Journal of Sakon Nakhon Hospital

Comparison of Treatment Results Before and After Treatment with Telemedicine in Prisoner Patients with Type 2 Diabetes Mellitus in Sukkasem Primary Care Unit Sakon Nakhon Hospital

2025-02-19T22:20:51+07:00

This study is retrospective research design to compare outcomes before and after treatment by telemedicine of type 2-diabetes prisoner patients who received telemedicine-based care from 1 July 2023 - 1 December 2024. The objective of this research was to compare treatment outcomes, including glycated blood sugar (HbA1C), fasting blood sugar (FBS), and body weight, before and after implementing the telemedicine system. Purposive sampling of type 2-diabetes patients in Sakon Nakhon Provincial Prison under the responsibility of Sukkasem Primary care unit, Sakon Nakhon hospital. Data were collected from medical records and analyzed with the software package program using the Paired-T Test statistic (p < 0.05).

Overall data of total patients’ records analysis, the results showed that HbA1c and body weight decreased significantly (p < 0.05) after got telemedicine-based care. Patient data was further divided into the groups of good glycemic control group (HbA1C ≤ 7) and poor glycemic control group (HbA1C > 7%). It was found that in the group of patients with HbA1C > 7%, all 3 variables were significantly decreased (p < 0.05) after telemedicine-based care. However, for the patients with HbA1C ≤ 7 group, even though their body weights decreased, but HbA1C and FBS increased significantly. It can be concluded that the telemedicine-based care service may be another option that can implement to diabetic prisoner patients particularly prominent in the group with poor glycemic control (HbA1C > 7%). This also provided the patients to continue following telemedicine-based care instead of out-patient treatment only.

Factors Associated with Health Literacy on Early Childhood Care in the Service Area of Mae Non Health Promoting Hospital, Nong Phai Sub-District, Muang District, Udon Thani Province

2025-02-17T10:38:02+07:00

This descriptive research by using a cross-sectional survey aimed to study the situation of health literacy in raising young children, personal factors related to health literacy in raising young children, and to study the relationship between health literacy in raising young children and the nutritional status, dental health, and development of young children. The samples included 102 primary caregivers of young children aged from newborn to five years old living in the service area of Mae non health promotion hospital, Nong phai subdistrict, Mueang district, Udon thani province.

The results of the research found that most caregivers were mothers (52.95%), had the highest level of education, which was primary school (41.17%). Most of them were general employees (35.3%) with three-generation families (parents, children and grandparents) (68.63%). The average income was 13,686.27 baht/month, had sufficient income for monthly expenses (55.88%), and had very good health literacy (57.85%). The highest level of health literacy was self-management (52.94%). The lowest level of health literacy was interpersonal communication (42.16%). The personal factors significantly related to the level of health literacy in raising young children (p-value < .05) were education level, income sufficiency for regular expenses, and family type. The level of health literacy in raising young children was significantly related to the nutritional status and dental health of young children (p-value < .05).

Development of Clinical Nursing Practice Guideline for Pain Management in Trauma Patients At Emergency Department, Sakon Nakhon Hospital

2025-03-20T09:57:15+07:00

This developmental research aimed to develop a nursing practice guideline for pain management in trauma patients at the Emergency Department of Sakon Nakhon Hospital using the RAT Model framework. The sample consisted of trauma patients divided into two groups: an intervention group (n = 84) who received care according to the developed guideline and a control group (n = 84) who received standard care. The research instrument was a nursing practice guideline for pain management developed by the researcher, implemented by 30 professional nurses.

The results showed that the waiting time for pharmacological pain management in the intervention group (Median = 11.59 minutes) was significantly shorter than in the control group (Median = 56 minutes). For non-pharmacological pain management, the intervention group also demonstrated significantly reduced waiting times (Median = 9 minutes) compared to the control group (Median = 33 minutes). Regarding pain scores, the control group showed a reduction from pre-treatment (Mean = 4.11 ± 1.73) to post-treatment (Mean = 2.98 ± 1.11), while the intervention group demonstrated a reduction from pre-treatment (Mean = 4.77 ± 1.30) to post-treatment (Mean = 2.33 ± 1.43). Both groups experienced statistically significant reductions in pain scores following treatment. Patient satisfaction was higher in the intervention group (Mean = 25.1 ± 4 .8) compared to the control group (Mean = 24.6 ± 3.9). Nurse satisfaction with the guideline was high, and the feasibility of implementing the guideline was also rated high (Mean ± S.D. = 38.3 ± 6.6).

