'/I

x1rd1:tfl s"tfrufl s1u1au5Nx1c,{ fi qhrasr.iBoromaraionnani College of NLrrsing. Uttaratlit J,trrrr,rl

l'|fi ; or-rufi I nflnr{ - fcra1arl 2554

Il5

--io v u da' c,, 4il o duyi tl n ? I il dil "J{ u t n il FJ 6tln 1 ?{ u o.t f I 1T{ : { fr Yl I 2 { 0 fl

lUUn1 TYIXUl*

ful : Ylo{tn'a*-.\

ililnouo

, ri 4 u o c' 9\nt::ifllioifrl un l5-l-iDrlii ilfl: rY14 l.J i9l0 :Jd,lnt J fln! ]n1llJ dtJY'lutlo{01utllj?u ll{fl

,iorirfinor',un,inr:lfitiiol:ntotrt ndnt:ievitrrasrl:saunr:gilunr:rJg^ffirrutolrinflfinl:rrumd

flrqnrnrntolntudruf..rfin:tlontoll:t tJtrltaa 16o :sq itsd:itlfl? n{rLd:odr.rn^o nlrriltr:-,rfr

r:1{on{o{fi xudluxulO87:lfl :u,fiuolun q{nrr-rl:vrfiu dlu positioning criteria t[6, hmgeQuality:!aa,uae^r9siy'<t4--

mio rfror{Jur ruutumnr0un lrn: w1it0!a toufiln1l 0 :0u6lu nl[?du Itd3d']uluu.lruuu'l9l:$lu 1l::u'lu

;nr*rou'rriual trasir"n:rsffllil;'unfu# i*t, ldco^n'Multiple logistic regression r'ranr:?6'anrtilfi

^;,atdtyr:1ronuo iflrJrtuurfl'l:f nq i'lu: id'lvltJ I 11 2551 tuun l?'{61'lu: {flllr1lon10'lt}lfltlulld3llfu{ n lu'lu

1nrfi'rdo'rfluiofflnqjiouav ss.z lri:rryiori,#ioro, :z.s,,uEt o lR{utfionr:et:?oqxfl tngouas 14.6 ttav

^t ' t ^ - "'nfoaavs.s llavgouav 9.5 alrrirdl rfluviui'rrioduioanc 86 0 tras1J1'01t.1Stl^iOl$ir€rlJfl i9tfl ltdg ?RJ [,

nrrrirr,;.rEm: r r0nriruluqjldnvtruun l: svrfiuqoln r o.irurnorqf lrin:u to {o flouas 6:.o ru'oirn: rv#I - - -id a<il'l I

'ttn1]:JdXJ{Uli UitihrrUi4 nr rru aiUriur o0N:Juud rfifullr{d09r torlnnl:nnTl(oR-50.414)0]qfl0.1}lu18

(oR:2.203) nr:ifiod's'i:nto{u}lrtirflulin5vrrl'hiafioulafisrrdol#1:n:vllmrtrlorflugru

ron-:.qsrrriorildtdur fldlunr:.iidrunrflfrAfl:rionrflulr-nfihirfiurrirrjoonr'01#l:nfirfitrmhrlon

rflugru (oR=2.090) rravnisiu-o#u1:nto':rmreirfluT:nrruru'u1,u'oh{l:nisurlfir€rltrflugiu

(OR=1.831)

zuaRr: fiflu r drlltnrj r'hll#lunr:iliurJq'rnr:rirrfiu.rrulntrtfilneru:vtio:si{ travloun0u) " t ,\ d c ' , ett Aot , Jq ' 4 , dt

1l tnqfu ]un r:riran ru rirharon irruudrrifl{otu ri lurtJtou: } tunlr drlu ll?lafl lon lflt.ldYlt ?{onluu

f*lflOl.rUrt..,fi,lrud,,*rdaAo;o;#rfudur ffhilsil:n:vuuyrrsrn^uurulo:',rd'rflrJrtfiordor

{ovirluviruou

fllfllnry : q n'l?1. n11{tidYl:?i0R

* rinirdnr:uuntisirurqnt: n{u.rrr-tilfiin0t Ir-i elruraa t6tn:rqrt:lta:rtttl:

6 x156l1?e?lu1flufl u1u1 au5$5'lt{ufi oaf, fi n:iBororn.."lo,,nani College of Nursing, dttaradit Journalf,fi g orilrfi I xnila - fiqu1uu 25s4

Factor Affecting the Quality of Chest Radiography

Kanitta Choochawna *

Tanapom Tongkerd *

Abstract

The objective ofthis study was to examine facton a{fecting the quality ofchest radiography at Sakaeo

Crown Prince Hospital. Those factors composed ofthe patients' age and gender, the physicians' investigation

and diagnostics. the position ofchest radiography and the experiences ofradiological technicians. A sample of

1 ,087 patients in the department ofradiology during 2009 was reciuited into the shrdy. The assessment ofchest

radio$aph quality was consisted of2 aspects: l) Positiomng criteria and 2) Image quality. The inshuments

included data recording form and merno ofthe radiological tecluricians. Data were analyzed using frequencn

perrontag€, mean, standard deviation, Chisquarq and logistic regressron. The findings revealed that the numbers

ofmale and falale patients was neady the samq in which most ofthe patients were adult (58.70%). The reasons

for chest radiograph included no condition for medical investigation (22.80%), physical examination ( 14.60%),

preparation for surgery (9.80%), and tuberculosis diagnosis (9.50%). Standing or sitting positions were most

performed for chest radiograph (86.60%).The radiological technicians had a 10-year or more of radiological

expcriences. The score ofchest radiograph quality did not pass the proposed criteria (63.60%). A signiircant

relationship on factos affecting chest radiograph included the patienl's position and age (OR = 50.4 I 4 and 2.203

respectively). For diagnostics, the patients *ere detected ofhaving a cardiovascular disease based on respiratory

disease (OR =2.951), detectcd ofnot having a hurg disease based on lung disease (OR:2.090), and detected of

having other disease based on respiratory disease (OR: L831).

These fiudings can be used to improve u,ork ing performance by increasing cautions on a radiograph

particularly tn childreq teenagers, adults. condition lot rncdical investigation especially rn patients who $,.eri not

having lung or rcspiratory diseases and positioning for a radiograph.

Key n,ords: Quality, chest radiographl,

* Prrrlbssiorul i,er.el Radiological Techniciaq Radiology Depart[rent, Sakaeo Crow.n Pr,nce Hospital

1

nl:dlsn tfli{fim: ?{o fl (Chest x-ray) 60

n1:rilufl r oiu?vluuit?arn:":sontolfirJrodror o 4 -irnY ' ^r a 'i a

il dro n"irto vuun= nn l L"trlaiuutrtluYla rylll

tl: g'ifl ryfurnlunr:dufi r tl.rtdnrurdo.rduj s o .iy

lriogt:10nofl: 0 I11{0l.i l5 00 t: fl Iu: t uE[: ugluI r] I

I:nrirlon?o]:nrloo,fsovdrl#ar 150rlrruro

ruarsirurlrirro trirlo rnoprrfroo rtdglloq uont tn

nyldnrnf'rfi n::'ranlunr:ri'oni o.?Hito0l:nlldljr qr 1e ,r

ll1411UUi I r{OU d11 I90 rfln )5 l$nl?{:ldllSlidnr}'!0

rir'lr J{nr:inurt ravaiieua6tlxu'Iffi Erflu (ct -."-aUjinr,25a0)

!, ,',riuslouto rn t: df t ln'rTtfiAr: rion )-rrlou,])

ll lO lflfl',1: fl tUlldrl]ullfln lvl: { d11: ) i0 no lurfl:0 ilonryr:d(:-ialond) unsflrid]u nr:tr aruanruirfr

fl : 1.,l0rr leufnfifin r:rnrtrri,trtfl u{ri tut,asuhm'n

Rrl{t.td14t?n0n fi 0.J lnuurll'15'?dIl:'r.lonovQnrr{orod ddt 9l'lr4i{drinrurl]

,.r0 rurravtr nfla fiJo [untiuriifl']u

,,*r,ir'irlrlu.,roo*fl ufidruuavr r aruaorr,riiAfl :1{oflJ a n', - s), 4 i t

u utl,[ 0 I H n lt : nu I [.] 1l'] u 0 u l I 11 u 11 I i T n I 5 1'l t n\ 1l u

ss d ur r:odruuasrrilnHonrmriru:16rt'l l0n'lflodr{Y q -a / I , gtA, o 4

Qna0{ ufl :{dn15ttI,lltu0vsto.111t11ul1101uttav1]ufl n

n rfl leuh?lrln rlr:-lflr:a:onfi finun rnkidnnrfl u

ludru n r:fiovirrirunr m r':iifi (posilion). flr:ritlruelode a : 'U: Ifl.I: i fr (exposue) fl 15 14 1 l1'10'lU l3Yl l)v[ ]UJI l1\: I d

in'hifin r: rnfiou'lme (movement) ttav : irrttoi:flq;dllrYulruR r1r5 {d tr.rprfr [1J0rnlu: ril0 r rsrqn: i n0

do':fr rurerryir6'u5fl qri l'lilttrra rmagnfi carion) ('urfr n

xiE[on,2547)-i qrsd

n t!,1: tdrl, ? ianmd: I rl lflflu nt.? dn It I $,{ 11t,

d l l #r r u vr dn i o :i fi u u vr dd r n t : r nl n H n n ? o i r-r' r d'o

1:nrras6oou nr::-nurdun rilfi6i'r oo n'l:lds 'rfi

q Rrllrfifln orfi rsd rirfif Rr:ifirdul:n1o.l

ruilmri Ioflnrilf':f, ilnoado{finxr riirdurilrcau

?1f6l1?Ttlg1fit fi t'IU,)aUTr{X'l'UiUUfi ant6ndBoromaraionnani College of Nursing, Utraradit"JournJ' frit: oriud t en:rar - fiqu1su 2554

fnlu[[9tfl9i 1'1rv1{ il {n?1 fl 1?nun1aol0l.J dlrJlt 0J o i, I q,

llun U-'o )u );fl lu Iu lfi. nl ildl15 )lunfi0{ t14

,A:1UAvtriuFrrflt il l'! 0 r [a g fl l1l1]l o.l lli l] 0unuxglqn: {

d od911r.rrfliuclliJrsr:g'tu10{q n 11110 { fil }"15.1dll:1n O n

dvt'?"[6rrri rnonint:dqr I (position criteria) [tattn!u'tn-. i dq n 11'l1o ln lTli.ld t image quality criteria) llllo ttl4u

ln \l'loFl JUsl rrlld r([nu:fl olnri']qfl5.2549)

n rt dy rin ril;JAntr.ronl#ldrir rturnarci! ^ dt ji ,, -!o

laSg )u!1"1 u0.lfi)J:tnoulltnull0ioiu no ( l)ai a | ,1r, I zi a A Y -talnffl{:.lao1ln: [grrn rfl:0 oflrytTu tft5o{d1itldlt

odulrifi iiulunr:ri1fl ni (2) n'rltrdilrl:0udsfinuv- 4;,u0{ufl: {dnt:t[ Ta tufll5nl uoutlJ l0l: idYl

ooail r uilvh{uin t)- (3 ) rju ro ;ildN tn r rruriu nror,r A

T: )i0n) 10ir.ru turrdy(4) o rn ri r[do {1Jo'rr{uluYl

uo u# ulrlcruril r:-iluinr:rdu #{ld duldrravuau

ldoeir.rr6ar r?o orofiornr:udorroilsn rduA aa )

rmffoo rio! rohri ) fioar:'trild hiiuioyl:rao6' l rf u rin f 'r fi n r : r ur m ri sl o.r fi rt'n v c r r a c 1"#rvr n u' n

oi r r l rJ f r trJ n uL o l n r r r r d v dn r vr r o.r fl rl r ufi r r iuuin r: lrji rourflu urofinnr: r'qil r n r: rilfiufliliilr0r

uo{f{A qaoo0ufl rinorirunry{1u6"rurrfi {rJroa 1) ' a q elray .ja

l.t tu totu't0u litfifu ty fl lflo tl{ tftfl t11:{f,1151{0n u

q al fl 1r,{ avul,r llfidlu lr 0 ei lu u or{a l ravlu^o n-8I: n

Iqoutinnflo{Ad ' o , I

nt?{:idll5i{onT quntflnE {r{a Ifltr }1u

h, '

I I6llll l:0d lultAEl[UAfln t90Ul{nnflOt Itos lfldflofl15

prfl stl)Jnr:n'1fi u10.:l:nnr:iuoii'ol:nuav;nulIrn.in ru s,

trlLrU l,inullliT flnl :i 11:1{0flY1 tlJ toq nlllnduryrzuarftonn rud:snr:rtinn rtdulrm#h;dr r:o

ll1 I (-rfJ6l lo 1) infl JUn t5 0 tufl 'tl{ryr ry.ifl I tfi lnon 1:

fr'u,rl fi o r rIrl: r r ror Ina'[ri ii rrfl u rray fi lrir1 r?rfr n

1l l: lUt tJt:fll1nlYI n?lmfl'l:0El1JU 91610nnUo,ra i- ' e',

0ltl)Y11I lHtnOnl:?uiqU ltnmf.lnnd ln dlflA4 XU

ue/d a t 1j 4 trlalq51tnr)-:nHtdr, l ro Iq:uflt5:nuI [L]gr:{fl

d',4-0 tn l:rnuu'lun)- i nt:f,nu [nu'Jnuqun T rflo{n lfl t.id

x1rfllri slduflu1u1au:lrlfi{ufi Of,iendBoromaoiont

"ni College of Nursing dmaradit Jo.rmal

td s cfiufi I flnr'rn - fiqu1su 2554

,tuflruR11Iu0in l1'l: i dlr:1Ion IoIf^llJI:u :nI5

fl:'rnqlfl r lti ur!rdE:l!fl:t lu l'{1J11n lv{:{in,nv a q t e

11:lionvl I l9Ulgl:S lU scapula 1ji1]ofi:oflnE 26.81

thrd'oarurdrlnr:firfl'[0[tr'lurflt] o9r1rr lfi tulfiu rib tfiu0- i ' A e n 'dn:eu{n! ryilflootTtn l: dr)d l?f oudr 18.25 lulfiuli I

ror spine mvqiirul4'xloiooav tl. t ttrnnr:1#rliru nr

'hU r, .i

ilfl (exposure) 'lrutvlu'lilo ry tiudqU ]lfl'l5Tn1 5'l6l

m 'ne j i e a u,iD

lt:1{On l totu',lgl: fl',tuuo tnrnu tto { n nl: I [1.1

"i ' r, j q,rnlr dtnnrfll t nr: ilfilnr.,tr l'tu nt:d0dl: tldvfll: tl.l4rl:!1 :nd lx[1,{uI1{11lfiu trd:J fidvs1nnl:f,nu I

uo{ ru'u$r ?y-rxur (1r.fl. zsst) d{finurnrvrdra

frfrm::ronro l#r rirrin r:q: rtatn rnrl:vd rfl

2sq0 ro':I:{ilur;raaurfiovr:vqlr:r#:vrrrlx ilrild .iLt

'ti, Ja trJfl'rlro ru:':dll:1.ldnT t tfi ra:Jlufrr rn T tflun

a ,!r,d ienrrrrfllordrlil(fiilfifoaav to.lz. is"rputa flr on

l oia, a.qe r rasnilaietf fls qf6rrovn v (1r,fl . 2549)ned - -.jd t d! , - -'tFtflnurilnnum

zudglofl't: [oflryt: ux I tlu']t n0ui, ' t!,n,' , q , e,' .i1l d I [.l at 91 0 fl I 5 [o fl ry[: ury I ta [tfl n l: n f] T l rulJ I fl 11

,!trdulJr9r: :0flav l8_4 ,t 0in r:0lutoncr[:flry1 ttaY

nisl#rJirurar:-.rfrfi lrjnrru raurriflrJroioaav y.q roo

' rlnlf0lulonut:uryt

-l A"y a--)A , vI {UUtT{0 tllll:lUfiiun 0fl11tnu tx0 {flun ll,l

.iu ,tr vn]t:.1dlr:1{onfl t loflfli fl1?,tsr1lJlflflrflu19r: s tud , 9160 4 4

tu t:t rnlltnd rf:ril,t53flvn'l3Jd:sttn r i.lllflfla{dn u'rq - dd - - ,;llt0uflun?l d,Jt4turnuQ0r')t?IUo,tfl r n)ut,ral

de)1t??ion [u tiil{u tuIad rnnll:E qYIs ltd:s rlfl')J a ingt "aa

yra qqf lflan r5flflu rr 16l l l1r lufl r:1r irtr.rurrn tlr1lflrlt r

lunr:cirfl nrili{fifl :xnon d.rosriihasionr:uinr:jdh, e I q9t d119r t9Ulgl:$rU d lU r:Odnfluuuftl lYo lu rr1{l1u

u ut, I ddtrt:0 luof, I l:ft[[d3:nu't tfi0flg]0 { :10m'l ttdv

ri{ Ha rion:rru n*'ru oloto.r flrl r trlu fi ao

inqrJ:;o.rri

L ll{OffflH lflrun1 10.{n I n0lu5 iflll: I i0n

Iouuqrru iiu:varqa (fl.fl.2549) lr1finul criteria.ldv Image Quality

fl 1 lniu,vil o.:n 15 :3 liuq6u n rilludru Positioning

ia2. rfioAnu rn?rrr ei'rLriudro rdrruJ: rir r1

tt\v'Jtqtv4tot(fr rl{fl frlfr.tlllfl lrou{lrfl0 {ttttflu t n15dir.lll'ltArt

rY,ton lufl l i.ldlt:'r{on n 1:1u1Q8 [!fil,0itrY{1lu

nr:{'nvirflrJ':o rl:vaunr:ai1unr:rJfr rior.rrutorta

ufl:ndn1flfi4flu n un aJR'rt{ u o.lf}1l,t r'i dvlt ?{o n

AAO A'tfo'rlu n1510g

^- i a,fl t:100u [rJun]51nulY'r trfl 5'1s14 (Anal),ticalai--a

Study) [1I014]a1l dUvlUr:vfi',r rillir0rJ9lrdl n1ld9|

aflrfr]l{fl a if t t}I1 lfl t4: ? tan lofr}l tfl l: fl nullrau d9 v 9,t .i -uo u fi a.i 0 t fl R't Yl 0 t u: i dlt :'l i 0 nt 0 { HU l u ll u r : u

rinr:ornn{rurruirfiinur I:rl'toruraaur6od

1'{53U111tYd:rlrn'l [u:yl{1li I n:tn 255l-

I t nlu r rflr.r 255 t lounrudrofrfiu:'rionsson :ufiu9l

q0JR'l?r l6un rt lfifivllt.ru9r lrJln flr, lnrs'r1r

fl)tt Positioning Criteria tlaU lmage Qualiry CriteriaI

I0 to al tn fl lgt:tr luljoi The Commission of

European Communities : CnC rd'ltrnfunvqnlt qoond , a , irn t

1Llu do tflnlJno na m tnnv![uullJvNunornt Hlu? , A \lY ' iUY

rnaJqllnuofio lnnfltlJu ,0 ns ul-t lravnQ!11 l9

nvuu;ilrvriurl0lnrunirurnorq{trin:r1ndo6o'ld

flvuuutriff.r 10 Flsuurl

fld gt?ou1{l

, u, ,

nau9 )otj].r t9unn r n ru:idYl: Iion{oig,l A21l'lr,lltJ',t:]JU:n t5 lU:U lti I n:lFrlJ 2551 3l

#urrnr zss t louqrud'loth.:rrrrfi :rrr urioinni:-- j j

11Ut1't1tt0fld t5 trns{ lultulttn8l{0{ tufl fll:flnu'li.,,tu:ljlruuu nl I yt:tljdod?u10{fl nIitf,ll:?i0n

.in 'uc/ ", a ov.11 tU lfln ntv{al tnolc}l tl,!o tT tun hfi tu toJlJu lFl

I g,da 4 a, 4uo{nd o'lou'lt r.l?suni Ioflqad'ltn1lld anlfl

fl dupi?og't'tfi]tl6t]u:ndfl :?{afl 0]u?u 500 R1}1 7111?]

