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Khomapak Maneewat

Assistant Professor, Surgical Nursing Department, Faculty of Nursing, Prince of Songkla University, Thailand.

Author-ID : 313878

Education Health Professions Nursing Veterinary Other

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Articles

EVIDENCE-BASED NURSING FOR PREVENTION AND MANAGEMENT OF DELIRIUM IN PATIENTS UNDERGOING CARDIAC SURGERY: CASE STUDIES Fitri, Siti Ulfah Rifa'atul; Maneewat, Khomapak; Herliani, Yusshy Kurnia; Harun, Hasniatisari
Medical-Surgical Journal of Nursing Research Vol. 2 No. 1 (2023): Medical-Surgical Journal of Nursing Research
Publisher : Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI) Regional Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70331/jpkmb.v1i2.20

Delirium management is critical to lowering the risk for patients as well as health care providers, such as a nurse who takes complete care of the patient and plays an important role in delirium prevention from the start of post-operative care until the patient is transferred to the ward and then discharged. The purpose of this study was to examine the usefulness of instruments for screening delirium in patients undergoing cardiac surgery as well as the effectiveness of evidence-based nursing interventions for delirium prevention and management in cardiac surgery patients. This study used a case study design with five hospitalized patients who had cardiac surgery, including patients admitted 1-2 days before or within 7 days of the procedure. Based on NICE guidelines, the authors provided data collection methods for screening for delirium and intervention for delirium prevention and management in patients following cardiac surgery. According to data acquired from five responders, two patients in the high-risk age group are already in the delirium phase, while the other three patients have not shown delirium postoperatively. The most typical intervention in all cases is re-orientation and immobility (use cardiac rehabilitation), as well as basic communication. This study attempted to integrate three screening measures for delirium, then evaluated and compared the findings to see if the patient received the same or a different score on each instrument.

The Effect of A Self-Management Support Program on The Achievement of Goals in Diabetic Foot Care Behaviors in Indonesian Diabetic Patients Kurniwawan, Titis; Sae-Sia, Wipa; Maneewat, Khomapak; Petpichetchian, Wongchan
Nurse Media Journal of Nursing Vol 1, No 2 (2011): (DECEMBER 2011)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Introduction: Diabetic foot care behaviors (DFCB) are a fundamental component of the prevention of diabetic foot complications. This quasi-experimental study aimed to examine the effect of a self-management support program on the achievement of DFCB goals in Indonesian diabetic patients.Method: Thirty-five subjects were recruited from the diabetic unit of a district hospital in West Java, Indonesia. The subjects received a five-week diabetic foot care self-management (SM) support program. This program consisted of three sequential phases based on the self-management method proposed by Kanfer and Gaelick-Buys (1991): self-monitoring, self-evaluation, and self-reinforcement. The strategies used in this program consisted of individual foot care education, goal setting and action planning, and brief weekly counseling and follow-ups. The goals achieved from the second to the fourth weeks were evaluated weekly by phone call follow-ups with a face-to-face interview evaluation in the fifth week. The level of goal achievement was determined by counting the number of successfully implemented actions based on the subject’s action plans. The actual goal achievement was then classified into three levels: goal completely achieved, goal partially achieved and no behavioral change (no action) at all. Results: Most of the subjects (94.3%) were able to completely achieve their first week goals whereas only approximately two-thirds of the subjects were able to completely achieve their goals in the second to the fourth weeks. Throughout the program, less than half of the subjects (42.9%) completely achieved all four weekly goals although only one subject (2.9%) was unable to achieve any of the weekly goals. The most improved DFCB component in each of the first to fourth weeks was foot hygiene, footwear, toenail care and a combination of foot hygiene and footwear, respectively. Conclusion: This SM support program effectively improved the Indonesian diabetic patients’ foot care behaviors. Therefore, nurses can apply this program in practice in enhancing DFCB in order to prevent diabetic foot ulceration.Keywords: Diabetic foot care behaviors, self-management, diabetic patients

Perceived Ability to Practice in Disaster Management among Public Health Nurses in Aceh, Indonesia Putra, Ardia; Petpichetchian, Wongchan; Maneewat, Khomapak
Nurse Media Journal of Nursing Vol 1, No 2 (2011): (DECEMBER 2011)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Background: The increasing number of disaster events around the world has challenged every country to develop better disaster-management strategies. As a part of healthcare system, public health nurses (PHNs) should be involved in caring for people in disasters. Currently, there is no known study whether PHNs of Aceh, Indonesia, working with community people who are at high risk of confronting natural disasters, are able to perform their roles and functions regarding disaster management. Methods: 252 PHNs from twenty-seven public health centers in Aceh were studied during November to December 2010 to evaluate their perceived ability to practice regarding disaster management at each disaster phase: preparedness, response, and recovery phase. The perceived ability to practice was assessed by using the 30-statement, five-point Likert-scale (0-4) of Public Health Nurses’ Perceived Ability to Practice Regarding Disaster Management Questionnaire (PHNPP-DMQ). The composite scores of each phase and the total score were calculated and transformed to percentage for ease of presentation across disaster phases.Results: Overall, the PHNs’ perceived ability to practice regarding disaster management in Aceh was at a moderate level (M=74.57%, SD=13.27). The highest mean score was for the recovery phase (M=78%), and the lowest mean score was in the preparedness phase (66.15%).Conclusion: The finding of this study evokes challenges to the local government of Aceh province to further prepare PHNs to increase their ability in disaster management.Keywords: Disaster management, practice, public health nurses

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