Browsing by Author "มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์"

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Open Access
The Effect of Comfort Program on Satisfaction, Anxiety, and Pain among Patients Receiving Colonoscopy
(2017) Truong Thi Thuy Huong; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; อรพรรณ โตสิงห์; Orapan Thosingha; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์
Purpose: To evaluate the effect of comfort program on satisfaction, anxiety, and pain among patients receiving colonoscopy. Design: A quasi-experiment design. Methods: The sample was 152 patients both males and females with the age of 18 years and older who received colonoscopy at the Functional Examination Department of Bach Mai Hospital, Hanoi, Vietnam. The sample was divided into control and experimental groups. The comfort program was provided to the experimental group, and the control group received routine care. Data were collected with 3 questionnaires: 1) Hamilton Anxiety Rating Scale, 2) Numerical Rating Scale, and 3) Group Health Association of America-9 survey. ANCOVA, Mann-Whitney U, and Chi-square test were used to analyze the data. Main findings: There was significant difference of satisfaction and anxiety level between the control and experimental group after colonoscopy (p < .05). The majority of patients in the experimental group (75.9%) were satisfied with very good and 24.1% with excellent level. Pain levels increased to the mean score of 4.96 (SD = 2.02) in the experiment group and mean score of 6.41 (SD = 2.10) in the control group. However, there was no difference in pain perception between two groups. Conclusion and recommendations: The comfort program shows an effectiveness to increase patients’ satisfaction and reduce anxiety. Thus, nurses should sustain this program by training all nurses and health care personal to improve the quality of patient’s care.
Open Access
An Evaluation of Brush, Brushless, and Waterless Surgical Hand Scrubs among Health Care Workers in Operating Rooms at a University Hospital in Thailand
(2011) Usavadee Asdornwised; อุษาวดี อัศดรวิเศษ; Benjamas Prechakul; เบญจมาศ ปรีชาคุณ; Suwanna Trakulsomboon; สุวรรณา ตระกูลสมบูรณ์; Supakorn Rojananin; ศุภกร โรจนนินทร์; Yong Rongrungruang; ยงค์ รงค์รุ่งเรือง; Supenya Warothai; สุเพ็ญญา วโรทัย; Varaporn Pumsuwan; วราภรณ์ พุ่มสุวรรณ; Sribenja Vaithayaphichet; ศรีเบ็จจา ไวทยพิเชษฐ์; Daranee Piputtanakulchai; ดารณี พิพัฒนกุลชัย; Shelley-Ann Walters; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์ศิริราชพยาบาล. งานการพยาบาลผ่าตัด; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์ศิริราชพยาบาล. งานโรคติดเชื้อ; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์ศิริราชพยาบาล. ภาควิชาศัลยศาสตร์; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์ศิริราชพยาบาล. ภาควิชาอายุรศาสตร์; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์ศิริราชพยาบาล. ภาควิชาตจวิทยา; USA. St. Paul. Senior Statistician,
The surgical hand scrub plays a significant role in preventing nosocomial and surgical site infections, and in most hospitals in Thailand a brush is traditionally used. Brushing may result in damage to the skin leading to increased colonization with gram-negative bacteria and candida species. Purpose: The aim of this clinical trial was to compare the effects of the traditional hand scrubs (Brush with 4% CHG, Method A), brushless with 4% CHG (Method B), and brushless and waterless with 1% CHG and 61% ethyl alcohol and emollients (Method C) with regard to microbiological data, skin condition, cost and time savings. Methodology: The study design was 3-treatment, 3-period, cross-over design comparing each type of surgical hand scrubs and skin condition, microbiological data cost and time among 45 health care workers in Thai hospital operating rooms. Results: There was a statistically significant effect of methods of surgical hand scrubs in healthcare workers. Method C had a higher log reduction of colony count compared to Methods A and B. There was no significant difference between Method A and B. There was no significant difference on skin condition among the methods of surgical hand scrubs. The satisfaction of surgical hand scrubs for Method C was significantly higher than other methods. Lastly brushless and waterless, and brushless with 4% CHG resulted in lower costs and time saving compared with the traditional hand scrubs. Conclusion and recommendations: The practice of surgical hand scrubs of Thai health care workers in operating rooms should be based on evidence-based practices and brushless and waterless surgical hand scrubs should be recommended for use in operating room.