.iu c./flfifl 1u 10 { n ,]110 rrJ: i dYll I tdfl11 Ifl fru rru u

n r: :vrfiuqun r trio'r ro n;rruu a'orflu#ouny zs

" -:oiu llJ lfltu ]llll4l u tnfulnfl6u9r10u ti tfiu tsdn:aiu

?1rdlrT o1dufifj'lu1flljxllr1ddufi on:ef,dBoromaraionnani Collegs of Nursiog, Uttaradit"Joumal

flii e sriufi I rnr1rur - fimr1o{ 2554

:vrfr un nrvtcio{nrvtdrui{fi fl r?'ronla ecrurflu5'lu5?u1]0 4

l. r.r rau00lt15 tt nItntvtotuS.tdvlS1.:onu,' j

lro$.11hu111j15111J:n l: [U:3Y111 I :Jn:"]flX 255I 3l

f'u':rnr z::ta r,o9"

2. dlJlnonn lYi: tflvEl ion tfl taoru'ru 1087

, a -ARrl't toflu tlra:Ja HN fltJ'l:u 5nl:[5uigt'ltJ luYl ttdt

ejllnal#norfi lnoiotir{rfl u:silulo

3. un5{dn1r[tT{11U01U',]U 2 nUqltUUnl:

rJ: vrfi uqornruto.rn'r f.r Ar: 1{on lotrh?ovrruuiaqr9a4fll lniucyt luatugn{10 iu tu l0 10 }flRlJo t9tJ

nxru(fi utilsr:'tflutunr:l#nvuuu tutfi iui{fi& 9ol d I I

|[lrlrtJi']1.r1u I nul uql tfia']u.,rfiuqnlr rax rn r:0v

}?nrsuuurflurvirlotd.

4. n1 :{dllt?'t0n0vQar[ .rrlju 2 nqua '

jm rt t . I ' iflo nn tflnvrruuHtulflolqnn:! l0 10 ltavnatm

'ldu"uurui-lr*narq{hin:r t o {o

a de i -1. lrn:1ufilJ0ud llto]J::utflafluolg10{na

6''rotir.ruassilnl:'infl riruaalHrnlr 6 uavgouas,i,i

nlraauttasd'tu[uu{[!urJ19]:g1ua 6' u v I t 9rt

2. ? tfi: 'l v 1.1fr? l lr flxr 1,I u f : v l.t 1'1.10 1g ryu

'J u

,! t6ry{fl qio {Bm r{n r5 rrlrr01u n r:.iflJ rritun til:-'1fi

m :'l n o n n ri eu'o q'o I : n I o { r ril m d n r 5 i'n yi 1 ( ra y

il:varnr:ailunr:rJg^rin^'rrutolrinilf, nr:unmti

fluqarnrurornrndrui{fiyr:rron loa uriuu.rut"

anaysis lda6n^ Cni-square Odds ratio, t Lav g5o CIud!,

Multivariaie analysi. lde6n^ ttluttlpt" togistic regression

6nr:6nul

I

n= z.2P(l-Pta

tn : nlU?USl'10u1'!

, A t a,Z : fi1 7.11'1fl6l1lf i t Oa-05Unl:1.96p : rirde6i:u{o.rnrudti.rfim':.ronfi lilld

n R"tflsrl tnfucm

a,-,.id - n']l ndrfltnaoulolnq flloullr

u nq a < rn , .l alflfl ilr"16 Hioflr'r flnlorfldrlu hl0ln P ry{l un I

n?r ufl neir.1tsfi 'iNdodautoril:vrytn: 0E{fr'!riti-^-, io

dodluvrufl lflfr1lrsu r aln9r1ofl'ti ryn tunl:'lotit:" o, d

n5{unr unt dluu I0%noflo 1#nl: :v ']olfil

;u' ,u edadIuI0{n'l :.tdl1:'l.l0n1l ttJ tfiE0lR lltn Innqr

6rodtna rorndou'hhrnrl:vvrn:oir l0% n;o 0. I0

ulouvruri r1u qn:uo;riru :turfi olun: fi r1ory a

?4 t|, r sFt'ri"l trJduurruon l0 % tnnql.Ja?0d rl01u1u

1,087 n

tfl50{ o

iiair.rdu Inu{h6'o :l :s n ou 1ild10 + eiau 16't rri r )

{oryarTr1ilto'r{rJ':o z) riorya16orfill:nto.rfrrJrtr :)e u u.! tAa gt,{o aflo{uflI {fln l:ul{vluYll ur.l0lun lu:{ dll51i0n

i a i'eh ^u & v a ,ln:o.ttJ011 l5 tunl: l0urljuulJlluuflnl0u n nlt?tnttv?tflorJa

+) nr:r.l:grfi unrfl i.lfi r:':ronnrrrnuqisir.rl iiruru

to do

; .^fluglounltoltu {1u

lUt9t:Utufl1:rA o tt A<

un:':dfl'l5rr1'[vru r fls r114 u tm lu n1:1#i , d u9

fisLuu t1,to1l:vttJuftflrfl 'tltlto{n lyl: ifrYl:?{0n13 tae) etA: n1:o115tJ tfift')tr:tnulnrlnn t: :gluunl dlu

:-{ Ar5'lion0 rnf{au mrl lnufr:vuvr?a tlunrsou:tJ" L - Aoc)--o0ru'ru 3 sr t {/1u tirlaro!5tJ 3 1u rflo tllufl:.ld {ouanrnfldm: xonfi rirr rfinu lfl unrtt ro

nr:rry{m?ifin2ufnarur{rlorfiorrirnr:h{nvrtuusru udurY{flilf{1n#rfifl16'u rrnsri:ulrqjfiorqoqilu

rntu"ririrl:urdrdrrrroldfiainnr:r6urfi'ulunr: itrflrqidootg:vrir{ zoss il eilr:-l{orildvol

10 n.}?6I'.l,efl a16'u:tr rr1u1 aurfl r1{nlri a sr5adBoromaraionnani College of Nursing dttaradit Joumalflfi I or]ufi 1 flnr"rflx - fi(M1uu 25s4

to t qt\ .i -I [1111t] tU n tt fl { r.l 1]'l utll0 5ltfl"tt 0 tuR1lt: {flm: tn0fl

uu JrrirulrqjYooav 22.8 rrl,,rmdlrjsyqriou.rdlun r:I e dt @a A a

dlgt:'Jn udvS0udg 20.1 t un tll:{d115? tonlllt1.111ua u - .i-- ^ ''lur u l:nflr lcD I0njuljouJm omtY{aaoqlfl r?r

ttouluiJ dT4:un1:0nT111U?lUnt{dfl 1:tlylltuotufi"ll'l

aLca:i61lt1ion tqYll tflU tE llIUUY:oul (upright) [ u

4tyttvlfir:]{1t I tofla lvxrntfloina fl?offi{

rirulnni{ouas 86.6 uagr\u'ir.i1ulfi fli{ouay zr.s* "- o J, " ,an,

[1lUR 114:.tdlr: lionr4nlu lauun:{fln]:[r l1uvr l,ir

l{tJ ltJrol 2 dtfi:lllj:ydunl: lun15 0u9NtullU'J I

?1 t

fl tu tfi flJufl :{dn ltltltyluutlSydufl 1:01! tnn? tHto

rilrfi'r s fl Youay zs.: uasfni{Anr:rrflrriqnnu

\dfrnr:or:rflu{irrnr: tnr: r.:fi t I

1lflnu

[?{ fl

- 1lu

- fiiu'r

5ltJ

01u?u

s45

542

1087

500a3

50.1

49.9

100.0

olqud

- lrJren (0-12 ]J)

- iaE'u (r:-rqil)qdt

- zu rfiiu(2G59u)

- fl,qrorrtt6o flduhlt:'ltJ

11

37

638

390

1087

2.0

3.4

58.7

35.9

100.0

Min:9, Ma"r = Mean = 50.60, S.D.: 19.3

- Asthma

.COPD

- On ICD

- Chest Pain

- Anual Physical Examination

.TB

- Pleural Efhsion

i Unnotified ftom a physician

+ Pre operation

* Bronchitis

.ARV

'Hy,pocalcernia

- Pneumonia

I Heart disease

rl uR'l115.r d7l5 x.l0 fi

6

39

20

69

159

103

25

248

107

23

28

4

25

30

0.6

J_t

1.8

6.3

14.6

9.5

2.3

22.8

9.8

2.1

2.6

0.4

2.3

2.8

x11a'lte?lm a-u u1u18ui r1tnufi qn1f,ndBoromarajonnani College of Nursing, Uttaradit Joumd' td : cfird r rrirrafl - nqu'rur 25s4

11

ro t ' i,r{nr:u fl tilunr:.il{rl':otn'orirunrnflffn:alon trio)

- Fever caused/Tonsilitis

- Dyspepsia

- Glomerulonephritis, Renal failure

- cA unsun- Myoma

- Appendicitis

.HT

-DM

-CVA

- Follow up treatment

-HIV

- Heart failure

- Cardiomegaly

- Diseases ofGI tract

- Stroke

:'tu

24

22

l9

13

11

2.0

1.1

1.2

I

5

37

t2

6

7

29

6

15

2

I 087

0.1

0.5

3.4

l.l0.6

0.6

?.7

0.6

1.4

0.2

0.3

100.0

nr:ifi oii'ul:nc,oruilfl rlfi d'{n r:6irun r i{Amrlioaatu tcD t 0

- I:nsr^qrdouavrJ:fisrj . s ar, q a I a-t 0{on [:n[a0ntlnso?ulvdi'].llao9r[av lSnQUqunuzu01]ngl

- l:nsioil'liilo lnryurfl rit[aer]ivu?11fl r:d{i{uavda10

133

38

56

4

9

47

125

1087

12.2

3.5

5.2

0.4

0.8

4.3

l t.5

I00.0

- nrxv6nrravflqq^nr::Jtt i :tu-I:n:g!u :varfl

- I:nn.r

- I:n:vur,lnatloulofin

:?u

12 trrgrti srf,snururau:H:rttufl qrrSnd;";;;;i;; colege of Nursins rjtta'"dir Jo,,rn lflfi r sfiuf, 1 Hfl:1tut - fiqrnsu 2554

or:rlfi t {oUail:vurn:toqndu6':odrr (eio)

iloftr iiruru iotlas

n15]U0q0 t:flI0 {rrT,lYltifin ln l:dlun lflf{fiT:'l lonfll tcD l0(gio)

- I:n:sururolo- l:n:suudouorfil:

o A 4 o9a- ltflfl?l4u{ nv, olt 0 lfl,.l?1.r1-ll

- I:n:slundrrr#uavln:l:'.tr- l:n:vuuoitJrstnq uasmr{tdufl aarrv

- narlfior.lnsr^rtnfifinA hru a

- n1t 1l ro[0ul lav lfiS lJ?tuo o ra

- dltfiflnruuonTt Ifitnoy{u lt dnltl- - i-^ ^ '-unouru0Yrr afloqljRll{ou luti

:?IJ

t2t

75

t2

46

34

68

99

2

218

1087

I 1.1

6.9

1.1

4.2

3.1

6.3

9.1

0.2

z0.t

100.0

I

t

*1 u nr: ri r an ru :-l fi n: at o n, ,i., a 'a- 1',|lU{l{:O11lUU

- 11lU0U

5?u

941

146

1087

86.6

13.4

100.0

il: gcrn rrailu n r: rJ6^ffi .r ruqt

- uoun'11 5 1l

- ]fln1lY:otmlnu 5

:'trJ

236

8s1

1087

zt.7

78.3

78.3

-finr:flnor:u

- t nl: noutxl

:'ttu

n1r({d9{fi lfllan rsdld'?taoc,

- ufl:.rdfl1:rtllltu 1l lsl{u10ta1] I

- rinfrfi nr:uundfi 1dNrrfl rat zJ4t1t

- un5{dn15[r1{11u Yt [SlJtJtUrdl J

r.ioy- ufl:.1dft lt((fll118 tllv?r lulrlll4

rAoe- uni iiinr:u mult li,l.i totafl6

171

255

1',78

96

217

170

r087

15.7

23.5

16.4

8.8

20.0

15.6

100.0

- rinf rfl n r:unvrdfi 1dmrrfl rat z

x1:fl1li 81dono1u1auflit1{'r fi qntaf,dBoromarajonnani College of Nursing. Unaradit'Journal

flfi a orJU6 I xn?rax - fianr1flu 2554

13

nr::sru-uat lflfliqir.^ruflooavtolnruflfi fihior:turlelruifir(7.8o/Arnarqifishiarilr:or#u

ndxon'hinirurnru,fint:il:ytfiutrnfiqo Gtrrrirdl diaphragm ttau lateral costo-phrenic angles {ottu

ornrrn'hlilrr?oe'lduri rnorq{fi to 6o'hjarlr:n rfiu (s.oz) rnor'}4'fi e hiarur:orfiu u-achea trdt proximal

Nllorl spine ylsQnirurirln ( +2.3%) lfloldfi 3 Medial bronchi fiorou(4.ff2") rnarq{fi z 'hja[rr:nttXutolttsr

border rJo.l scapula ril ontz6.T%) rnilq{fi I finr: uo{ heai uav aorra dnrourz.zv"l rnorq{fi s'[rja lrLr:n

illfllordrhjrfiilfir ydruRty{ (16.5%) lnalryffi 9 utu vascularpattem rlol on{otou(2.9%) trav tniu${

\ilarur:n 16u6rro.l retrocardiac lung tlos {ofi + fi:rtrasr6tlnto lfi1n:'rfioq]rmfio ciaprragrn

mettiastinum (9.8%) rnaqifi z fi:raavr6ootolll:'xon 'hiforou (t.sy,) fir:r{fi z

tsp:r{dz 6ruruuovrirflos6v{onnry{;{A ra.rondlsiiunr:il:rrfiuqoraru6urunflrurnotq{ todo

1U[niuct] hirirurntuqi 5lu

0 tu11.l :0fl49 01u?u rauav 01u1u toflaY

t. finr:nrtrlor{rrdrfij

2. tJ5lflAvtOUAl0tVl:1'lOfl11dtulJ19ll

3. Medial border 1Jo.t scapua'[rifi:.looisa,t

+. fi :ruac16untolfi 1n: rfi oqjrnu'o aiapnragm

5. tfiu vascularpattem rlo{ilo0frfllou

6. r# u trachea tta v proximal bronchai ffllou

lz. r#uloiln,qto{ heart rtav aorta #ntou

t. tfiu Aaphragm tl6u lateral costo-phrenic angles fnttu

9. dlu lta l# u't110't retroca/diac lung llov mediastinum

10. dl 1:o [fiut{lrol spine mrqniru rirlo

908

1002

797

1066

1055

1043

1058

1026

981

62'1

83.5

92.2

73.3

98.1

97.1

96.0

97.3

94.4

90.2

s7 .7

179

85

290

2t

32

44

29

61

106

460

16.5

7.8

26.1

1.9

2.9

4.0

2;7

61

9.8

42.3

1087

1087

1087

1087

1087

1087

1087

1087

1087

1087

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

14 2116I1X1-$O1dO U1u1flU1rf,n{dt{fi OfiTfinsBoromaraionnani College of Nursing, tittaradit Journalfld .r ori fi 1 xnaT hr.r - fifiinrrs 2554

^.,vel,{4fl 1:?tfl: l3?ln'l'tlJdlJl'{UtIt1JlJ Univariate

analysis flzt chi-square ,odds rario dv95 % cI l'{u1 l

ldrrri nr:,fi'qdr (on=aB.4tz,s5 %ct-n.sr5 1s6.701,

p < 0.001) trav orqfiil?o (oR=2.412,9s %C1-1.847

-3.149,p<0.001) erlrf ifi 3- '

)^ d @ da9l ttrll:llufiltudxtl{utnuniun'tllloint l i dlt: 1{on

i^,!uu.7,cl1tl{li 3 flan1:-lfl7'tv1ifl?l citJ uf ltuu Univariate Analysis o?u Chi:square, Odds ratio ud{ 95 o/o Cl

fl ar fl11.{11o.t R t?[ t 't dvl S ?{ o n

r.irurnru"rin:u toflo nirurnorqtlilo:r to{o cn 9s%ct

(N=3eo) (N=6el)

riru':u iouas iiruru iouav

frrurl:

- nririgfiluni

- I:nfi16oafi'urlon

194 49.7

24.4

7s.6

50.? 1.037 0.809,1.329

72.1 357 5t.7 2.4t2 t.U1 ,3.149

t

I

281

- hilqil:nfi rfi u:fi'rrloo

95

295

185

506

26.8

73.2

0.881 0.662,1.172

o'lu*

nr:efi nd'olsnroqrlrlrrle!r ICD 1o

- l:n:;!ufiru1o-'hi1r1:o:rritlnralr

53

337

13.6

86.4

9.8

90.2

68

623

t.441 0.983,2.1 I l

nr:6'ovir*a,L

- Yl lt u li:oYllu{ (upright)

- YllU0U (supitre)

388 99.s

2 0.5

553

138

80.0 48.412 I1.915,196.701

20.0

rl : v au n r: nfl u n r: r.lfr rier^lru

-:5tl-<sfl

314

76

80.5

195

s33

158

77.0

22.9

t.225 0.901,1.665

* Significant

alvo?,.1a fl 1: ':1tn :1y l.t fi 1n 1t rJ d 1l y{ u I llu u- id, a-

Multivariate analysis $.lt Un l:fl'lUq OmIy{A1O ilrr'rafiel'orilri rfrun': rurirrlqeTlfi nr:fi'odt lnunr:q ,q .i "qr,-nnYll [Uml Supine tJ t0nldflntm] tl.ttflonllln lui {fl

6'rurl:nru lourirnr:ern:i;#dxuilroixluforl 6'u rT'rionfi'ldnsrruurirurnrufhjn:r ro rlorrnn.jr,t aan?0flfi6l Multiple logistic regession U?]fl?t( t14 nr' f,n rirl u vir up;sht 6i j0.414lrir (oR: s0.4t4,g5%

Ct:12.132 - z}s.4gt), nt:ifirffsl:nsn rCDt0louu q ra irny

n l lufil1ljdu11utnuflllI01u: { dll51{0nr4 tgtnsrruu

:Jtrrfiuqornrnr.irurnor,lillin:il 10{ootir'rfiu-arir6q I:n:vuu'lnar5auTof;flfllon rafiocdrl#rnonrndru

11r6nl5ho1fims1u1aux r1tsufi qntandBoromaraionnani C,ollege of Nursing, Uttar'rdit Joumal

tfl I oriufi I xnl'lax ' fiqrr,0q 2554

:i f; vr: nonfi ldnsuuurirurnuqtliln: u I 0 {o! rnn i r

, "E.r, ' j.i-i2.090 ryn ruo t?l1,0u rYmrnu'ln! l: nil ofllfl u$ ru

(OR- 2.090, 95ol" Cl-1.399 - :. t :+). nr:ifi offul:n

st u.r ICD I olfl ulrntyu oiucl fi ian r rfi oyrirl#rfi er

iu vn ry{rirui{dm:1'to nYl16flettuu H lulniuqn I a:lJ

' d q c.'i j.i a q

10.[0urnn ? I 1.8] I rll I luo lfi Itnfllnu?nurEUUl{lu t0

rflugru toR- t.s: l.95ozo ct- L 167-2.875 ) ituavl6ue

(srr:r{fi +)

15

:-rfim:rronfi 'ldnvrtuur.irurnarqihin:l r orio l rnn'i r, .l o c,s ji q d dl

2.951 r1r1 [r.io]li l:oYltn0']n r-s1JUl4 lu lolljU$1u

(oR= 2.951, 95% cl:l.s61 - s.szo) oq{tlau inu, rn rd 'o ,o '<rUYNt ['U ]Uql t rqtu tofllflvloYtflo

rurira:-rfi m:rronfi 'ldnstruur.i rurnil"lihin: u

riorrnn'ir fr ilaofi o rqoillurir.rftifl lrqi z.zo: ril r.. ,z d

2.203, 95% Cl=1.7 17 - 2.826) 1,ou{U6l,o{lln?lu

lunr:cir{{hurdodrsnruirdm: xon lnudoil'rdil''i -i "avo ,

fl l rnalfllr t:flrlonu lon ldl]0sYl l ll.itnnR ll{0 lu

ol:l{d 4 ,{dnr;3ln:]!#n?rufrufiudrruu Multivariate Analysis r1au Multiple Logistic Regression

sxp (d)

