program effectively. Additionally, the program should be tested by quasi experimental design before disseminating to other hospitals.</p> อรษา ฉวาง มยุรี กลับวงษ์ นฤทธิพรรณ ล้อมวงศ์ ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2021-09-28 2021-09-28 3 2 53 71 Process and Outcomes of Early Goal-Directed Therapy in Patients with Severe Sepsis and Septic Shock https://rsujournals.rsu.ac.th/index.php/ajnh/article/view/2145 <p>&nbsp;</p> <p>&nbsp;</p> <p>The aim of this retrospective descriptive study was to investigate the process and outcomes of the Early-Goal Directed Therapy (EGDT) in patients with severe sepsis and septic shock in Singburi hospital by using Donabedian model as a conceptual framework.</p> <p>The purposive sample of 120 medical records, 75 patients diagnosed with severe sepsis and 45 patients with septic shock, in intensive care unit and medical unit was recruited for this study. The instruments used were 1) the personal information sheet and 2) the EGDT process and outcomes record forms. Descriptive statistics was used for data analysis.</p> <p>The results were as follows: the time for assessment and diagnosis was 16 – 42 minutes (M 26.37, SD 5.95). Hemoculture time was 5 - 21 minutes (M 11.75, SD 2.65). Antibiotics time was 11 - 26 minutes</p> <p>(M 17.98, SD 3.41). The samples younger than 60 years received IV fluid resuscitation 680 - 2,100 ml (M 1,215.60, SD 343.82), and over 60 years received 450 - 1,300 ml (M 929.13, SD 169.61). Norepinephrine was started in 4 - 42 minutes (M 21.22, SD 8.42).</p> <p>Seventy-six patients with severe sepsis achieved the goal of the process in 6 hours (88%) and 55 survived (83.3%). For patients with septic shock, 40 achieved the goal (88.89%) and 24 survived (60%). According to the findings, caring outcome of intensive care unit met the criteria more than that of the internal ward; therefore, continuous training program to improve knowledge and skills for nurse working in internal wards was recommended.</p> ประภาพรรณ สิงห์โต ทองเปลว ชมจันทร์ ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2021-08-28 2021-08-28 3 2 1 21 The Association among Knowledge, Self-Efficacy and Self-Management Behaviors in Patients with Chronic Kidney Disease https://rsujournals.rsu.ac.th/index.php/ajnh/article/view/2623 <p>This study aimed to investigate self-management behaviors and predictive power of self-management of persons with chronic kidney diseases by knowledge and self-efficacy. Curtin self-management theory was used as conceptual framework. Ninety one persons with chronic kidney diseases were purposively selected. Data were collected by questionnaires concerning demographic data, knowledge, self-efficacy and self-management behaviors. Content validity was approved with content validity index ranging from 0.86-0.97. KR20 of knowledge questionnaire and Cronbach’s coefficient alpha of self-efficacy and self-management behaviors questionnaires were 0.72, 0.96 and 0.96 respectively. Data were analyzed using descriptive statistics, Pearson’s Product Moment Correlation, and Stepwise Multiple regression. The findings showed that 70.33% of the sample had overall self-management behavior scores at a low level. Regarding the subscale, 56.04% had moderate level of self-care activity, 84.62% and 97.80% had low levels of communication with healthcare providers and self-advocacy behaviors, respectively. Knowledge and self-efficacy were significantly positive correlation with self-management behaviors and could predict 51.00%. &nbsp;&nbsp;</p> ศิริวรรณ พายพัตร น้ำอ้อย ภักดีวงศ์ วารินทร์ บินโฮเซ็น ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2021-09-16 2021-09-16 3 2 22 36 Risk to Major Complications among Diabetic and Hypertensive Patients in Nong-Prue Health Promoting Hospital, Bangphli, Samutprakan https://rsujournals.rsu.ac.th/index.php/ajnh/article/view/2157 <p>Diabetes mellitus and hypertension are classified in a group of non-communicable diseases that are high risk for chronic kidney diseases, cerebrovascular diseases, and cardiovascular diseases. All are major problems in public health. This research aimed to examine the risks of cardiovascular diseases, chronic kidney diseases, and cerebrovascular diseases among patients with diabetes and hypertension in Nong-Prue Health Promoting Hospital, Bangphli, Samutprakan. A sample, 301 persons, was selected from patients with diabetes, hypertension, or both, who regularly got treatment at Nong-Prue Health Promoting Hospital. The measurements were Stroke risk scorecard, Thai CV risk score, and Thai CKD risk score. Data were analyzed using frequency and percentage.</p> <p>The results showed that 301 samples comprised 33.55% male and 66.45% female, 69.44% over or equal 60 year-old of age. Regarding underlying diseases, there were hypertension (55.82%), diabetes mellitus (7.30%), and both diseases (36.88%).</p> <p>The findings of patients with hypertension and diabetes with and without laboratory tests for screening found that 32% got moderate risk and 34.65% showed very high risk for cardiovascular diseases, respectively; 58.25% and 76.85% revealed very high risk for chronic kidney disease, respectively; and showed moderate risk and high risk of stroke by 50%.</p> ปริศนา อัครธนพล ธมกร อ่วมอ้อ กมลทิพย์ ขลังธรรมเนียม พรทิพย์ ลิ้มธีระยศ กนกอร พิเดช รัชดา พ่วงประสงค์ ชัชฎาพร พุทธเสน นพนัฐ จำปาเทศ ศิริวรรณ ตุรงค์เรือง จริยาวัตร คมพยัคฆ์ ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2021-09-20 2021-09-20 3 2 37 52