Browsing by Author "Mahidol University. Faculty of Medicine Ramathibodi Hospital. Ramathibodi School of Nursing"

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    PublicationOpen Access
    Adherence of Healthcare Workers Toward the Contact Precaution Guidelines for Patients With Multidrug-Resistant Organisms in a Tertiary Care Hospital
    (2018) Mukkapon Punpop; Porntip Malathum; Kumthorn Malathum; มุขพล ปุนภพ; พรทิพย์ มาลาธรรม; กำธร มาลาธรรม; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Ramathibodi School of Nursing; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of Medicine
    Background: The medical intermediate care unit (MIU) is an open ward had the highest prevalence of multidrug-resistant organisms (MDROs) in Ramathibodi Hospital. Until now, contact precautions have been used to control the MDROs in this unit. Objective: To explore adherence of healthcare workers (HCWs) and their opinions toward the contact precaution guidelines of the hospital. Methods: The random and blinded non-participatory observation for adherence to the contact precaution guidelines was performed. Questionnaires were used to explore opinions of HCWs to the contact precaution guidelines. Descriptive statistics were used to analyze the data. Results: From the observation of 560 opportunities, the adherence rate to gloving was highest, followed by gowning, and hand hygiene (81%, 56%, and 51%, respectively). Forty percent of HCWs performed all steps following the contact precaution guidelines, whereas 14% did not adhere at all. Although the HCWs perceived that prevention of MDROs outbreak is important, they reported the main reasons for non-adherence toward the guidelines as having crowded environment and over workload. Conclusions: The adherence rate of healthcare workers toward the contact precaution guidelines for patients with MDROs did not achieve the optimal goal. Thus, strategies should be planned to encourage HCWs to adhere to the contact precaution guidelines and to minimize the barriers as much as possible to prevent widespread MDROs and to improve patient care quality.
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    PublicationOpen Access
    Associations among Knowledge, Attitudes, Health Behaviors, and Stress of Pregnant Women in Thailand during the New Coronavirus-2019
    (2022) Pairin Sukontrakoon; Srisamorn Phumonsakul; Sailom Gerdprasert; Shuleeporn Prohm; Arissara Sawatpanich; ไพรินทร์ สุคนธ์ตระกูล; ศรีสมร ภูมนสกุล; สายลม เกิดประเสริฐ; ชุลีพร พรห์ม; อริสรา สวัสดิพาณิชย์; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Ramathibodi School of Nursing
    A descriptive correlational study aimed to examine the associations among knowledge about COVID-19, attitudes toward COVID-19, health behaviors, and stress of pregnant women in Thailand during the COVID-19 pandemic. A sample of 283 pregnant women who met the inclusion criteria was recruited and participated via self-administered online questionnaires. The questionnaires requested personal information, knowledge about COVID-19, attitudes toward COVID-19, health behaviors related to COVID-19 in pregnancy, and stress. Descriptive statistics and Spearman’s rank correlations were applied for data analysis. The results showed that most pregnant women had a high level of knowledge about COVID-19 and good health behaviors (75.62% and 88.34%, respectively), a neutral attitude, and a moderate stress level (78.09% and 76.32%, respectively). Also, findings revealed a significant positive association between knowledge and health behaviors, negative attitudes toward COVID-19 and health behaviors, and negative attitudes toward COVID-19 and stress. However, significant associations were not found between knowledge and attitudes,knowledge and stress, and health behaviors and stress. Therefore, pregnant women should receive reliable health information about the novel coronavirus disease, which may influence attitudes toward this disease, to help them engage in health behaviors and prevent such infections. Importantly, accurate information should make the pregnant women gain more understanding of COVID-19. Psychological support is needed to help pregnant women manage their stress appropriately.
