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Publication Metadata only Factors influencing the accuracy of triage by registered nurses in trauma patients(2018-04-01) Thassanee Soontorn; Yajai Sitthimongkol; Orapan Thosingha; Chukiat Viwatwongkasem; Faculty of Medicine, Ramathibodi Hospital, Mahidol University; Mahidol Universityperformed by registered nurses in the emergency department and examine factors influencing the triage accuracy in patients with trauma. A prospective observational design was performed in five emergency departments of regional hospitals in southern Thailand.... The sample comprised 109 registered nurses and 1,090 adult patients with trauma. The accuracy of triage was calculated by using the difference score between the triage coding identified by a triage nurse immediately on patient emergency department arrivalPublication Metadata only Factors influencing prehospital delay time among patients with peripheral arterial occlusive disease(2014-01-01) Tidarat Vasaroangrong; Orapan Thosingha; Barbara Riegel; Chanean Ruangsetakit; Chukiat Viwatwongkasem; Mahidol University; University of Pennsylvaniaor diagnosed within the preceding four months was recruited into the study. Questionnaires and interviewing were used to collect data. Stepwise multiple regression analysis was performed to identify the factors influencing prehospital delay time. SignificantPublication 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. ภาควิชาการพยาบาลศัลยศาสตร์recovery (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, anxietyPublication 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. ภาควิชาการพยาบาลศัลยศาสตร์with 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 personsPublication 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. ภาควิชาการพยาบาลศัลยศาสตร์Purpose: 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.Publication Open Access ปัจจัยทำนายระยะวันนอนในโรงพยาบาลของผู้ป่วยหลังผ่าตัดข้อสะโพกเทียม(2565) เอมวิกา สุขสถิตย์; สุพร ดนัยดุษฎีกุล; อรพรรณ โตสิงห์; ก้องเขต เหรียญสุวรรณ; Aemwika Suksatit; Suporn Danaidutsadeekul; Orapan Thosingha; Kongkhet Riansuwanand the Cumulated Ambulation Score. Statistical analysis was performed using descriptive statistics, Pearson’s product moment correlation, and multiple regression. Main findings: The findings showed that 76.7% were female with a mean age of 70.40 years (SD = 14... findings guide nursing practice by promoting appropriate body mass index, discouraging the alcohol drinking, and promoting activities that help recovery of patients after hip arthroplasty to reduce complications from long hospitalization resultingPublication 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. ภาควิชาการพยาบาลศัลยศาสตร์and 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.Publication Open Access Factors Associated with Recovery among Patients after Abdominal Surgery(2017) Nguyen Thi Thu Trang; อรพรรณ โตสิงห์; Orapan Thosingha; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์Purpose: To examine the level of postoperative recovery and identify relationships among age, postoperative pain, co-morbidity, intra surgical condition, length of incision, and recovery in patients after abdominal surgery. Design: Descriptive correlational design. Method: Sample was 190 patients aged 18 years and older after abdominal surgery at Bach Mai hospital, Hanoi, Vietnam. Data were collected by interviewing with questionnaires and obtaining demographic and medical data from patient’s chart review. Patient’s recovery was measured by the quality of recovery scale (QoR-15). Spearman’s rho correlation was employed for data analysis. Main Findings: The average age of subjects was 54.14 years. The length of hospital stay ranged from 3 to 20 days. Main cause of surgery was gastrointestinal disease found in 114 subjects (59.7%), and 54 subjects with urological disease (28.3%). The surgical approach included laparotomy and laparoscopic surgery. There were 38.2% of subjects with one or more co-morbid diseases. The overall QoR scores were good with the mean of 128.91. Age, pain, co-morbidity, and length of incision were negatively correlated with recovery (rs = - .350, rs = - .411, rs = - .428, rs = - .231, p < .05 respectively). Surgical Apgar score was positively correlated with recovery (rs = .289, p < .05). Conclusion and recommendations: To enhance the patient’s postoperative recovery and their optimum health outcomes, pain control has to be taken into action. Patients with long wounds have co-morbid diseases and show instability in their hemodynamic status during operation has to be closely monitored.Publication 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. ภาควิชาการพยาบาลอายุรศาสตร์Purpose: 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.Publication 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. ภาควิชาการพยาบาลศัลยศาสตร์and 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.