Open Access
Factors Associated with Functional Recovery among Patients with Low Back Pain
(2017) Khuc Thi Hong Anh; อรพรรณ โตสิงห์; Orapan Thosingha; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์
Purpose: To examine the relationships between pain, pain self-efficacy, anxiety, depression, and co-morbid diseases with functional recovery among patients with low back pain (LBP). Design: Descriptive correlational design. Methods: The sample was 126 patients with LBP who were treated in Rheumatology Unit at Bach Mai Hospital, Hanoi, Vietnam. Data were collected using patients’ hospital record and 4 questionnaires: 1) the Numerical Rating Scale, 2) the Pain Self-efficacy Questionnaire, 3) the Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale, 4) the Oswestry Disability Index. Spearman’s Rho was employed to test the relationships among studied variables. Main findings: The findings revealed that pain was negatively correlated with functional recovery (rs = - .56, p < .05), anxiety and depression were also negatively correlated with functional recovery (rs = - .46, - .58, p < .05). Pain self-efficacy was positively correlated with functional recovery (rs = .48, p < .05). Nevertheless, co-morbidity did not correlate with functional recovery (p > .05). Conclusion and recommendation: To improve patients’ functional recovery, nurses should assess and control pain, anxiety and depression as well as increase pain self-efficacy. A comprehensive guideline to improve patients’ recovery should be developed and tested for its effectiveness with research before implementation.
Open Access
Factors Associated with Quality of Life among Patients with Lung Cancer
(2017) Phan Thi Thu Hue; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; วิมลรัตน์ ภู่วราวุฒิพาณิช; Wimolrat Puwarawuttipanit; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์
Purpose: To determine factors associated with QOL among patients with lung cancer in Vietnam. Design: Descriptive correlational design. Methods: Sample was 115 patients who received treatment at Bac Mai Hospital, Hanoi, Vietnam. Data were collected from the patients’ hospital records, assessed Forced Expiratory Volume in 1 second scale (FEV1), and interviewed with 3 questionnaires: the Hamilton Anxiety Rating Scale (HAM-A), the Multidimensional Scale of Perceived Social Support (MSPSS), and Quality of Life for cancer (EORTC QLQ-C30). Spearman’s Rho was employed to test the relationship among studied variables. Main findings: The findings revealed that QOL of patients with lung cancer was low (Mean = 48.97, SD = 7.94). Lung function was significant positively correlated with QOL (rs = .190, p < .05). Conversely, anxiety was significant negatively correlated with QOL (r = - .347, p < .05). Conclusion and recommendations: Lung function and anxiety were significantly correlated with QOL of patients with lung cancer. In order to improve the QOL, nurses and health care team should assess and well manage anxiety and provide social support to patients.
Open Access
Factors Associated with the Occurrence of Peripheral Arterial Disease in Patients with Type 2 Diabetes Mellitus
(2017) Nguyen Thi Anh; อรพรรณ โตสิงห์; Orapan Thosingha; วิมลรัตน์ ภู่วราวุฒิพานิช; Wimolrat Puwarawuttipanit; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์
Purpose: To study the occurrence of peripheral arterial disease (PAD) and factors associated with the occurrence of PAD among patients with type 2 diabetes mellitus (T2DM). Design: Descriptive design. Methods: The sample composed of 136 adult patients with T2DM who were treated at Bach Mai hospital, Hanoi, Vietnam. Data were collected using Ankle Brachial Index (ABI) to assess the occurrence of PAD, and 4 questionnaires: patients’ demographic data, clinical information, the self-efficacy for diabetes, and knowledge about PAD. Chi – Square was employed to test association between studied variables. Main findings: The findings revealed that 16.18% had PAD; 36.36% of those with PAD had stage 4-ulceration or gangrene; 63.64% had location of PAD at tibia-peroneal artery and 31.81% at femoro-popliteal artery. Co-morbid diseases, HbA1c, and self-efficacy were significantly associated with the occurrence of PAD (p < .05). There was no association between the occurrence of PAD and knowledge about PAD (p > .05). Conclusion and recommendations: Nurses can empower patients with T2DM to increase self-efficacy as well as providing them with information to control the level of HbA1c and co-morbid diseases.
