Princess of Naradhiwas University Journal https://li01.tci-thaijo.org/index.php/pnujr <p><strong> ISSN: 2651-1274 (Online)</strong></p> <p>Princess of Naradhiwas University Journal (PNUJR) is a journal for scientific research paper in medicine, nursing, dentistry, health profession, and related fields. Academic papers are welcome. Paper should be in our journal format. Our journal distributed 3 issues a year in January - April, May - August and September - December.</p> en-US muslin.t@pnu.ac.th (Asst. Prof. Muslin Tohpaeroh) pnu_jr@hotmail.com (Miss Sumseeyah Chesamoh) Fri, 13 Sep 2024 08:59:18 +0700 OJS 3.3.0.8 http://blogs.law.harvard.edu/tech/rss 60 Effects of a Self-Management Enhancing Program Using a Tele-Nursing Service among Prisoners with Infected Hepatitis Virus, Central Prison, Udon Thani Province https://li01.tci-thaijo.org/index.php/pnujr/article/view/262941 <p>This research is quasi-experimental, with a one-group pretest-posttest design. The objective was to compare the average knowledge scores and medication adherence behavior of prisoners infected with hepatitis B and C before and after participating in the program and to study the satisfaction of prisoners, a multidisciplinary team, and Udon Thani Central Prison officials with the program. The sample groups were: 1) prisoners infected with hepatitis B and/or C; 217 people were purposively selected according to inclusion criteria; and 2) a multidisciplinary team and 30 officials from Udon Thani Central Prison. Research tools were 1) the tool used in the experiment, which was the self-management enhancing program using a tele-nursing service among prisoners infected with hepatitis B and or C, and 2) the tools for data collection, which were a personal information questionnaire, knowledge scale, medication adherence behavior scale, and prisoner and service providers and multidisciplinary teams’ satisfaction questionnaires. Data were analyzed using descriptive statistics and paired t-test statistics. The research findings revealed a significant improvement in the mean knowledge score (mean=5.03, SD=0.30) and the mean medication adherence behavior score (mean=7.18, SD=0.76) post-implementation of the program compared to pre-experiment levels (p&lt; 0.001). Prisoners (mean=4.71, SD=0.42), service providers, and multidisciplinary teams (mean=4.51, SD=0.53) reported high satisfaction scores. This study demonstrated that the self-management enhancing program using a tele-nursing service could improve prisoners’ knowledge and medication adherence behavior. However, there should be continuous follow-up. They were applied to care for prisoners with other health problems in prisons.</p> Pornnapa Ranmeechai, Olarn Wiwattanachang, Teeraporn Hassadee, Kamthorn Dana, Sarinya Chansuk, Anucha Taiwong Copyright (c) 2024 Princess of Naradhiwas University Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://li01.tci-thaijo.org/index.php/pnujr/article/view/262941 Fri, 13 Sep 2024 00:00:00 +0700 Effects of Y - Course Mobile Application on Knowledge, and Perceived Efficacy for Following Up, and Rehabilitation Among Patients with Schizophrenia of Village Health Volunteers in Yingo District, Narathiwas Province https://li01.tci-thaijo.org/index.php/pnujr/article/view/263328 <p>One group pre - posttest quasi experimental study examined the effects of Y -course mobile application on knowledge, perceived efficacy for follow up, and rehabilitation among patients with schizophrenia in six skills. It also assessed satisfaction level of village health volunteers in district with the use of the Y-course mobile application. 45 village health volunteers were selected as samples to serve as subdistrict representatives by using multistage random selection. Instruments utilized as follows: 1) The Y-course mobile application; 2) instruments for data collection comprised the following four components: 1) A general personal questionnaire; 2) a questionnaire concerning assessment, care, and rehabilitation skills; 3) an evaluation of the perceived efficacy using a symptom monitoring questionnaire; and 4) a satisfaction questionnaire was surveyed regarding the Y-course mobile application. The contents of these instruments were validated by five experts. These instruments had a CVI index of 0.95. The knowledge measurement test's reliability of KR-20 equaled 0.92. Alpha Cronbach's coefficient of perceived efficacy assessment reliability was 0.84. Data analysis was conducted by using descriptive statistics and Pair t-test.</p> <p>Findings revealed that knowledge and perceived efficacy for following up and rehabilitation among patients with schizophrenia of village health volunteers in Yingo district, Narathiwas province, were statistically significantly higher after using the Y-course mobile application than before using the program. The perceived efficacy for following up, and rehabilitation among patients with schizophrenia was in the moderate level prior to using the Y-course mobile application. Following use of the application, the score level was in a good level. The Y-course mobile application yielded a good overall satisfaction score.