OR

95o Cl pvalue

nrrffoYil

nr:?fiof,rfi:n0rilrcoro

50.414

2.951

2.203

2.090

1.831

0.000

0.001

0.000

0.000

0.009

12.132-209 .491

1.561-5.576

|.717 -2.826

1.3q9-3 124

t.167-2.875

-I n *uu'l n afiua I a fi n fi alriln w uiln la\n tfl u I 1u

orufiihu

tount",:* ;",; a",x ai dt

- lJ OU l lt nn lun u ) n1Jll O nfiJo llt ll nnnt)1 nu1Joo uu 9 1u

n1refi od'ul:fl el'ril rcDlo

- I a m z u u o'u 1 tu' o hil n e u u u n ruI o tfl u n ru

?inrfu

nrril:yrfiilqflrntilro{rr?rY{A r1{onflru

rflolcn 10 roa d9,

,{an15'lrn51s111o{av{!?1 R11{:{dt4:x{on, tl et

Isflsrruun I:1I: vr l-l FttuR rl'tp.l lutflfllc111li I0 {o(omv zo.qrrasrjruraolEihia:u r0 do ioua* o3.o.i y.l

^ t y , odqn0lluo nt:0l19t1 tn $:1fl10Y{u 11f11115 {d)n-daI

7tt){fln?l IFI:1'nl:1|:vl:J flluln 91 tfl 5ouBy 9lJ

-!, ,) l!c'Aa,' t Ami o 7too1fl l0{,o 11 tui,oYt ltJr,t tutn c?l lnltdn, - nv ,o i[ 0r 5uut1lu1]5luto l9rrlni,oYl l0nonl SldYl:Ilon

id d ' sq a dllOdltJl:fl lfiUll'llJO'l spine Yqr'11U141 l0 flfllUU

"r mv 'qr i500ds 42-l 50{d{ut lntlnloYt 3 Medial border 1ro{

d e 4 Ag A ! 61r'lf, lori,llFtlJvr 5auav 16.5 q.: d00nn0{n!n t:flnu 1

1o{u6l 1u #n:rorqa (2550) dfinurfialo.:nl:

:vrfi ur1ornrnnrrtf':fi n:r.ron tolflruriurinr:a:?oqrn1lr 1:luorrraq:ruqftrfi xrL'jr nrui{fiT5l{oafih;1dilrer:Slufl scapula rir:Jon Souav zo.t l.

nrtrlouirhirduioolilr#u.io uru*o aiuphragn: ioun*h'd

' oq,

18.25 tldg ttl[1'lU[.]llo{ spine ms qH 1U141 t0:oUn}

't7.11

6.rnr: fi'hiarur:s[#ur.nfl o.r spine msqJ^

r.irurirlo fuo roorfi arrrqo rnl:ntorflrJrr mio

01n1:t[do.l1o'rl5fl rdu pl"r,*l nffioion r6ofl ar:nra'l

luin:'rru'orflrurJon ttolu{rJro rneu-oniu 6.:{rJrtr) ? - , - 1" ,i " ,

llllflflud.l dd?1! u r tua00q Uan ol00vufr?'llJa d t ,.i dscaplla htu.l ooftglljut0uav 26.7tlaEtoYl I ur'l'l:

16 trrartimsrfrsvtaruraufl :rttufl qnxfinfBoromaraionnani College of Nursing. l)naradit Joumal{d g oriud 1 rn:1au - finu.rsu 2554

J'fi lttuxldlfl ?'t n'luu n:rldfl t:t[!'tYlu Gto.lll'1fl 1:

rirt.rrnuracairriril?rrarf'rff (nr:riruuo kvtunr:A osl "! A-

0tt nl ) I1{[ll lvdtJtY{o tl.ldltJ llflll.iunlflms9[tu

fi qn u r r n f l o r r ri r u x ru fr e r,r a rfl 'ld uio'r o r n 6'o r

riruaor ornnruuu.llro'roiuxvto{ flil rarfl uud'n

rrdvn r: dr ririlirJ rorf r fi r?o fl rfi u'lil os virhflf'r fia q9

t dlrJl:0Tvqru1Ufl?tnnUt?lUt111.18'l sprne lFl

(a5 irr:lr 110{6 rravy{u qr ior:r1 auG'. 2546) Inu)aY d u

n]ltt.ldT:x{0 nlloglo'tn4ufl : vefl dut.id'1 disc spac€s

: d ,! "muoiniuatil fl lulitl4't l llluu fl]fl11'l: ldul.ill:o^ ",zi o, i "nYu nrnu trlru0{n 1fln15 t5kv9llt}11 I tlf n l5lutaflzufl

fln rfl'ldn1i lsn lrrLfisrrJn6riuortosfi density rvitfi'lo .io ra o ' - ^;,o iorgfr ln irrioviu eirunlrf'rrin ld nv { rx rnln^ulil

osri rl#ru rtrl oefl' r 6'ldu: otrl:n,r r r.l uiu inrl: n

s, A j tr 'v'ltJri oa u5o0ar 26.7 ryinl:1] scapula ltlltlll, : ^ ,'. I

'00n0 tnr.l'tu0.l 0ft f^lnmfl'ttJtJ tn0 tE tlju lt0llofl

rf r:uriurirl#rfi o ndour{u (stind area) fl rfi lrori"J d

dn rilodluEou;r?uriu1 fi rvruol'hir#uusifr rlunxa4:

lJflU9t tUdllJ tSOnntl l IOS| llrrl,lfluft u1{Ylu0v1or1{1l,; d o , .id, , Y I av ,

Yllvtd tlJ '150n{u Iu d?uflluuqnryou[:uuu t$]tYu

chest l,ordotic rnioeilurGdn r?i1o rli'rrloo mio6u1jj , nea@ .iTtflu110.t tgl (x19ruI nu0 [flr,59r,2546)fl llll Medral

border toil scapula :i'lilootfi oornnr:{qvirnrltmnfi n

lunr:rirunr rv.t:run1:rir0nril;{dfl :x.ionfi 6do.r

'[ fr o r o rfi n o r nfi u u r n'a n rn t o'r ri'r'ln ri 1u n : fi {il r tr

q a[1rE firoorn [f u:nl:neflr.r:o0f uroql! ]u

^ i 4 ))4ltJsfirru0.i!nT{u1 1 n1:u{1o'rlJ0ntnnlu fi :o411-}u

pinnrs :rrfi ununrvr vtU'ilnorqifi 'hirirui d . - i ue 'rnlidor ua rourndru lnltfl ntlttIdll:1ionufll:

nrulordrlilrdufl' n^orfl u#oaas t6.5 o1n(fi60rnnrl

'hi fi n r : o r^ r r cr rf o r r d r 1 fl {rJ r u vr : r u n r : il 0^ f ei eTx

.u0rs6irunr r rolon?r!d1rtf,

ofl;oo1otfl udru{rJro

ro l 1iluir1o6'r hirJX-rin-n rrLri l ru;ri rr t lvn r: r'r r 10

d,: "- i "(Respirarion) ttJU il ld]fl qfl Efr tunl:fl lUnlyt: lflr: lion fiilrodo rldiunr:uuvrir}i't rolorril6lfi

(Full inspiration) rlav naiu lnfi { {Eufi rj: rn ta; r-n,

2546) 6{nr:nrulor{rldhirdnfr orotfi oornfl u1i^

f,n rilro{l:nfi ri{Hasiont:?t tflltcro lflrJru rlioort

o:rfluru: rsrinfrf,n r:ufl rdnadruR ruhildtiurv

riun r:v rfllorcho'rdrho riiofirJru'hildxrtrlouir, a j irn ,< eto A

0rJ1{[9]rJT0 rnfl'l:1r txun?l tljr [t lnu']n!n]:!0ua911;ij d, n'd A ..

000nld1lri,'I,{irixJnlu otr:Jo.r trJ[l1u (EU0 1l:vnrflvlfr tu:vfi'] ri0lun lfl: iflllr1{0n [u0{01n01 n15[9l5ulJ

st?.rr:5tJ 1,ier.r6 uas{uq1 6fl :uaui" zs+o) flrJroriounr:rirunrnf'rdvr:a.ron\ri6no d.rlunr:

zu.rnr5finurfluilnnrq{fifinr:il:srfiuhiriru ifioa'al:nto{rtilnri nrvri{fir:elondoqrao{1li'

iltn1uiir6'uio.ta{rr'ldrrri lt"aial uo.a"r 1o.r scapula r#u'jr finr:ntalouirtdruiitorsrironlr yirl#n:vrirot,:

(Diaphragm) o;irirndl Anterior end 1lo': Rib fi 6 fi5^o

Posterior end uo.l Riu fi I o dr{rh m rolordr hir6ufi

osr#u'jrn:sf{ail(Diaphragm) rrrJ:rngo gjq'rrurn

E ao - t d dnt d{r.to nfl :r1tuslu!0nfl0v tudM50tfiu: ool: nfi fi arlno^ldflr{rJron rolouir6nuoosrirl#

oortarn:xontu]06?n:vf{aUDiaphragm)ov.; ooud I ' ]

14fl sl1fl r n{m1 tHrlruruolJooulnlulu'rofl 0 I

Me.diasrinun 0vtf; nar rdutfi onlurlontH6fl Bsr:{[tatv &91 ;

ltunrrnfl u m I tY[l.rudnu[utn1"llttl.lu[fiuldoautnlu

oore" e dt, ' o, i alaqv0n ttl rilxultJfi1 Ina llr rnYlqnr ooi lfi scapula

lirl#uN vr duun Iofi h'ation tir rdu ra'oo:l nfi 'lduo n ornJ r r', o yLn,a ji

' a 4u u n r fl 11 x ol,t IB l fl t I ttJ l9tu lltu olj 0 n n 0s l t ?uu. " .l a te

{ tunt )ruoin tfluilJofllJou (1'tarul flu0u[fl0:n.

2546) 9r.ruu l,tr4u0 rGrs{to tl.tfllun tT{: idYl:2lon tfilJ

' 4 r or' i d |ttd.:rudfl{fl IIf0'ru lun t5arraSnu tp.r rarrdsll:u rol:'1fl

fi {rlrao;d'o.rru"lduirolr;;l,fl ,rruriua'rruasionr:

fruoonorniloerdr{rlaa'hiatLr:no''r'lfi rioonornrloer

urr:rfl rJrriruRrnf.rfi fi oqiluanr uou5'l1l111

'hiarur:oi'ovi nl.rrunrinfi qndorld

ouainurfirhodrvdo'reirdroon'hJ

2'rrrl1fillmf,uYru1u1auflr1ni fi qntn96Boromaraionnani College of Nursing, Uttaradit Joumd' ifi 3 ctJufi I rlnmrr ' fiqr1ou 2554

17

l?{on

iloi'ufifio1ruffiirt'udfi'uqornrvrmmrrritd doi:yiqilrn ttavd'ol1ri1#frrJ'lufinr: -tut (r6o'rnfo

finfrr) tu:rvortrisf.rafi'1rnr:rt :fla ul;dn1rl

lqurnu tvuirr tfrlt mediastinum ua, hilar (rlufi

:vn ra;isr. 2s46){iiT,fi doifrovirluvituourirulNqi

nvrfl uflrJrofi fi o rnr:rtttlauqutr: r d rhjarur:snf'r

uioduld:rrudrororflu{rlrtl6n rirHarirl#rinfrfi

nr:ulrrrll r tindonr: rfiorfl3r,!flilltrl#r{r1t,l

dvduJ lrouauglR?0ul{qnsl0 i tuttfl avtutl0ulo I,la y

n 15 o ruR lY{ tn turyil1anqufl I i'l rlla lun{flo ifl 'l:

fnvsrravr l:sdun r:af :rl.trilnerrllalotoluhf'rff' .{ orh!

n t: r[1r 1r u tu n r: r fivr r rllo tn trin tn :-l fi m : r r o n

fi r rundatm:ouila tmrravl#nr:?ti0ri'ul:n 1d'

9 ,I J dt It q7t@ u 4,[JOU {51l t.inl:u mutt[uu'uor.]a lHun: lfl? 4 09

n1:l[1,!ltu ta0fl t5[mnuF]fl l:o lunlfltldgfl'lu? nl:

rl:cernr:iflunr:ilfrrYn^.rru (oR= 1.225, 95 % cI

-di ., ditr 'tfi I5r.J r0l:':dfl qn9r0{ rnu{1ury{tsdir{ao{q0lRl}1

ro{nrv{;'iAly{rrs15nlo{oeul.:suofi nx'|Un1i.rfi-l: i " - . ,^ -.: i1ir1,!r.r{ui{o lrntTfl 'tu to.r!5u l : i dtvlutunln nel

a o o rarra, hn!oou'l {lufiyn lfi [n9]fi?tuvlu:{dana{[1n I

I o alrlrnl:n lflntflgto{nlu? u:u l0l:.1d[tn3 t nla9a{

trnritrlnfi rdun:d l:n Pneumolhorax rflunravdJ , , '3 ,' , J =4" ' <

dlrii0tn on$lf,Hofir ogtqinv:Jfln Itsulflulnuau

lurl oo tr.,o llun rnf l fi i 6rrir1#rrvrvrdr#u1fi urn

" -^ - Jlur rl,[t',r, o ilJ u r?a t0 tufl'lvlu flt'l dfl It llv{ 1l u

q * oqeiit03n9rolufilfl!01;41lrul.nU ti 0onry i 0v1l I tll

nirqnfilnr'lqunluavntvf{ar,0sundu arulurJon

ri au r utrr o v q n d u o o n'hiirl#rl?rL rn : 1 o'1 1r : 1 { o R

..1 .^aodin yfr i lgl:floi Pneumotiorax [?1ltnlJ 0.109

rirl#r#u Pneumothorax trnsl#rmofin underA 'e, rut t Y ' iExposure ry100fl1/lIi11Ui tlgl0 ltlY{YlU [ 5sql0Uit

rinf.rfi nr:uvrvrdfi oroovnerirunllrlutorrfr fltJru" v a -i ,, I nl,,

u rrJ [0tt'lremvltaannu r: rr nrt#rirrjiu rnr:-r d

er liltnild fi ': ot li ll#lrir#u pneumottrorax ril rua}l

a roslo rri r nr: d r unrltqirA 'v '!n I5 yl y{ lt 1rli o u.i lrYt I { n I t ttll Ylu lIag n I t

, aitnv i-JlJUtvl uBruR )l'lHlulnaJcl4 luntu I01,00t1 )iu

fitrri rfirun xa6el'nrurir6'rn':ril ri rriiu ldrrri n r:fi'qvir

fi l#lunrrriianrnilfi nrr.ron (on:s 0.4 14, 95% cr:

,{6 a t: itn:ls fn r rrL ri'il r[u f,lu du fl o u

Urlivariate analysis dru Chi-square ttny Odds ratiouov, Jd @ o ro

95 % Cl l,lUil d1t[ 5t4tJn1] iitJllutflun lll: i djnr,

' /rt t t,fl r )ianfr l6nvuuur^rlurnBJ9] tuntu I 0 100u1{rluu

dr6'rynr'rafi 61drui orq{rho (on = 2.4t?,es % cr:

l. 847-3. 1 49, p<0.001 ) t tav nr:'ir'nvi I (oR=48.4 t 2, 95,im'-

%Cl- I 1.915 -196.701.p<0.001) lfltJsllltl]:fl I

nx rilii'ilTiiufniun rilf.tfifl:r{ onfi ldnstru uFitu

rnarclfllrin:u ro {oldrui rtrfl (oR: 1.037, 95 o c't=

" ,: ao ' ei0.809- I.329, p<0.800) do iYlo.l[tv{Ylu lun lSdi[1t0

tirunrflYrdm:r'lon (oR: 0.427, 9s % g= 0.662 -1.11 2, p<0.421) n r:au^ o n'fl I r nx o { t l ll rtn lrJ ICD 1 0

(OR: 1.441,95 % CI:0.9s3 -2.113,p<0.070) ttas

:0.901 1.665, p<0.219)

^4han r:1rfm rvr.rfr I I drJ1i'UdlUdunDu

Multirariate analysis glxaf,Ogl Multiple logistic regression

,* - j4 @ a du , od -irt yr,,i ?til0,[urun?] duttutfl un lY,t0lut.l dll:?{0nm tfi

t z. t 32-2og.4s t), nr:ifi td'ul: ntoltrvrr drfllul: n

: guu lfl nriuulail^nrdo1#l: n:srut rulorfl ug ru9\

(oR-2.95 l,9s%Cl--1.56 I-5.576). 0 lqu0 tryrxu

(oR-2.203,95% CI=1.7 I 7-2.826), {orilfi'r,o lrrrrvr,i

",id'tunlrd{lv{oorunr?{:{6rm:1{oar ul:nfi 'hirfi urf,'u

rloordoh{l:nidrfi fl xfi'ililoorfl uglu (oR=2.0e0, e5%

Cl:1.3gg-3.124), uasnr:ifi od'ul:nxo.ltlil1'lti[flu

I:n:vuuooul rfi o1#l:n:cuur'1 rulotflug ru

(oR=l.831, 95% CP 1.161-2.875)

nr:,i'nvirfi n':irudrriry rtavri.rruaeioqornruj , - r,,1

to{R r t{ .iyl i'r.l o n [uo{n tfl r l1l1{tl1nua1o.l41J]u-)

fl ': ria000'lu?vYrovoluRl1l trunl:filur.loonr:'i'qdrJA

auiau [:nro'rrt YluunlT,dll urnuqolRllllJ0{n111

h t g\ tr ,

Irv,tllu tunrid'tfclj']u[1ro0 lflnl :'lfllli']{on H:0n15., , !: d

lfln11115orvnfl1r 5 1l l.l l7 m t vr{ufl l:LllJivdun r50l

A , A . v, ,J5{d1l:'l{o no10[u0'i 0 t nfl o

ry a tfl 0 x fl Ll lJ o lJil sl o

'1

r4! ,'ru nfl u [:fifl 0.rrr?{1r unJulo{ nfl']aiuvrufl: i dn l:

,, or.i I o u r e./ rr[1,{11U0U l*[110lJtvnOU IUn l:tn111BllJ1U 14:On l:

d ^,

4 oYnru'r ll:rJ lflr: rd 14:0n15[d0n ttlflnunfl r{'l[1{0 tfi

o 9'1 ?d'ttJ't:ir0tt R tT,t: ldl1:'l{0n tH q[unlllllllllt dltJl:o

ru:la zua r rnvifi oii'ol:n'ldd @ U Jg

,.ra n l: flfl u l?t1J1lolq fl?1lJd flurnuq R mro{nllrf{fin: r.lon lnufilonrd unrY'{;{ff

fl :?ionfi 'ldnyrruurJ:vrfi uqtunrn'hi6.r to 1u{rJro

dlri1r;n4u;u61rq{rixorq o-rs fl ) rrrnn'jlfi o

lulS a r rfi o u 6'u fl rJ r a l u n q' l io {1 n ql 1rir'r o r q oir uri

:o flh.loufirfr4'rolqfi:J rnn'ir oo fl) 6rortosrfJue,,i'o@d

rn:rv{rJ :rufr oqiluftl6nri5oioqutrirrolq 0-lefl )o rildl r:vdunrr [ufl't:olunl :'t d14:0J.]

| ?o I o 4Y 1 9,5gf,unt: tuatioluflt l:iduou 0{floinl: nt:

rnSoruor ruugorriru:-rnr:rirun rufrfidllduri n r:o, , 6 4 rrot n'J t:J: n t:ot1J l8lt:ofl1: tfin]ltugu tnoufl't:0'lu

nrui'rfirrnn'jrflrJruluiuflNqjtd:':org 20-5e fl)

ri:u n{l{qlo rqt rii m rq 60fl flulil) 6{fl 1 u.r rr.r r: 0

lunr:'ld0u nr:ruol#u nr:fr o nr:siq fi uhosfi or rr

rdoruhjn rr itr rr'ldorn r:narru1ei1t1unr:l#nrrrufl

fi:o tHn rrruvul fi:oof utun0unt:0luflllt, i",,:iflltliln'tI luna lBrJ lr4 uoflolnuft ]uflatuo tu

eix1fin ruuuruiluro lln: {ir rn ruluixnruunnt ua d or'a -4.iu,,-

nlnnu a{slo.{ n]: tH]]:tJ10r:i 1l t rllrRu9 t d v t4 ?

fl Ir.J5[td31ltv dtn t:0J10 {un: I dn Itt[1111u

fi n:rruri rri'tulun r:ri run rn:-.rfi hj irosrfl u1ufiilro

nq 0'luglticl lou{rytufll:0lunl iidflItnu ?r:odn**iriurl':odru l:nfr ufl nei'riri'u uriirrudnr:dnu rtyul'ir

|.,oJ:EdUnItiu tunts 0ua I lu10{un: tdntrtlTrlrrl

in vtt nlr d lrurn fl rv{5ndT:1{onr tofiv uu

rJ:;rfi uqarn rn kin'.r r o usirir ot uaoql#l# u iri.jjron rdTasrflon lyr:r an: rronr'ldncuuur l:sr-u

