Journal of Nursing Science (วารสารพยาบาลศาสตร์ มหาวิทยาลัยมหิดล)
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Item Knowledge Translation of Self-management Concepts for Thais(Faculty of Nursing, Mahidol University, 2011-01-24) Supalak Khemthong; Occupational Therapy Division, Faculty of Physical Therapy, Mahidol University; Tisha Saravitaya; Occupational Therapist, American Board for Certification in Occupational Therapy, New JerseyIncreased prevalence of chronic illness is associated with the aging of the world population and its impact on behavioural changes of the individual, family, community, and health care providers. Selfmanagement concepts demonstrate the best evidence of health outcomes. Current health care systems are not sustainable, but many forms of self-management concepts are widely developing as a part of the solution based on a client-centered intervention and support of health care providers in Thailand.Item Nutritional Care in Patients with Chronic Obstructive Pulmonary Disease(Faculty of Nursing, Mahidol University, 2011-01-24) Doungrut Wattanakitkrileart; Department of Medical NursingMalnutrition is one of the major problems in a patient with chronic obstructive pulmonary disease. It is a risk factor that increases susceptibility to infection due to low immunity and also a cause of muscles fatigue leading to dyspnea. Factors influencing malnutrition are infection which can be both a cause and effect of malnutrition, increasing energy consumption for breathing, inadequate food intake, anorexia, aspirate, side effects of drug used, stress, and socio-economic and social support problems. Management of malnutrition, contributing factors and promotion of appropriate energy and nutrient intake are important. A focus assessment of nutritional status and individual calories needs appropriate to severity of malnutrition and situation of the patients are also essential. These activities will decrease the incidence of acute exacerbation, increase physical activity and help improve quality of life in patients with this chronic illness.Item Predicting Factors of Preventive Behavior of Osteoporosis in Nurses(Faculty of Nursing, Mahidol University, 2011-01-24) Muntina Chapha; Bhumipol Adulyadej Hospital; Panudda Priyatruk; Department of Public Health Nusring, Faculty of Nursing, Mahidol University; Sumontha Sitipongsakul; Department of Public Health Nusring, Faculty of Nursing, Mahidol University; Kanokporn Moopayak; Department of Public Health Nusring, Faculty of Nursing, Mahidol UniversitPurpose: To explore the osteoporosis preventive behavior, and factors predicting osteoporosis preventive behavior in nurses profession. Design: Explanatory cross-sectional predictive study.Methods: The sample included 122 nurses aged more than 35 year and working at the hospital in Bangkok. Data were collected using self-administered questionnaires during August through Septemberwhich included 1) personal data from, 2) osteoporosis preventive behavior questionnaires with coefficient alpha .77 3) predicting factors of osteoporosis preventive behavior including 3.1) perceivedsusceptibility to osteoporosis questionnaires, 3.2) perceived barriers of osteoporosis preventive behavior questionnaires, 3.3) self-efficacy in osteoporosis prevention questionnaires, with coefficient alpha.83, .71 and .97 respectively. Data were analyzed by using descriptive statistics, Pearson’s product moment correlation coefficient and stepwise multiple regression.Main findings: The majority of nurses (81.1%) had moderate levels of osteoporosis preventive behavior; however the study revealed that 43.4% of nurses had exercise behavior at the low level. For the predicting factors of osteoporosis preventive behavior found that63.1% of nurses had a moderate level of perceived susceptibility to osteoporosis 86.9% of nurses had perceived barrier of osteoporosis preventive behavior at low levels and 49.6% of nurses had self-efficacyin osteoporosis prevention at moderate level. Self-efficacy in osteoporosis prevention, susceptibility to osteoporosis, perceived barriers of osteoporosis preventive behavior and hormone replacement therapywere significant predictors of osteoporosis preventive behavior in nurses. They accounted for 47.5% of the variance in osteoporosis preventive behavior (p\< .05).Conclusion and recommendations: Hospital administrators are encouraged to continually support staff exercise activities through provision of both space and equipment. Promote and support opportunities for nurses to participate in exercise activites with appropriate working conditions. Furthermore, group activities are recommended for nurses to enhance awareness and increase their skills to reduce barriers and modify behaviors to prevent osteoporosis are recommended.Item Community Health Development: Lesson Learned Working in the Area of Health Promotion for Older Adults by the Community(Faculty of Nursing, Mahidol University, 2011-01-24) Kanokporn Moopayak; Department of Public Health Nursing, Faculty of Nursing, Mahidol University; Duangjai Rattanathanya; Department of Public Health Nursing, Faculty of Nursing, Mahidol University; Suparp Foungfoo; Department of Public Health Nursing, FSriprajan District, Supanburi ProvincePurpose: This study aimed to describe the main themes for community health development in promoting health of older adults by the community.Design: Qualitative research design was employed.Methods: The samples were the older adults, village health volunteers, health center staff, nurses in community hospitals and municipal officers in a district of Supanburi Province. Several methods of data collection were employed, including community survey, data collection from secondary sources, focus groups, in-depth interviews and observation of older adults care activities in relevant sectors. The data were analyzed by using content analysis, reflection, conclusion of the lesson learned and themes for community healthdevelopment.Main findings: The study results showed 2 themes in health