Journal of Nursing and Health Sciences Nakhon Phanom University

Prevalence and Risk Factors for Rhegmatogenous Retinal Detachment in Patients Admitted at Eye Ward, Maharaj Nakhon Chiang Mai Hospital

Chantawan Paspisanu — 2024-09-03

This retrospective descriptive study aimed to examine the prevalence and risk factors of rhegmatogenous retinal detachment (RRD) in patients admitted to the ophthalmology ward at Maharaj Nakorn Chiang Mai Hospital. The sample consisted of 360 patients diagnosed with retinal detachment between January 1, 2022, and December 31, 2022. Data analysis employed descriptive and inferential statistics, including the chi-square test, Fisher's exact test, and logistic regression, to determine risk ratios for various factors at a 95% confidence interval.

Results showed that the prevalence of RRD was approximately three times higher than that of non-RRD types. Factors significantly associated with RRD occurrence included gender, age, alcohol, diabetes, diabetic retinopathy, myopia, eye surgery, and eye injury. Smoking and cancer were not statistically significantly associated with RRD occurrence. Patients with a history of intraocular surgery were 5.20 times more likely to develop RRD than those without such a history (95% CI = 1.39–18.82). Interestingly, smoking was significantly associated with a decreased chance of RRD by 0.13 times (95% CI = -3.83 to -0.26). The study findings highlight the need for surveillance and education for patients with RRD risk factors, especially those with a history of eye surgery, myopia, diabetes, and eye injury. Furthermore, the study suggests that additional research should be conducted to explore the relationship between smoking and RRD occurrence. This research provides valuable insights into the prevalence and risk factors of RRD, which can inform clinical practice and patient education strategies. The unexpected finding regarding smoking's potential protective effect against RRD warrants further investigation to understand the underlying mechanisms and confirm this association in larger, more diverse populations.

Effects of a Program to Provide Knowledge and Promote Behavior Taking Care for Foot Wounds among Diabetic Patients, Female Surgery ward 1, Sakon Nakhon Hospital

Wilaiwon Promnoi — 2024-09-06

This quasi-experimental, one group pretest-posttest research design, aimed to study the effectsprovide knowledge and promote behavior taking care for foot wounds among diabetic patients, Female Surgery ward 1, Sakon Nakhon Hospital . The participants were 35 patients with diabetic foot ulcers, who received an eight-week diabetic foot care program between March 2024 to June 2024. Data were collected using 1) program to provide knowledge and promote behavior taking care for foot wounds among diabetic patients 2) Questionnaires assessing diabetic knowledge with 15-items and foot self-care behaviors for patients with diabetic foot ulcers 3) Diabetic foot and foot self-care exam record, 10 chair stretches record, and telephone follow-up record. Data were analyzed using descriptive statistics and dependent t-test.

The study results showed that the experimental group had a moderate average score on diabetes knowledge before receiving the program (SD = 1.24), which increased to a high average score after the program (SD = 0.77), with a statistically significant difference (p < 0.001). Regarding foot care behavior, after receiving the foot care promotion program for diabetic patients with foot ulcers, the average score was significantly higher than before receiving the program (p < 0.001).

The result of this study suggested that the program could be applied with diabetic patients as well as family members in order to gain foot care knowledge and promote healthy foot self-care behaviors for foot wound protection and disability prevention.

Effect of Education Program on Knowledge and Self-care Behaviors of Patients with Retinal Detachment Who Underwent an Operation of Gas or Silicone Oil Injection

Chantawan Paspisanu — 2024-10-29

This quasi-experimental research the objectives were to compare knowledge scores within the experimental group and between the experimental and control groups after implementing an educational program for retinal detachment patients who underwent a surgery of gas or silicone oil injection. The sample consisted of 48 retinal detachment patients receiving treatment at the Ophthalmology Ward of Maharaj Nakorn Chiang Mai Hospital, divided into experimental and control groups of 24 patients each. Data were collected from January to June 2024. The instruments used included a personal information questionnaire, a knowledge test, a behavioral intention questionnaire, and a teaching program. Data were analyzed using descriptive statistics and appropriate inferential statistics.

The results showed that, after receiving the teaching program, the knowledge level of the experimental group increased significantly, with all patients in the experimental group (100%) having good knowledge compared to 16.67% before the experiment. The control group showed only slight changes, with the number of patients having good knowledge increasing from 16.67% to 45.83%. The mean scores for knowledge and self-care behaviors after the experiment were significantly different between the two groups (p < 0.001 and p = 0.05, respectively), with the experimental group having higher average scores than the control group. This research demonstrates the effectiveness of the educational program in enhancing knowledge and improving self-care behaviors among retinal detachment patients who underwent surgery with gas or silicone oil injection.