/.id , tfloln'nr tr.Joi I 0 tuun: idnl:Irnl]uY[Jtl:sdufl 'E0l

tAa t

fi ounl t 5 { rRn?rrnt{dn15 Ylllt Ylull5.vmlnl:

lun nilfl^rin l ruu rnn'j rovrirl#arl r: n :cffi u an tus)\ u ,', i - - Jr.rlj]u flon: a ir.rll'rflYttJ"t: u1l: fl l: t'ltr1lidtll l:0

rf, onldlmnu'nn r: rirun rnuavri ru,tunr:l#rliu rorc, 4d

5idTQnA0i rnuixu drrJa0iqorR rl{101n r?{: idfl naurfi oruourlrsdrl uililtid rurtnl#?il^ori'al:nld

o.ruufl.lfi)r lfinllr,drflnrn nt: tT{u1lufi: olt9lu I

flnuv [un1:0lun1yl5 i d tl{uflun: { dn tTlll{yttlYtlJtI:vdunl: uoanlr 511

{ord olluv

rlorauouuvlunrtri uanr:ifftfl r.fl fr . H n nrri{cJiurfl u{0ry nn'ug ru ur'oldlun r:

rruuarrrlunr: irrl:rrTunou uasn:;rJ?unr:2i or^i, .i' /

lun15fr'tun11'[5': dr4: 1 {on [T{0 tfi tnfl t mHrulfl olc!

tst:s lu 0qn1:611fl fl 1115.1flY1:x{on$li,

2. 0 rnnr:fiT{ irnr: o'nvirluviruoufilonrri - iu c/fr ovrfr nn ruf r fi vr:1{onfr 'l{insuuuil:srtl^u'lrin:u

10 nvrruufi{ so rvir rfionjSorrfitrufi'rvid'ruiodu

o'tuu0{n?tun1t 9uu1aru ?ufluftfitol,u9tou t n Itd r,r v v ' A^ 3

0ftll lu0u [1IotE toanljoljfl 1{50.lmlnnfl u Irayfl uJ'l5flh9

0IuRtl,l:{dlr5'Jiofl tfigr'nllJ t9t:5 tu

3. ornnr:filrU.itlunruirfivr:alon' i. 4 dr 'u, ,r,!"

flnrfl1oul{m 1 rflflH'l rrl{mfl l:J tgr:BUqtal N.rf lun15, d, 4'

d.lrlt00 lun lY{t,tfl 1t:'r{on0 {ro0 ay 22. 8 0 ifl 1:rJoe:,

n1:u ttfru010rJaurlavtofl'l1u: lulJofl rnrr lrB tl-rsr,lq , e,, J A y,<'

:v!fl ou iry tun't: d{fl 1J1u11nfl :.r ru0.rilnl]0u{t10 I

rryryrtioyrfl u{oratfluhfrfi nr:unntilff unr: i'nvir

frrJro :rurirarrr:nrilrunrlirrorilft uay16on14

rurnfin6u1 1un r: rirun rnfrfi'ldotir.rrrl ryau

ei'r,.rah{'16'nril:-'rf; yr:a.ronfi fi slorni nrr,rnorri

mntflufi4:

4_ nn [n5 inr:rlrolllxrl{urnus lrlrrn ns.: dtAa r /q raua 9, rnl:tl 11UlrUl]5s dUnr:Al tUn t:I0Xgt.ltuuou t9fl

ar,.i4s,0 t0tv[!un]:uanr auu[: uu:5 911? t{u n: i dn t,

/;d t ?o ,a qa

[[TlYtul1tJlJ:sdun]:u tun r5!0!a{ lu lnn?'r 1r: 0r;

lJu:vdtnlsiuYlt[9]nfl t{1nu t

flarauouuvlunr:?d1,sio'lil

:rfurrovr{'aur{uIoal#rlolnornHanr:finu rfi rrov

o roocr#ulurdowornr:o'nvir rravnr: f, orr:rrnsb?

fl1ru:fl1t?.l1l1u4 , ' e gr' -i <

3. flflU tntSaoflullufl'l tsott lltllur{a tnlna - - ia q q 4u 6, I

t. finurilofrafifinrr d'rJ iudriunoJnr r0{ n r: ty:rJrnllt lunr:riron rnululrr, 19, I I

Rlyl:.iflyt: t{on lo0flflu't tulJ l.ifiu't udgquRtl{: tda.i

4. flflu1tn0'tflurltflunq1{d} [$u fl]:n]fi uo

fl:1{on1ul:{ ururnd [6oflrsq :,rorr,,fl,d,d

m5 tionmolfl [9uun:{dn l:rrM1u tfitJ0 tu ]u[1]1c]nu uS tiu:.ld HSotmnunoudl d llt:u4lj?ullfto {oaT I

z. finur:i ur r }.r rilu nr: rirunril f{ dzi o e./rn r, i<tulnuou [Y{otfi tnnt :{fl11I1{0flvttJfl nI

lnmdfl

lJ::gUtUn:il

Chaowana Ujjin. (2540). tondl:n1:dou n1:ilnrrvf u ? a - - .i< , t!n a:qu fl:fl 9r. (2549). Unofllrifla9oflr:loflfl:uryr^illasn1:ut 1:n'rrrutdordrufrfi.[online]

-d e a -ffiuriu ur^o 20 fiqurflu 2552 rrr6ii{orJa

: URL:http ://tsrt.or.tlvoldlRT/o?0jownaU 25 49 IYta9t

qolR11,!1O'1R11'!5{d. nq{rvr Ufi lUn::/

^aftfllgtll,lYtuflldgr5:tu"tt1Jo tJ l?Ytflta0 Hqa.? ^ 19ra -<ix{ulon. (2547). r11flunn t: [fillrtt 'riut.i flrl!o

t r- --a E Afl ltfl'lUR'ly{t0fl ryt5 0lon I ine]1fl llfi l.lttl 0 I 5

tu lln 2552l l ttfi A{1,o{ n : URl:http:i,!'rv!'\,t/.

medtech. mahidol. ac.th/mtthai/eLearning/

MTRD3 I 0/w"/o20fi rst/fl .htm.

pdf2s49i 8 .pdf.

9H it::u 110i91. tuql 0015u dur. (2546).:.rfltuoqu

1o'::vlJlJYl-1.:t6ufi 1U10 Examination of the

chest.lu: nqufi iltvnrflvin,'Joudnuol^ -:Yflqn: onqful [0:ryflna, u::ol1rn1:.

5.ld?utqf., Diagnostic Radiology fl lHiUt^ ,lA

unflnultt Ylu.ytu fl5':fl l.n:{tyt !YtuFl::..- jj?,{.tr1 vt:uqn.Hu13-7.

rfia:6 oroNrryn?. (2549).cood Quality image. r.J:vqrA o d,?slfl1t:{fln11 U1. fl5.1tnfluli 1u fl5:

4tfltft1fi :{d?1181 ftolgt [1.1mrFtd0l5 01fi aln:tu

HlXTtUtAU.

/efllUn::O':fln1: d'l lfi:1v l'lYl l'l'lt Fl lU f,n.

lfi ugr grrrur. (255 1). nr:il:vnr^uq Rrv.l10':fl 11r

fr fim: r.r o n. [ondr: svnounr: :varisrnr: nr:r[orurni:qrrainui rJrurafi xu

uq ru rim:sarq?,. (2549). nI: :s[rJ^uf]flrfl11,,tflI],,t qufl rJ:vnravin, or:{r::rr yro{6, ltuqr o'n:r1aufr1

(2546).eGciruntililfi m::'ron. Pnncipte off{fim:'l{on. rondl:r.l:vRouai:il:vqr

iyrnr:n:ym:r'rdrri:iuqr ilzsqs. +-a flmreading. 1u: nqufl rJ:vnra;in,rauanuai

riuarou zs+e; tu 1:{rr: ?ufllay.nE':rylfl YU49r:,Onqiul rnsqflnn 1::ollnnl:.fifiiu-oli'u Diagnostic Radiology rirnfu

* i;Uflflfl Ult[?ITo.n:{[YlY{tJfl lUnS: 1lry0 YlSUSl{.

r U1 9-16

iSolur ouorurfio:n. (ZSCO). CIIEST X-RAY dwal:ar^?duu:ltflo:fl1tl1lJ1{.:o il.l:{ ururoaru16tn:vgu:rra:aufrr.

8-9 iiuursu 2551 lr{flrnurad rdn

v{:sq1r:rsd:vufl?.

20 nr:g'r:iraurfrsfi aruraurl:rttrrfi qn:6aftso.romarajonnani College of Nursing tJttaradir Journalflfi a sthjfi l Hn:1ar - fiqu1su 2ss4

4ltrl lFrur9r:0 hu. (2520).r0ncrr: urmn tu ta0()(RAY

TECHNOLOCY ) nI{rlllrlJ1{runr. lfl uie}lut

illfiY.

q!fi rJ:vnravim. (2546). Basic roentgenographic

diagnosis of cheat disease.lu: nqufida!:;nldy'rgr. 1a0nnu Yfldflt 0nflJ r

t0:tUflflfl . t'ldlU0aU : Diagnostrc Radrologyt ^ r !,)

d llirlJ nflnul tllm&. yttuflflt{yt I. nt{114?[

tJl4lufl :: q,0 Y{5Ugl'1.

a aa I /ra fl, sl nl:n0.(2544). dnn :sqnnT r inr: rrll?tu.

fl !':lvl t4lUn:: 0ma'rn:6fr]fi laTuln'8.

qEslfi fl :a^ o1s1urUR11r. (2532).air:rnr:sr:?ouos

:hurl:nfir'lil. y 6'nn r:ifi o ii'uuas inu r1: o

/250 I:nuasnr:oltafn!1, ai{rfl rLfi tuor:

citinfirdNlomrriru.

oidr ylranrqrt",Uuqfl 6fl :qduGliiul:nrolrloo

Pulmonary Tuberculosis.lu:nqufl il:vntaviottv -4-^?n8nnu6ir ru{grr, onfury1 (orryf,na. :,rd

'lU0qfl Diagnostic Radiology flTfi:U UnflnU1t o r la

uy{ 118. 11tJ11n:.:T 1. n:.{ tytl't u}i 1u fl:.a /AA

l,t1Xflfl1A8 fiqA n EU g t t1.1lt tJ fildgt I fl:519

11tll 1A fl 1fl?S'15'1d1Yl U't: 1IS0 Y.l5U91.: ; 2546

Nrir zs-:s qu&na^finrauryl5n. gudl:orJoo

rrav 1{l6ufiru1o I:r urrran:rrnn.

tdrdumio zo 'fi'urrnru v{.fl. 2552 l; ur.t6i.r

{ory n : UnL: hnplf**'r.bankkokhospiral.com

ronflr:I:n ono'nldtl. I5{ t,'lxrdr'nr16. tf;uduA-

[rJ^o 20 i'u']rnx yt.f,. 25521 ruirirrloryo:

URL:http:// www.vibhavadi.com/web/

health_detail.php?id=2034a?a

?tytUylt lflnvuullu, flflla1l AoUllt: (2541).

i{fi in arlt o{I:nmi1'10fl (Thoracic imaging)

fll.llYllllJfitun: u?t:{filu0a0 fltn?T1

i'rfiivrar fl yullyruflidnf I:lrrurrra:'ttJ 1t1t fi .

s <aa q o ,qrqafl1 u0yu. (2534). : {d]u0 B tullll tuqnlnu

rfi lrjldiuurqr6ul rfiurlmil: n rnir:-rfiimur

n sl[?{?lufl 'tflfti urir]vrurfiurfifl {1Hri.

JAMES CREED. (1999). Chest radiology plain filrn

pattems and differential diagnoses Louisville

Kentucky Univexity of Louisville ; 2003.20

Richard S. Diseases ofthe chest Queb€c Canada.

Philip W. (1999). Ballinger MS,RT(R),Faen , Eugene

D.,Frank,MD,RT(R),Faers: Radiographic

position and radiographic procedures. the Ohio

State UniveBity Columbus, Ohio.

nr:rJ:stfiuln:snr:dua6ruqtnrilttavflosfi'ul:a e & P Area - based services)

o'n{?oqnl0916r flsuil:vilril 2sst

a6:r atrYeruru:rqa *

mfa6 flouotr: **

lJllfi9luo

nr:rJ:stfiuIn:.rnr:dfiinorl:ga{ri(l,I^orJ:srl^u "ln:qnr:rilra?ldtnrnttavrlolfi'ul:nrirniu.1 ) d ^ o,d' o, , a,a

tflqyl-ufr (papRrea based services) {{fi iqqfl:914fl iJ 255 l" lY? tluu :gluutluxry l(CIPPmodel)

rl:vmn:uarn{:16'rotir'rfil#lurJ:stfiulq:rnr: :vnord:o {iufinvotln:lnr: riru?u ss nu

il:vvrru,fliuuSn r: iiruru 2-s2 nuua:frr{rirn r.-rJ: rqriou:ru ii tuau t t I nu rndo.:n*0filfr1un r:tfil

:u:rl{oryatfluuudororrunrrt.l6otfiuttulrursr:rrirurl:a!rotrir (rating scale) 5:v6'l ttasrtuldott

ourlarorilorflar6'rdorauouuslunr:rJfrLrJq'rln:.:nr: rtutir:ronr:rirtu^u.truln:tnr: tfiu:rl:rtL

{oqa:vN'jtiufi t fiurnrL -:o fiqurflu 2552 irn:rr#{o1a1oo1dnt:rttnuolnarrL6 ritfooog rirrn60

' .i ',rv- JdluluuitlJutJ l9l:$ tu,idnl: :vruud:! teqiu

t. druu?vm(contex9srrruneu6or#uto'r{itfinvouln:'rnrtri.ueBruqtnruttagflolfiul:n

rirufurcrflfiufi(p&pArea based services) f,rrioqo:n-mtifl zss r oqilu:v6'liltn ([t = 4.48,0 = 0.44)

z. druflr{'oriufi(Lrpu0flrrnlu6snluto'rfliufiomrIn:.rnt:riueirqtnrnrras:llolfiuI:njj

d r1.r:11[ta1{u11 ( P & P Area based servicestfilm Yoqol:asrdfl zsst oqlu:;6urLrnt[ -4.37.0 0.50)

eiru{rdrd':lrJ:rqrLtou:uInr:lnr:d1{rurl:crutil.irraiuqtn rntra;t1orflu1:ntirnfrrtsrdufi (pap

Area-basedSerwrcestfrluioqrir:6ndflzsstriaulrd,#u jrnr:,drirrLrl:vqrL,ou:rLf; il:slumfeiofluro I

rrnfirl:slosfciouri'lolru,ryuvu1u:x6'urrrnnr:t'q:v'ruor:rinrrrrfrurirfirnnl:srrordldrrr,,

3. drun:vr':unr: (Process) srtrnltrL6nuiuror{fufroryolIn: rnr:rirtail atntuttnvtlo tfiu- N)t:ndr:u[ra ur ( P & P Area - based sen ices)n-.ifi;fl qe]56fldfl zss r oqjlu::dtl rn r p- 4.4s.6 - 0.4b)

uayner n^or#uro'r:;vrryulfirrfruinr:rdorrirln:rnr:drtaiuqtnrr,rrrastlo'rflul:nritri:-ll; e

rclflfl'ufi t p a P Area - based services) frlu io qot:o^otd fl zss t d runr-;tt run r: ogilu:rri'lll ln ( x - -1.07.

s.D .:0.52)

+. druruarua^n lrroduc1 nrruoaufiat#utor{iufrotolln:lnr:ri.rrairLqtnruttovtlolflul:oj.i

druttlrta um (P & P Area - based services) i''rninqor:nnti'fl zss t oqilu:x6'ur,1n (l.l : 4.42,0 = 0.41 )

rrasolrufrorfuto'ril:vryrryufi[6ur{o'r/{t-uu;n]:lunrsrirtfiulru In: ln t:dl,airuqtnrrrrasflo l,iu- j j

trfldDr:u[19][luvr(P&PArea-basedscMcestt'lrioqn:6fldfl2::tdruzuaHa'eloq]lu:rdutnt*-

4.15.S.D.:0.51)

* fnivrnr:errr:orqr:irurgnr.-fi rnu rirrYnlruarnr:orqt'fi'.llrieqor:6od

**fniryrnr:drtr:tuqrrirurtynr: rirfnlrlartr:uqlt''rvioqet:6nti

21rr:ar:iutlrfravtarurautH:rttufi aat6ariBoromarajonnani College of Nurslng, Uttaradit"Joumal

flfi g oriufi I :{nr'raH - fi.ru10u 2554

ln:rRr:aqairu dtntyluagllo'l uJ:nrirn:-ilrslerdufi (pa pArea- basod sen,ices),ir.rriioosr:6nd

Tl zsst finr:ei^oorrurro;nuqrurirri'rnr:qirrfiurru iiruru +l In:rnr: lioooy 79.03) flnr:firmf,GoonrJ

ln: rn r:rilu u t rnfr ii ruru zo ln: :n r: (flouas + t .s:) 'h;fi n r:ulfiuuurlo rfirn::rto rln: rn r: o'ru'ru

+s ln:{n t: (#ouav 77.42) rtasfin r:ril6uuurla rfirn:::r'luln: ln r: o"ru:ru t+ln: rn r: ({oony zz.stt

In:.rnr:tilra?rqrnlrrrayflo rfiul:n rirrirnrodufi (p & p Area - based services) flimind dat

osr:drnti iJ 2551 frnr: qn-in:: m:,lsltrJissit'latnnR0n:: srlurrruulln:lnt: iiruru 3z lo:lrrr:(fouas ss.os) flnr:aqrJruanr:rirrfiulru druru s+ ln:rnr: (flouag 87.10) flnr:d:ilrianr:rirru-u.r.ru

ryirflilrflrililr0 dru?u 37In:{nr5 (ioflas 68.52) finr:6'0rirronar:aqrJ:rouunanr:rirrfiu.nu iiruru

sz ln:'rnr: (ioeae ts.:z)

Hanr: :vtfiunf'tfi artLr:nrirh]ritriunulurrurrasl'ruruu nr:ririTt u^mreuaysrnpr ru

nr:rirrfiuln:rnr:rilrc?rqtntnua:flo rn'ul:n (p & p Area - based services) rraynt:1d.llil:yruror

rirrairu qtn turtovrlo rnu ]:n (p & p Area - based services) 1# aonn #o rfr'rulrr rm,rnrn r: fioto I

rirrinuuerm:orqt{'rninqn:fiord fifinrirfi1unr:riliuquluuru eriraqu n.:rqr rir6'urravfirmau oe , : .

9t991l:Jflt5AlluU'l1U10.l1..tU',lUUtn t: 0il.t1fln?:]l:141: tfiflt: t1,t1,tu?tJ{1u5goljottno/9lt a nl[u1t.t.']u/q o s :! oyrtiovit tn:lnt: rir=oltilutl:s tcuri{taiu atn tnunvtl o rfiul:n ( p * p Area - based servi..rt firl:ylu.ud

r -i o, t e, t jllSYX lSU lnTdfl [s{ul]5ytl tfufifufi tu tfllrdo

x,lrallxt alffunolu.lauxllt,t'utufi qn:6ndBoromaraionnani College of Nursing, Unaradit Joumd

flfi a crirJ$ I !{n11trt - n.nr,rsu 2554

23

)

Evaluation ofP&P Area-based services Project ofUttaradit Province in BE 2551

Suiira Sukphatananarakul*

Thahad€€ Kon-athorn**

Abstract

The study aimedto evaluate P & P Arca -based sewices Projectofuttamdit Province inBE 2551 using

the CIPP model. The population and the sample consisted of3 8 project manages, 252 people/service receivers,

I 17 seminar participants ard 62 projects supported by P & P Area - based services. The research instruments

werc a 5-mting scale questionnaire, an open-ended questionnaire, and a project operation suwey form. The data

were collected between I March and 20 June 8E2552 andwere anallzedusing frequency distribution, percentagg

mean and standard deviation. The findings were as follows:

l. Context: the opinion ofthe project managers ofP & P Area - based services Project ofuttaradit

Province in BE 2551 was at a high level (p = 4.48,0:0.44).

2. tnput: the opinion of the project managers was at a high level (p = 4.37,0 = 0.50); the seminar

participant's opinion on sell-benefit, offic€/communitybenefit and cost effectiveness was at a high level (65.81%,

62.39% and 48.7 2o/o), respectively.