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    PublicationOpen Access
    Changes of Symptom Cluster Occurrence in Thai Woman With Cervical Cancer From Pre to Post Treatment
    (2013) Bualuang Sumdaengrit; Somchit Hanucharurnkul; Sarikapan Wilailak; Marylin J Dodd; Thavatchai Vorapongsathorn; Kanaungnit Pongthavornkamol; บัวหลวง สำแดงฤทธิ์; สมจิต หนุเจริญกุล; สฤกพรรณ วิไลลักษณ์; Marylin J Dodd; ธวัชชัย วรพงศ์ธร; คนึงนิจ พงศ์ถาวรกมล; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Ramathibodi School of Nursing; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of Obstetrics and Gynecology; University of California at San Francisco. School of Nursing. Department of Physiological Nursing; Mahidol University. Faculty of Public Health; Mahidol University. Faculty of Nursing
    Purpose of this part of the longitudinal study was to examine the change of symptom cluster occurrence in Thai women from pre, during, and one month post treatment for cervical cancer. One hundred and ninety women were recruited from 4 hospitals: 1 hospital affiliated university, 2 military hospitals, and 1 hospital under the National Cancer Institute. The modified Memorial Symptom Assessment Scale and the Demographic, Disease, and Treatment Questionnaires were used to collected data at pre, during, and one month post treatment. Data were analyzed by factor analysis. Results reported that symptom cluster occurrences are different at each time of treatment. There were 3 clusters of symptom occurrence at pre treatment; emotion, response, and physical-related cancer. During treatment were gastro-intestinal symptoms, emotion, and side effects-related treatment. While there were 2 clusters of symptom occurrence at post treatment; emotion and side effects-related treatment. These findings can be provided as evidenced base for appropriate care in Thai women with cervical cancer from pre to post treatment. Self care to relieve symptom cluster occurrence at each time of treatment is recommended for further study.
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    PublicationOpen Access
    Factors Affecting the Quality of Life in Children with Epilepsy
    (2021) Arthittaya Kaenkrai; Autchareeya Patoomwan; Suporn Wongvatunyu; Apasri Lusawat; อาทิตยา แก่่นไกร; อัจฉรียา ปทุุมวัน; ศุุภร วงศ์วทัญญู; อาภาศรี ลุุสวัสดิ์์; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Ramathibodi School of Nursing
    Health-related quality of life (HRQOL) is considered as an important clinical outcome, especially in children with chronic illnesses. This predictive, descriptive study aimed at investigating the factors affecting health-related quality of life in children with epilepsy, including epilepsy severity, comorbidity, and family functioning. The sample, which consisted of 90 caregivers of children with epilepsy between the ages of 4 to 15 years, was recruited from the pediatric neurological out-patient clinic and in-patient wards at Prasat Neurological Institute, and Ramathibodi Hospital located in Bangkok, Thailand. Data were collected during June-August 2019. A set of questionnaires was used including demographic characteristics and medical record of illness data of children with epilepsy, the Chulalongkorn Family Inventory (CFI), and the Quality of Life in Childhood Epilepsy (QOLCE-16). Data analysis used descriptive statistics, Pearson’s product-moment correlation coefficient, and multiple regression analysis. The findings revealed that epilepsy severity, comorbidity, and family functioning could jointly predict the overall QOLCE, and accounted for 28.40% of the variance in the overall quality of life of children with epilepsy. Results of this study would help nurses and healthcare professionals provide adequate support and further design the intervention to improve the quality of life among children with epilepsy.
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    PublicationOpen Access
    Factors Associated With Cardiorespiratory Fitness in Postmenopausal Women With Prehypertension in Thailand
    (2018) Sukanya Tantiprasoplap; Noppawan Piaseu; Surasak Taneepanichskul; Chutinun Jidtapapudsron; สุกัญญา ตันติประสพลาภ; นพวรรณ เปียซื่อ; สุรศักดิ์ ฐานีพานิชสกุล; ชุตินันท์ จิตตประภัสสร; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Ramathibodi School of Nursing; Chulalongkorn University. College of Public Health Sciences; Donsai Health Promotion Hospital
    Background: Cardiorespiratory fitness (CRF) is one of the most important components of physical fitness. Low levels of CRF are associated with high mortality risk. Objective: To investigate factors associated with CRF in postmenopausal women with prehypertension. Methods: A descriptive design was used in this study. Through purposive sampling, 84 postmenopausal women with prehypertension were recruited from Ratchaburi province. The data were collected by using the structured questionnaire with face-to-face interview. All of the participants were measured for CRF (estimated maximal oxygen uptake [VO2max]). Data were analyzed using descriptive and inferential statistics. Results: The results revealed that mean age of participants was 55.15 ± 7 years (range, 44 - 69 years). Most of them were married (69%), obtained primary education (76.2%), worked as farmer (76.2%), and none farmers (23.8%). Approximately half of them did not exercise (42.9%). CRF was associated with waist circumference (rp = -0.637, P < 0.001), body mass index (rp = -0.562, P < 0.001), heart rate (rp = -0.581, P < 0.001), and occupation (rs = 0.396, P < 0.001). Conclusions: Factors including waist circumference, body mass index, and heart rate were negatively associated with CRF in postmenopausal women with prehypertension. The results suggest approaches for healthcare providers to develop programs promoting cardiorespiratory fitness among postmenopausal women with prehypertension to enhance their health status and prevent hypertension and cardiovascular risk factors.
