APHEIT Journal of Nursing and Health

Nursing Guidelines for Patients with Non-communicable Diseases

สุวิมลรัตน์ รอบรู้เจน — 2023-12-27

Non-communicable diseases are a major national problem due to increasing patient’s numbers every year; therefore, it is significant to solve this problem urgently. Public health services system which was designed to serve mainly acute diseases should be changed to increase taking care of community patients aiming at covering this problem and getting good outcomes. Nursing guidelines for patients with non-communicable diseases mainly consists of 1) determining the structure and workforce of nurses to facilitate work performance 2) empowering patients for self-management 3) designing healthcare service system from healthcare facilities to patient’s resident 4) promoting decision-making to patients with complications 5) developing clinical information system and 6) having public health policies and resources of help. To improve nursing care for community patients with non-communicable diseases includes these suggestions: 1) developing public policy at the local level 2) organizing service systems for patients with non-communicable diseases 3) making information database system 4) developing nursing care that involves cooperation among individuals, families, and communities, and 5) monitoring and evaluation.

Nursing Care for Pregnant Women with Cannabis Use

นริศรา ใคร้ศรี — 2023-12-31

Cannabis, scientifically known as Cannabis sativa L., can affect the nervous system and mood. In Thailand, there had been legalized cannabis from type 5 controlled substance to herbal medicine in 2022. The consequence of this change makes easy access to cannabis including pregnant women who use it for alleviating discomfort during pregnancy, thereby affecting both pregnant women and fetuses such as anemia in pregnant women, low birth weight, and preterm birth. Assessing health status of pregnant women using cannabis is vital for midwifery nurses who providing care for pregnant women. Having knowledge and understanding regarding the use of cannabis in pregnancy enables nurse-midwives to provide education, guidance, and appropriate nursing care that ensures the safety of pregnant women and fetuses.

Quality of Care Management in Persons with Sepsis at Intensive Care Unit in a Tertiary Hospital

ภัทราวรรณ ขุนทอง — 2023-11-26

This descriptive research aimed to study the quality of care management for persons with sepsis at medical intensive care unit in a tertiary hospital. The samples included 25 of critical registered nurses and 83 medical records of persons with sepsis who admitted to the intensive care unit. The research instruments used to collect data from registered nurses included a test of knowledge in care management for persons with sepsis and a questionnaire of adherence to sepsis practice guidelines. The research instruments used for collecting data from the medical records comprised personal and illness information and the outcomes of persons with sepsis recording form. Data were analyzed using descriptive statistics.

The findings showed that most of professional nurses (52.00%) had moderate level of knowledge in care management for persons with sepsis. Furthermore, over 80% of professional nurses regularly performed every item of sepsis practice guidelines. For the clinical outcomes, the results revealed that within 6 hours, 73.49% of patients with sepsis had mean arterial blood pressure > 65 mmHg, 71.08% had central venous pressure 12-18 cmH₂O, and 57.83% had urine output ³ 30 ml/hr. Patients with sepsis who achieved the goal of EDGT in the first 6 hours were 56.6 %, and the death rate of patients with sepsis were 37.30%

The research findings suggest that nurses who work in intensive care unit should be trained in a critical care nursing program or a training system should be designed for developing nurses’ knowledge and skills in caring of persons with sepsis.

Delivery Outcomes of Pregnancy Women with Preeclampsia at Nopparat Rajathanee Hospital

ไพลิน แช่มเจริญ — 2023-12-11

Preeclampsia is a complication that affects pregnant women and becomes an essential cause of maternal and infant’s death. This retrospective research aimed to investigate the outcomes of preeclampsia on pregnant women and their infants. The samples were the medical records of all pregnant women who were diagnosed with preeclampsia and received services in delivery room at Nopparat Rajathani Hospital. The data were collected during the year 2017 to 2019, with total of 359 cases—preeclampsia without severe features (140 cases, 39.0%), preeclampsia with severe feature (214 cases, 59.6%) and eclampsia (5 cases, 1.39%). The instruments comprised personal and obstetric data record forms. Content validity index (CVI) was 1.0. Data were analyzed using descriptive statistics and the Chi-square test.

