Browsing by Author "Patcharee Juntaruksa"
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    Effects of individualized environmental modification program on neurobehavioral organizations of very low birth weight infants effects of individualized environmental modification program on neurobehavioral organizations of very low birth weight infants
    Patcharee Juntaruksa ; Veena Jirapaet
    This study was aim to evaluate the effects of individualized environmental modification (IEM) program on neurobehavioral organizations of VLBW infants who admitted in neonatal unit. Twenty-five preterm infants weighing less than 1500 g. and born before 37 weeks’ gestation were studied. All infants were served as their own control which received conventional nursing care during control period. IEM program was provided during experimental period which consists of day-night lighting, classical music and lavender scent. The activities were adjusted to the appropriate level of intensity and duration based on each infant’s responses. Naturalistic Observation of Newborn Behavior (NONB) was used to observe infants’ neurobehavioral organization at baseline, control period and experimental period. Descriptive statistic was used to analyze infants’ demographic data. Repeated measures ANOVA was used to compare mean different of neurobehavioral outcomes of infants between control period and experimental period.The research results showed that infants in experimental period had significantly showed better positive autonomic responses, positive motoric behaviors and positive attention behaviors comparing to control period. Additionally, infants in the experiment period sleep longer and spent fewer times in transitional and arousal states than in the control period.In conclusion, VLBW infants were benefited from IEM program in term of neurobehavioral organization. Promotion of VLBW infants’ neurobehavioral organization admitted in a sick newborn unit can be implemented by integrated the IEM program in a routine nursing care for VLBW infants.
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    Postpartum depression: a comparison of knowledge and attitude between the family members of postpartum women
    (Assumption University Press, 2017) Patcharee Juntaruksa ; Phat Prapawichar ; Chettha Kaewprom
    Postpartum Depression (PPD) is a common complication that mostly occurs during the postpartum period with the consequence of negative health outcomes for women and infants as well as other family members. The relatives of women are the first group that can notice abnormal signs and symptoms of PPD after discharge from the hospital. This study was a cross-sectional survey, aiming to explore knowledge and attitudes of 400 postpartum women’s family members regarding PPD. A self-administered survey questionnaire was used for data collection. Data were analyzed using descriptive statistic. The findings show that family members, both husbands and female relatives, had positive attitudes and good knowledge about causes and risks of PPD. However, misunderstanding and wrong beliefs with regard to PPD were addressed. Therefore, health education on PPD should be provided for family members of postpartum women throughout pregnancy and postpartum periods.
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    Women’s Involvement in Decision Making: Episiotomy Procedure
    ( 2017) Phat Prapawichar ; Patcharee Juntaruksa
    Background: Involving patient in decision making for their care can enhance satisfaction and promote health outcomes in particular in the nursing fields. As The World Health Organization Principles of Perinatal Care has recommended that care should involve women in decision making. This principle strongly endorses for improving effective perinatal care. Decision making regard to treatment options is a concept that has increased widespread appeals to healthcare providers and users in recent year. Evidently, patient involvement in decision making has not always been implemented in clinical practice in particular during intrapartum period. Objective: The aim of this study was to investigate the involvement of women in decision making on episiotomy procedure during labor. Methods: A descriptive quantitative approach was conducted using selfadministered survey questionnaires in two government hospitals, Bangkok, Thailand. Participating hospitals were identified by convenience and remained anonymous. The Participant, eligible women included those who have reached 37 to 42 weeks of gestation, experienced vaginal birth, have a live baby, and admitted in the postpartum units. An appropriate sample size was assigned based on a 95 percent confidence level. A sample size was drawn from two hospitals based on a binomial probability distribution. There were 400 postpartum women participated in this study. Anonymous patient’s data were analyzed using frequencies and percentages. Results: The results revealed that 80% of all women experienced episiotomy. The finding demonstrated that decision making on having this procedure made by health care providers and relatives 73.8%, 3.2%, respectively. 23% of them had a chance to make a decision on having episiotomy. There were 23.8% of women received information about risks and benefits of episiotomy procedure and 76.2% did not get information. Conclusion: The findings of this study demonstrated that women have less opportunity to make a decision on having episiotomy during labor and received less information about this procedure. Therefore, health care providers should be clearly discussed about risks and benefits of episiotomy before performing the procedure. The factors influencing patient involvement in decision making should be investigated to promote good experiences of women during delivery and increase satisfaction toward their care.