3. Process:with regard to the project managers the opinion was at a high level (p:a.a9,O:0.a6);

the opinion ofthe people/service receivers was also atahighlevel( 1= 4.07 , S.D. :0.52).

4. Product: the opinion ofthe project managen was at a high level (p:4.42 ,O = 0.41); the opinion of

the service receivers was also at a high level ( [:4.15 , S.D. = 0.51).

The surv'ey ofthe operation ofP & P Area- based service project ofuttrradit hoyince in BE 2551showed

that out of62 projects, 49 projects (79.03%) were followed-up and monitored; 26 projects (41.93%) were time

to time supervised and followed-up; 48 projects (77.42%o) there were not a change in activities; 14 projects

(22.487o) there were changes in activities. 37 proje*s (59.68%) held activities at the time stated in the projecU

54 prqects (87.10%) had concluded the project operation; 37 projects (68.52%) had achieved the target;

52 prq ects (83.37%) had documents reporting the operation.

Recommendations for research application:

l. Budget allocation for P & P Area - based services at the province level should consider

the policy of the Public Health Ministry, Natronal Health Security Office, Uttamdit Province strateg;r and peop.le's

health problems.

2. The committee members ofprovincial health promotion should concretely take a role in the

P & P Area - based services proj ect and participate in allocating the budget for P & P Area-based sen ice.

3. Budget details in the expense in accordance with activities and solving problems in

accordance with people's health should be considered.

4. Budget controlling, monitoring and following-up at the province, district and sub-district levels

should have tle same regulations and in accordance with plansiprojecs in order to achieve the purpose ofsolving

people's health problems.

*Public Health Technical Officer,Senior Professional Level, Prcvjncial Public Health Olice, Uttaradit Provioce

** Public Health Technical Officer, ProfessionaL Level, Provircial Public Health Office, Uttaradit Province

?1t€I1Ta A1dUl'lrr.lu,l$lratll1'yuluuu 8n:AnO

fl?r lil ruova?rliirfrtytor{leynr

ornulurrunr:dYrmt6'nrJ : v6'u qtnur{Edr u r.r rir or r rL vr : v : r r f ty dd N fr n :.1 : ; flu qt n r lr

-i, odrumrilrri.rsrn lr.o. zs+s fr 4'lrlunr:i'nl#fi :;ul

- i t rr.e,ura n :rnuqtn lY'l1lu: rs'lYt-r ta:u!: n l: qln llli- ti,rtuEruRIfl totJ l9r:g1u 0u'l.itYl1I1lu nuItdvlJ

i".:J:vfiufi nrn nrfl"[6r4nhnr:fi rirntg 6o nr:ri.rrail

ruasfifl u r1#rfr o:vil,ifi d'nil:vriufltntnfi :l:vttvuL " ,o, ariuhuav{l#uinr:fi nruqr n r: 6iilditrfllixflUu

:ysrsu orr{n: :vryr'ru orrin:ilno:orai'luc, A d,d

r{o.rn*u hiilrvrr rr lu n rr{Bru rtE!rt 6'nrl:s riu,^arqtn lfl n l: qun:0 {dll! tlds d{[d:lJ rl: vu 1u n l:

,rq a a g, )[t uu?l,o{lj: gsl5u t14t1 I ltdl]tr avfiu 111 (fl)-tJ

duudl{u!5a1:d1n1 , 2546) 51un{n]: :fi15]'lU

nfl imuffanl l:snud{n n,i lt.it,/otltti{ttav:J jgdyltRItilrloq

:: qfl uirfl r :vfl r6 t ri rrin'rruufinil:rriuqtn ttt

rtrirmer, 255I) Iefl6'ed5:.rtl 5v lru'luuiflriairqaiuamr rrav:lorriul:o nrold:silur4a'nilrefi'u

qrn urdxuulir Ioofi rflrurLroul'01#il:vvrryu1nu4 d 9.a

mnnu mflflmf lumn uTf,ltJ t:orlJt0iu:nt5" , tne t i, a6lit.l[d: q1]nt rIavuoinu I:n to0u r.t11']fr.trr6ts

ryilfio:Lriu lounr:uifi r:o'on r: rrrSn r: rflr uciru

(rnrfl rra,1:lonfi l:nrfl u : riru (rirrTnrrur.id'nu' ' a 9,/

u:En qrfll1^r1rfi.iryra.2552) Ifi fl l){ur:nr:d51ia rt i^.fls drnr rravfl o {flu Irniiuifi'l:: vri!il:snrq

(P&P National Priority Program and Centrali-

Procurement) 111 0 fl U1l dq Un 1:qllUU'l 1U U: fl 1:

drrr:tuqt drunr:air'rra?ruqtnrur[asfl o{riuI:n

R11r:xulJoi :vu4a 2) .ruuinlrdgl{[d;uq1R1

rrnvflo rii'u'i:ori rri r ulrr r;dfin : rrdornr:ldr-r?n r:

triufn rP&P L*pr..srrl demand serviccst rflulufio'or::

rfionr:rin r,fl , rr!d; dtnrvrrr,r;florfirrl;ni-

:r81rflfrnT ti'l) Jr,uirn5d5't{r :Id n lYlrtdvll, r.l1ll I

'i:nrirnili r,o,iihrfi (P&P Area-based services) tn'onr;

9t IL u IIIII i L[n IMUH',]O IU J.Ufl ',tnlUn^Ufil#rj;: .t

,rf rrrr rucr rroirfirnrinrt.tuorrion ruular ru rilair

u , o9@fluuduutlagn:vqu u'JUU:n 1: tfioou:n l:lt{En

fi rfi ur6'rnr:airuasuacrnruuavtlorrYul:n rrnvlfd t e a j_ , __l

0':nn:I nfl: o iTo i0u[1100n i! dultu:1 nunofli- y .l

" j:

no'tuu1,i dnu:vnu qln t?{ Iu: goulloioul.lS0v{uli

(RO'lqu ouet./rltf,ua) flf!dqufi ilx0u;41:fi ioj

d0 1uu, n1: Fr1tuun n n: :lJfl 'l: fl nfl : o': n 1 'l d8.l

i,n'l: fiqfr rnr :ilt'n-odlrailnqn n::1fi 6 nt:dtiu dqu

ri rldii rub?nq'rurJ5 vyryu 60o{rin: :J: vttryui'n

drfir n::rruionr: aixqtn rurravn r:rlo lfi'uI:n

niuriua?rfin6.rm:rufrrJrurl nrrru nl rueiulari^fl q'lI d, e,

)- 1lJT in r:U6r'rU: rlJ [Un r:orrar{ ]flodxgiorrio.rlu

loohiqir4ourirn r:rirri-r'u r ruto rrriluu;n r:il:rd'l

tra;[n:01'tt 1]:fl 't:dln'tv{

lufl rurJ:vurar 255 l rirfnlludrrr:tufl1a / hru i

0il.tlfio9t:fi0to tfi: nI509rd5:{lt!,n'l5di[d:tJo,

qtn Durn;fl0 rriul:nriirfurrnyr*ufi (P & P Area

basedservices) :v6'rf,irio iiruru 9,350,273.95 rJ111

uav:s6!rrfl dlulu 4,01 1,520.00 rJr11 rfi oarTrarlu

nr:rilfi urru In:{nrirri'lfl fl ililr:so'ro''rxiofi fi

flmrreirri'mravIn:nnr:fir uIu r ufl o.r r):; 11:'r ':

^ t Jld]r1:q1ttav0.l1{'lo00r:fl 9t0 1t':ufl 1:ft'lluu'ltu, $ a ? i" -fl0{09 tul{dntn0Jq4uavn: 0ullu111'l 111 d lufl lluff nn

: s riu ctn ru uri r fl 6rilr u fl d{ dfi iio#rrL lu n r : 1d

ru :vltturiuaildrnr llasflorfiul:n (Promorion

and Prsr-iiLionr lduri rt rirul#rfionr:finuulitunJrnralurravRtruonrJ:ynra z) #tr,fro.e: :i'ruqi fi 6uA ' 1) u . in'.idinodi l{ 6ltl) n 150fln'15 lfidl 11 l lnU11]oinull l:

!,1 'sdlt : x d1rRtl'lttnvl lo{flu t5n

r rnnr:i rirrur.r ru'in:.r n r: rilair atnrnuasfl orf,uI;-n1uqrru1ufl zsso,i'orioqor:6orti

irl lfl lll I: lliLlrul.ldn tiQ rruu J Iuttag lS try

:r rl . ;,t tru,rti t trii u:rlt::rr n :riu rir l';, r iu1ur trllirrLimrilrru :ei,udrlRr rfrfnrudrtt:uat

^/q,u iniqofi:h,rnrrniluf,lu:.6rtxun lu ::u truto.t

rir f nr r u v 6'n : y fl u ar n ru dirl i,iJ'{ fi ia o er : fi fl d'

o''r'ld'oorirln:'rnr:rl:yru^unaln:rnr:riuo?uatnru

xlxd1rtr4m dufl u1u1autfl r1{{ufi oBTAnfiBoromarajonnani College of Nursing, Uttaradit'Joumat

flfi s orYtfi I Hnl1ax - firru1uu 2554

dflRilltlavflo{riulinrirrifurtortufi (P & P Area --:

hased services) 0{lii9tqfl:oan U 255 I o.lu

1.1 1l:vsln:| 9o^

l.l.l 1.r'rfiurnqui lu/l ru udt4:uzuflYou

In:.rnr: a.rrairuqtn1fl r[a efl o{tiu I: ntfir :-u

(l,fr iu

fi (P & P Area - based services) fr': ri ioqn:6o d'

fl zss t rirrlnnuar!15olqx6'.01r;oqrrr60d'druru :s nu

t.t.z rJ:ltrrul{trfuuinr:ff rfi ur{ol9IUs

fll] ln:{flr:flit : q1n r rldElj0iflu lsfldlH:u!)

r1911'luli (P & P fuea based sen ices) f, Ifi latla:flsifl

fl z:sr iirual l2o,5oo nu

t.t.: {r{rfunr:rJ:vq}J/out la:{nt:ei'uailqrnrutrnvfl o':ri'uI:nrirnfrrrs,dufi (p d. p

Area -$ased service.) {liliqqfl:Gfliifl zss t iiruru

4,985 ftu

t.t.+ In:rnr:ri.lrciuqtnrmtrorfl orfi'u- 1)

[: n d tfi tulfl gtltuyl (P & P Area - based services) 0 lh 10

qar:6ndfl zssr ir'ruru 62In:inrir.z n{rL6lodrvi6nr:rf ud'rodt

r.2. t nriru6':odr.rri r'lduri ri:v#rnair.:rus ir rr

rrrurfi:-rNnryou lo:lr r:fr [*lr :suluriitdiluaJ

dfl fl t1,!lraliloinu t)-fi drfi i1IU9!uuvtn{ 1009r:fl sro

U zss t rl'rrfi unr:ra^o nn rirLd''ro tixur ula rs ro'l; o{

(Purposive sampling) iituru :s nu ritrfiuafilfiu{o{n

lou{0n It 5 tlJrJ0l}1nd}J9 Joflt iRolJlr1tufl0uo'rtJ

fi'tflaulo.r, .i L"v , t ,

t.2.2 flauet'lou t.n42 tFllrflll: vx tryu/r{:J r

ii:UU:n l:11tn01lJrllrlll tfl: lnl:dlld: qtnln[tdB

fl a'rflul:nrirnilrvafi ufi (P& P Arca basel services)!.:

0 ifi]qoFltflglo 2551 udlutl.lllldu 120,500au,i d-dal lS rl l:n lfiUfltlul9fl10Ull tOU [tFl 1: I ln lfi Un

A - A;lUloFl'1o01n1]O.1 Taro yamanc 115 gOUnlliJtryo U

,(^95"" l6rlut0nn 9t )ou li 1) lu lu 100 flu !}Idlt{u

, a 4 gt Aaqt" ,t' q)o ) lll).J ll9t fl dUp)JsrolrR}] tOrll'.111:vLJJUnJn l11Ufl tlf

nriru6':odr.rlunfrfirflu'iruru :st nu lqfl drir:

25

I

)

)

tras{lotfi'ul:n (P & P Area - based services) {'{tiilil

qo:6nti Tl zsst )nuldgrJulr,rnr:rJ:vriuullfirJ:l

(CIPP Model) rdorj:vrfiul?lv (Context evaluation)

iltsrfl ufl o{orirrrir (Input evaluation) :l:stfi un:srau

fl1: (Process evaluation) ttav :vtl'u a2fifl (Productai o qa,e./ Al

eyaluation) 9l t{.1 lJ0.1 lfli {nltrli0 ll'l tflfltr dull'Ifl?ltoo

rionr:r{srur:Jir:Jq rIn: r nr:1#rfi qil:vfi rtnrilsi o'Iil :'l u r'r er : r o do u 1,r r tilu I 1er'lu nr : n' I lfi u { I u

th:rnr:riuairLqtnifl travilo'rfiuI:n fl qlrl:srLror

2 5 5 1 [r a v dr ?J a R ] : r l : v r fi u il : v n o I n 1 5 1t^t t 5 ill T

n"inuouls iatrnvur-r??1r.iRrreii[fi u'?rilri'?ld;x.,

qtn rlrrravfl orf,ul:n ffrt ioqor:6od'ldod rrfi

rlilnril1ufl {uil:srL rarsio'1il

dtlnqurv6I{nnl:ulsr u

j,ae^juel.l?rolltvlrJur{ao l1.tutuyllno )nun? ) a0i

nr: rl:vluyrirtasn')-lrrfi tJrsdlllro{ifl ail:va{d'lu

nr:6'fldrln: {ni: ri.r rair qr nrn tra, flu u fi'r1, o

r.frmirrtnfiufi (p & P Arca based services) {lfiioosr:9srfl 112551" I r a u - " v!

2. lyt01J5 ]JUUSn0 l[1][nU ]nU!n flduar

ril,r orn:1u nr:,i'oilrln: tnr: rir rcSruqtnrlrttav

{l0iTiu l:ndlHiLltfla um (P & P Area -based

services) I ltt lflqn:flg|n 1] 2551.i,ard-

3. r1'1011:vrl,uft11.tntg ?url I n0?flun I5

' m9 i{9ntn::llo n "l tfl n nt: I lltlHu n t:9] lluu ufltr-

6oflr :vfl^ufiai,ar-i

4. 11{01J:-vu.ruo'luHdtJnhlnu lnuf'lddllflYlt/s

9l tlr tflqu5t dinl d{ tn: lr) r:dI['d:uqfln il'ltrdv

flornulJndl?tilrtnvlu, (P & P Area ba.ed

services) t l-t'l fl o gl )- g an 2551

1fiO1[UUn]:

t. :rrrnruavn{ru6'rodr.r

rl:vnrn:rrazn{rdrodr'rff 141unr:rl:vrn^uJJ.,' ',tA^' ,l e

nrf rfr '16rrri difr il ri rurfr u rdo lrir I rtt l n r: rirrair arradrnu: tu: ) 1oryd 0)ultnr:qrJa JoullrrlJUult0ry

tAccidentrl samplmg) oliUrtslL fi iilSnuiqnil Zs+Or, i a ,e,s, '1.2.1 ndra tou'r{r13 tflrln qfll] r:xxJll5}T

/ou: ln: inrs.i iro;u qnn,n,,urr1u.rfi'ul:n ri ryi:r&A

lql fl r'lufl (P & P fu ea based services) t nll'1fl qfl :oa 0tr a^^

U 2551 tlU'JU 4,985 r"lU cUnl.J ?I nl: n lfiUOtU lqs o,

sn0u't.t t98 t,i,a t: tifl tl{ufilru'togl tou l.l1]o t (Taroi - ?! ,i !r,

yarnane) vl:rFlUfl 1 ltJlT0!U 95% totU19nAUfl 'l0U ll" i A ,aa gt Aa gt-ttutuc8n lylrrr rufll lull'lls00 010 {10uafl [fl:ust ie , u J la' "[llj:yr un{fl lr.ruo lMaQ}Jstlorjrr lufr:{u[1]un ru'lu

dyr^dt l7 nu t9lulltfl r:lnr5 ]lJ:?1r10]Jdntulrnr:drJ

6'r o tit t rr u rir r6ty (Accidental sampling) (r1tyr::ru fir

rJTfiru: qmr. 2540)

t.z.+ nq'ldrotirlfi + lduriln:.rnr:fi 1#

tu ts riuIn:.iar:d'rrdi-ilqrlnrfl uavrlo': riuI:n&A

ffl?l:![nfl Ul1 (P & P Area based services) 0'l ']fl^

Jdtoa50a0 u 255 I ot rluunr:raofl fl dr.r9t10u't{[ruulD1,{ ]3

tot;o.r (purposirre sampling) 6o :v6'lo'.ruin druru

s3ln:inr: :vdurrn iirueu q ln:rnr::lilfiifruodtr9ratlulu 62 tn5{nl: m tn t5[nu: 1Ll: ltJto aflxu]t

dr:ro:ranr:nnln:{ni:fi 1#{!il:srJruIn:rnr:orra?ru qtn rnuavrllo rtiu1:n ri rrfrureril{ufi tp a p

Area - based sen iceS t'l ri Yo qor: 6 ortifl z s s t

z. roio'ruoofl #lu nr : rl : srfi udr . A,t'tllultuudou0'mudEut dt: trtflril l:r. rliu

tr3fltln{ olnnrrflnull[lJ ?na l{ann], mqufl 01n.J s -- ji e,

llu.i d0 [0nd l: Fnd{ u Iult lu [[dr I lu l1tur4rnu ].ilr) {

tirln: rnr: rilrai qrn t rraufl o{fiul:nrirr:-ll'rlgttt'ufi (P & P Area based services) d'nuitri

rluudoun lrJlldvllxu.i r:'ln [r ioonri]u+ ryn 6',rd

fl:vlr'rufl15 [16s r.la p.ra^n1unr: n'rrfiu{1u ]n:': nr5

ri'r rair qr n rn ua: fl o'r riu I : n rim :-r rr Frdll fi (p & p

Area- based services) 6'wr inqn:Fntifl zss t 6'nuors

[[u!do1ro] r{lurruuuia:rfi1u :suurir (Rating

scate) rrli{0on[flu s:v6't ldrrri rioofiqnttquo0lJlunnt{ tn lrag!tnYtq9] lnun lfiu9lfl lflyrruu

rflu I , z ,: , + uau 5 snx.irdu dru'ru 40 {o ernsryti,2(,i,r<

ri tnrtlrfi ofiu (nettauitiryt droi6 f,rurJ:sfrrr'rrorry{ r

1o.in:ouuts (Alpa' s cronbach coeffici.r| klritnr1rrA;, - d -irfroriurvirfr'r .82 fl xtrrfrorfi urfi orn'l{orauorruv

1unr:ilirilq'rln:rnr:ci{rd:^ qrarfl rrayfl o{aul:n!:

rirrfurcrflfiufi (p & P Area based services) {'ty5o

qor:6ordfl zss r frns0r;uuuaounrurflulul atu'ilo

(Open endedquestiorunire)

2.2 ryefi2 rluudo nrJ 6itil;xil:sytsu/r1;!

rinr: ln: rn r: rilrailarn r rlrroyrlo.rflul:n ri ruirid

[19] Ilult (P & P Area based services) d fl.i iFlooti oqn

fl zss t},o,,mauro'uJ uli{oondlu 3Frou ldrui riom

r[r'[r]torflsrourruudouo l fi 6'nu0rE,fl u,,lrrir: rt:ronr: (ctrect< tiso nrrrLfinr#urlrun:y!'tunt:lldsp.rap.r6nlunr:rirru^u.ttuIn5.{niiri,trdiruqtnrurraveloei;1]0lnU [5tld lfi5U[lJflnUI (P & P Area based

^c/d,adservices) 0{fi'loogttoflo U 2551 n] fl1I nAniUtO{

rl:vmwlfiiuu?nr5 d'fl uruyuuudornrrrrflurn rr r

:lto:tfru :yrutnrit {nnrlrg scale) rrL.i:oonrflu -s

- tt, , jl A I r .i:gflu roltfluouyt 9uoulJtunali lfltlay tnTdfl

Iourirlruorirnyrruurflu t,z,r,+ uay 5 oirrir;!o e, a /, 2i ,iiitu:u ts doirn:r:ririrnrrlrfroriu (Reliability) d1s

