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Volume 30 No.1 (January - April 2016)

Work life abilities and quality for retired Thai Professors of Education
Ann Jirapongsuwan Wonpen Kaewpan Pipat Luksamijarulkul

ABSTRACT
Those working after retirement provide organizations and profession stheopportunity utilize the capability and expertise of experienced human resources. It is, therefore, necessary to promote both the quality of work life and work ability among seniors who work after retirement. This descriptive study aimed to investigate work after retirement including the quality of work life and excellent work abilities ofretired Thai Professors in Thai Institutions of Education. Data were collected by in-depth interview. Content analysis and thematic analysis were used in data analysis.  A total of 11retired Professors over 60 years old from private and public Thai Institution of Education who had excellent work abilities and a high quality of work life participated in the study. Results showed that  factorsfor a high quality of work life and an excellent level of  work ability included: 1. Having motivation for work after retirement; 2. Using one’s knowledge, capability and expertise for work, and having an opportunity to choose one’s type of employment; 3. Commitment to learn for work development and self-development;  4. Satisfaction with the work and organizational climate and; 5. Health; maintaining regular exercise and having the ability for stress management. These findings reflect factors related to work including individual factors and the organizational environment. Consequently, a guideline for policy development regarding human resource management at the individual, organizational and professional levels wasdevelopeded. By following this guideline, Professors would see work as fulfilling and joyful,seeing value in a life  enhancing competency for new instructors or Professors who are working after retirement, resulting in  greater effectiveness of the organization.    

Keywords: Keywords: educators, work ability, quality of work life, work after retirement


Factors Affecting The Performance of Village Health Volunteers (Vhvs) of Family Care Teams, Pathum Thani Province
Prang Jukchai  Apichai Khuneepong  Woradate Changkaew

ABSTRACT
The Family Care Team (FCT) is an important public health feature of services to improve Thai people’s quality of life. This cross-sectional research aimed to examine the performance of village health volunteers (VHVs) in family care teams in PathumThani province and its related factors. Subjects were 370 VHVsin family care teams selected by a multistage random sampling process. Data were collected by self-administered questionnaire and analyzed using descriptive    
statisticsand Pearson’s product moment correlation coefficient.
            Results showed that knowledge, VHVs’sperceptions, motivational factors and hygiene factors were all positively related to performance in family care teams at a statistical significant level of .01. (r= .33,.30to.52).
            It is suggested that health personnel should provide more information to increase performance in family care teams. A policy to support motivational and hygiene factors for better performance in family care teams should be in place, especially for VHVs working in family care

Keywords: Key Words: performance, village health volunteers (VHVs), family care team


Factors related to musculoskeletal disorders among Thai traditional massage practitioners in hospitals under the Ministry of Public Health, the eastern region of Thailand
Premrudee Sokulg  Plernpit Suwan-Ampai  Orawan Kaewboonchoo

ABSTRACT
Osteoarthritis of the knee is known as age related diseases, which is common cause of disability in adults and older adults, and can affect their health status. Little is known about factors influencing health status in adult and older Thais with knee osteoarthritis. The major aim of this cross-sectional study was to investigate the predictive power of selected factors on health status in adult and older Thais with self-reported osteoarthritis of the knee. A total of 327 adult and older adults (mean age = 63.49 years; SD =9.8 years; range 50-90 years) with osteoarthritis of the knee living in communities in Bangkok and its vicinity who met inclusion criteria was recruited. The data were collected through home and health care center visits using questionnaires including the Disease Severity Scale, the Brief Illness Perception Questionnaire, the Knee Osteoarthritis Coping Behavior Questionnaire, the Self-Efficacy Expectation Questionnaire, the Social Support Survey, and the Arthritis Impact Measurement Scale Short Form. Data were analyzed using descriptive statistics, Pearson product-moment correlation, and multiple regressions. Results revealed that the sample perceived moderate illness threat, coping strategies, and health status, but perceived quite high level of self-efficacy and social support compared with reference values. In addition, regression analysis showed that, after controlling for external variables, illness representations, coping strategies, and selfefficacy explained 30% of variance in health status. Identity and serious consequences of illness representation dimensions were the strongest predictors. The findings demonstrate that illness representations, coping strategies, and self-efficacy are important factors in perceived health status among adult and older Thais with selfreported knee osteoarthritis. These findings can be beneficial for the design of intervention by mean of changing illness perceptions and coping strategies and of promoting self-efficacy that may improve health status in this population.