The Development of Nursing Practice for Prevention Nausea and Vomiting from Undergoing Anesthesia in Adult Patient Udonthani Hospital

2025-02-26T10:41:56+07:00

This study employed a research and development design with the objective to develop and evaluate the outcomes of a comprehensive practice guideline. The study was divided into three phases: Phase 1 involved examining the incidence of postoperative nausea and vomiting (PONV) from medical records over a 3-year retrospective period; Phase 2 focused on developing a nursing practice guideline; and Phase 3 evaluated the outcomes of implementing this guideline.

The research instruments included a nursing practice guideline for monitoring and preventing PONV in adults receiving general anesthesia at Udon Thani Hospital, and research data collection forms. These instruments were validated by five anesthesiologists and nurse anesthetists. The sample consisted of patients who received anesthesia at Udon Thani Hospital from June to December 2023. Participants included both patients and professional nurses. The patient sample, calculated to be 128 individuals, was divided into an experimental group (n = 64) and a control group (n = 64). The control group received standard care, while the experimental group was managed according to the newly developed nursing practice guideline for monitoring and preventing PONV in adults at Udon Thani Hospital. Systematic random sampling was used to select participants for the study, with the control group completed first. The professional nurse sample consisted of 50 voluntary participants who implemented the practice guideline. Data analysis included descriptive statistics (frequency, percentage, mean, and standard deviation) for patient demographics. The incidence of PONV and length of hospital stay were compared between groups using Chi-Square and t-test. Data concerning professional nurses who implemented the guideline, and their satisfaction were analyzed using frequency, percentage, mean, and standard deviation.

The research findings showed no significant differences in baseline characteristics between the experimental and control groups. Post-anesthesia outcomes revealed a statistically significant difference (p < 0.05) in the incidence of PONV between groups. Patient satisfaction with the service was at the highest level (mean = 4.47, S.D. = 0.14), with a statistically significant difference at p < 0.05. The satisfaction of the 50 nurse anesthetists who used the practice guideline was also at the highest level (mean = 4.59, S.D. = 0.52). Professional nurses' overall satisfaction with the guideline was at the highest level (mean = 4.59, S.D. = 0.52).

Factors Influencing Burnout of Professional Nurses in the Operating Room at Center Hospitals in the Northeast

2025-02-20T09:57:49+07:00

This predictive research aimed to study the burnout level of professional nurses in the operating room at center hospitals in the Northeast and to study the influence of personal factors consisting of age, gender, education, marital status, and operating room experience, and working environment factors, namely workload, job responsibilities, role conflict, social support, organization relationships, compensation and welfare, which influence the burnout of professional nurses in the operating room at center hospitals in the Northeast. The sample group was 236 professional nurses in the operating room at center hospitals in the Northeast. The research instruments included a personal data questionnaire, a work environment factor questionnaire and a burnout measurement questionnaire. The questionnaires of work environment factors and the Maslach Burnout inventory were approved for content validity by 5 experts. The content validity index was 0.87 and 0.89, respectively. The reliability test revealed that Cronbach’s Alpha Coefficients were 0.90 and 0.92, respectively. Data was analyzed using descriptive statistics. Pearson's correlation coefficient and stepwise multiple regression analysis.

The findings were as follows:

1) The burnout levels of professional nurses in the operating room at center hospitals in the Northeast consisted of emotional exhaustion was at a medium level had a total score of 26.40 ( = 2.93, S.D. = 1.50), depersonalization was at a medium level had a total score of 10.81 ( = 2.70, S.D. = 1.58), and reduced personal accomplishment was at a medium level had total score of 14.03 ( = 2.80, S.D. = 1.57). Accordingly, the burnout of professional nurses in the operating room at center hospitals in the Northeast in overall was at a medium level had a total score of 51.24 ( = 2.81, S.D. = 1.23)

2) The factors influencing the burnout of professional nurses in the operating room at center hospital in the Northeast were factors of work environment consisting of social support, job responsibilities, and workload that could explain professional nurses’burnout accounted for 27.2% variation (R² = 0.272, p ≤ 0.05).