?t dtJU:yfll15[r0aflt t0{n50uu ]T (Alpa' s cronbach

,t

2.1 Tofil rlltudolotrJ rirnil ri':rritn{l coefficient) ldrirneurdoriurvirtil ,ss o:u6nr#u9u a

i lU/': I UttdEr"{:Uf.lqY01] t rl: lnl:dildtr,Etn ly{trdye.r qs jjU0ln! l:fidlll:1llflflllu1l (P & P Area based

$eruces) i{liloofl:9glil ]J 2551 d lun t lU d t, t:0ld1

t'rfl ierofl :fifl duil{oonrflu 3 fl ou lduri {orLart:1:l

croldeoru!uaouor n?1 n^or#udlur# f ot'o

<9,liu Jnuci0rduorruy lun r:ilfuil: l'io: lnr: riqrail

J-lqUfl'll4tldy1jo inu t: fld ll.{:11[14fl T (P& PArea-

based services) o-lrioqot:nndfl Zss I d'nuusrml.laotl

nurfluulu nrotilfl (Open - ended questionnaire)

2.3 yoli 3 [[rudornufiulri':rurl:ymrol:l

?':56l',1ril,ls1du?rs1u1auflit1t,[ufi of, ?6ndBoromaraionnani College of Nursing, Unarad.irioumal

tfi a crirrfi I Hnrlnn - 8qu1uu 2554

Area - based servicerl o'w inqn:6ntiil 2551 ila:lvligt Ayfi rufl 't:[[0fl rlt{fl']tufl 50u43

flaR1:1nU

t. 6'rurirn (context) c,o{Tn:tnr:fi ldrril :vurru tir ra? ql nrr,,ruarfl o{ fiul: ndrm fu

&;[1All Vl (P & P Arca - based services) 0{?t lf1qfl5qA0

?l zss t nlir o$lursriuilrn (U=4.48 ,6:0.44) urio

riurun : ra{o uu'ir ne uuurqd 0q': qq 3 6'ud'ul r5 a

ldrui 'in: ln r:fiinnil:sarri'aooo#orfiuulfl! ru

loin:Ym:1ld1t-t5*qr,,1r-O.rt,O: 0.46) ln5{nl:

fi ,i'orirfi il:yluydeio :cry.rryu (U- 4.7l,G : 0.62)

: o.ro{tur fro Jn:rnr:rmrury aufi ry ei'rraFru 1rfl

rl:sryrryu'ldiunr:quaqcinlilrI?fleruro{ (p- 4.67,

O: 0.56) uarlar{nr:fi iaqrl:vrld'aoondorfir

ulaurrtoln:sv:lidrtt5fliqt (p= 4.7 1,O = 0.42).i a se , ' .l

Irdrnvttuut aufltqo ] ou9tutrtn lortfl lt1J luilull) sr "o -rfior rio r hinr: a riu suunr: rirru-u r ru ]er: In r:

(ouer. /rTflura "1a,r) (p:4.04, O:0.62) :o.ro{xr1 n^o

ln:lnr: fin:rr aoon dol fiun r rrr do r nr: qL o,r

tvYtuu (P= 4.08,0 = 0.62) n?]tJ Yor,flo'1

fl 01uu?nr:d-ltr5 ar qtr6orionr:r,iufi u.: tuln:,:nr:([t:4.33,o:0.76)

z. fl oi'arirrdr lrnputl rolla:.rnr:fi14.trrl : vuorri'ueirqtnrur rar 11o,r rl'ul:nriry fi ruro

fiufi rp a P Area based serv;cest fr:uioqn:onrifl

2sst oqjlu:;6rrLrn (1,1.= 4.37 ,O : o.so) Nioriruuntt,i*

i tufl0 ull r lFrrrtuutf,dud i q9 3 ou9txrr:fl t9ufl 4:ufrovo uln: { nr: fi n':u6'11o1u nr: n'rrfiu I runrru

ln:lnt: ([l-+.r,].O 0.49) io{diur 6o :tryrsul d 40 ,lu 11U 11 lHn I )U' ?tJtu O lUn )5 n UUU nnDr:tJA ltjln:{nr: (lF4.s8,O : 0.58) uds fi;1jfr orolln:lnr:fi nrrruf nlrLulrhlunr:riruiu,nufl r:LIn:lnr:1p=

-.i I4.54 .o - 0.5 I ) nsuuurndoai rqo : o'uduu:n ldrrri

rurl:wrrulunr:ariraqufiorrunorfiui (U= 4. r2 ,

27

In:lnr:rilrailqtnrv{r[aEfl o'rfiu]in (P & P Area-

based services) t'lrSoqn:6ntifl zsst iiruru s {o

ii'fl unrguuudouorutfl utturrirrro:run1' (Check lis0e) Ad, l

rras{orau ortu;6ulriJuuttrJa rotfl o (open .ended

quEstionnaire)i") 2.4"tstvt4$1J1r6n:Xtn]:fi'rluu{ru]n5{n1:

,i.traiuqno.luuur:10'rriu'i:neiruirnrsrdufi e a p

Aiea based services)'i":uioqer:o^ndil 255 1 ivr-tou

d:o t ) dru ulur ru z) dru.ru :s rsl rrav 3) dlun l:nluq:rrirriu

^ der3. nlSltn:lsfit 0wa

,Aaei.l fla d rn fl 1fl1 ln 151 l: s rtJ u gl'lu 1J: I lt4 1l0 0 u

riu{r n:vrrunr:tt0vriafl a^fi lun1:fl'rrfiu In:.tnr:

rinrairqtnruuarfl o.rfi'uI:nrirr.riu,nrfrrfi 1r u "

^ /d' ,-

Area based services) s{14'1fl rlgt:o9t0 U 255 I t0 iry:!-io c/

,.rPyou Int { n tt}1 19.111lJ:yu t0r dild51, Ec,n t lr0y

flrorfi'uI:nrirr:-uttfl ltufi (p & p Area - basedry

services) 1[n: rs?i610n r:-ti]nllnriu t[t riufio'rruu

usr:5ru (O ) riuriiruun:rodrurras:rarlo-y -i - r a y

3.2 lr0 nrnu )nun r: :yrruua luniyljlunts

,rnrrn^fi rrn-,r"lrfi u.truln:lnr:rilra?rJqilRrfl l raye, rys j .i!0inU [:nd]H:1jltn11U11 (P & P Area based

d dat - dsen ic€s) 0ill4l9ro95nno 2551 9t t fl t'luftfltfiulr0 i,r-'^)A

rJ:v"urryu r#:-uuin riff ,fioriollunr:ri r,fiuln:rn r:jj

dfld:rJdTn ll\uasl]0inu [:fid'tl.iiuru9t11u1l (P & P

Area based sen iccst 6'ln inqa:Fniiil 255 I :'nt lsfq) t A

- ,i

olun l:H rnllanu( x ) rrdyn rruufluu tgl:$t (s.D.)

u ''txl10 .ll [ufl: I ufi'lu I ta y: I u10e))Ll tor nriis rii'rrir{ r: ar : ytr;ou: n

In: lnr:drrrirqtn rrrrnsflo rriul:n (p & p tuca

based sm.ices ) f,lr ioqn:6n#il zss r i,n: rs fd:an r:, -l ,:

11]frlt1a0( x ) nlrur,,l[]Ju:J1st:g1u (s.D.) ul tnluun9'

:ilfl9tuttay:lt lto

:.+ {ola nr: rir: r r n r:q"r rfiu r ru'ln: r n r:J,]dild:uqtnl rtnsu0nnu t:fid tl.i:u[19r11u11(P & P

o - 0.82) ioiai r fio iaqqiln:ailun t:rittfiu rtu

ln:rnr:fi nrrruvrotfi u{ (l: 4.17, O=0.82) rlas:vsv

t1ol'lunr: i'oln:r nr:fi nrrrrrrursdtr (l,l: 4.25,

O= 0.74) flr{riu:rJ:vqrlor:rlulnr:lnr:fi 1#

{uil:stLrorri'ltaiu4tnrutrarfl orfi'u I:neirnir!; ^ /

lltlllu, ( P & P Area - based serwices) 0 il.l loqfl:9l$l0

tl zssr riluht$,#u irn rtrdr:rr :rqi.ilou:u

flrl:vlflryfriofluro{:Jrfl goaav 65.81 :o{ai:Jr 60.!o

rurnfiqn founr )9.6b lln, runon flouav t2.tz,d

' I I

dru [r.rqlHu? rn]:rt r: )tJlllrq /01J:trulJ:3 Iuxu

st011ut0{tu/q 5u :otjdg 62.39 :0id{ul n0 ulfl

dqo flouav rs.oz rras runar flooav rz.0s trav

nr:fin :rquou:rufinr rru{rLri rfirrtrl:sr tolfildl tn

floaas +s.zz 50.{a{ 'l fio ilrunar.: iouae z8.zt

rn11flo: flBav 16.24

{rdrd :lrJ.- vquou: rulu In: ln r:fi ldslrl:srLrard'rrairuqtnruuarfl o.t 6'u l:ndrnir

A..q/(tafl Yl (P& PArEa lrased services) onfi?nqntPafl

il zss t iiruru t tz nufi{orauorruvlunr:,iorJ:cqrLt

ou:rL 1d, rri n':: r'n : vquro:.r:rL rflurl: rii" rr1nfl

:vfl vnar'[unr: 0'oil:rquor:rfloarfi u'Iil ronar:

'hirfi urlro nr:fi fi on:::lriarnrarc'lunr:ou:rl'hirfJuirrnr:ruinrfru'bl nr:rl:vrilror:ilfi fi ifl o

rJ:s arril#rirnruftJ rJfi'rio n r:r#u dusr ou

nr:rJnt-o' fi 6rodrul:cnou nq'rL{rdrdurJ:rqulriv i ettI{:o lloyu trflt:'uJ1l:3s fl l:1ro 53'Y:Jftl:fl tlu nt:L,^ " ,( ,,

flou5'Nqq!:3u ro"urN t:ft ltrdo9to0n lfioruun t:

n:v{uuavror?ornrrruu#orLlunr:rlo.:fi'unr::;rro

roll:n rrovnr:6'o :rqrlol:uur.lt$0.:rdrr#rdf

oqjud':kior:{'n

3. n:3U11]nl: (Process) tor]n:lnr:fild'rrrl,:vrrrturi,rra?rqrnruuavfl olfiul:nrirnfirrtn fiu fi 1R & e e."a - based serr,'ices) i.in ie qrn:6orti

fl zsst

3.1 fl?rilfl'a t#uflolfr:-r frntor In: lnr:6'r u n:s r ru n r:1u n r: ri r ru-u r ruln:'rn i:a.rtair

qtnrn,ra:rlorriul:nritrriuurndufi (p & p tuea

ba"ed services) {'{rlinqer:6edfl z:s r oglu:;6'uru tn

(U- 4.49,O= 0.46) looovuuurodaq.rqq 3 o'udutr:n

ldurj (r) doruuinr:q1nrnfi nr:6'oln:rnr:odrr,)

noru o I t[' 4.88.o 0.33) :oid.rurfiod6lruuir]l:

qzunIrfi nr:rJfr ffi qrruln:rnr:otjr'r#otou(p: 4.75,

o:o ++) uov{uiur:aaruuinr:qrnrfl fi nlrAnalrr,i

nr:ri]luu r ru ln:{nr: orir:etolfio{ (P 4,67.O-

0.48 ) uasnvullurndurirqo: dud'uu:n ldrtri

flfrfiorouln:lnr:ff nr:rJ:rrfi urua:s'jrlnr:rirrfiu'rrutflu:srJs (p:4.29 ,O= 0.751 :otarrur 6o

, A , ,.n't:1J:sfiluirun fiul0'tlu0u dl [Yu 0un.,.1uI

T:rsu odu. lunr:rirrfiurruei{rfli qrnr udv

fl o.rfiul:nluduff (U-4.33,o=0.70) rrav :vvrryu

ieiruirru lunr: rir ra?uqrnrurras{lo ': rl'u I:nu,{rfi ,p= o.ou .o= r.urt

.l:.2 uu'ir nrrrfrotfi uro'trl:vsrryufi

.ic,lnfl?fl0 ii t1rutfl 15 run r:o ttuul tu ]n: ln t: riltairr

ZAqflnllulaYflo{nu [:ndl]lrUtta uT (P& PArea-

a?dr9based services) 0{H looo:osl0 1] 255I OlUn:3111 n1:

o{lu:vri'rrurn t;: o.o, , ,.r. = o.rr) rfioiirrrun:rUv A rn, ,

t0 ngrluutflafl4tqo I ounurl:fl tfiufl f,flluou nJU/

):rnoruraqrru nr:rilfiur-ru In: rnr: ri'rra?r

flcin r uac:lo{du t:nrinrfurrnn'ufi (p & p Arca

based services) gtotuo{ ( i= 4.58 , S.D. :0.12) 5o{a.t

!1 no n0fl::u1,o'1n1:9llruu.ltudnrd:tJdfl R'r1{uasi;0{n ttFtflt?1:ull,9t11u11 (P & P Area based

aa)tser.,,ices) ll l lU :vtlYuUqtn l?lfl ( X - +.20 . S.D.

=0.79) uay sisrauluu^ufr fi rirudrrllunr:fi on::ru

nr:rirru-urrud.rroilqtnrurra;r1or fr'u'i:arirnir,\Jflil^ufr I p a P Arca based serviccs) ( x - -1. l6 . S.D.

-i:- 0.8J) nrttuutadflin6ln I rtu9lIJll:n IFI n r] l:'

! ,, t,t A q )1l: I TlJTltn i dt t{n I lJJ11] I totnfl ttllfl I r ftrr {fl l:10.1

r l : v ry r ry u rfi a': ril n r : ril u^ u r r u T n :.r n r : a l r a i rL

Jid1JJl l1{llny ]l0 tn! lt ft d tl4i1]ruftl'tull ( P & P Arer

based services) (i: 3.49, S.D. : 0.67)to.ia{ l fio

i

'l1rfl1fammf,utru1u1aufl{r1{nufi qn:AnfiBoromarajonnani CoUege of Nurslng, Uttaradir Joumal

flii s ofiJfi 1 rnl']Bx ' firnnou 2554

29

I

).

l

1n:'rnr:rilra?lqrn1fl rtaEfl o'1fiu l:ndtfi ; ttsl

dudi et,o,*-t ."uservices)rirl#rl:vtnmr6urhu

riotld{ (i: 3.88, S.D. = 0.86) uaY :sgrryuludufi

fi ri'luirulunr:uaqrnarrL6or#u1unrifl'1tfi u.iiu

dlrHsruqrnrurtoafl orfi'u1:nrirui:rttsrfiufi (p a p

Arep- based services) ( x = 3.76, S.D. = 0.82)

4. zuArin'q (Producr) to.rln: ln t.-fil#lui;

)- E rJ rtuti {rd5r qIfl tfl [ ra vll o I nu h- a d l?l : ulll 9l1t ull

(P & P Area - based services) i"t m io qo:6srdfl zsst

4.1 nx1il6orr1utor{iufi ovouln:.rnr:

drrlruan6srlunr:r-irrfi u.rruln:rnt:ri{td?ilqtnrrl

rravflorn'ul:nrirufrLurqdufi (P & P Area based

sen iccs) i nr ioqn: 6erd fl zss t {:'rfi ntouln:.rnr:

oqilu:r6'urn tft=.{.+z,O: o.+t) rflodrttun:rudo,I

Nll'ir nruuurq6udiqifl 3 du6'urttn'ldrrri rl:sryrvu

fi n :rrudr1o1unr: q'rtuu'r rurirrai qtfl llurav". ^,.. ?-r''lo'rfi'ulr-nlufiufr (U- 4.b.l -O 0-49) :vrytryufi

aru i rllu n r : rirru^u r r u aua?r qr n r u un v fl o r fi'u^ ^.!)1.-nlun^ufi tp=+.62. O- 0.4s) rlds :yrytryufi roorrsr

ddrionr:n'rrfi u.rru a.:raFlqtnl.lrravfl o'r f,'u I:n1ufiufi rg- 4.58 . O 0.51 ) ,rns nvt,uutqdueitqrl

Lie ' , =ii e3 0ufrurltfl lalan xuY lravH}J?ui lulllD€,?udi

fi dru i r il lu nr : 6'er n r : ln :.r n r: ri{ra? qr R 1r{r ra,

flo{fi'u1:n1udufi (k 4.17 ,o:0.37):orarrur 6o

ilrzmrur#uqorrirlunr:rirruu,rruri{td;:rqtnln

rravflorniuT:nlu'nud rp: 4.zs ,o:0.62 tlas

rl:,vvrryu1ufi ufi fi nr.rrufl unr:ei'rraiuqrRrv,trrdu

fl e.r niu l:n lurfiufi (k 4.37,o= o.s7)

+.2 nluFentutotrJ:smyufi 16ar{orlfi5!

r ?n r : lu n r : rir rrju.l r u In : r n r : riu,o;u dt n"-, *uarflounuirorirmfurunfiufi (P & P Area bascd

servicc't t''rr ioqo:a'grri ti zssr d'ruzunzun^o oqjlu

:seiuxrln ( i = 4. 1 5, s.D. : 0.5 1) lounxrrLfr nr#udru

2dzu6fl lunr:rilfi urru Tn:lnr:rirrailqtnruttavflorf,ul:nrirr.,frrtqrfiufi tp & p Arca - based

seh-ices) i'':tiioqo:6srd fl zss t :sryrryu iirttun

:rodo nvuuurqdu(rqn : ri'ud'lrt:n'ldtrri il:vvtryu

' ' ,t::lto lln: ln l:tuTrJsudrr.r r:ou lflrr itlnflo , ,rl u<aiildtudl]n ry{lras o{nu [:a tfi:utltst11u11(P & P

Area-based senrices) l:Jrfl u rili1#fi'ufl trtfi ntun:olnir

ruavprruld'([= +.:r , s.D.: 0.85) :olaq r noo

1n:.rnr: rilrailqtnrfl uaBfl o.: fi'u'i:neirv :-uttn])fiufi tp a P Area - based service, rirl#rj:vry rsuluZA^fiufifi n':rrn'rfiosorqtnmeruro':uav{6u (i= 4.22,

s.D.: 0.75) uav :vrrtu1ugutufi rosrnqr^fi 6rio

1o:snr:drrairqtnruuasr1oqfi'ul: nrirufuttnfiufi (P a P Area - based services) ([: 4.19 , S.D.

