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Publication Open Access Validation and factor structure of the Thai version of the EURO-D scale for depression among older psychiatric patients(2009) Tawanchai Jirapramukpitak; Niphon Darawuttimaprakorn; Sureeporn Punpuing; Abas, Melanie; Mahidol University. Institute for Population and Social ResearchObjectives: To assess the concurrent and the construct validity of the Euro-D in older Thai persons. Method: Eight local psychiatrists used the major depressive episode section of the Mini International Neuropsychiatric Interview to interview 150 consecutive psychiatric clinic attendees. A trained interviewer administered the Euro-D. We used receiver operating characteristic (ROC) analysis to assess the overall discriminability of the Euro-D scale and principal components factor analysis to assess its construct validity. Results: The area under the ROC curve for the Euro-D with respect to major depressive episode was 0.78 [95% confidence interval (CI) 0.70-0.90] indicating moderately good discriminability. At a cut-point of 5/6 the sensitivity for major depressive episodes is 84.3%, specificity 58.6%, and kappa 0.37 (95% CI 0.22-0.52) indicating fair concordance. However, at the 3/4 cut-point recommended from European studies there is high sensitivity (94%) but poor specificity (34%). The principal components analysis suggested four factors. The first two factors conformed to affective suffering (depression, suicidality and tearfulness) and motivation (interest, concentration and enjoyment). Sleep and appetite constituted a separate factor, whereas pessimism loaded on its own factor. Conclusion: Among Thai psychiatric clinic attendees Euro-D is moderately valid for major depression. A much higher cut-point may be required than that which is usually advocated. The Thai version also shares two common factors as reported from most of previous studies.Publication Open Access Long-term morbidities in stroke survivors: a prospective multicenter study of Thai stroke rehabilitation registry(2013) Vilai Kuptniratsaikul; Apichana Kovindha; Sumalee Suethanapornkul; Nuttaset Manimmanakorn; Yingsumal Archongka; Mahidol University. Faculty of Medicine Siriraj Hospital. Rehabilitation Medicine DepartmentBackground: Stroke-related complications are barriers to patients’ recovery leading to increasing morbidity, mortality, and health care costs, decreasing patient’s quality of life. The purpose of this study was to quantify incidence and risk... factors of stroke-related complications during the first year after discharge from rehabilitation ward. Methods: A prospective observational study was conducted in nine tertiary-care rehabilitation centers. We evaluated the incidence of morbiditiesPublication Open Access ประสบการณ์ และการเตรียมความพร้อมในภาวะภัยพิบัติน้ำท่วมของผู้ป่วยเรื้อรังและญาติผู้ดูแลในประเทศไทย(2558) จงจิต เสน่หา; Chongjit Saneha; วันเพ็ญ ภิญโญภาสกุล; Wanpen Pinyopasakul; วาสินี ชาญศรี; Wasinee Charnsri; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์ศิริราชพยาบาลand psychological distress during the flood disaster. Most of them were concerned with economic issues and household supplies, rather than disease management and health conditions. Six themes emerged from interview included: preparation for natural disaster... and illness management; health management; emotional response; identified needs for physical and psychological support; active community participation; and future preparedness for self-management. In addition to self management, the majority of patientsPublication Open Access Sexual HIV risk behaviour and associated factors among pregnant women in Mpumalanga, South Africa(2013) Peltzer, Karl; Mlambo, Gladys; Mahidol University. ASEAN Institute for Health Development.6). Antenatal women were selected, using systematic sampling from 63 primary care clinics and community health centres in Nkangala District. Data were collected by using a structured questionnaire and multivariate logistic regression analysis was used... and alcohol use for multiple sexual partners; by fewer antenatal visits, being HIV negative and not having used alcohol for lack of condom use; by being HIV positive, having experienced physical partner violence and psychological distress for having beenPublication Open Access ปัจจัยทำนายความกดดันทางจิตใจในผู้ป่วยโรคปอดอุดกั้นเรื้อรัง(2555) ลาวัณย์ ตุ่นทอง; Lawan Toontong; ดวงรัตน์ วัฒนกิจไกรเลิศ; Doungrut Wattanakitkrileart; คนึงนิจ พงศ์ถาวรกมล; Kanaungnit Pongthavornkamol; เจริญ ชูโชติถาวร; Charoen Chuchottaworn; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลอายุรศาสตร์; กระทรวงสาธารณสุข. สถาบันทรวงอก. กลุ่มงานอายุรศาสตร์ปอดto help them reduce their psychological distress. These include: assisting them to have appropriate cognitive appraisals of health, care and treatment to reduce the severity of disease, and information given through various methods....Purpose: Psychological distress in patients with chronic obstructive pulmonary disease often results in changes in emotional status, social withdrawal and isolation, and physical symptoms, all of which require increased