</p> ์Nirusnee Akaji, Mariam Islamthamthada, Salahuddin Benno Copyright (c) 2024 Princess of Naradhiwas University Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://li01.tci-thaijo.org/index.php/pnujr/article/view/263328 Fri, 13 Sep 2024 00:00:00 +0700 Effects of a Family Participation Promotion Program on Medication Adherence in Muslim Elderly Patients with Myocardial Infarction: A pilot Study https://li01.tci-thaijo.org/index.php/pnujr/article/view/260903 <p>The purpose of this study was to determine the effect of a family participation promotion program on medication adherence in Muslim elderly patients with myocardial infarction. Research’s methodology: A pilot study. Twelve patients with myocardial infarction and family members (six pairs) were used as study samples. They were selected based on predetermined criteria and received the program. Medication adherence behavior questionnaires for patients with myocardial infarction and family member participation questionnaires were utilized to collect data. All questionnaires were validated by three experts. Alpha's Cronbach's reliability results were 0.95 and 0.93, respectively. Twenty samples that were comparable to the research sample were used to test the reliability of the questionnaires. Personal data were analyzed by using descriptive statistics including frequency, percentage, mean, standard deviation, and the assumptions of the Wilcoxon sign test.</p> <p>The findings showed that the mean scores for medication adherence and family member participation of Muslims elderly patients with myocardial infarction after receiving program were statistically significantly higher than before receiving the program. (Z= -2.20 and -2.21, p &lt; .05)</p> <p>The results indicated that a family participation promotion program can enhance caring of Muslims elderly patients with myocardial infarction by encouraging family members to assist in providing continuous long-term care. The program's impact on other health-related behaviors should also be assessed in patients with other diseases.</p> Ameenoh Datae, Pajongsil Perngmark, Umaporn Boonyasopun Copyright (c) 2024 Princess of Naradhiwas University Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://li01.tci-thaijo.org/index.php/pnujr/article/view/260903 Fri, 13 Sep 2024 00:00:00 +0700 Effectiveness of a Latex Pillow on the Incidence of Heel Pressure Ulcers among Bedridden Patients in Naradhiwas Rajanagarindra Hospital https://li01.tci-thaijo.org/index.php/pnujr/article/view/263300 <p>The purpose of this pretest-posttest quasi-experimental study was to determine the effectiveness of a latex pillow on the incidence of heel pressure ulcers among bedridden patients in Naradhiwas Rajanagarindra hospital. Using a purposive sampling technique, 25 bedridden patients from the medical ward of the Naradhiwas Rajanagarindra hospital served as the study's samples. The research instruments were a latex pillow, demographic data questionnaire, a Barthel activities of daily living questionnaire: ADL, a skin assessment tool, and a satisfaction questionnaire using a latex pillow on the incidence of heel pressure ulcers. The satisfaction questionnaire and the skin assessment tool’s content validity index values were.93 and 1, respectively. Alpha's Cronbach coefficient index of satisfaction questionnaire reliability value was.91. The Barthel activities of daily living: ADL, and skin assessment tool had interrater reliability value indexes of 1 and.81, respectively. Descriptive statistics and the Willcoxon Signed Rank Test were utilized in the data analysis. According to the results, the incidence of heel pressure ulcers during three days after utilizing a latex pillow did not differ (Z =.00, p &gt;.05), and the highest degree of sample satisfaction was observed with the latex pillow.</p> <p>The findings indicate that using a latex pillow in conjunction with heel skin care guidelines can help hospitalized bedridden patients prevent developing pressure ulcers on their heels.