development of the community. The first theme was a systematic process of community health development: 1) process of searching and utilizing social capital, 2) process of identification of knowledgerelated to health problems and the methods of systematic care management, 3) process of community area based care design and 4) process of community health policy development complied with the higher policy. The second theme involved factors leadingto community health development: 1) community key persons who have strong leadership and participated in community health development, create concrete policy and implementation plan, 2) participation and collaboration of private and public organization,community and community members to attain the objectives of the plan, and 3) having and utilizing social resources, to initiate and maintain the project of community health development.Conclusion and recommendations: 1) Policy level: district administrative organizations should have clear policies and practical implementation plans, as well as systematic processes and collaborating strategies in place to improve both work and the health worker in the community. 2) Implementation level: health professions should develop working mechanisms and strategies together among stakeholders and health service network, using community members’ potential of self care and focusing on health promotion for all groups of members.Item Nutritional Knowledge, Attitude towards Food, Food Consumption Behavior, and Nutritional Status in Nursing Students, Faculty of Nursing, Mahidol University(Faculty of Nursing, Mahidol University, 2011-01-24) Jongkonwan Musikthong; Department of Medical Nursing, Faculty of Nursing, Mahidol University; Aurawamon Sriyuktasuth; Department of Medical Nursing, Faculty of Nursing, Mahidol University; Ruttanaporn Kongkar; Department of Medical Nursing, Faculty of Nursing, Mahidol University; Nattaya Sangwichaipat; Department of Medical Nursing, Faculty of Nursing, Mahidol UniversityPurpose: To explore the nutritional knowledge, attitude towards food, food consumption behavior, and nutritional status and the associations between age, nutritional knowledge, attitude towards food, food consumption behavior, and nutritional status in nursing students.Design: Descriptive correlational study.Methods: The sample contained 258 nursing students in both baccalaureate and masters programs at the Faculty of Nursing, Mahidol University. The data were collected using questionnaires on demographic characteristics, nutritional knowledge, attitudetowards food, and food consumption behavior. The subjects’ weight, waist and hip circumference, and body fat were also measured. The data were analyzed using descriptive statistics and Spearman’s rank correlation coefficients.Main findings: The results indicated that the nursing students had the average percentages of nutritional knowledge and attitude towards food at moderate levels (67.2 % and 77.6 %, respectively). However, their overall food consumption behaviors were quiteinappropriate with an average percentage of 57.4. According to the nutritional status, 30% of the sample had body mass index less than normal level, whereas 11% of the students were over nutritional status and obesity. Of the sample in the study, 45.5 % had body fat higher than normal level. According to the resultsof the correlations, age had positive significant relations to nutritional knowledge, attitude towards food, and nutritional status, while it had a negative significant relation to food consumption behavior (p\< .01). In addition, attitudes towards food had a positive significant relations to nutritional status, including body mass index, body fat, and waist circumference (p\< .05).Conclusion and recommendations: Although the nursing students had moderate levels of nutritional knowledge and attitude towards food, they were likely to engage in inappropriate food consumption behaviors. The students who were older were morelikely to practice inappropriate food consumption behaviors. The results indicated that some of the students had nutritional status lower than normal levels; some of them were obesity, whereassome of them were at risk. Faculty of Nursing should develop education related to nutrition in the curriculum intensively, especially in undergraduate program, and promote good attitudes to selecting appropriate food for healthy and well-being. Student development affairs should promote appropriate food consumptionbehaviors to improve nutritional status of nursing students by motivating and promoting exercise.Item The Effects of Planned Instruction on Mother’s Knowledge, Health Beliefs and Number of Children Receiving Immunization in Sikhothtaboung District, Vientiane, Lao P.D.R.(Faculty of Nursing, Mahidol University, 2011-01-24) Khamphoxay Phommathansy; Lecturer, College of Health Technology; Kaimook Wichiencharoen; Department of Pediatric Nursing, Faculty of Nursing; Apawan Nookong; Department of Pediatric Nursing, Faculty of NursingPurpose: To study the effects of planned instruction on mother’s knowledge, health beliefs, and number of children receiving immunization for diphtheria, pertussis, neonatal tetanus, and polio.Design: Quasi-experimental research, a two group pre-test post-test design.Methods: The study subjects were mothers living in Sikhothtaboung District, 30 mothers from Viengkham, Chansavang, and Nongteng Villages as an experimental group, and 30 mothers from Nongneo, Nalao, and Thongpong Villages as a control group. The experimental group received planned instruction and handbooks while the control group did not. Data were collected using a questionnaire, asking about mothers’ knowledge and health beliefs regarding diphtheria, pertussis, neonatal tetanus, and polio, before the intervention and at the first time they took their children for DTP and Polio vaccination. Data analysis included means and standard deviations of knowledge and health belief scores about diphtheria, pertussis, neonatal tetanus, and polio. The difference