Effects of the Clinical Supervision Program on the Competency of Professional Nurses in Caring for Patients with ST-Elevation Myocardial Infarction (STEMI)

2025-02-17T11:40:44+07:00

This quasi-experimental research using one-group pretest-posttest design aimed to examine the effects of a clinical supervision program on professional nurses' competencies in caring for patients with ST-Elevation Myocardial Infarction (STEMI). The purposive sample consisted of 12 professional nurses working in the emergency department at Wichian Buri Hospital, Phetchabun Province. The 5-week clinical supervision program was developed based on Proctor's model (2001), comprising three components: normative supervision through monitoring visits and knowledge provision, formative supervision through consultative meetings, video-based learning and simulation practice, and restorative supervision through counseling and collaborative problem-solving. The program tools included STEMI educational videos, simulation practice, knowledge assessment, and simulation observation. Data were collected using the STEMI Care Competency Assessment Tool, which was validated by five experts and demonstrated a Cronbach's alpha reliability coefficient of 0.80. Data were analyzed using frequency, percentage, mean, standard deviation, and Wilcoxon Signed Rank Test.

The results revealed that after participating in the clinical supervision program, the professional nurses' competency scores in caring for STEMI patients were significantly higher than before the program implementation at the 0.01 level (p = 0.002).

Nutritional status and Factor associated malnutrition status in elderly patients with type 2 diabetes mellitus in Sukkasem primary care unit, Sakonnakhon hospital

2025-02-17T10:31:51+07:00

This cross-sectional descriptive study aimed to study the nutritional status of elderly people with diabetes and the factors affecting malnutrition in elderly people with diabetes. The sample consisted of 85 diabetic patients aged 60 years and over who were treated at the Diabetes Clinic, Sukkasem primary care unit, Sakon Nakhon Hospital during March – April 2024. Data was collected through questionnaires and data recording forms. The data were analyzed using descriptive statistics, and factors affecting malnutrition were analyzed using multivariate logistic regression.

The results showed that the average age of participants was 67.55 ± 6.49 years, 70.6% were female. The mean value of HbA1c was 7.99 ± 1.82. 43.5% of the participants had nutritional problems, 2.4% were malnutrition and 41.1% were at risk of malnutrition. Factors affecting malnutrition and the risk of malnutrition included well-controlled blood sugar (adjusted OR = OR= 3.36 95%CI: 1.19-9.47), and risk of depression (adjusted OR = 9.07 95%CI: 2.17-37.96).

Diabetic elderly people are at risk of malnutrition. Therefore, nutritional assessment is important and when abnormalities are detected, appropriate advice and care should be provided.

FFactors in Decision-Making of Cancer Patients’ Living will in Sakonnakhon Hospital

2025-02-17T19:59:09+07:00

This study is a cross-sectional analytical study with the objective of examining the factors that influence the decision to create an advance directive in cancer patients, as well as their level of knowledge and attitudes towards advance directives. The study was conducted at the Phuttharaksa Clinic, Sakon Nakhon Hospital, involving 150 cancer patients between September 1 and September 30, 2024. Data was collected using a questionnaire that included general information about the patients, their past experiences, and their knowledge and attitudes towards advance directives. Data analysis was performed using descriptive statistics and inferential statistics, including univariate analysis with simple logistic regression, followed by multivariate analysis using multiple logistic regression.

The results revealed that 77 cancer patients (51.33%) had decided to create a living will. Factors significantly associated with the decision to create a living will included prior experience of being treated in an intensive care unit (Adj. OR = 7.87; 95% CI = 1.11–55.62), the ability to discuss living wills with family members (Adj. OR = 3.76; 95% CI = 1.39–10.82), prior knowledge of living wills (Adj. OR = 7.23; 95% CI = 2.08–25.15), high levels of knowledge regarding living wills (Adj. OR = 6.53; 95% CI = 2.45–17.45), and a positive attitude toward living wills (Adj. OR = 10.35; 95% CI = 3.38–31.70).