Open Access
Factors Related to Diabetic Foot Ulcers in Persons with Type 2 Diabetes
(2017) Tran Thi Bich; อรพรรณ โตสิงห์; Orapan Thosingha; วิมลรัตน์ ภู่วราวุฒิพานิช; Wimolrat Puwarawuttipanit; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลอายุรศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์
Purpose: To investigate the relationship between age, duration of diabetes, HbA1C, co-morbidity, self-efficacy, and diabetic foot ulcer among persons with type 2 diabetes. Design: Descriptive correlational design. Methods: The sample consisted of 136 persons with type 2 diabetes in the outpatient department, at the Bach Mai Hospital, Hanoi, Vietnam. Data were collected using hospital record and a structured questionnaire. The diabetic foot ulcer was assessed using 60 second Diabetic Foot Screen. Spearman, Rho correlation was employed to test the relationship among variables. Main findings: More than half of subjects were female (60.3%) with mean age of 65.3 years. The majority had type 2 diabetes more than 10 years; hypertension was the most common co-morbid disease with 89%. The mean score of self-efficacy was 54.49 (SD = 8.34) while the mean of diabetic foot ulcer score was 6.05 (SD = 3.14). Age, duration of type 2 diabetes, and co-morbidity were significant positively correlated with the diabetic foot ulcer score (rs = .29, rs = .31, rs = .30; p < .05, respectively) while self-efficacy was negatively correlated with the diabetic foot ulcer score (rs = - .42, p < .05). Conclusion and recommendations: Nurses should routinely assess persons with type 2 diabetes using the 60 second Diabetic Foot Screen, control their co-morbid diseases, and promote their self-efficacy. Standard guidelines to take care feet of diabetic persons concerning those related factors should be developed and implemented.
Open Access
Factors related to Emergency Room Discharge Destination among Patients with Trauma
(2017) Nguyen Quynh Cham; อรพรรณ โตสิงห์; Orapan Thosingha; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลอายุรศาสตร์
Purpose: To investigate the relationships between age, physiological deterioration, co-morbidity and emergency room discharge destination among patients with trauma. Design: Descriptive correlation design. Methods: The sample composed of 300 patients with traumatic injuries in emergency department, Bach Mai Hospital in Hanoi, Vietnam. Data were collected from the patient’s hospital chart. Spearman’s Rho was employed to test the relationships among studies variables. Main findings: Approximately 60% of patients with traumatic injuries (59.7%) were admitted in hospital, while 35.4% received surgery and/or admitted to intensive care unit. About 40.3% received treatment and were discharged from emergency department to home. Physiological deterioration as measured by Modified Early Warning Score, age, and co-morbidity were positively correlated with emergency room discharge destination (rs = .38, rs = .14, rs = .16, p < .05). Conclusion and recommendations: Modified Early Warning Score should be used to classify trauma injuries patients on their arrival at the emergency department. Hence, the patients can receive appropriate treatment at the right time. Co-morbid diseases should be routinely assessed in all trauma injuries patients on arrival at the emergency room.
Open Access
Factors Related to Functional Status among Patients with Ischemic Stroke
(2017) Pham Thi Nga; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; วิมลรัตน์ ภู่วราวุฒิพานิช; Wimolrat Puwarawuttipanit; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลอายุรศาสตร์
Purpose: To examine the relationships between age, co-morbidity, stroke severity, and functional status among patients with ischemic stroke. Design: Descriptive correlational design. Methods: The sample was 115 patients with ischemic stroke who were treated at the Thai Binh General Hospital, Vietnam. Data were collected from the patients’ hospital records and interviewed with 3 research instruments: 1) the National Institute of Health Stroke Scale (NIHSS), 2) Co-morbidity index, and 3) the Modified Barthel Activities of Daily Living Index. Spearman’s rho was employed to test the relationship among studied variables. Main findings: The results supported the proposed hypothesis that age, co-morbidity, and stroke severity were negatively related to functional status after two weeks of treatment (rs = - .42, rs = - .35, rs = - .90, p < . 05, respectively). Conclusion and recommendations: Nurses should assess and manage patients’ stroke severity, and try to control their co-morbidities. Standard guidelines should be developed and implemented to promote the transition from stroke illness to an independent functional status.