:1.01)

+.:'in: lnr:ri{taiuqtnrnuavfl olfiuI:nrirniruron*ufi (p&pArea ba-sed serviceg riruluqjdr<9a

[L]UU t UlJ I Ur[2U i ',lU d: r I [d: ]J qtR ]1t10.10 tlt?O

qor:6orti' fooar 85.49 ro{du.n 6o ulorruul.ru.r-ru

a$rrrriruqtn rntor :s6'uuLn {ofla; t+.stlofl

In: r n r: eirraSuqtnru ua:fl olfiuI: n eirvfrllsrv[ufl (P & P Area based services) n] ltr.tu I lu

9Au4tyfl, I JldllJqlJtl'lv{110': :YnU[19] tIdstUUll l:615 l{n']]tu

rqfu u6.:to.t,i'.:ninqor:6orti'Sotrav ss.so :o.ra':rur 6o

nr:firuurqnarn: ?ouav. 3t-sl nr:finurio'auavnr:

ionr:o':uf {oaav t r. t I nrr:rirdr r lavfl lrJl lruu'riu

a#rra?rqznrutol6'.rxinqrr:6nri rirulrt! rfl unr:"

j .ivItn [TIo]]1tflllntfl tulluyl :0ud3 o+.t5 :olawt fio

n',rr[*u'dnrolnnr:virlru Soaas 32.08 uavnr:oy

1l:li-l:00fl t5:vou0nfi .)flr [avo uro :ounv 3.77 fl ua mrs .ir, y-rflt.rn r:rl rfitunrtduuf,i,rult :vru rar lo:lnt:rilrasrLqrnrrr rnvrlu'rfi'ul:u rim:-r,trdufi e a p

Area - based servicer) 6'rnioqn:6eiti il zssr ld:-lnr:afuauurrrl:y 1ornrfl rillinlrua]tr: ru ql,l

,1"'lvrhqn:o-nti #oanv 8549 trav:rsilnrei Yorlae' t+.5t* i, v-[n: rn r:ii'ldirnr: dliuduui! Tru r,u'in: rn r:rir

ra?rqtnruuarflo'rfiul:nci',niu,r,qfirri tp a p

Area based sen icesr frlv inqn:GntfiJ :sst'ldflnr:afiaqu.rr :lrraiorndrrin.rruartr:tuqt'fi'rriio

qfl :6addru1u{{qn : o'u6'rrr:n ldrui rruou rfiufi r

lnqfloil druau t: ]n:{nr: (iouas 20.98) :o{a'r r

n0 dlun{rud'rf li0l d10 lmo/ t: {v'{ut taIuryu.,l d"{

niruau t r Iurun',, duuu, 17.i4 t[ax ulrr.t'*u',t,

lndln: o ruru 8 [n:inr: (5oflau 12.90)

ln:snr:fildfunridfudUu.r iv:rrru

[n : r n r: ei': rairqtn ruua vrl o r fi'u]:ndru frz;[19t1\u11 (P & P Area based services) 0{H1qqa:fl{i]n

u zs-s r ldirn r: ariuauu ru :vr tar : v6'rrqlo lduri

rrunuqruI:n iiruru 3 In:rnr: (ioflas 4.84) uav

nlurood / dlJR11109t/d1fln!]/81[fl 9t9t 0tulu 2

In:'rnr: lfoaar :.2:)'ldiunr:ariraqu.rr :vrruornrirfnrruortr:tuqt'fi'lninqn: fi orti riru:ru

g,49.055.773.q5 U',r1',r (:OUAs 70.76) s0iAilJ r n0 :vfiU

rcrfl dru:u :,r+r,szo.oo :irr (Youa;2q.24) {! :suriu

In:'rnr:ri.rra?lqtnrvruavfl o!fr'uI:n (p & p Arca

based services) ,i'orioqer:o^orti fl zss t iiruau oz

lnr{nr: dru:u I 1,916,076.99 rrn iirrrunrfl u:vrir

6'nr ier ,;ru ru 8,588,608.r9 rrr (floflas 72.08) udv

:se1urrfl dru ru i,327,4b8.80 rrm 1flooov 22.021

nr: t#ruil:vrral In:'rn rrarreilqtn ixuoyflolri'uI:n (P & P Area - based services) i'lu{oqfl :oe0 11 255 I :yfilr{ $r lfi 0 ru ru 8.588.b08. 1 s Ll tT

, irn qr-Hil rar rufi"[d:-un r: afrauu rr :yrurorrurnfiqo

ldud 'rruafrrqtntr druru r,481,042.60 urflYAtiouny tz.+ir :oidlur 6o n{rrrurir.ir:r{r'hJ

riruru t,3oo,t rz.ts urfl (iouay 10.91) luri-usr

drtl:iuqfl 0rlxu t,298.817.00 ul11 (:oudy t0.90)

nejr.nu{rn: o.r rluiln narrr: tu qt iiruau1,080,623.40 rrm (flooa; 9.07)'l1uloqr0ldy{9l^o/

t L a ?cqtfl l1'l oa/qlJfl nU lU)-ssldxJl'lut t lu lu 1.008. I 4 1.60

, -.i yu111 (:ouar 8.46) .t'lu0u'tlJud{r[]fid0uudu

orfirourfo druru ze r,o5o.6o rnr 1flouay b.M) { ru

1{s}ru1!na1n:r[dyd1t1: qrryag1]l 01ult.l,t

732,328.80 Lr r11(i08ny 6.15) dd0. /511./dtU:lynt:

o,llflJu rfll'lrfl rfln: 0 rulu 382.356.00lJ r11 (:OUdv 3.21)

nr: 1d,ruil:vlrtu 1n:'rnr: d.ua?rqtntu'1

urttdr[]o.lRu [:a (P & P Area - based services) 0lfi1o

^o/d'QEr:9l9r0 ]J 255 I :y9tUr10r 0 rUlU 3,327,468.80 U',ryli ,dadtu tl4iutuu10.l ull9llu tqfla ln:Irdsd tt l:ol EI

o,a5ru 0]ulu 679,213.8011lyr (5ouay 5.70) Soia{ 1

no {runruqtut5n 01u1u 656.444.00 ur11 (5duay

5.5 r) r rurond,orre usrnlat n rno n/atfin u rt o u 4.

]J:vfl rdrJY{l,lr 0 ru ru 644,0C6.00 u rlr (5000y 5.40),.9

I lud:li Etn lfl nlu'lu 601.,140.00 U 111 (tdtlds 5.05l.

nq {1ufl0turulrrflld9r5 lru?u 562,869.00 u111

liooar +.zzy uavn{runud'lLn:o'r{r?Innartr:tu qn

iiruru t s:,+oo.oo ilr1r (3ouafl 1.54)

nrtldrurJ:vru rru ln: lnr: ei':ta?r at nru

travflo.rriul:n (P & P Area based services) f,tfiio< rd'

qn:6ntiu z55r druxu l r.9r6.07b.eeunl rilubt{1#1u n r : {or rJ : r q!/o ! : /i'er n 0 n r r l vi r'r 1 iiru'l u

4,225,036.00 ulyr (Yoflau 35.46):ora'iur 6o Iouriudv , ahinu ror tu6u1 (dflrl./:T{./fi lfl:rvnr:du11i tutu z 2n jzs.rcurn (3ouas zr.ot) ririaol (ri rrin.ru

morfiarnofl iiru:r.r r,235,985.59 ur?r douav to.ll)drglorumu drulu t,ogg,zzo.oo urfl (iouas g.z:)

rir14drslil:rynr: druru +z+,2:o.oo urm (#ooa;

3.q8) n r:ldqu:ys tdrJllur rtutu 44b.166.50 ]J tll

(Yo uo v :.z+) rirsr: r o yr r.: #o.r :l grior n r: iir u T u

xz3a+.+o t:-m 11o0d y 2.96) ri.rdr!r:qrJInn iiruru282,6s2.34 r.rm (#oaay z.:z) rirflr.rqndrl iirurut7g,zgo.oo u1r (gosos l.5t) rirfitrrrondri dlu?u

t:l, tzt.oo rrlr 13ouay l. l 7) dlSu:'r':iar}i iirurulo,soo.oo rrm 1#oaay o.a r) nirldrirfl 1un'r:f;nurqrru

siruru 8z,3zo.oo rrr (flooas o.z:) uagririafl./o ,

n]:rrlirlrr, 0-rulu 70,057.00 u1li (:0uay 0.59)

In:.r nr: rir railatnrnrro y:1o r fi'ul:neirr.r:*lrtgrfiufi (P & P Area based services) i'.ttii'o

a /.{qn:qq0 unl:9toel.lrJuaynl!E nlnun1:9t][uu.l]u

rhuru +g In:':nr: (9ouas 79.0i) 'nr: -rrfler'elsnlldu1 iiru':u st:,s:6.00 urfl (gouay 4.31) uasn6jr{ru

x1:d'r:t uT #uYrtl'lu1aur}l'1{trJfi On:AodBoromarajonnani College of Nurshg, Urtaradit"Journal

flfi : orltfi t xnt1a - ft.ru1urr 2554

31

a dt l. s eln:{n r:I u!r.rflir n ru']u 26 ln:{n l: (:oudv 41.93)

io nanr,r n'0 fi nr: fr lvrfl 6qo'ruln : { n1t T nn 5-{et rrJ[ t udruru 23In:qnr: (iotras :z.os) uovlrifinr:firmq

fioorrrln:lnr: iiruru 3 ln:lnr: (iouav+.m) hifi,:.nItr AUU d.inintt VA.? lntirll: 0ll-J?U 48

In:lnr: (iooav zr.+z)unvffnr:ulduurr arfion::u

luln:rnr: riru':u t+In:rnr: (Yotra; zz.st) finr:p-o no n::ln:lm r i v uv r?arTnfioR:txJsrrrJ([t{u/

ln:{R r: nru iu 37 lfl : in r: (5oud, 59.b8) : 0 iR ilJ t

6o fl :{qr!:sasrrarrlfi on::ru iiruxu 18 la:{nr59/ it(t0udg 29.01) rrns lrug]:.lflt :;uv[1a ltlnntn::ti'ru'tu z ln:lnr: (9oaas t 1,29) flnr5flqilno

n r:rilfiu r ru r"ru'rtl 541n5 in r: (#ouay 82. to) rrnr''[ ri fi n r : a q rl r.r a n r : sir rfi u.r r u ] n : r n r : o"r u r u

s lntrn r: (founr t2.e0 r ua;finir aqr}lrrn r:ri urju

r rurvi rfirnlrn:L tr r" ruru 37 ln: rn r: 1flornv 08.s2)

fi nt:a:ilr.ranr:rirrfi u'rrucrn'irrfl rx:Jr0 drulu tzs .,ln: rn r: r fouay 22.zzt iin r:o'ovi uonar: fl : : ru r ru

aanr:r,i ufi u r ru o" ru'rrr 52 Ja: {n r: 13ouor s.l.:z.r

4.4 {orduouuylJolf,flfi ovolln:.rnr:14{u :y rru orn.rul?nr:ri'rrairqtnrlurosfl o{fi'u

l:arirrilrrsrfiuli (p & pArea - based services) ro.i^

6, < ta ai'.rr. ioqorr 6md )na{irfi nror 1n: rn r: rirrniru

e] asqtn l?I udello{nu lSFl (P & P Area - based sen ircs)

{lu iaqn:o^nd tJ zss t iiru: u J8 nu ffr?orau orruy

ldlrni t) nr:fiol:tul,i'fla::ru :yur nr:drulourgfl :y11:'r.rdlrr:ruqt rilinrrurd'nrJ:vi'uqrnrvr

- " J.l ^rr {s ra rrdvutultI luy'tul1lJ ll,t0"t:€u r0u1. ft5 rfi59t

2) n1tfi or:aJl6'ed::lu :ylrorrirdt nr:r,iufi u.ltud e oare,

ln:{n l:0{[5tJYl 1] I ntcrotFio lruufl'l:flin:i ntuydI

dr lfl n a rirrS o,u o.r l n : l n r : hi rfl u'hl q r rfl r ?i r r fl

i )nsynr:rnrr dlraSruqtn nr h.ifiulrr rr,rrirr#rfiI oo

^9t tuljllU lllu0uJIn 4) nt:n1nufl9191 :3OUtIgt

'hiaosndorfi'unr:rirrfi u{ruro{{qyio nr:fl nr:':rr muirr6'u:swirnpt / o-w{n i drrro s) fi ya-nrnnrqi

{ecirfinlunr:14r!d:yrurnr niu nr:#rild'oo:riu,yi

#r:Lfinu rqr ru rirl#ldrurJ:rru ralrild1u4n

fi on::u o) ldiufrqdt:'ruil:ELiril#ouou'hidr!r:n

rirrfi unr:16oruIoufl u:vru'ld z) trnnrrrLdnnqiu

1u::6'rqvrtaranifr.rmin uasdlnolunr:ufrfl qx r

trr'u ro tro,r nrru tun rt ,i'n dr t iu :sl rar hi ldri rru^u

n r:rrl'onorauolfi nnsi FlrrJUyrrfl 'rdnfotixrrfroir< i- . a < d m ' ,

8) [n5 tn t:flnomt[l]u tfl:{n]t1u rordn I d0nn6o{idd,a,Jn tFr: {fl 15fl fl 'rfl ll.tfltrraJtlluryftn0fl:t flatu8,r

A- 4 "rufro,furn fiou lu:s6'ro.rnio 9r nrrrfinu :yrrordd' s i

"n:fi riJuln: rn r:fi ri r:v6'rtitrn o n r: I ouriuhll#,J

0 lrfl0fl l[UUn l:lUnl) lUr0{ [tJ9] 0 ir.llUtUfl OUn l5

rfi niiTlriufi r;rfn{ ruarrr:ar ar6',rnieofi : 6eii'-l4.5 1l iu fi 'l11yt u 0 I fl n t: fllruu{ tu9l ttJ

ln:rnr:lurirutorn{trrurJ:vf,uqrnr rirfln{ru- .,i- -dlt l5 0J qun{fl ?9tqfi:qa0 m?ur.rayo n t:run-ttu

ru :errarln: rnr:rirrriurcrnruuavfl orf,ul:nrirnilttsrfiufi (p & p Area based services) no.t

frnrioqn: fiorri'[drui t r: roar16oon r: ldrrrl:yrrru1u1n: rnr: :rq'Iil.i'o,ou z) r:lnlu :sil riulila: {fiu- id qrq s !r 'da

j ^fltn5:?J1lllrtju t ] tU In:{nI: ttJ n0n::u1'ltrn

rurl: rru uurfi uu1 fl uln: lnr: :-) fi nr:uJfi truurJn.r

:.raayr60nl u Jo:.r nr:1#n r lfrl fion::rdoyrr-l^n

.nr :rrJrflr ioahildrirliufintoourieiril6uuuilar4 A ^ ^ dre 4

nS o nlrL rrn=rL fr rr n: : l'[rifi uin r : iuyr : u + r n t : rfi n ii r u

rurl:sir riu lou'hir.itun r: rirhfloqdnq'lr rurJ:r n'u,4,qtn lyr 5) nr:r fiuuu a ruoe luil:yilro, rfio drdu

a 4 ^ ^ A a a 4 !r,, ,j ,r'luutl4LlnHurl{lJ/unran[{ua llJIr1 tnt l_ldsuln l.] i: , i "rfl nqrJ J rullstnuqtnlfl cu{nsm I lfi n t:T turuy

: s v'i r r n ri ru r r u : s fi u at n rlr ril.l t u n t : r3u o ri l^ Ju,m' -ituu:tit:11'l tll txJat ln

afi :raatat tA r ^nl:u:yruuft: tu u?qq :Edtarfl0utyr u

Hd tn: tn l: d. d: r.r dlfi nI rldyll0lnu [5n d tH:ud,r.

ltaY{uTl (P & P Area - based services) 0{Hxaqa:Flan

fl zsst lnoofrrl:runosnrn:ornr:rl:rur'u 6'1fi

d d et A ,&l.nll nql UoluUiUT (Conlent )10{4:X

fi ovolln:'rnr:alrairLqtnturazfl orri'uT:n (p a p

Area - based seMcest oqjlu:rd'-urrrn lnorirultqjd '<r1..1u II n1llrdrrofi00Inuu tulJ rrJl0In:Lr5'l I

nrrr:u qtlorfi rs]0yfsidilrvurryu ri.lnal#eJ drz t

1ltvl rlrud ltJ tsn9rtadflnlT,tsruro.l torrd9i tulfiu)r

flfifi oryorln:'rnrrrio,aiuann'ln,,av{lo.lfi'u1:n

(P & P Area - based services) frluioqo:Gordfl zss t

aoonflorfiuulor rflro l.irfn nu Ha'nrJ: v nlu qt n nr.i , nra

uli l5 rsr(255l) nd1111 n t: dild:trlrngv{9llu I rfililft

:vrrna-nrl: vfiu 4rn ',*drlr rn,nrrlultua; fil#

l?nr:fio':rrqt nr:ril rairL arit aq u :aurtudttt'er.la

oinnr rystSlJ 0 InnSrnn:0{d1ui10 l0u ull}11J tl1

lunr:fierur:y!ur.rd'nrJ:rriuqtnrn nr:{lo:o'rfilrt^rras ri rrai:Ln:vrrrun r: rEauito rri:sr rsul#,drlofi ntrravtrirfi fi rl:vvrsufi r'ki;ro tnn r:rinr:J .^fi I n r:si rrrru r rut o rln: ln r: ri rrcixr drR 11\ uds

flolf,ulrn (pararea basedservices) flrriinqer:dmti, , n dr s jy

^q ltUUnl:0UIi9lrlt!0ll[6lYt U tnl in l:THU514ll

r o i R i r n i r r d'r r r : nr aqr T n : s 6'r l#n r r r ri r d'igJ'a44

[1]Oil0ln nt:dntd:ll01R11 l tlUluo.l fl 5yljlunt:[14tlJ

neruarrr:ntorfl tronuana rraan{runnafi uGuuf

rdrloiltynrqtnrlr flr r:0nlquafl!ro'nrio rrdl{i d ^l^ru:n]: fi: oorluu nl:rl,!0 fll:rqqJRr1,!9t uufl0

airauflt'tv11dlJLl:flI 111{n]fl 0h l[ayfl.lfrrJ lr. U.{ st

r.lr',eornl,ir,a,orufi nr: (n:lariuauul?nr:qrnrfl.2546) toulu 255l dlunilulidn ryn!

4tnrurrrirttn frna::ru :g r tilxrliiru:rurf'lfl

i :vurru 2551 iilu?u 2,100 ulTi :s1,rn: rloy

tilulu :rr riurin t:dld?ratn tn,rnrflorfiultn(p & p) riiu:u 253.01 .rm (#ouay tz.os) rniorir'lrl

rirrfi u.lruds ra?rl a1n rfl rracfl ol fr'uI: nt o'r

1J:yTrsu luv'ru11

z. nluFnuludrufloi'urjl{r (Inpu0 torv a

,'ltLll.lqryO1l Irl:1fllldllff: dtn tlfttO: t1O l,i u'i: n

uui r ri rulvnifi n : rufnlrLuhltrfi o':rir in: ln t:cl u+fl':[d: qUn l?,luds1jolnu t:f] (P & P Area - based

ser',iccs) frluioqn:6srdfl zss t uay6'.r1trJgffilrun ru

ln: rnrrirrurirrl:rrrru1ufi ufi 1 r?nrr ud ruu'otfl u' ..1 i o.'y^

001{a m.i l?t0l}flnoHaoaDEl, ) floillrg9tsu

lufiufi trriSrurfl tyrtuasqild:rnrfifl1ii'!i )-vrJrurtasidElun r:rituju rtu toqndoifi'!nri

{oa::'ru :srurutoqIn:'r nr: rilrr?ruarnrnrray-:0lnu t:n (P& P Arca based services) 0ifi lflqfl: ogl0

4, t. o, ,

u 255I 110frflrr I1{flq urrds.r'lt.r1,o.rd runi ru

d rrr:or dr6'rfl;ooo:fifld Youns az.zo rrnyo'srn::l#

f,irirfinrruertr:uqttirmouavl:wrrJrtllaqrsuioaat, n.7q ryirriu d'ltiu nr:{odr:.r iyu1rr

]n: rnr: rilriudcrn nruayrlorn'ul:n (p & p Area

^ J o o'/ Ibased services) tiH'lflqfl5nflo fl150O :: tl.lflonfldd{

ta9q9nu dn l1Itlqfi lrtdgft'l ltJfi0 in ti Iun t: tln!0jfi'lo lu

qrn tutoul::.rrru1unoufi :urir1#aoonSo.rri'u

l(u?7ii{nli i?r1rqu :yur dimi o'orl?nr:ait.r

rd: qfln tv!rlasu0{nu t:ft:Sfiutt}l191 t tl{ru 70ooA9/A9]

10i iuuTn t:d: tilditudl]R]?uray!0.inu [tftdll4:1t9r[r

t'UFll,lU14 (P & P tuea - based services) dlli:U[lfl lllqmrqtnruto'rr.njrfl u?nr:1unrfl 1]ori'lniouio

ffufi rirrfi unr: :'ruf{fl il'rfl u:^n1r luR.lfl r irlfl o{i J. -r.n{ rqr-r: o1'{ulrfi luun h- fiuluu:'n r:1uu'ufi n ruld

4'TOdlltll:3 tt "uUlJO{nt:d:t{[d:Iqtn']1I d*IJ0 inu

I:n nr:.ruplu l-ru/In:lnr: finorraq n::l nr:y 6'n

:;fiuaqrnrur:6rfr'rnio (orlan.)rionflrsnsT fl'I,9, . ' o,

dt I1rd: rJ lrR rlrlrdyuo{nu t:n oqntfltanl:nlnu

q,,unu,o*rur-1n::unr: ii'n :gfr'ufltnru:sd'lj =i h, a?)4 i

tIn11U11 ( 0ll dlt.) IAfl t OUtU tFt lfiJJn 1: nUr:U dlUU'l{rinin l rum,inrJr^yfiu drn rulri lry rn a rt ri.rriaiov" ^ , r*^11[Yqrtuunri I nSiqr tstol]Tid.in cYln0n)^:xJ

r.- , ,/ ";,.lifi uu! r tu u:rn0u9r1lufl t5r rn t,u!ful4 t1l t l qlnt tfilq ,ii

doflnaoinud0tunl: ryYturtil'{u11:tflul).11ito^aID ttn0 fiu luu:fl-r5 n tfl latox]d ri!)^: irfllr (t \,iden.e

based) udvfldudqul#,fion rr-,drfirlin t:sr: t,r

(

(P & P arca - barcd sen iccs) $l lqrr,ilrflqn 255I

fioh:o.:ruvdlr.lrnunqn 6inr: rup-smear tlaE vlA)3: - t @ r ei e1^

r4lfi r-i dnrnorqin t: dux duu.lu i vlJ l0l[11 0 tl{lnonl:

rirufi unr:n-.rnrirrl#rfl uhlsrrilfl 6'nrnarqifi n:srr::.t

drD'l:flJqqlrirfi uq n1:sq[5ufi1u;nl:a:xo6'qalo{

ruvrf rrrJ.rnuoqnlurirutud:vrLru (P & P Expressed

demand serice) :ailf"rrlirltrl6uuvrqGn::rLfi rfia.r

sionr:rn^nI:ntrruxru fl xrll6'ulafinql nrtvd'ru^ ,i o g/j- ,t)

tray l:no-u ,il (lfll]rutu t0 "/0 ttoi4mnnn:0trtat

fl unlxyrdfl n arirarluunrufl'ltfl tgnrl#r::q, -!- a.