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    PublicationOpen Access
    Factors Related to Foot Care Behaviors Among Patients With Type 2 Diabetes Mellitus in Da Nang, Vietnam
    (2019) Hoang Thi Ngoc Sen; Poolsuk Janepanish Visudtibhan; Apinya Siripitayakunkit; ฮวาง ธี ง็อค เซ็น; พูลสุข เจนพานิชย์ วิสุทธิพันธุ์; อภิญญา ศิริพิทยาคุณกิจ; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Ramathibodi School of Nursing; Da Nang University of Medical Technology and Pharmacy. Faculty of Nursing
    Background: Foot ulceration and amputation have alarmingly increased among patients with type 2 diabetes mellitus in Vietnam. Poor foot care behavior is one of the crucial reasons which leads to diabetes related foot problems. Exploration factors related to foot care behaviors among people with diabetes becomes a necessary issue to limit this complication. Objective: To determine factors related to foot care behaviors among patients with type 2 diabetes mellitus. Methods: The descriptive correlation study was conducted in 140 participants by purposive sampling technique in the outpatient room of Da Nang Hospital, Da Nang, Vietnam from December 2017 to January 2018. Instrument used in the study included of the six cognitive impairment test, demographic form, the Nottingham assessment of functional foot care, foot care knowledge, foot care confidence scale, and foot care subscale in the social support scale for self-care in middle-aged patients with type 2 diabetes mellitus. Data were analyzed by chi-square test, Pearson product moment correlation coefficient, and Spearman rank correlation coefficient. Results: Of 140 participants, 58.6% had poor foot care behaviors. Education level, foot care knowledge, foot care self-efficacy, and social support showed a statistically significant positive correlation with foot care behaviors. There was no significant correlation between age, gender, and foot care behaviors. Conclusions: The study suggested that improving foot care knowledge, foot care behaviors and enhancing the role of nurses must be implemented for the improvement of foot care behaviors among patients with type 2 diabetes mellitus.
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    PublicationOpen Access
    Feasibility of Musical Prayer to Enhance the Quality of Sleep in Persons with Ovarian Cancer
    (2012) Suhong Deesamer; Sangthong Terathongkum; Noppawan Piaseu; Sarikapan Wilailak; ซู้หงษ์ ดีเสมอ; แสงทอง ธีระทองคำ; นพวรรณ เปียซื่อ; สฤกพรรณ วิไลลักษณ์; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Ramathibodi School of Nursing; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of Obstetrics and Gynecology
    This quasi-experimental research study contained a one group pretest design and was carried out to investigate the feasibility of musical prayer to enhance the quality of sleep in persons with ovarian cancer. The purposive sample was selected using inclusion criteria of 10 ovarian cancer patients treated with chemotherapy at the Gynecologic Oncology Unit of Ramathibodi Hospital in Bangkok, Thailand. Participants were assigned to listen to musical prayers approximately 45 minutes before sleeping for 27 days Before and after intervention they were completed the Thai Depression Inventory, the Pittsburgh Sleep Quality Index (Thai version), and a semi-structure interview on the quality of sleep. Data were analyzed using descriptive statistics, Paired t-test and Wilcoxon Sighed-rank Test. The results revealed that after listening to musical prayer, participants showed significant increase in global sleep quality and perceived sleep quality compared to before intervention. Sleep latency, sleep duration, habitual sleep efficiency, sleep disturbance, use of sleeping medication and daytime dysfunction also improved within period of musical prayers, but without statistical significance. The participants were satisfied with musical prayer at the highest level. They also suggested applying this modality with other cancer persons to improve their quality of sleep. The study suggests that the application of musical prayer to enhance the quality of sleep in persons with ovarian cancer should take into account the personal characteristics of each individual. Further study related to the most effective means of using musical prayer on persons with ovarian cancer at the hospital and at home should be conducted.