</p> Norwatee Mayi, Amanee Daemayu, Nuradeenee Dereh, Anuwat Saetung Copyright (c) 2024 Princess of Naradhiwas University Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://li01.tci-thaijo.org/index.php/pnujr/article/view/263300 Fri, 13 Sep 2024 00:00:00 +0700 The Effectiveness of the Prevention and Care Program for Patients with Pressure Ulcer in Debaratana Nakhon Ratchasima Hospital and Networks https://li01.tci-thaijo.org/index.php/pnujr/article/view/261211 <p>The purposes of this quasi-experimental study were to compare the incidence of pressure ulcers and investigate the user satisfaction of the prevention and care program for patients suffering from pressure ulcers in the Debaratana Nakhonratsima hospitals and networks. Using purposive sampling, 30 patients with pressure ulcers on the surgical ward were selected as study samples. The patients met inclusion criteria, had a caregiver, and did not experience program-related complications. The data was collected in four stages: part one was personal information; part two involved using the Braden scale to assess pressure ulcers at home and in hospital; part three involved a program of the prevention and care program for patients with pressure ulcer that included five steps to compare incidents of pressure ulcers that occurred before and after using the program. Data analysis used Wilcoxon signed rank test statistics; and part four involved the rating of satisfaction questionnaires by fifteen nurses, thirty home visit professionals, and thirty caregivers. Percentage, average, and standard deviation were utilized in data analysis. The study period was from May 2020 to March 2023.</p> <p>The program can reduce the level of pressure ulcers, when comparison of the hospital's pressure ulcer incident outcomes. (P – value &lt; 0.001) The program did not have an impact on the reduction of pressure ulcer level, as indicated by the outcome of the pressure ulcer incident that occurred at home. Caregivers' satisfaction score on the satisfaction questionnaire rated 4.56, which was high. A hospital nurses that meet the criteria rated satisfaction score of 4.11, which was quite high. Personnels who conducted home visits and meet the criteria rated satisfaction score of 4.59, which was high. The three groups' overall average score of the satisfaction was 4.42, which was high.</p> benjawan chanlawong, Panngam Panchet, Mintra LaemChanthuek, Pochanat Phra Choho Copyright (c) 2024 Princess of Naradhiwas University Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://li01.tci-thaijo.org/index.php/pnujr/article/view/261211 Fri, 13 Sep 2024 00:00:00 +0700 Promoting Empowerment of School and Family in Caring for Persons with Autism in Five Southern Border Provinces https://li01.tci-thaijo.org/index.php/pnujr/article/view/261757 <p>The purposes of this participatory action research were to determine whether it would be feasible for schools to develop curricula that would address the needs of families in providing care for persons with autism, the occupation of persons with autism as well as to empower families and schools to support persons with autism in five southern border provinces: Naradhiwas, Yala, Pattani, Songkla, and Satun. Two groups of samples were created: one group consisted of 100 persons of administrative staff members, teachers from the special development zone of southern boarder provinces, special education centers, vocational education, community colleges, parallel elementary schools, and 77 caregivers from club members who are parents of persons with autism. Samples were selected using purposive sampling in accordance with the necessary requirements. Focus group discussions and workshop meetings were utilized for data collecting to foster creativity in caring for persons with autism. Content analysis was applied in data analysis.</p> <p>The findings showed that following a program to empower schools and families to care for persons with autism in five southern border provinces, two types of innovations were developed: 1) Teacher personnels developed school parallel short course learning curriculum for persons with autism in schools under the vocational education commission and community college; and 2) Caregivers created innovations that were suitable for each club to increase the effectiveness of parents in caring for persons with autism. These innovations included: 1) The application of improving efficacy of persons with autism (Thai-APDA); 2) E-book: Social Story; 3) Enhanced wisdom Mancala; 4) My book; and 5) Farming on tiled floors.</p> Patimoh Nima, Hasanah Piroh, Aslee Sanitsakul, Nantiya Khoynueng, Zainurdin Nima, Roki Jehte, Kasemsuk Pasuntharatham Copyright (c) 2024 Princess of Naradhiwas University Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://li01.tci-thaijo.org/index.php/pnujr/article/view/261757 Fri, 13 Sep 2024 00:00:00 +0700 Family Well-Being and Factors Associated with Well-Being among Older Adults on Skipped Generation Family in Isan Rural Context https://li01.tci-thaijo.org/index.php/pnujr/article/view/263823 <p>This analytical descriptive study aims to investigate the well-being and factors associated with well-being among older adults in the skipped generation in Maha Sarakham Province. The sample comprised 330 individuals aged 60 and above, living with their families in Maha Sarakham Province, selected by systematic random sampling. Research instruments