Open Access
Factors Related to Functional Status in Patients with Rheumatoid Arthritis
(2017) Tran Thi Ngoc Xuyen; วิมลรัตน์ ภู่วราวุฒิพานิช; Wimolrat Puwarawuttipanit; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลอายุรศาสตร์
Purpose: To study the relationships between self-efficacy, pain level, depression, social support, and functional status among patients with rheumatoid arthritis. Design: Descriptive correlational design. Methods: The sample was 126 patients who were admitted to the Rheumatology Department, Bach Mai Hospital, Hanoi, Vietnam. Data were collected using 6 questionnaires including the demographic data, the Health Assessment Questionnaire 8-Item Disability Scale (HAQ8-ID), the Arthritis Self-Efficacy Scale-8 item (ASES-8), the Visual Numeric Scale (VNS), the Patient Health Questionnaire Scale (PHQ-9), and the Multidimensional Scale of Perceived Social Support (MSPSS). Spearman’s rho was employed to examine the relationships among studied variables. Main findings: The findings supported the proposed hypotheses that self-efficacy and social support were negatively related to functional status (disability score) in patients with rheumatoid arthritis (rs = - .349, - .215, p < .05). Pain level and depression were positively related to functional status (disability score) in patients with rheumatoid arthritis (rs = .561, .679, p < .05). Conclusion and recommendations: The findings indicated that self-efficacy, pain level, depression, and social support were correlated with functional status with disability score among patients with RA. It is recommended that nurses should assess functional status of RA patients, enhance patients’ self-efficacy, promote social support, control pain, and manage depression to promote positive functional status of patients with RA.
Open Access
Factors Related to Needs in Palliative Care among Patients with Hepatocellular Carcinoma
(2017) Le Thi Hien; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; อรพรรณ โตสิงห์; Orapan Thosingha; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์
Purpose: To identify relationships between physical symptoms, anxiety and depression, social support, and needs in palliative care among patients with hepatocellular carcinoma (HCC). Design: Descriptive correlational study. Methods: The study was conducted among 115 patients with HCC at the Nuclear Medicine and Oncology Center in Hanoi, Vietnam. Data were collected from the patients’ record and interviewed using demographic questionnaire, the Cohen-Hoberman Inventory of Physical Symptoms scale (CHIPS), the Hopkins Symptoms Checklist-25 scale (HSCL- 25), the Multidimensional Scale Perceived Social Support (MSPSS), and the Problems and Needs in Palliative Care-short version (PNPC-sv). Spearman’s rho was employed to test the relationship among studied variables. Main findings: Physical symptoms, anxiety, and depression were significant positively correlated with needs in palliative care (rs = .775, rs = .828, p < .05). Social support had a significant negative correlation with needs in palliative care (rs = - .307, p < .05). Conclusion and recommendations: Nurses should assess and manage patients’ symptoms, control their psychology and promote their social support. To improve palliative care, standard guidelines for symptom management in palliative care should be developed and implemented.
Open Access
Factors Related to Quality of Life among Patients with Asthma
(2017) Le Thu Hoai; วิมลรัตน์ ภู่วราวุฒิพานิช; Wimolrat Puwarawuttipanit; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์
Purpose: To investigate the relationships between level of dyspnea, FEV1, social support and QOL in persons with asthma. Design: A descriptive correlational study. Methods: The sample composed of 115 persons with asthma who received treatment in Bach Mai Hospital, Hanoi, Vietnam. Data were collected by using 4 questionnaires and lung function test (FEV1): 1) Demographic data and health information, 2) The Borg scale, 3) Social support, and 4) Quality of Life (QOL). Spearman’s rho was employed to test the relationships among studies variables. Main findings: The level of dyspnea was negatively correlated with QOL (rs = - .788, p < .05). FEV1 and social support were positively correlated with QOL (rs = .674, rs = .244, p < .05). Conclusion and recommendations: It is recommended that nurses should assess and suggest patients to manage their symptoms; and help them to seek social support; in order to enhance quality of life of persons with asthma.