In conclusion, promoting knowledge about living wills can help increase the rate of decision-making regarding living wills among cancer patients.

Comparative Study of Estimated Average Plasma Glucose (eFPG) from HbA1c Level and Fasting Plasma Glucose Level (FPG) in Diabetic Patients at Sakon Nakhon Hospital

2025-02-24T11:43:45+07:00

This retrospective descriptive study aimed to compare the estimated fasting plasma glucose (eFPG) derived from HbA1c levels with the actual fasting plasma glucose (FPG) in diabetic patients at Sakon Nakhon Hospital. The study included 310 diabetic patients who had same-day test results for HbA1c and FPG. eFPG was calculated using the formula eFPG (mg/dL) = (28.7 × HbA1c) - 46.7, The correlation between eFPG and FPG was analyzed using the correlation coefficient, and differences between the two values were tested using the paired t-test.

The results showed that the mean ± S.D. of eFPG was 185 ± 62 mg/dL, which was higher than the mean FPG of 143 ± 64 mg/dL. A moderate correlation was found between the two values (r = 0.538, P < 0.001). The paired t-test indicated a statistically significant difference between eFPG and FPG (P < 0.001). When analyzing subgroups based on HbA1c levels, the correlation coefficients between eFPG and FPG were r = 0.355 for patients with HbA1c levels between 5.6-6.4% and r = 0.496 for those with HbA1c ≥ 6.5%. Both subgroups exhibited statistically significant differences between eFPG and FPG (P < 0.001).

These findings suggest that eFPG levels are consistently higher than FPG levels in all study groups. This discrepancy may be due to patients experiencing falsely low fasting glucose levels as a result of dietary control before testing, leading to lower FPG values compared to eFPG. Therefore, incorporating eFPG alongside HbA1c in diabetes assessment may enhance the accuracy of glycemic monitoring and blood sugar control, ultimately reducing the risk of long-term complications.

Factors Influencing Quality Service by Nurse Anesthetists at Srinagarind Hospital, Faculty of Medicine, Khon Kaen University

2025-04-24T10:55:43+07:00

This descriptive research aimed to study the factors influencing the quality service provision of nurse anesthetists at Srinagarind Hospital, Faculty of Medicine, Khon Kaen University. The sample consisted of 108 nurse anesthetists from Srinagarind Hospital. The research tool was questionnaire divided into 3 parts: 1) a personal information questionnaire, 2) a questionnaire on environmental factors in the workplace, and 3) a questionnaire on the perception of quality service provision by nurse anesthetists at Srinagarind Hospital. The content validity was checked by 5 experts, yielding content validity coefficients of 0.86 and 0.87, respectively. Reliability was assessed using Cronbach’s alpha coefficients of 0.97 and 0.98, respectively. Data were analyzed using descriptive statistics, including percentage, mean, standard deviation, Pearson’s correlation coefficients and stepwise multiple regression analysis.

The results of the research found that 1) the level of perception regarding quality service provision by nurse anesthetists at Srinagarind Hospital was at a high level (= 4.50, S.D. = 0.36), 2) personal factors regarding experience in receiving education/training in quality management had a low positive correlation (r = 0.20, p < 0.03), and workplace environmental factors—including organizational policies, adaptive organizational culture, knowledge management, perception of the nurse anesthetist's role, and support systems for service provision—had moderate positive correlations (r = 0.53, 0.60, 0.54, 0.67, and 0.57 respectively, p < 0.01), and 3) the variables of perception of the nurse anesthetist's role and adaptive organizational culture together predicted 51.50% (R² = 0.515, p < 0.001) of the quality service provision of nurse anesthetists at Srinagarind Hospital, Faculty of Medicine, Khon Kaen University.

Editorial

2025-04-30T11:22:41+07:00

Editorial

2025-04-30T11:25:27+07:00

Content

2025-04-30T11:27:06+07:00