included 1) a general information recording form for the elderly and their families, 2) a family support scale (CVI = 0.82, Cronbach’s alpha coefficient = 0.96), 3) a family coping scale (CVI = 0.93, Cronbach’s alpha coefficient = 0.90), and 4) a family well-being scale (CVI = 0.98, KR-20 = 0.94). Data were analyzed using descriptive statistics and multivariable analysis, with a significance level set at 0.05. The results indicated a high level of total well-being among the older people in skipped generation families (98.18 %, 95 %CI, 96.26-99.26). High family support (AOR = 2.41; 95 % CI = 1.27, 3.06), and good family coping (AOR = 1.22; 95 % CI = 1.01-2.05). These were identified as significant factors promoting the well-being of the older people in skipped generation families. However, the general characteristics of older adults found no significant relationship with well-being. These findings underscored the importance of family support and effective coping strategies in enhancing the well-being of older adults in skipped generation families. This information can inform the development of policies and interventions to promote the health and quality of life of the elders in the community.</p> Kamthorn Dana, Supakrit Suriyo, Dithapol Jaisue, Chart Thaijarean, Chanidapa Wongruksa, Weerachai Imnamkhoa, Nataporn Kumsisriruk, Anucha Taiwong Copyright (c) 2024 Princess of Naradhiwas University Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://li01.tci-thaijo.org/index.php/pnujr/article/view/263823 Fri, 13 Sep 2024 00:00:00 +0700 Factors Predicting Success in Implementation of The Subdistrict Narcotic Dose Screening Center in Songkla Province https://li01.tci-thaijo.org/index.php/pnujr/article/view/263602 <p>The purpose of this descriptive study was to investigate the factors influencing success in implementation of subdistrict narcotic dose screening center in Songkla province. 138 officers working in subdistrict narcotic dose screening center served as the samples with simple random sampling technique was used. The instruments used were questionnaires that demanded participation in a partnership network after the screening center committees' role, screening skills and officer consultation, work motivation, environmental and workplace management, workforce, and implementation success. The instruments' validity varied from.67 to 1.00. Alpha's Cronbach coefficient reliability indexes were 948,.954,.937,.967,.955, and.979, respectively.</p> <p>Data were analyzed by using descriptive statistics and stepwise multiple regression analysis. According to the results overall of success in implementation of subdistrict narcotic dose screening center in Songkla province at a high level (M =3.71, S.D.= 0.78). Factors predicting success in implementation of subdistrict narcotic dose screening center in Songkla province were the workforce (Beta=.463), work motivation (Beta= .241), participation in partnership networks (Beta=.167), and environmental and workplace management (Beta=.133). These factors can explain 83.60% of the variance and had statistically significant at.001. </p> <p>Therefore, the subdistrict narcotic dose screening center ought to enhance and get ready for environmental management, workforce management that is appropriate for the workload, empowerment in implementation through motivation, a focus on partnership network participation, and the availability of clear guidelines that are easier to follow with the registered nurse and officers working in subdistrict narcotic dose screening center.</p> Orasa Poolsawat, Kittiporn Nawsuwan Copyright (c) 2024 Princess of Naradhiwas University Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://li01.tci-thaijo.org/index.php/pnujr/article/view/263602 Fri, 13 Sep 2024 00:00:00 +0700 Factors Affecting Drug Relapse in Persons with Mixed Type Drug Addiction: A Systematic review https://li01.tci-thaijo.org/index.php/pnujr/article/view/262208 <p>This systematic review aimed to identify, analyze, and synthesize the factors affecting drug relapse in persons with mixed type drug addiction using a combination of methamphetamine and other drugs through all available literature from 2014 to 2023. Research critical appraisal and data extraction were conducted by a data extraction form produced by The Joanna Briggs Institute. According to the search results, 256 papers from 8 databases examined factors affecting drug relapse among drug addicted patients with mixed type drug addiction. A total of 245 studies were eliminated due to their incompatibility with the inclusion criteria. Merely eleven studies satisfied all the inclusion criteria. Eight studies were conducted in Thailand and three studies were conducted overseas. There were five relationship studies, two exploration studies, one mixed method study, one cohort study, and two qualitative research