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    PublicationOpen Access
    Illness Perception, Personal Characteristics, Social Support, and Lifestyle Behavior in Patients With Hypertension, Attending a Cardiac Out-Patient Department, Nepal
    (2018) Rashmi Maharjan; Sirirat Leelacharas; Wonnapha Prapaipanich; ราสช์มิ มาหาร์จัน; สิริรัตน์ ลีลาจรัส; วรรณภา ประไพพานิช; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Ramathibodi School of Nursing; Kathmandu University School of Medical Sciences
    Background: Hypertension is the most common risk factor of premature deaths due to cardiovascular diseases worldwide. Currently, there is no available information of illness perception in Nepalese patients with hypertension and involved variables and their relationships with lifestyle behavior on controlling high blood pressure which is the starting point of this study. Objective: To describe illness perception, social support, and lifestyle behaviors and to examine the relationships of lifestyle behaviors with involved variables among Nepalese patients with hypertension. Methods: Two hundred thirteen patients with hypertension (purposive sampling) were recruited from the cardiac out-patient department (OPD) of Dhulikhel Hospital Kathmandu University Hospital, Nepal. Questionnaires composed of demographic information, Brief Illness Perception Questionnaire, Social Support Scale, and Lifestyle Behavior Scale were used. Descriptive statistics, Pearson correlation coefficient, and independent t test were used for data analysis. Results: Participants perceived hypertension as benign condition which did not have serious consequences, symptoms, and emotional effects in their lives. They had very good social support for managing their hypertension in addition to having good lifestyle behavior. Lifestyle behavior had positive relationships with social support (r = 0.320; P < 0.001) and waist circumference (r = 0.152; P < 0.05) but had inverse relationships with age (r = -0.140; P < 0.05) and illness perception (r = -0.137; P < 0.05). There were no relationships between duration of treatment of illness and body mass index with lifestyle behavior. There were no significant differences of lifestyle behaviour based on level of education and family history of illness. Conclusions: As patients with appropriate illness perception and adequate social support have exhibited satisfactory lifestyle behaviors, nurses can assess and utilize these factors in engaging patients with hypertension to perform better health behaviors for controlling their blood pressure.
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    PublicationOpen Access
    Knowledge, Self-Efficacy, Self-Management Behavior of the Patients With Predialysis Chronic Kidney Disease
    (2019) Satchina Moktan; Sirirat Leelacharas; Wonnapha Prapaipanich; แซทชินา มอคแทน; สิริรัตน์ ลีลาจรัส; วรรณภา ประไพพานิช; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Ramathibodi School of Nursing
    Background: Chronic kidney disease (CKD) is an emerging global public health problem. Control of risk factors and prevention of complications can delay the progression to end-stage renal disease. Self-efficacy and self-management behavior in patients with predialysis CKD has not been investigated in Nepal. Objectives: To describe knowledge of CKD, self-efficacy, and self-management behavior in patients with predialysis CKD and to determine the relationships between knowledge in CKD and self-efficacy with self-management behavior. Methods: Ninety-seven predialysis CKD patients visiting nephrology clinic of a tertiary care hospital in Kathmandu, Nepal were recruited from November 2016 to December 2016. Questionnaires comprised of sociodemographic data, CKD knowledge, self-efficacy, and self-management behavior questionnaires were used. Data were analyzed, using descriptive statistics and Pearson product moment correlation coefficient. Results: The mean age of 97 participants was 45.67 years. There were 3 stages of CKD among participants: stage G4 (54.64%), stage G3 (42.27%), and stage G2 (3.09%), respectively. Hypertension was the most common comorbidity (81.44%) followed by diabetes mellitus (30.92%). Predialysis CKD patients had a moderate level of knowledge on CKD and self-efficacy and high level of self-management behavior. There were positive relationships between knowledge in CKD and self-management behavior (r = 0.52; P < .05), and between self-efficacy and self-management behavior (r = 0.39; P < .05). Conclusions: This study suggested that education, counseling, workshop to increase the knowledge, self-efficacy, and self-management behavior might be helpful for the predialysis CKD patients. Healthcare providers can educate, motivate, and train the patients to practice self-management behavior to delay the progression of CKD.
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    PublicationOpen Access
    Prevalence of Condom Use and Its Related Factors Among Men Who Have Sex With Men in Thailand
    (2019) Sirinan Prakot; Sasisopin Kiertiburanakul; Poolsuk Janepanish Visudtibhan; ศิรินันท์ ปรากฎ; ศศิโสภิณ เกียรติบูรณกุล; พูลสุข เจนพานิชย์ วิสุทธิพันธ์; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Ramathibodi School of Nursing; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of Medicine
    Background: The new challenge of human immunodeficiency virus (HIV) prevention exists in men who have sex with men (MSM) and becomes the key population accounting for the vast majority of new HIV infections worldwide. Consistent condom use has been proved to be effective to prevent HIV transmission. Promoting the use of condom is needed; however, knowledge on what factors relevant to the performance of this behavior among MSM in Thailand is limited. Objectives: To examine the prevalence rate of condom use among MSM in Thailand, and to identify related factors of its use. Methods: Participants were recruited using convenience sampling with inclusion criteria. The data were collected using an online questionnaire and then analyzed using chi-square test and Spearman rank correlation. Results: A total of 153 data sets from participants were included in the analysis. The average age was 27.4 ± 5.8 years. The HIV positivity was 6.5%, and consistent condom use was 55.6%. The correlational analysis showed that age (P = .03), intention, attitude, subjective norms, and perceived behavioral control (P < .01) were significantly correlated with consistent condom use. Conclusions: The interventions proposed to promote consistent condom use among MSM should focus on increasing intention, attitude, subjective norms, and/or perceived behavioral control, especially among young MSM in Thailand.