Keywords:osteoarthritis of the knee/ illness representation/ health status


The Results of the Weight-Control Program on Applying The Concept of Self-Regulation Towards Body Mass Index of People with Overweight In Bothong District, Chonburi Province
Pharudee  Phanphrom  Yuvadee  Rodjakpai  Kamolmal  Wirutsettasin

ABSTRACT
People who are overweight are risk factors for the illness with diabetes, hypertension and cardiovascular disease, by especially people aged 35-60 years are at  risk  7-20%. The purpose of this research was to study the results of the weight-control program on applying the concept of self-regulation towards body mass index of people who were overweight. The sample consisted of 60 peoples aged 35-60 years with a BMI of 23 kg/m² or more, which randomly selected from two sub-districts each of 30 peoples in Bothong district, Chonburi province and randomly assigned to experimental group and comparison group with the simple random sampling. Data were collected by questionnaire sent to reply in classroom and meeting room before and after the experimented. The questionnaire in the part of outcome expectancy, consumption behavior and exercise behavior with consistency reliability by coefficient alpha 0.96, 0.77 and 0.96 respectively. People in experimental group was received this weight-control program by applying the concept of Zimmerman’s self-regulation for 9 weeks once a week for 50 minutes by researcher and teaching assistants. For comparison group was received by normal lifestyle. Data were analyzed by percentage, mean, standard deviation, paired t-test and Independent t-test. The results showed that:
            After the experimented, outcome expectancy, consumption behavior and exercise behavior there were the mean score of experimental group higher than before experiment significantly at (p<0.001) and over the mean score of the comparison group significantly at (p<0.001). BMI of experimental group was down to less than before the experimented and reduced to less than comparison group significantly at (p = 0.05) indicating that program applied the concept of self-regulation to good affect, contributed to overweight people had received this program they had BMI to reduced. So, it should encourage the academic public health officers and relevant people for use this program.

Keywords: weight-control program,  self-regulation,  body mass index,  outcome expectancy, consumption, exercise


Effects of a perceived self-efficacy promotion program for caregivers responding to the basic needs of healthy Muslim preterm infants in Naradhiwas province
Wanisa Hayeese  Tidarat Wangsaeat  Sirakhrin pichaisongkram

ABSTRACT
This quasi-experimental two-group posttest-only research aimed to examine effects of a perceived self-efficacy promotion program of caregivers responding to the basic needs of of healthy Muslim preterm infantsin Naradthiwas province by comparing assessment of health and wellness of the preterm infants between a control and  intervention group after the intervention. Subjects included 52 dyads,a Muslim caregiver and their 1-12 month old preterm infant, who were discharged from Naradthiwas hospitals.They were recruited and later randomly assigned to either the control or intervention group with 26 dyads in each group. The control group received usual care as scheduledfrom the maternal and child postpartum follow-up unit. The intervention group received the usual care plus the intervention program. Research instruments consisted of a demographic questionnaire and a health assessment instrument for each infantthat included body weight, length, and developmental level. These instruments of the Department of Health and the perceived self-efficacy promotion program for caregivers were previously validated by content experts. Data were reported andanalyzed using frequency, percent, mean, standard deviation, chi-square, Mann-Whitney   U test and t-test.
            Results after the intervention showed that the body weight of infants in the experimental group increased more than in the control group (t = 4.406, p<.001). However, body length and developmentallevels of infants between the experimental and the control group did not differ significantly(p>.05).
            These findings suggest that this perceived self-efficacy promotion program for caregivers responding to the basic needs of infants was effective. Nurses and related health-care personnel, who are responsible for caring for the health of mothers and preterm infantsshould promote caregivers’ knowledge and self-efficacy in responding to the basic needs of preterm infants and to increase infant body weight.

Keywords: words: Perceived self-efficacy, basic needs, Muslim preterm infants


A Program Enhancing Adaptation of Patients with end Stage Renal Disease and Treatement by Continuous Ambulatory Peritoneal Dialysis
Chitchawan Kongkasaem  Sunee Lagampan  Piyatida Chuengsaman