studies. Research findings and knowledge synthesis of the factors affecting drug relapse in persons with mixed type drug addiction were descriptive in characterizing the factors and their relationship to drug relapse. The findings indicated that among patients with mixed-type drug addiction, factors influencing drug relapse included age, educational attainment, signs of drug craving, psychological factors such as friends, family, and occupation of drug addicts, and environmental factors such as neighborhood environment and community influence. The findings can be used to conduct research and create guidelines for preventing drug relapse through increased collaboration between the multidisciplinary team, family, and community.</p> kraiwut srijan, Anchalee Jetwaranon, Rachanee Vannakam, Tipsukon Moonjuntee Copyright (c) 2024 Princess of Naradhiwas University Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://li01.tci-thaijo.org/index.php/pnujr/article/view/262208 Fri, 13 Sep 2024 00:00:00 +0700 The Development Blended Learning Model by using Outcome- Based Education Framework on Learning Outcome in Maternal and Newborn Nursing Subject https://li01.tci-thaijo.org/index.php/pnujr/article/view/263263 <p>This research and development aim to: 1) Study the current situation of outcome-based education in the Maternal and Newborn Nursing course. 2) Develop a teaching model using a blended method. 3) Examine the effectiveness of the blended teaching model. The process includes three steps: 1) Study the current situation of outcome-based education. 2) Review and develop a draft of the blended teaching model based on the findings from step 1, then have it reviewed by three experts to consider its feasibility, appropriateness and alignment. 3) Study the effectiveness of the blended teaching model on learning outcomes. The sample group consists of third-year nursing students from Prince of Songkla University, Pattani Campus, academic year 2023. The research tools include: 1) A blended teaching model for the Maternal and Newborn Nursing course. 2) An assessment form for the effectiveness of the teaching model based on three skills as per the learning outcomes of the curriculum: knowledge, necessary intellectual development, interpersonal relationships, and responsibility. The research findings are as follows: 1) The blended teaching model includes playing games interspersed with lectures and content reviews, both online and face-to-face. 2) The learning outcomes in the three skills after participating in the blended teaching model showed that students had a significantly higher average than before participation, with p &lt; 0.001. The average knowledge score was significantly higher than before participation, with p &lt; 0.001. The average score for necessary intellectual development was significantly higher than before participation, with p &lt; 0.001. The average score for interpersonal relationships and responsibility was significantly higher than before participation, with p = 0.001. In conclusion, the blended teaching model promotes learning, but some topics still have moderate achievement levels at the end of the course. Instructors need to design learning activities to ensure that the learning outcomes in all areas are at a higher level.</p> Reena Mano, Preeya Kaewpimon, Marushme Awang Copyright (c) 2024 Princess of Naradhiwas University Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://li01.tci-thaijo.org/index.php/pnujr/article/view/263263 Fri, 13 Sep 2024 00:00:00 +0700 Factors Related to Quality of Life of Older Adults in the Areas Responsible by Ban Thong Lang Sub-District Health Promoting Hospital, Takua Thung District, Phang Nga Province https://li01.tci-thaijo.org/index.php/pnujr/article/view/260957 <p>This cross-sectional study aimed to determine the quality of life level and to examine the personal factors related to quality of life in older adults who lived in Thonglang subdistrict, Takuathung district, Phangnga Province. One hundred sixty-seven older adults were involved and answered the self -reported questionnaire. The Cronbach alpha was 0.94. The descriptive statistical analysis was used for personal demographics and the multiple logistic regression was analyzed the personal factors related the quality of life.</p> <p>The result showed that most older adults had good quality of life (77.84%). Factors related to quality of life including gender, status, education, average income per month, no health illness and do not need caregiver had significantly associated with good quality of life. Therefore, personal factors included age, number of family members and occupation were not significant association with good quality of life. The result of multivariate analysis showed that older adults who had formal education have significantly associated with good quality of life after adjusted age (ORadj. = 4.303, 95% CI = 1.214 – 15.245, p = 0.024).