Development of Nursing Practice Guidelines for the Prevention of Pressure Ulcers in the Male Inpatient Ward at Chokchai Hospital, Nakhon Ratchasima Province.

Pornsuda Siriwong — 2024-11-14

This research and development study aimed to develop guidelines for pressure ulcer prevention in the male inpatient ward of Chokchai Hospital, Nakhon Ratchasima Province. The sample consisted of 16 professional nurses working in the male inpatient ward and 19 patients admitted to the male inpatient ward of Chokchai Hospital with Braden score > 16 points. The purposive sampling was used. The study was conducted from June 2024 to July 2024. The research instruments were a questionnaire consisting of 4 sets of data: 1) Personal information of patients, 2) Personal information of professional nurses, 3) Pressure ulcer prevention practice compliance measurement form, and 4) Nurse satisfaction measurement form.

The research results found that professional nurses followed the guidelines for pressure sore prevention at 52.25 percent and 100 percent correctly followed 3 items: assessment of skin condition of the initial wound, lifting and moving, changing patient positions by more than 2 people, lifting patients off the floor, and providing knowledge on pressure sore prevention. The results of using the guidelines for pressure sore prevention found that 2 patients had pressure sores at initial admission, 1 patient had improved pressure sores, and 17 patients did not have pressure sores. The satisfaction of professional nurses with using the guidelines for pressure sore prevention in the male inpatient ward of Chokchai Hospital was at a very satisfactory level.

Recommendations: There should be an announcement of policies, key performance indicators should be set in relevant agencies, there should be clinical supervision, and there should be monitoring and evaluation of performance to promote continuous practice.

Effects of Modified Bhadrasana Pose on Pain Score, Duration Time of Delivery Among Primigravidarum and Newborn APGAR Score

Arisa Anontachai — 2024-12-04

This quasi-experimental research aimed to Effects of Modified Bhadrasana Pose on Pain Score, Duration Time of Delivery Among Primigravidarum and Newborn APGAR Score. The samples consisted of 60 primigravidarum at 37 to 42 weeks receiving labour room at Nakhon Phanom Hospital, Nakhon Phanom Province and were equally divided into the experimental group (n = 30) and the control group (n = 30). The research instruments included the handbook modified Bhadrasana pose, Personal data record form, Delivery record form and Visual Analogue Scale. The implementation and data collection were conducted from November, 2023 to February, 2024. Data were analyzed using descriptive statistics, independent t-test and exact probability test.

The research results revealed that the experimental group had statistically significant lower mean scores of Pain Score during 5-7 centimeters of cervical dilatation and during 8-10 centimeters of cervical dilatation than those of the control group (p < .05). The experimental group had statistically significant lower mean scores of duration time of delivery than those of the control group (p < .001). The experimental and control groups was not statistically significant difference in the mean scores of newborn APGAR score 1^st minute (p = .107) and the experimental group had statistically significant higher mean scores of newborn APGAR score 5^th minute than those of the control group (p < .05). The study findings highlight the Modified Bhadrasana Pose can reduce pain score, duration time of delivery among primigravidarum and results in the APGAR score 5^th minute than those of the control group and not found the rates of birth asphyxia.

Nursing care for Patients with Alcohol induce Psychosis: A Case Study

panurat srimungkhul — 2024-09-19

Alcohol use disorder (AUD) is a significant issue across all countries. Alcohol induced psychotic disorder (AIPD) can occur with acute intoxication, alcohol withdrawal, and chronic alcoholism. There was an increased risk of developing psychotic features, including hallucinations, delusion, and other symptoms that resemble those of schizophrenia but are merely relevant to alcohol drinking, in people with chronic alcohol dependence. AIPD is a chronic problem because patients with AIPD tend to increase their alcohol consumption again. This article reviews the literature to describe studies on AIPD and present nursing care for patients with AIPD to Case studies that have characteristics that are often encountered in nursing practice nursing personnel should increase public awareness about the problems associated with alcohol. It is incredibly important for the patient to receive the most appropriate nursing care. Moreover, HCWs should focus on educating and motivating patients with AIPD and their families to reduce alcohol consumption and stop drinking. The patients are harmless and secure, thereby reducing the likelihood of relapse and readmission.