Open Access
Factors Related to Quality of Life among Patients with Brain Tumors
(2017) Nguyen Thi Nghe; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; อรพรรณ โตสิงห์; Orapan Thosingha; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์
Purpose: To study the relationships between body mass index (BMI), symptom distress, anxiety, and quality of life (QOL) among patients with brain tumors. Design: Descriptive correlational design. Methods: The sample composed of 115 patients with brain tumors who were admitted to Bach Mai Hospital, Hanoi, Vietnam. Data were collected using 4 questionnaires: 1) Demographic data and illness information, 2) the MD Anderson Symptom Inventory-Brain Tumor (MDASI-BT) scale, 3) the Hamilton Anxiety Rating Scale (HAM-A), and 4) the Functional Assessment of Cancer Therapy-Brain (FACT-Br). Spearman’s Rho was employed to test the relationship among studied variables. Main findings: The findings revealed that symptom distress and anxiety were negatively related to QOL (rs = - .665, p < .05; rs = - .702, p < .05); while BMI was not related to the QOL (p > .05). Conclusion and recommendations: Nurses should pay attention to the patients’ anxiety and symptom distress by conducting routine assessment. Clinical practice guideline to reduce anxiety and manage symptom should be developed and implemented to improve QOL among patients with brain tumors.
Open Access
Factors Related to Quality of Life among Patients with Chronic Hepatitis B Infection in Vietnam
(2017) Doan Thi Ben; วิมลรัตน์ ภู่วราวุฒิพานิช; Wimolrat Puwarawuttipanit; อรพรรณ โตสิงห์; Orapan Thosingha; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลอายุรศาสตร์
Purpose: To investigate the relationships between anxiety, depression, fatigue, social support, and quality of life (QOL) among patients with chronic hepatitis B infection in Vietnam. Design: Descriptive correlational study. Methods: Sample was chronic hepatitis B infection patients who were treated at the Department of Infectious Diseases in Bach Mai Hospital, Ha Noi, Vietnam. Data were collected through interview using 5 questionnaires: The Hamilton Anxiety Rating scale (HAM-A), the Hamilton Depression Rating Scale (HAM-D), the Functional Assessment of Chronic Illness Therapy Fatigue Scale (Version 4) (FACIT-F), the Multidimensional Scale of Perceived Social Support (MSPSS), and the SF-36® Health Survey (SF36) to measure QOL. Spearman’s rho was employed to test the relationships between the studied variables and quality of life. Main findings: The findings supported that anxiety, depression, and fatigue were negatively correlated to quality of life (QOL) among patients with chronic hepatitis B infection (rs = - .550, - .683, and - .541, p < .05, respectively). However, social support was not correlated to quality of life (QOL) significantly among patients with chronic hepatitis B infection (p > .05). Conclusion and recommendations: From the findings of this study it is suggested that nurses should screen for anxiety, depression, fatigue, and social support of patients with chronic hepatitis B infection in order to provide appropriate care to enhance QOL.
Open Access
Factors Related to Quality of Life among Patients with HIV/AIDS in Vietnam
(2017) Bui Minh Thu; วิมลรัตน์ ภู่วราวุฒิพานิช; Wimolrat Puwarawuttipanit; อรพรรณ โตสิงห์; Orapan Thosingha; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์
Purpose: To determine the relationships among education level, medication adherence, social support, and quality of life in patients with HIV/AIDS in Vietnam. Design: Descriptive correlational design. Methods: Sample was 115 HIV/AIDS patients at outpatient center in Bach Mai Hospital, Hanoi, Vietnam. Data were collected using questionnaires: WHOQOL-HIV BREF, Medication Adherence scales, and the Multi-dimensional Scale of Perceived Social Support (MSPSS). Spearman’s rho was employed to examine the relationships among studied variables. Main findings: The findings showed that there was a positive correlation between social support and overall score of QOL (rs = .38, p < .05). Conclusions and recommendations: The results imply that perceive social support from different sources are very important to promote quality of life. So, nurses should provide counseling to caregivers, family members, and friends to support patients with HIV/AIDS both physical and psychological aspects.