</p> <p>In conclusion, the quality of life in older adults were associated with personal factors particularly having formal education. The response organization including health organization should support the education, occupation and earning income for older adults. These may be helped to upgrade the level of quality of life in older adults.</p> Piyada Samart, Chompunuch Supapvanich, Sarit Paarch, Kritsanate Katesara Copyright (c) 2024 Princess of Naradhiwas University Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://li01.tci-thaijo.org/index.php/pnujr/article/view/260957 Fri, 13 Sep 2024 00:00:00 +0700 Factors Associated with Alcohol Abstinence among Patients with Alcohol Dependence in Mahasarakham Province https://li01.tci-thaijo.org/index.php/pnujr/article/view/262646 <p>The purpose of this case control study was to investigate the factors associated with alcohol abstinence among patients receiving treatment for alcohol dependence in Mahasarakham province. Samples were patients with alcohol dependence in community, and general hospitals in Mahasarakham province calculating by WIN PEPI program equaled 204. Five experts verified the questionnaire content used in the research, which was administered to patients receiving hospital treatment for alcohol dependence. Alpha's Cronbach coefficient reliability value was.92. Associated factors were analyzed in relation to alcohol abstinence among patients receiving treatment for alcohol dependence using Binary Logistic Regression statistics.</p> <p>Results found that the average age of the sample was 44. Eighty-seven percent of them were male. Sixty percent had no history of illness (60.80%). 6.90% of samples used drugs. Smoking is still common among patients receiving treatment for alcohol dependence (55.40%) and family caregivers (88.20%). Associated factors with alcohol abstinence were gender (Adjusted OR 0.229, 95% CI 0.63 – 0.828), cigarette smoking history (Adjusted OR 2.736, 95% CI 1.33 – 5.627), alcohol abstinence activities (Adjusted OR 16.968, 95% CI 2.342 – 122.920), social support (Adjusted OR 3.638, 95% CI 1.430 – 9.254), and motivation (Adjusted OR 0.026, 95% CI 0.007 – 0.104).</p> <p>Therefore, health care providers play a crucial role in promoting health by developing rehabilitation programs that emphasize family and social support as a source of incentive to help patients receiving treatment for alcohol dependence return to a normal life.</p> Phadoongsit Chumnanboriruk, natthawut suriya, Kuantean Wongchantra, Boonchorp Singhkum, Kittisak Kraichan Copyright (c) 2024 Princess of Naradhiwas University Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://li01.tci-thaijo.org/index.php/pnujr/article/view/262646 Fri, 13 Sep 2024 00:00:00 +0700 Effects of Hybrid Learning Approach on Achievement of Program Learning Outcomes among Nursing Students of Bachelor Degree of Nursing Science https://li01.tci-thaijo.org/index.php/pnujr/article/view/263696 <p>This study aims to explore the effects of hybrid learning approach on program learning outcomes among nursing students of Bachelor of Nursing Science Program. Retrospective study was applied. Secondary data gathering from a follow up study on nursing student’s competencies of the Faculty of Nursing, Prince of Songkla University, Pattani was analyzed. A total of 243 student identification numbers who graduated between the academic year 2016 to 2019 were recruited. Dependent variables were classified into 2 groups; 1) students who exposed the onsite learning and 2) students who exposed the hybrid learning. Independent variables were the program learning outcome scores which composed 6 domains, these were 1) ethical skill 2) knowledge 3) intellectual skill <br />4) interpersonal and responsible skill 5) numeric, communication and technological skill and 6) nursing skill. The Cronbach alpha test was done from the recruited samples to explore reliability of questionnaires. Each program learning outcome was analyzed and presented as median and quartile, logistic regression was used to identify the association of hybrid learning and each program learning outcome adjusted with confounding factors.