physical and psychologicalPublication Open Access Effect of efficacy on nursing performance in Indira Gandhi Memorial Hospital, Maldives(2015) Hassan Jeeza; Nate Hongkrailert; Jutatip Sillabutra; Mahidol University. ASEAN Institute for Health Development; Mahidol University. Faculty of Public Health. Department of BiostatisticsThis cross sectional descriptive study was conducted in the government tertiary care hospital in Male’, Maldives. The main objective of this study was to ascertain the relationship between independent variables and nursing performancePublication Open Access Quality of life of hiv/aids patients in Bangkok Metropolitan(2008) Pimsurang Taechaboonsermsak; Chokchai Munsawaengsub; Sirithai Charupoonpho; Phitaya Charupoonphol; พิมพ์สุรางค์ เตชะบุญเสริมศักดิ์; โชคชัย หมั่นแสวงทรัพย์; พิทยา จารุพูนผล; Phitaya Charupoonphol; Mahidol university. Faculty of Public Health. Department of Family Healthof quality of life of HIV/AIDS patients, and the means of care taker responsibility of HIV/AIDS patient were analyzed by percentage, means, and standard deviation. Comparing the quality of life of HIV/AIDS patients were studied follow the two classified... the studied factors and the quality of life it was found that the age of the HIV/AIDS patient, family relationships, the self care abilities, and duration of exposed to the family were positively related to the quality of life of HIV/AIDS patients (r = 0Publication Open Access ปัจจัยสิ่งแวดล้อมในการทำางานด้านจิตสังคมที่มีความสัมพันธ์กับปัญหาสุขภาพจิตและความพึงพอใจในงานของพนักงานโรงงานตัดเย็บเสื้อผ้าขนาดใหญ่(2555) อาภรณ์ทิพย์ บัวเพ็ชร์; สุรินธร กลัมพากร; สุนีย์ ละกำปั่น; Surintorn Kalampakorn; Sunee Lagampan; อาภรณ์ทิพย์ บัวเพ็ชร์; มหาวิทยาลัยมหิดล. คณะสาธารณสุขศาสตร์. ภาควิชาพยาบาลสาธารณสุขThis study aimed to examine the relationship between the psychosocial work environment with psychological health problems and job satisfaction among Thai garment workers, using the Effort-Reward Imbalance model. A cross-sectional survey... statistically significant variance in all psychological health problems and job satisfaction. Reward, effort, and over commitment combined, could explain statistically significant variance in anxiety. Results suggested that reward should be more concernedPublication Open Access Relationship between child rearing and child nutritional status during the first year of life in Thailand(2016) Mai Beniko; Aroonsri Mongkolchati; Jiraporn Chompikul; Rutja Phuphaibul; Mahidol University. ASEAN Institute for Health DevelopmentThis descriptive study was conducted to determine relationship between child rearing and child nutritional status during the first year of life. A total of 4,245 cohort children were collected between July 2000 and June 2002 based on the Prospective Cohort of Thai Children. 60 twin infants and 35 dead and abnormal children were excluded. Then, the remaining 4,150 children were conducted for data analysis. The statistics was used by Chi-square tests and Multiple Logistic Regressions were used for identifying influential predictor and child nutritional status (underweight, stunting and wasting) at the first year of age. The finding showed that 8.3% of the children were underweight (weight for age), 9.5% of the children were stunting (height for age) and 5.7% of the children were wasting (weight for height) according to WHO reference. After adjusting the potential confounding factors in the multiple logistic regression, this study found that birth weight was the most significant risk factor related to all three child nutritional status such as underweight (Adj. OR= 10.07, 95% CI= 2.87-35.28), stunting (Adj. OR= 4.49, 95% CI= 1.16-17.39) and wasting (Adj. OR= 3.94, 95% CI= 1.24-12.49). In addition, the significant factor associated with child underweight in the final model was controlling of sleeping time by using rational style (Adj. OR=4.71, 95% CI=1.16-19.10), and for wasting status was types of main caregivers (relative) (Adj. OR= 4.04, 95% CI=1.15-14.21). This study indicated that child rearing style age 6 months among this population effect to nutritional status for children first year of life. Therefore, health policy and education regarding to appropriate child rearing pattern toward among parents in Thailand should be promoted.Publication Open Access การพัฒนาแนวปฏิบัติการพยาบาลในการสนับสนุนด้านจิตใจของสตรีตั้งครรภ์ที่ได้รับการวินิจฉัยว่าทารกในครรภ์มีความผิดปกติโดยต้องได้รับการผ่าตัดภายหลังคลอด(2558) ประคอง ชื่นวัฒนา; Prakong Chuenwattana; ฉวีวรรณ อยู่สําาราญ; Chaweewan Yusamran; อัมประภา เผ่าพันธ์; Amprapa Phoapan; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์ศิริราชพยาบาลassessment, 2) psychological support techniques with emotion and information support, and 3) sensitive nursing care. The content of this CNPG was validated by 5 experts and adjusted for the appropriation. Conclusion and recommendations: A pilot study of CNPG...Purpose: To examine the development of a clinical nursing practice guideline (CNPG) to psychologically support in pregnant women antenatal diagnosed of surgically correctable fetal anomalies. Design: Evidences-based practice design. Methods