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    PublicationOpen Access
    Quality of Care for Patients With ST-Segment Elevation Myocardial Infarction Using Fast Track Service in Thailand
    (2018) Songwut Sungbun; Noppawan Piaseu; Suphamas Partiprajak; ทรงวุฒิ สังข์บุญ; นพวรรณ เปียซื่อ; สุภามาศ ผาติประจักษ์; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Ramathibodi School of Nursing
    Background: The ST-segment elevation myocardial infarction (STEMI) fast track care recommend door to needle within 30 minutes. The current guideline is implemented in the community hospitals for timely reperfusion therapies, however, evaluation on its quality is limited. Objective: To evaluate quality of care for patients with STEMI in community hospitals, Thailand. Method: A descriptive design was conducted in three community hospitals, where distance from primary percutaneous coronary intervention (PCI)-capable hospital are more than 120 minutes. Consecutive sampling was used to select sample of patients with STEMI from October 1, 2016, to Mach 31, 2017. Data were collected from STEMI patients in 3 community hospitals using questionnaire and medical record reviews. Results: Thirty-two STEMI patients participated in this study. The mean age of the patients was 62.5 ± 11.4 years. Most of them (87.5%) used self-transportation. Approximately 51.7% received streptokinase within time, while the average door to needle time was 48.4 minutes. The mean total ischemic time was 246.2 ± 365.7 minutes, and 18.8% of patients died in-hospital. Conclusions: This study showed that door to needle time, door to balloon time, door to ECG, door to referral time, and total ischemic time were longer than recommended time. The main reasons were patients delay and system delay particular delayed diagnosis.
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    PublicationOpen Access
    Stress, coping strategies, and coping resources of graduate nursing students during the first semester of their study
    (2000) Yupapin Sirapo-ngam; Valla Tantayotai; Jariya Wittayasooporn; ยุพาพิน ศิรโพธิ์งาม; วัลลา ตันตโยทัย; จริยา วิทยศุภร; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Ramathibodi School of Nursing
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    PublicationOpen Access
    Symptom Clusters in Thai Gynecological Oncology Patients Receiving the First Cycle of Carboplatin and Paclitaxel
    (2016) Bualuang Sumdaengrit; Suteera Chukkul Luengsukcharoen; Sirapiechchaya Patharathamaporn; บัวหลวง สำแดงฤทธิ์; สุธีรา จักรกุล เหลืองสุขเจริญ; สิรพิชญ์ ภัทรธรรมาภรณ์; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Ramathibodi School of Nursing; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of Nursing; Phramongkutklao Hospital and College of Medicine. Nursing Department
    Background: Gynecological oncology patients have been suffering from cancer and a set of symptom cluster from treatment. To pass the suffering from the first cycle of chemotherapy is meant that patients can pass all the left five cycles of them. Purposes of this study were to examine (1) symptom occurrence and severity after chemotherapy day 1 to 14 and (2) the change of symptom cluster occurrences in Thai gynecologic oncology patients receiving first cycle of Carboplatin and Paclitaxel at day 1. 3,7, and 14. Methods: This is descriptive study One hundred and ten women were recruited from gynecologic oncology department in a hospital affiliated university. The National Cancer Institute Symptom Severity Diary and the Demographic, Disease, and Treatment Questionnaires were used to collected data. The National Cancer Institute Symptom Severity Diary was recorded from the 1st day to 14th day after first cycle of chemotherapy. Factor analysis was used for analyzing data. Results: Results reported top five most symptom occurrences were fatigue, numbness, anorexia, pain, and constipation. Top 5 most symptom severity were pain, numbness, fatigue, anorexia, and alopecia. These symptom were changed from day 1-14 after receiving first cycle of Carboplatin and Paclitaxel. There were 2 clusters of symptom occurrence at day 1 after receiving chemotherapy were neuropathy side effects and gastro – intestinal effects. At day 3, there were gastro – intestinal effects and sleep pattern change. At day 7, there were gastro – intestinal effects; neuropathy side effects; and sleep pattern change. Lastly, at day14, there were gastro – intestinal effects and neuropathy side effects. Conclusions: Findings provided an evidenced data for side effects’ management appropriate with context in gynecological oncology patients receiving the first cycle of Carboplatin and Paclitaxel.