ABSTRACT
Peritoneal dialysis is a vital stimulus of patients with end stage renal disease. This quasi-experimental research with two group, pre-post-test design aimed to examine the effects of a program enhancing adaptation for end stage renal disease patients through continuous ambulatory peritoneal dialysis. Subjects were new patients 30-80 years old who were  treated with continuous ambulatory peritoneal dialysis at the Dialysis Center, Banphaeo Hospital. The participants were randomly selected according to inclusion criteria; there were 15 in the experimental group and 22 in the comparison group. The study included 6 nursing activities based on Roy’s Adaptation Model. Nursing outcomes were evaluated by considering four modes of patient’s adaptation behaviors: physical, self-concept, patients’ roles, and interdependency. Data was collected by interview and analyzed by Wilcoxon signed-ranks test,Mann Whitney-U test, and Chi –Square.
After the intervention, the experimental group had statistically, significantly higher adaptive behavior in physical, patients’ roles, and interdependence modesat p<.05. On the other hand, self-concept was not significantly changed. The experimental group hadstatistically significant higher patients’ roles and interdependence than the comparison group (p<.05). 
Research findings suggest that this nursing program that applied Roy’s adaptation model canbe usedtohelp patients with end stage renal disease to adapt well when treated by continuous ambulatory peritoneal dialysis.

Keywords: Adaptation Program/ Roy’s Adaptation Model/ Patients With End Stage Renal Disease/ Ambulatory Peritoneal Dialysis


Effects of Applying the Planned Behavior Theory and Feedback on Noise Protection Behaviors among Workers in Petrochemical Industry, Rayong Province
Duangduan Rittideah  Surintorn Kalampakorn  Plernpit Suwan-ampai

ABSTRACT
This quasi-experimental research aimed to study the effects of the program applying the theory of planned behavior coupled with the information feedback on preventive behaviors from harmful noise.  64 samples in the study were selected from the workers in petrochemical industries in Rayong Province; 32 samples were chosen as the experimental group and the other 32 samples as the comparison group. The inclusion criteria was males aged 20 years old and over, who had been working in an environment with loud noise exposure for more than 3 years, and had noise exposure  equal or exceed an 8-hour time-weighted average sound level (TWA) of 85 dB (A). The program intervention included the feedback on the results of individual audiometric test of the current year, the education program that applied the planned behavior, the feedback on the comparison of the past year results as well as personalized advice, and the feedback in regard to the preventive behaviors from harmful noise, both the appropriate behaviors and the inappropriate ones. The comparison group, in the meanwhile, was provided with hearing conservation program in accordance with the company policy.  Data was collected by questionnaires at the pre-test and post-test stages, and after the intervention of education program coupled with feedback.  The data obtained was then analyzed by the use of descriptive statistics; Independent-sample t-test, Paired t-test, and Repeated measures ANOVA.
 The results showed that, after the education program and feedback process, the experimental group had a higher scores of attitudes towards the noise preventive behaviors, the subjective norm of noise preventive behaviors, the perceived efficacy in behavioral control of harmful noise, the intention to develop preventive behaviors, and the practice of preventive behaviors than those before the experiment and also higher than those scores of the comparison group, with statistical significance (p-value < .05).
 The results of this study supported the application of the theory of planned behavior in combination with the feedback with, as required by law, the hearing conservation program. The program should include the key components, which were training and motivation, loud noise control by the employees through the use of personal protective equipment, and occupational noise surveillance program. 

Keywords:The Theory Planned Behavior / feedback / behavior and noise prevention


The Health Promotion Program for The Elderly at Risk Group of Alzheimer’s In Community

Sarutaya Hawong  Weena Thaingtham  Sutham Nanthamongkolchai

ABSTRACT

The purpose of this is Quasi-experiment study was for the health promotion program for the elderly risk at risk of Alzheimer’s in the community. The samples were of the elderly between 60-75 years old; The 64 participants were divided into two groups, an experimental group and a comparison group which consisted of 32 people in each group. The research was conducted for a period of 6 weeks. 4weeks was allotted for the intervention and another 2 weeks provided for the follow up. The data collection was conducted by questionnaires for the pre-test, post-test and follow-up periods. The Statistical analysis was performed by using percentage, mean, standard deviation, Chi-square, Repeated measure ANOVA, Bonferroni method  and Independent t-test.
Results revealed the experimental group had a significantly higher mean score of knowledge of Alzheimer’s, perceived severity, perceived susceptibility to Alzheimer’s, perceived benefits and barriers
to health care and practice self care of the elderly, Alzheimer’s prevention behaviors then the pre-test stage and those in the comparison group (p-value < 0.05)
This research’s result, for the health promotion program for the elderly at risk of Alzheimer’s in the community, shows the beneficial in positive changes for the experimental group’s behavior in preventing Alzheimer’s disease, which can be applied to other similar groups of chronic disease populations.