</p> <p>Results showed that the median score of each program learning outcomes was above 80 percent. There was no association between hybrid learning and knowledge, intellectual skill, interpersonal and responsible skill, numeric, communication and technological skill and nursing skill. However, hybrid learning was a risk factor of low achievement in the domain of ethical skill. Findings indicated that hybrid learning was less effective in enhancing ethical skill of nursing students compared to onsite learning, while there had not negatively affected to knowledge, intellectual skill, interpersonal and responsible skill, numeric, communication and technological skill and nursing skill. </p> Suhaida Waeteh, ROHANI JEHARSAE, Wanyanilah Kaewkubtong Copyright (c) 2024 Princess of Naradhiwas University Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://li01.tci-thaijo.org/index.php/pnujr/article/view/263696 Fri, 13 Sep 2024 00:00:00 +0700 Decision to Take on a Father’s Role of Thai-Muslim Adolescents: A Qualitative Study https://li01.tci-thaijo.org/index.php/pnujr/article/view/263461 <p>This study employed a descriptive qualitative research design aimed to investigate the key factors of the decision-making process of Thai-Muslim adolescents in taking on the role of father for the first-time.</p> <p><strong>Methods:</strong> A total of 14 participants who were Thai-Muslim first-time fathers aged 16 to 19 years and lived with their wife for at least six months. The data were collected with in-depth interviews and non-participant observation and analyzed using content analysis.</p> <p>Results found that the decision to adopt the fathering role was perceived as a movement from ‘worry’ to ‘happiness’, and was supported primarily by two main factors: <em>Islamic teachings </em>and<em> Father as a</em> <em>role model. </em>These factors enabled a true significant changeover, and the adolescent father’s role began to shift from ‘Accepting the onset of pending fatherhood and trying to confront it’ to ' Shouldering the burdens, responsibilities and joys of fatherhood’</p> <p>Both religious beliefs and family role models are important in helping Thai-Muslim adolescent fathers build confidence in their new family roles. These findings can help healthcare professionals to develop support mechanisms to allow adolescent fathers to perform their roles.</p> Chayanan Uengwongsapat, Praneed Songwathana Copyright (c) 2024 Princess of Naradhiwas University Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://li01.tci-thaijo.org/index.php/pnujr/article/view/263461 Fri, 13 Sep 2024 00:00:00 +0700 The Relationship between Islamic Faith, Resilience, Social Support and Psychological Well-being of Muslim Mothers with Infant Admitted to the Neonatal Intensive Care Unit https://li01.tci-thaijo.org/index.php/pnujr/article/view/262068 <p><strong>Objective:</strong> The purpose of this study were to examine the relationship between Islamic faith, resilience, social support, and the psychological well-being of Muslim mothers. Purposive sampling was used to select a sample of 100 Muslim mothers who have children being treated in the NICU of secondary and tertiary hospitals in three Southern border provinces. A standardized interview was used to collect data through six questionnaires including 1) a demographic questionnaire for mothers 2) a demographic and health of infants record form, 3) an Islamic Faith Questionnaire, 4) Resilience Inventory, 5) The Modified Version of Social Support Questionnaire, and 6) a Psychological Well-being Scale-Thai. The content validity index of the Islamic Faith Questionnaire yielded a value of 1.00. Cronbach’s alpha coefficient was used to examine the reliability of the Islamic Faith Questionnaire, Resilience Inventory, Modified Version of Social Support Questionnaire, and Psychological Well-being Scale-Thai, yielding values of .85, .93, .89, and .67 respectively. Cronbach’s alpha coefficient of the Psychological Well-being Scale-Thai was .79 when used with a sample of 100 Muslim mothers. Data were analyzed using descriptive statistics, Pearson’s correlation, and Spearman’s rho correlation coefficient. The finding showed that Islamic faith and resilience had a moderate significant positive correlation with the psychological well-being of Muslim mothers (<em>r<sub>s</sub> </em>= .43, <em>p</em> &lt; .001 and <em>r</em> = .31, <em>p</em> &lt; .01, respectively). Social support had a low significant positive correlation with the psychological well-being of Muslim mothers (<em>r </em>= .29, <em>p </em>&lt; .01). The results of this study can be used as a guide to promote the psychological well-being of Muslim mothers by developing a program to enhance Islamic faith, resilience, and social support.</p> Akreemah Kaseng, Pissamai Wattanasit, Sasikarn Kala Copyright (c) 2024 Princess of Naradhiwas University Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://li01.tci-thaijo.org/index.php/pnujr/article/view/262068 Fri, 13 Sep 2024 00:00:00 +0700 Self-care Experiences of Patients with Chronic Kidney Disease Stage 4 https://li01.tci-thaijo.org/index.php/pnujr/article/view/263313 <p>The purpose of this qualitative study was to examine the self-care experiences of patients with chronic kidney disease stage 4. To be eligible for participation, 30 participants had to meet the following requirements: be diagnosed as patients with chronic kidney disease stage 4 by a physician, had a glomerular filtration rate (eGFR) between 15 and 29%, they had to be residents of Yala city municipality, and be willing to participate in and provide information for the study. Collecting data by using in-depth interviews and non-participant observation. Data analysis was conducted by using thematic analysis.