Open Access
Factors Related to Quality of Life among Patients with Inflammatory Bowel Disease
(2017) Le Thi Thuy; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; วิมลรัตน์ ภู่วราวุฒิพานิช; Wimolrat Puwarawuttipanit; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลอายุรศาสตร์
Purpose: To explore factors related to quality of life (QOL) among patients with Inflammatory Bowel Diseases (IBD). Design: Descriptive correlational study. Methods: The sample was 115 out-patients with IBD in the Gastrointestinal Department and Functional Examinations Department, Bach Mai Hospital, Hanoi, Vietnam. Data were collected using patients’ hospital records and 3 questionnaires: 1) the 36-Item Short Form Health Survey (SF-36) to assess QOL, 2) the Hopkins Symptom Checklist-25 (HSCL-25) to assess anxiety and depression, and 3) the Crohn’s and Colitis Knowledge Score (CCKNOW) to assess IBD-related knowledge. Descriptive statistics and Spearman’s rho were employed to analyze general characteristics and test the relationships among studies variables. Main findings: The findings indicated that anxiety and depression were significantly negative related to QOL of patients with IBD (rs = - .649, p < .05); while BMI and knowledge about disease were significantly positive related to QOL of patients with IBD (rs = .345, rs = .565, p < .05). Conclusion and recommendations: The result revealed that patients with IBD had a below average level of QOL. Anxiety and depression were negatively related to QOL; while BMI and knowledge about disease were positively related to QOL of patients with IBD. Therefore, nurses should develop program to provide the knowledge about disease and decrease anxiety and depression of the patients with IBD in order to promote QOL
Open Access
Factors Related to Quality of Life among Persons with End Stage Renal Disease Receiving Hemodialysis
(2017) Vu Dinh Tien; อรพรรณ โตสิงห์; Orapan Thosingha; วิมลรัตน์ ภู่วราวุฒิพานิช; Wimolrat Puwarawuttipanit; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลอายุรศาสตร์
Purpose: To determine the relationships between co-morbidity, social support, symptom status, and quality of life among persons with end stage renal disease receiving hemodialysis. Design: Descriptive correlational research. Methods: The sample composed of 115 persons with end stage renal disease receiving hemodialysis in a tertiary care hospital in Hanoi, Vietnam. Data were collected using the patients’ hospital record and interview with 3 questionnaires: The Multidimensional Scale Perceived Social Support, the Edmonton Symptom Assessment System Scale, and the Kidney Disease Quality of Life-Short Form 36 Scale. Spearman’s Rho was employed to test the relationships among variables. Main findings: The findings revealed that the average score of quality of life among persons with end stage renal disease receiving hemodialysis was 45.53 (SD = 13.20), 62.61% of those had score of quality of life below average level. Co-morbidity and symptom status were negatively related to QOL (rs = - .46, - .67, p < .05). Social support was positively related to quality of life among persons with end stage renal disease (rs = .63, p < .05). Conclusion and recommendations: In order to improve quality of life among persons with end stage renal disease receiving hemodialysis, it is recommended that nurses should assess and manage patients’ symptoms, control their co-morbidity, and seek appropriate resources to support them.
Open Access
Factors Related to Recovery in Patients after Total Hysterectomy
(2017) Pham Thi Thu Thuy; อรพรรณ โตสิงห์; Orapan Thosingha; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์
Purpose: To identify factors related to recovery among patients after total hysterectomy. Design: Descriptive correlational design. Methods: The sample composed of 115 adult patients after total hysterectomy at Bach Mai Hospital and the National Hospital of Obstetrics & Gynecology, Hanoi, Viet Nam. Data were collected using the patients’ medical record and interviewed with 3 questionnaires: 1) the Numerical Rating Scale, 2) the Multidimensional Scale of Perceived Social Support, and 3) the Quality of Recovery-15. Spearman’s Rho was employed to test correlation among studied variables. Main findings: The findings revealed that pain score was negatively related to recovery (rs = - .70, p < .05); while co-morbidity and social support were not related to recovery (p > .05). Conclusions and recommendations: Pain was the vital factor inhibiting patients’ recovery. Therefore, in order to promote the patients’ smooth transition to their optimum recovery, pain should be well controlled. Pain management protocol should be developed and tested for their effectiveness through research before implementation.
Open Access
Factors Related to Satisfaction of Patients Receiving CT Scan
(2017) Do Thi Yen Mai; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; อรพรรณ โตสิงห์; Orapan Thosingha; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลอายุรศาสตร์
Purpose: To explore the relationships between waiting time, anxiety, communication, environmental factors, and satisfaction of patients receiving CT scan. Design: Descriptive correlational design. Methods: Sample was 126 patients receiving CT scan at Bach Mai Hospital, Hanoi, Vietnam. Data were collected using 4 questionnaires: 1) the Hamilton Anxiety Rating Scale (HAM-A), 2) the communication questionnaire, 3) the environmental questionnaire, and 4) the satisfaction questionnaire. Spearman’s rho was employed to test the relationships among studied variables. Main findings: The result illustrated that anxiety was negatively related to satisfaction (rs = - .48, p < .05). Communication and environment were positively related to satisfaction (rs = .46, .34, p < .05, respectively). Nevertheless, waiting time was not significantly related to satisfaction (p > .05). Conclusion and recommendations: Nurses should assess anxiety level of patients while they were waiting for CT scan and provide nursing care to reduce anxiety appropriately. In addition, communication skills should be concerned for heath care team as well as improved environment to ensure satisfaction of patients using services in the radiology department.