The finding on preeclampsia pregnant women outcome showed that cesarean section was the highest delivery method for 263 mothers (73.3%). For newborn outcomes, 312 and 337 cases demonstrated APGAR scores at 1 and 5 minutes equal to or greater than 7, respectively (86.9% and 93.9%), and 232 newborns (64.6%) weighed more than or equal to 2,500 grams. Type of preeclampsia was significantly associated with APGAR score at 1 and 5 minutes ( =8.959, p=.003; =4.268, p=.039, respectively) and newborn birth weight at a significant level 0.5 ( =50.90, p=.000). These findings reflect that preeclampsia condition leads to increased rate of cesarean section and affects newborn birth weight and fetal distress; therefore, nurses need to design care plan to prevent complications among pregnant women and their babies.

Nurse's Competency in Pain Management and Associated Factors

นิพาดา ลัทธิธนธรรม — 2023-12-22

This cross-sectional descriptive research aimed to investigate pain management competency of professional nurses and associated factors regarding work experience, training experience, and communication skills. The 134 professional nurses at the Bamrasnaradura Infectious Diseases Institute were recruited using a purposive sampling method. Data were collected using personal information sheets, pain management competency questionnaire comprising 1) fundamental concepts of pain, 2) pain assessment and measurement, 3) management of pain, and 4) context of pain management, and communication skills of professional nurses’ questionnaire. Data were analysed by Spearman's Rank Correlation.

The research findings revealed that the professional nurse competency in pain management was overall at a high level ( = 3.62, SD = 0.73). The overall communication skills of nurses in pain management were at a good level (= 3.45, SD = 1.01). When examining the relationship between factors such as work duration and nurse competency in pain management, no significant correlation was found (r = .153, p = .078). However, the training experience of nurses related to pain management was positive correlation with nurse competency in pain management at a low level (r = 0.257, p = .003). Meanwhile, the communication skills of nurses in pain management were moderately positive correlations with competency in pain management (r = 0.576, p = .000). Especially, communication between nurses and other nurses, nurses and patients or family members, as well as nurses and professional colleagues, exhibited moderate positive correlations with nurse competency in pain management (r = 0.521, 0.520, 0.614, p = .000, respectively).

Predicting Factors of Health Literacy among Nursing Students

อาภัสรา กล้าณรงค์ — 2023-12-22

This descriptive predictive research aimed to investigate health literacy and factors predicting the health literacy of nursing students. A purposively of 257 nursing students from school of nursing were recruited. Sample size was selected according to the numbers of each academic year students. Data were collected using questionnaires comprising 4 sections—personal data, critical thinking (CVI=.94), social support (CVI=.98), and health literacy (CVI=.92). Data were analyzed by descriptive statistics, Chi-square, and Logistics regression.

The findings showed that sum- and sub-scales of health literacy were mostly at adequate level. Year of study and social support were significantly associated with and together predicted health literacy with 12.1% at p < .05, the 2nd and 3rd year nursing students had sufficient health literacy more than the 1st year students 2.129 and 1.648 times, respectively. Nursing students with high level of social support had adequate health literacy 3.321 times higher than that of students with moderate social support. These findings demonstrate that nursing students' health literacy should be assessed and integrated into the curricula both theoretical and practical courses.

Problems and Needs of Social Welfare Provision for Adolescent Pregnant Women and Postpartum Teenage Mothers

อรอนงค์ บัวลา — 2023-12-24

Adolescent pregnancies are a global issue contributes to physical and psychological consequences for adolescents, as well as on families and society. This quantitative and qualitative study aimed to investigate problems and social welfare needs for pregnant adolescents and adolescent mothers who lived in 4 provinces of Thailand including Chonburi, Rayong, Chanthaburi, and Trad. Quantitative data were collected from 99 participants using a questionnaire consisted of personal information, assistance and social welfare received, and problems and needs of social welfare management. Qualitative data were collected by in-depth interviews. Data were analyzed using descriptive statistics and content analysis.

The findings revealed that 10% of pregnant adolescents and adolescent mothers felt guilty and desired to suicide, 29.3% left from the education system, 28.3% had no occupation and no income, and 26.3% had relationship problems with family. The results from in-depth interviews found that their problems were 1) didn’t know they’re pregnant, 2) incorrect methods of contraception used, ignorance in the use of contraception 3) relationship problems, and 4) problem related to rights and access issues. Pregnant adolescents and adolescent mothers need social welfare—education, health, other services, and proactive services. To provide supports for pregnant adolescents and adolescent mothers at individual and institutional levels, the services have to cover all aspects with friendly, understanding, not stigmatized, and clear mechanisms. Comprehensive working system could be strengthened and sustained which lead to inclusive social welfare that meet the pregnant adolescents and adolescent mothers’ needs.