</p> <p>According to the findings, the self-care experiences of patients with chronic kidney disease stage 4 were categorized by key informants into two primary topics: (1) The definition of experience with chronic kidney disease stage 4 were three characteristics: (1) Comorbidity disease with diabetes mellitus and hypertension; (2) Salty, fatty, and seasoning eating behavior; and (3) Uncurable disease risking for hemodialysis, and (2) Patients with chronic kidney disease stage 4 had six components of self-care experiences: (1) Reduced salty, avoided seasoning; (2) Frequently walking exercise; (3) Meditation, reducing stress; (4) Cleaning; reducing germs; (5) Avoiding vices; and (6) Frequently taking medication.</p> <p>The study's conclusions can enhance understanding of the self-care experiences of patients with chronic kidney disease stage 4 in relation to context, lifestyle, and culture, as well as issues and obstacles in self-care. Furthermore, it may serve as the starting point for similar studies that improve self-care to further delay the progression of kidney disease.</p> Salika Issalamikkul, Niratchara lillahkul Copyright (c) 2024 Princess of Naradhiwas University Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://li01.tci-thaijo.org/index.php/pnujr/article/view/263313 Fri, 13 Sep 2024 00:00:00 +0700 Inhibitory Effects of Stink Bean (Parkia speciose) Extracts Against α-amylase and α-Glucosidase Activity https://li01.tci-thaijo.org/index.php/pnujr/article/view/263168 <p>Sator (<em>Parkia speciosa</em> Hassk) is the favorite plant in the 3 southern border provinces of Thailand. The sator extracts indicated the presence of antioxidants, antimicrobials and inhibition of cancer cells. However, the previous study of inhibition of α-amylase and α-glucosidase activity has not been reported. Both enzymes play an importance role of decreasing blood glucose levels resulting in amelioration of non-communication chronic diseases (NCDs). Therefore, this study focused on 4 distinct extraction methods. The results showed that the 50% ethanol extraction is the most ability to inhibit the α-amylase at 96.65 ± 6.58 % and IC<sub>50</sub> at 0.42 mg/ml. The fifty percentage of ethanol extraction is a better inhibitor than acarbose for the α-amylase (p &lt; 0.05). To investigate the preference of the α-glucosidase from intestinal rat inhibition, these extracts had less α-glucosidase inhibitory activity. The result of α-glucosidase from <em>Saccharomyces cerevisiae </em>was found to be most inhibition by 100 % ethanol extraction of 27.67 ± 2.38 % at the enzyme concentration of 0.25 mg/ml compared with the acarbose significantly (p &lt; 0.05). The sator extracts have been able to inhibit both α-amylase and α-glucosidase activity. The data from this study can be used as supporting knowledge for further research in supplemental food and complementary medicine including prevention of NCDs.</p> Wanita Pantong, On-Anong Somsap, Penporn Sujiwattanarat Copyright (c) 2024 Princess of Naradhiwas University Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://li01.tci-thaijo.org/index.php/pnujr/article/view/263168 Fri, 13 Sep 2024 00:00:00 +0700 A Study of Adaptive behavior of Students from Bachelor of Nursing Science Program in a Multicultural Society in Southern Border https://li01.tci-thaijo.org/index.php/pnujr/article/view/263658 <p>This qualitative research aimed to understand adaptive behavior of students from bachelor of nursing science program in a multicultural society in southern border by using the critical incident analysis technique. Thirty first-year nursing students served as key informants for thirty critical incidents. Data collection was conducted by in-depth interview were considered the coverage, and suitability by three experts. Answers were grouped and classified in data analysis.</p> <p>Adaptive behaviors of students from bachelor of nursing science program were identified into three categories, respectively as follows: 1) adaptive behavior in the context of language use for communication; 2) adaptive behavior in the context of society and environment; and 3) adaptive behavior in the context of multicultural aspects.</p> <p>The study's findings assist the institution to manage and update its procedures for enrolling students for the following academic year.</p> surawut doloh, Fa-is Walohtae, Anuchit Maropi Copyright (c) 2024 Princess of Naradhiwas University Journal https://creativecommons.org/licenses/by-nc-nd/4.0 https://li01.tci-thaijo.org/index.php/pnujr/article/view/263658 Fri, 13 Sep 2024 00:00:00 +0700