Keywords:Elderly With Alzhaimer/ Health Belief Model/ Social Support/ Healthpromotion Programs For The Elderly


The Effect of a Supportive – Educative Nursing Program for Chronic Disease Patients with Early Stage Kidney Disease
Penporn taweebut  Patcharaporn. Kerdmongko  Kwanjai. Amnatsatsue

ABSTRACT
Chronic Kidney disease is an important problem of health systems worldwide that affects physical, mental and social conditions of both patients and the whole country as well. The purpose of this quasi-experimental research was to investigate the effect of a supportive – educative nursing program for patients with chronic disease and in the early stages of kidney disease. Self-care knowledge and behavior of patients who visited the non-communicable disease out-patient clinic, Sakaeo Crown Prince Hospital were assessed. The experimental group (N=28) participated in three interventions sessions for patients with chronic disease, early stage kidney disease, while the comparison group (N=30) received usual care. Data were collected by self-administered questionnaire at three times; before the intervention and at 6 and 10 weeks after the intervention.
Results revealed that after the intervention the Self-Care knowledge scores of the experimental group were significantly higher than before the intervention and then for the comparison group (p-value<0.05). At the follow up, scores of the experimental group were significantly higher than before the intervention and for the comparison group                (p-value<0.05). For the Self-Care behavior after the intervention, the scores of the experimental group were significantly higher than before intervention score (p-value<0.05) and different from the comparison group. At the follow up, the Self-Care behavior scores of the experimental group were significantly higher than before the intervention              (p-value<0.05) and different from the comparison.
In conclusion, the supportive – educative nursing program administered to patients with chronic disease in the early stage of kidney disease was successful in promoting self-care knowledge and behavior of patients.

Keywords:: Chronic Disease / Early Stage Kidney Disease/Knowledge / Self-Care Behavior / Supportive – Educative Nursing Program


Reviews of Educational Research Developing Humanized Care: A Case Study of Boromarajonani College of Nursing, Praputthabat
Worawit Chaipornjaroensri  Boonsurb Sosome  Kanok-on Chaowiang

ABSTRACT
Boromarajonani College of Nursing, PhraPhutthabat, addresses the College’s emphasis on Humanized Care in order to enlighten students with good characteristics and knowledge. This study aimed to review the research on methods of teaching that develops humanized care. It considered and sought to synthesize 21 research studies  conducted by the college’s instructors from 2006-2012.  Five research studies met the  inclusion criteria. Concepts of humanized care, service mind, analytical thinking, and participation, were applied to analyze these research studies. Teaching and learning processes provided interaction between instructor and students and between students themselves, encouraged students to recognize their abilities, understand themselves, undertake self-directed learning, study from real situations, and reflect upon humanized care characteristics.

Keywords:Humanized care, Literature review,  Teaching and Learning


Relationship between Preparedness and Caring Behavior for Patients at the End of Life among Novice Nurses
Techathat Akarathanarak  Warapoorn Kongsuwan  Yaowarat Matchim

ABSTRACT
This descriptive study was aimed to examine the relationship between preparedness in caring for patients at the end of life and the caring behavior for patients at the end of life among novice nurses. The sample consisted of 112 nurses who graduated with a bachelor degree and had working experience of between 6 and 12 months in a university hospital and 5 tertiary hospitals in the South of Thailand. These nurses had direct experience in caring for at least one patient at the end of life. The instruments used in the study included: (1) Demographic Data Questionnaire, (2) Preparedness in Caring for Patients at the End of Life questionnaire, (3) Caring Behavior for Patients at the End of Life questionnaire. The Cronbach’s alpha coefficient of questionnaires 2 and 3 were .86 and .90, respectively. Pearson’s product moment correlation coefficient was used to analyze the relationships between preparedness and caring behavior for patients at the end of life. 
             The results showed that the level of preparedness in caring for patients at the end of life was in the moderate level (M = 74.34, SD. = 11.49), and the level of caring behavior for patients at the end of life was in the moderate level (M = 1.84, SD. = .29). The preparedness was positively correlated with the caring behavior for patients at the end of life (r = .381, p < .01).
             The results of this study can be used as a fundamental data for nursing institutions in the development of quality of learning and teaching in caring for patients at the end of life to nursing students. Including, the results can be used as the information for the hospitals in preparing the novice nurses in caring for the patients at the end of life in order to increase their caring behavior.

Keywords:Caring behavior/ Novice nurse/ Patient at the end of life/ Preparedness