in knowledge and health belief scores after intervention between the 2 groups was analyzed by independent t-tests. The difference in the number of mothers bringing their children for vaccination in the 2 sample groups was analyzed by Fisher’s exact test. Main findings: Results of this study showed that the other’s knowledge and health beliefs after intervention between groups were significantly different (p \< .05), but the number of children receiving immunization between groups were not significantly difference.Conclusion and recommendations: In accordance with the results of this study, the planned intervention conducted in this study may provide a hospital or other health service unit with guidance for promoting mother’s knowledge and heath belief about diphtheria, pertussis, neonatal tetanus, and polio. As such it could encourage more mothers to vaccinate their children. Further research should be conducted on encouraging mothers to take children for vaccinations, and on the influences of providing social support for expenses, and travel.Item Factors Related to Health Promoting Behaviors Among Older Adults: A Meta-Analysis(Faculty of Nursing, Mahidol University, 2011-01-24) Kattika Thanakwang; Department of Adult and Gerontological Nursing, Borommarajonani College of Nursing, Nopparat Vajira; Jiraporn Kespichayawattana; Department of Gerontological Nursing, Faculty of Nursing, Chulalongkorn University; Chanokporn Jittapanya; Department of Gerontological Nursing, Faculty of Nursing, Chulalongkorn UniversityPurpose: The purposes of this study were to study characteristics of research regarding factors related to health promoting behaviors among older adults, and to identify the factors that influence health promoting behaviors of older persons.Design: This study was a quantitative research synthesis using meta-analysis.Methods: Forty-eight correlational studies conducted in Thailand during 1991 - 2009 were recruited. Studies were analyzed using the meta-analysis method of Borenstein and colleagues.Main findings: Results indicated that the majority of these studies were master’s thesis (77%) in the field of nursing science (77%), and published during 1997–2007 (77%). Most of the studies used Pender’s health promotion model revised version in 1996 (75%). The crucial factors closely related to health promoting behaviors among older adults with significance at .05 level were: activityrelated affect of health-promoting practices ( r = .60), self-esteem ( r = .55), perceived self-efficacy ( r = .54), perceived benefits of health-promoting actions ( r = .53), and social support ( r = .53).Conclusion and recommendations: Findings from this meta-analysis evidently indicate that behavior-specific cognitions and affect, interpersonal influences, and psychological factors are influencing health promoting behaviors among Thai older adults. These findingscan directly contribute to nursing science if used to develop nursing interventions focusing on integration of the significant factors. It is anticipated that will promote the sustainable practice of healthpromoting behaviors among older adults.Item The Relationships between Food Consumption, Exercise and Nutritional Status of Adolescents in Bangkok Noi District, Bangkok Province(Faculty of Nursing, Mahidol University, 2011-01-24) Aroonrasamee Bunnag; Department of Pediatric Nursing, Faculty of Nursing, Mahidol University; Parnnarat Sangperm; Department of Pediatric Nursing, Faculty of Nursing, Mahidol University; Weeraya Jungsomjatepaisal; Department of Pediatric Nursing, Faculty of Nursing, Mahidol University.; Yuwadee Pongsaranunthakul; Department of Pediatric Nursing, Faculty of Nursing, Mahidol University; Venus Leelahakul; Department of Fundamental Nursing, Faculty of Nursing, Mahidol University.; Doungrut Wattanakitkrileart; Department of Medical Nursing, Faculty of Nursing, Mahidol University.Purpose: To study nutritional status and to search relationships between food consumption behavior and exercise, and the nutritional status of adolescents. Design: Descriptive research. Methods: The subjects comprised grade 7 students in academic year 2008 from 2 schools subordinated to the Office of the Basic Education Commission, Bangkok Education Service Area Office 3 Bangkok Noi. Data were collected from 410 students by simple random sampling. They were asked to answer rating scale questions about food consumption behavior and open-ended questions about weekly exercise and playing sports including details of activities and time spent. Their nutritional status were assessed using the standard weight-for-height percentage formula of the Nutrition Division, Department of Health, Ministry of Public Health, 1999. This data was analyzed using the Correlation and ANOVA. Main findings: The sample group consists of 204 males and 206 females. The average age was 12.13 years. Most of their parents graduated from the primary school. They work for hire and can earn around 10,000-20,000 baht/month. The nutritional status of 39.3% of the students is normal. 10.5% are overweight. 29.5% are obese and 20.2% are underweight. Males are more overweight and underweight than females. Males spent more time on exercise than females with a statistical significance at level of P \< .001. Food consumption behavior correlates with nutritional status at a statistically significant level of r = .133, p \< .01. In contrast, this does not relate to time spent on exercise. The underweight group consumes fat, carbohydrate and glucose food more often than the overweight group; it is not over 2 days per week. The result is showed that the normal, overweight, obese and underweight groups have consumed rice, vegetable, fruits, pure milk and water for 3-5 days per week. And they also spent time on exercise approximately 167.11 minutes per week. Conclusion and recommendations: For well-being and good health in future adults, further studies of the unsuitable food consumption behavior of the overweight and underweight adolescents are recommended.