Open Access
Relationships between Self-efficacy, Depression, Anxiety and Quality of Life among Patients with Chronic Obstructive Pulmonary Disease
(2017) Pham Thi Thanh Phuong; วิมลรัตน์ ภู่วราวุฒิพานิช; Wimolrat Puwarawuttipanit; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลอายุรศาสตร์
Purpose: To examine the relationships between self-efficacy, depression, anxiety, and quality of life (QOL) in patients with Chronic Obstructive Pulmonary Disease (COPD). Design: Descriptive correlational design. Methods: Sample was 115 COPD patients who were treated at Hai Duong General Hospital, Hai Duong City, Vietnam. Data were collected with 5 questionnaires including demographic data, COPD Self-efficacy Scale (CSES), patient health questionnaire 9 (PHQ-9) to measure depression, generalized anxiety disorder 7-item (GAD-7), and a clinical COPD questionnaire (CCQ) to measure quality of life. Data were analyzed using descriptive statistics and Spearman’s Rho correlation. Main findings: The findings revealed self-efficacy was positively correlated with quality of life (rs = .586, p < .05). Depression and anxiety were negatively correlated quality of life (rs = - .279, and - .506, p < .05). Conclusion and recommendations: The results showed that self-efficacy significantly increased QOL, but depression and anxiety significantly reduced QOL among COPD patients. Therefore, nurses should consider to create pulmonary rehabilitation program using these variables to improve QOL in COPD patients.
Open Access
การประยุกต์ใช้หลักฐานเชิงประจักษ์เพื่อป้องกันหลอดเลือดดำอุดกั้นในผู้ป่วยอายุรกรรม-ศัลยกรรม
(2011) พรทิพย์ สารีโส; Porntip Sareeso; เกศรินทร์ อุทริยะประสิทธ์; Ketsarin Utriyaprasit; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลอายุรศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์
หลอดเลือดดำอุดกั้น หมายถึง กระบวนการอักเสบที่เกิดขึ้นภายในผนังหลอดเลือดดำส่วนลึกทำให้มีการอุดตันจากลิ่มเลือด มีสาเหตุมาจาก 1) การหยุดนิ่งของเลือดดำ 2) ผนังภายในหลอดเลือดดำได้รับอันตรายและ 3) มีการเปลี่ยนแปลงปัจจัยในการแข็งตัวของเลือดซึ่งพบได้บ่อยในผู้ป่วยอายุรกรรม-ศัลยกรรมที่เข้ารับการรักษาในโรงพยาบาล เนื่องจากกลุ่มผู้ป่วยดังกล่าวมีองค์ประกอบของการเกิดหลอดเลือดดำอุดกั้นทั้ง 3 ประการร่วมกัน หลอดเลือดดำอุดกั้นเป็นภาวะแทรกซ้อนจากการถูกจำกัดการเคลื่อนไหวทำให้ผู้ป่วยต้องอยู่ในโรงพยาบาลนานขึ้นและอาจเป็นอันตรายถึงชีวิตจากการหลุดของลิ่มเลือดไปอุดที่หลอดเลือดดำของปอด ดังนั้น การประเมิน การป้องกันภาวะแทรกซ้อนและการฟื้นฟูสภาพผู้ป่วยโดยใช้หลักฐานเชิงประจักษ์นับเป็นบทบาทที่สำคัญยิ่งของพยาบาล แนวปฏิบัติการพยาบาลที่พัฒนาขึ้นในรายงานฉบับนี้มีวัตถุประสงค์เพื่อป้องกันหลอดเลือดดำอุดกั้น โดยรวบรวมจาการใช้หลักฐานเชิงประจักษ์เมื่อนำไปใช้พบว่าสามารถปฏิบัติได้ง่าย พยาบาลมีความความมั่นใจและพึงพอใจในการปฏิบัติพยาบาลและเป็นการเพิ่มคุณภาพในการดูแลผู้ป่วยให้มีประสิทธิภาพยิ่งขึ้น