11r'lr{u lua luer'lrrsrrnn n.runr:ou iuu tfln'rr dgritfi;

qtnl1{tlaiflo.1fiu1:n (p & p ar.u - based services)

(drrin.rrurii'nrlrvfruErni, zssr) 6ldufltus oUn::untr n d'nil:v fi'uqtnrN:v 6'u i'ifi iel

q^(0uflo. ) 1t50fl013n::lJfl'r:dT1trd: q1fl lllrraY

flornul:onr:fitrr rnrrlrdoeflB,,onrorIn:rnr:d

rda:{oinu n r:ru'no' ru:urJrylrruafl rildi dunr

trnufloifi'ul:n (P & P Area based seruices) tfio1#

rffo rl: v fin frnrn rrayil: v fin tru a 1u nr: ldiiruru:J:vu ror doonfloifirlr"rdn rtrl:vrfi u{r{rd lr

: vrrui o u: ru In :.r n r : fi 1d.i r rJ : s ru ror tilr airu os

fl.ufiulro (p a p Area - based sen.c"O fivlu'jt nr:'

id- t di,, o

rJ:vprior:rLfi fi inqrJrvarrih{rj rn.l nrfhJilfr 116 n m

niu riuor o u n r.- rJfr ffi fi 6'r o d r.u.l : y n o u n {l {r{rd rr

er:ar:luorf,tmolu,tau:rll1ttu6 QnsAodBoromaraionnani College of N ursing, Uaaradit"l oumal

flfi r qflufi I rnllal - fiqu1tu 2554

{tirulanr:I:rnurr-rra dlnli qtdrrno l#n':rltir6'tyrravuiunr:6enr p{ant:n'1tu^u{ruln:InI:d

1#lurl:smruai.:roSruqvnrnua;fl olriul:n (p 4.. p

Area-ba-sed services) :?ild{il5vryl5uluduii1#or.,uasl

ri rniusron r:o lruuilugl]ud.ltdluqln lfl ttav!0{nu

l:nluryrryutornulo'r f,oondo{fiu dnr: :vr-uo", , a -fl:i Afl(fiuroi tvrytryufirt:-uuFrt ttfrt lnr{nttfi

ldrril:vuror riuaiuqtn nura:rlsrriul:n tp a p

Area - based service, finu'jr aoruuinl:qxfltll0111-

anrfi ourriall:ruoruraqxJsufi nr:rirtfi ulrusrrtL

fi on::rro'r ln:':n r:oeir':siorfio'r unsrii}?:J:vryrryu

fi atn rr.16 rl : r t rsu lur.,r ufi fi n r: r6ril rorlo o a l-i,,

dOOfldr'l lflUt[Ulflf]U0 {nl: f,.ltdlUqlfl l1{11fld1?'J I

i" dflr5fi'rluunl: d lrd: q1n r1'l ll0ltllu 5 nrn:: l)

a{r'ru lu ruartrr**,*'uqno,r,r (Buitd Healthy

public policy) loorirruoulouralnl to.rnrnoirl.laqlu .iftu 0{fto.lfi tu{fl iruan)-rmxnoqln ly{ 2) n't:

, "'A Aid: r{ d:5 nfl irr'la f,o mlnohqufi0n1: qrnt1{fi

id(Create Supportive Environment for Health) ry{nl:

33

ruIn:.rnr:fi1d'ir :yrurorrirta?ruos 4tnrru6 hicrlr:arranoonornrrlrr:.rrudrudul 1d

:n (P & P Area - ba""d s"*rce$ fiuu jr n t: odrl#qrou nr:nl6ouurlaridfiiqto.inu ,folunl,111.1'lU ttag nl:1\nfl OU ufl Afl 5yYtUgl0qlR1lI R1:

' o o yadirdl dun t?{5)u11'l t1.rlflo dflly{n 15080 rfl8[lnsn r5

r r,r', A tlJ:v1 t 1r:Our4{ElJ tlt'ti txJrl:&{xJ nt:0fl1j:3qtu lil.llu tll1-1 t ot,li aaflnu rrds J) 0annntrtTUrys vt94 q99,/ d od,

n1:Fl ll!unl:n0uYl iqq: u u 191,0 i t:f't tlllaDoo0n tr.tl1tut[lJ{ (stfen$hen communiry Acrion) nl:mt ll.t;i df 9 4 I q q e , d tty

n\or1luflD n:;glurrasla:u fl ItJt{5oxJ tun r:ilo{fl! ry alrttJrrl]t tnlrn n t:T I lfiqu1ud lu ltfluntn:t,it,-.i

nr::ru'rol]o t t:n t[0vnl50f]u:yq /ou:u!t :oirnl dird:tuqtRrTt laro.l tFtflstndu tnladnuqyt yt

, A, , e a '1..1U rm?og[rd'] ltuRt:flf] tyun lrnoulidiltorl fl'I1.tl-Jo )nnrttd,t 9r'Il-,untflol

a d e - idd ' 'L n'l lUnfll?lU9 lUfl5 E U1U n l: (Process) nlSl9llllJnnnl:11f1 nqIYlUfl lro I ltAvY{g}lU l:3UU

to rflfufiorouln: rn r:.i trd; qrnr rrdsflo{fl! rolsuytl +r n r: firuu rrinurriruqnn n (Develop

I:fl (P & P Area - based s"-l"e$ 6'lr{orqor:6etri Penonal Skilh) n1:ri.ild;:Jqln1 dr;udquniifi'$rul

ii zsst rirulnqjrf u'jr rorur?nr:qtn nrfin r: rflnurd:uqnno unsd{nu ]flenr:1#r7oruo nr:l#nr:-i e @ d -i - i a',i oyrioll r tn: Jnr:11rflu11,0 i flun r)- d i[d:lJdtn ]1'{[ld3 flnu ltna ]flu dln tll 1r{utll0 tlt1jT351surlYn rld 0n

rlorrlut:nodrlrio,i-el qilun]n:rnr:'hil#riu 1un r:n rrnr qrn ,nru,u,,,nrd.,,',odou i6n r:1#

rurl:vru rtu riunil qrnrvrua;fl0 rrYul:n rp & p Area r1o4o rrarnr:finur orrr.i ru:strul:rGtru riruI

- based services) Yl'tU fC :1rl:d0llutnItqtnl1{O'1}1 lltl l.llU 1'USll tlUfiltuunlt lnufl luo.lfln5 ml ln l,

A/dRurdruorBvl nr:nrfrryri rrasorarafln: uav s) 6'o

:Euruinr:qtnrnlv (Reorient Health Services)J9

umr rrtororrin:qtn nr do rrl:-rulfi ou'lil1ufianx

1o{fl 15fl.ltfl : qlrR1l',! Xlrnfl ',r1fl 1:1 l5nl5O:',lO:nH19,J < n9 | I

r lsr [1,{ 0 nq'] u to ti 1 tfi 9r o u d1.! o I fl I fr } I l.J 91 0 i ll I J [[ a t! u v ,i r Yoo-

dOOndO{nl] Il lUn:: 1O iTxXU !1{ rl Lt4tlT'lSl

llqxn tl,toIu fi.{uu flt5tlfl1'l I lfllir] n d{rd:uqtn I}1

Itagllolnu l5fld ll4:UttFlltull (P & P Area bascdt:

serviccs)n?:n l l0lljtnflullt l(lnpuOlliU n:UI?ufl l:

evaluarion) rilunr:6'0fi ultludtunt:rirrfi u nr:t o.r In :.r nr: tl

( lrnp lementing decisions t ( ri ufiu: qtrd tu.2540)

'rfi nt:il:vrfiun:vulunr: (process)'jr'ld

ri r I n .- r n r : il 1- f er' n r u r r zu u fi ri r y u o'l ir i o 1 rj.t ,^ -^n c,6ra rrur:o:lfrri6'ld z 6'nunrv 6o rl:srfiudourjr'hl

rJq^f6oiI uns ry,iun:yr:urr r:rnrvrlfrri6oqjA nyo gt - 4dr t y I 6l ri r.r n r4'u yi r r yi rfr o I y ri r'l rJ { n r : rJ i urJq.rn:vurun r:o" uuuln: rn r: o'u rvri r'lrJ {arn,i'l q rrr1p{]n5{nl: (PDK National Study Committee on

Elvaluation. 197 7 : ?61 - 265)

4. nirilnar#udr Hdririarourpur)uo{diu

fr nsouln:.rnr:ei.rrairuarnrmrras:lo{fi'ulin (p & p

Area based serviceg 'fi"r n in q or:dntifl zss t rirulnqjc, &. ^i<,rt4u1r tJ: vT tuulrn i t sri I{rInyrr)stng]Tqfl 0n ti

riaui':r1unr:er'trfi u.:ruti.:ra?rLarnrurrayrlorf, u

l:nluqrLryu :rrfirr :orrufirfitrrrlorfirirud:u

lpnr:{onr:le:.rairriird;!qrnrnuasrlo.rfr'ul:n" la e q a dlul.-uii aonndornun': r dqrfiurol irTtyufi t;uuin r: el ru ln: {n r: ril airqtn rlruns rl o rfiul:n(P & P tuea based services) d0tuU;nt: d1fl i N

" J;- .8 .,,t, - -:-,'tu1,lu11taT]1U l',t I lfi 1J )- t flyuu [1Fl f]gt11nfi efl tt 9lr | 6t

aqlnru:'lrur.i'{fi nlruirn^o.lorqrnrnnuroura;fi o^u

y''rf in:'rn r:ri+airuatn rlurnsrl orfiu'i:n rp a p'

Area . based seruices) t-.lu inqot:6ndfl zss t f,{Hlq

6? lni{nr: lnorirulrqjfi nr:a:rlnan r:rirrfi uliu

ri r,fiul ruro :ln:rn rr ioudv tz.oo r[rfi4nln: rn r:

rvdo.rfin r: aqilruan r:riruju r rurnioov'ldn: ru6 r

il:sfivrtnru il:vfrnfi ruatolfi on::lluln:rnr: :rrufr':fl turror.la::n1unr:q'rru^u'rrurfi ofi oy1d6'nff u1o

'i rorrorri uurn,, In: ln r:sio'hlviodourldau,rilor

i6nr:rirru^u'rrulufldo1lil 1oofinr:rq ru'rn r:

rilfiu.rrutoqln:ln'r: iiru':u :+ ln:rnr: 6i'rulfi qj

'oqlI[.ran r:gnruu i ]url1tnullj]fiIJ lu 50ua3 68.52r0'r0{

rrzuanr:sr'rruurruq{n'jrfl rfi ilr0 ooaz 22.22 tnzl,el

,rdn r:fi rluui run tnx tlLl tHU l0lotln: tn t5 #o0dy

q.zo fr'rfiin:{nr:fi fi zuan r:ri uu^u.r ruci rn'i rnl nrru io

nrdo{mufl 'rul.i'rd rrnerfi d r1#n r:q' ufi u.r ru'Irirflu'hlnrurfl rfi ilrsrir',l,r1{ i,ur',r#r',oeroou ooufi r

+ A A or- ^ " , ' " :

10i tft: tfl't5 []1011ns lry9ndu l1?tn']5 tyfi)tuufl l:Tn:':nr:riohJodr'r1: Hiodo.rnl6uurrilaief; ni:rirrfiu.rrulufloiol hJ

ln:rn r:riurir qtn ntrosflor,iul:n rp a

P Area - based servicest ff rninqn:6ntifl zss r dfi n r:

oq r^ranr:rirru-u'nuvorlns{nr: rixu}iqjfi :ilrruutAnr:a: Har rurfJurondr: iouny 83.87 ro{f,{rJ]figil

rrrunr:a: ruolrurflul :rrn:l po*".point iouay

t:.qo rrasfi: rrrrn r: a::.lruar ru: rruuooulYooav

:.2:r4''rfi grJuuunr:aq:Jruanr:rirru^u{1ulfl ulondrt

rfl ui6nr:fi rfl urrnrgru rfl und'nsrurfi.rrJ:y,i'nd

rn:aoao!'ld'iru mnln:'rntrfl i:oydo,:aqrJruanr:421

o rruui rurljur0fld r: rtl0r'luitlJ tllr.tu:}t t:lm'tuuasrfi u'licirri:-r nr:sr 510dou nr:dqrh.ranr: rirruu

, j ;,,r rug uurou1 nrrflu:^6n r:firvi'r16rrrnn i:a:rfluronar:udr lnuuu'irn{l.lru :sfiuarnrurirf nlruartr:uar,i',rui'oqor:6ordlugruv{nrrlql

rr :vruttu rLo.:riru-n.ltumd'n :;fi'uqrnrn art-r^ /.

il'tu ioqn:frrirti InofIfrnryounIuflil (6'nci0o )

lri:vrror ln:lnt:rirld?tlqlnt rray:llor fi'u l:nd11J:11a1911'{u1l (P & P Area - based services) 1o,!

ad-A6'lnieqnr-6nd uuflryr ufio:flu: roa;16oon r:1#

u :srurtululn:.rnr:'hi:r11firn::rul#forru nr:rprIn:rnr: iooas 8r.to rrarhifinr:r; Hnnr:

x'rl6117i1ls1f;sYrs1u1auxfl T1aiufi qn:fi ndBoromaraionnani College of Nursinp Uttaradit Joumd' flS J qthld t xn:rar - finu'li,u 2554

35

ru'nlurl:vrrar'hio:1f, ifi on::rLfi 16uuliluln:lnrt

hifi n^,r n: : ru fi rfi n.ru il: vr.r rsurfi uu 1 11 u I n :- I n l: in t:

rild0uurJa.r: tuavt6 uoluln: lnr:1#o:.rfiufi on::rLfi

osru^nlur.l:vt-tot nr:rfi niittJlril:silrarloslilriru-i,

n 1:6'nuonfin{rL.rrurJ:;rr-uqtn lw ni:r Fuut' o't, i ^^:rroo rur l:vu rtut odiauriuu /ru ntiu[T'{lJi flflta n

riilfi :Lhiufi'rnr:r:J6uur uJa.rfi nrjr':rurJ:v f,uqt nrui^ruoi0 rflnrS nl: lnfld5:i!u:rtJl0l lll:ou n

i1:lnr:fl nrurir#r dr1#n{u:rur'nu fitrat'lutfi uu

Jfl: rn r: fiqfi tn:::Jn' ufiunt:lu:vtlvtrart'rflpr dr1#

rlrrru tfl:{n l: tuRflutuvfl'r u1'hirnutvtt trol< h' , zi atiorl::tuol{n&'lrJfl:ufl ?u ritrlufiqri fi0oirldIUAUEl

J"stlu lfl: lfl r:n{flulJi}ll.l 11] l{9u :1tJ111fl 15m lnllu

r{rlolurioinr:d'qoootu:J:vrrtu/nt:uJ6ourrilo':, ; a sct ,)

aoo.tl]llrvu rtul4fltind r tuljtynlldlfl tll lout{

" .i , n 'd ,lu fi :J: r1ru {[ui n r: o r,r t v' lrifi l {ir fi q yorl ln : { n ] II . a ae) ylxi lulld ]stolJ tlll lnqrl ituu:sfl! qtn lv{o.1 lftrtfl tu

iUH l9 ifl d lX tOUn li1'l ll4u I ddtlu1-itlt rllfln6lU i llll.rlru 1ur?o'rnr:li'ouopl{u tv}J16}l ll-dtni:[ 64rl

A 'aru a m o n l u : v r r fll ttJ^ o 6i t fr u ri u J r r r fi n r-l^u r rl uiA A 4 lle",,

fln ra fl[{ uult 11iut1,!0 tunt:n-luq!nInuu0f]l.lu

rr :rl roraua?r qrn ru,ravrlo rdu]:n (P & p,qr.u

^44^,.|.based services) 0{fi Xfl qfl 59lgl6l }.1fl 1:lUn0lUmQnAO{

s.r: r srr I n: { n t s u a y fi o n: : u fi q nrflrlaE

rl:vfrnfrnrn rfrqil:sIuvfrirrriru{rurras:vgrgu

dorauouuv

t. {orauarruvlrunrtrirranr:ii'ah]ld

1.1 n:sr5'1.!dlf 1: qlJrtas rilfnituu fin rJ: r fi'u qt nr u?i{sre 1ailar.) nxsdr{o

,l - q,m n 6i Jrltu tfl1ll.I Glfl[n[udtnn t: [TJU :Y lnr dJ[6lixJ

qxntultavflo{fi'u1:n (P & P area - baserl services)v 1.,tq -J !e./d,I rnrruuds no d:5 11.t 0 iH t99rilrnnurl iu rl:vJ.l rtu

! :, ,- -^ltiury!0u9ri r! tu:1q u n iH lFl iv lfr9 lruu n l5 tfr9'

0nfl oi n:u01)ullavllut?a')

1.2 nlifinl: oll{qfl:t { 5s lruci'l(ditr

qrlnlfl tlasflo{fi'u]:n (P & p Area - based services)VJ

:so'lf't?r io fr'l5ulu [t u lut nnlfl0lcl1I0lfllv1l:') I

d ln r:iu Efl[tc]3ri luni luHf,nLh^snuqln lr{t [l'l is l9]

, ! d @ u a /s(dildr.) : ?um{qmrf, l'dfl5x0{t i1', lelqrl: oq0 tfiu

snounllfrodssurtd{au0u aiu l?,lnl: lul{u :e r [[aei'ndtln:lnr: ixufr'{dltnonz:fi

aru :'lulunr:u^or: f il"qfl rsiu ttrJ trut tavdal6'o

rirln:rnr:r.r norsn::rnr: iiqreii: rtcJn r rtnvfl olfiu

ltn (P & P Area - based sewices) :v6'u6'ltifl fi{fiu 'd,fl u rfl lunrrri uu-u i rr'lIil|ilu?il!;5r, o rrlri t,Yi

^ aifrnrioosl:o-srri fr oogl:ss t dJiufi 4 nl rnr.r 2551Ar-9lo[:0{ un{flinol:nl: }Jn l5 d.1[ itJ611t1]tIrldyll0lflU

.idl5fln l lqosl:flFlfl 1lr1j1l:v tiu2551flIUUfrt5[ iJJ

,n,.,rnuuo*,n,:iln151#n:ounqrL1unI:rJfl rior

quln:rrrtei.:rai:Lqrnrurtnvtlorfrul:n (p & p

Area - based sewices) ttorrittfiu{tul#lflu;iln:til,,i

ou1n9l01u 8n[1430:'1 0.:

1.4 iu :y rolduairuatnnr rrasflorfiu

I:n (P & P Area - based senices) daulnqjritrinlru< ./o - .i d,

dtI r:0rEfliii1{lfrq9i5ostofl lffi1t,d.i a,?lrl n r:in , e e

ft tlulln l:T [tJdofl nd0{nuuT u'tllrlnvn t5n01d I- -A a,

d lufl{ rufltr u 0r 41i{fl 1fi,f rIllul{u'lflu:1.1r: ugr io

r.,ru'lli lunt:ntYuou Iuu']u duLldr.{u nrufl n]n!rrarfi rmgn^nounr: rirrfi umutorrriifl !?nr:'i"iHio

d,fl r5u:M't:flofl li t liuI0J ru5L9u0|[n0/9t ]ud

ri rrfi u l rul,il'e dr Tn :'r fl r r ro't

1.5 'ru rv r d?u1uq]qnrirLJ-1#1unr:

ro:l::qr/or:u ririaqrirrin.:ruinoufi runoduav,.irudi

n tfldur[11u ryi0li$; Iu tTtnfl1lrIn tt ufi tr4

or:r :sr6unrrosntn:untntu?6nr:ruTlt rynr" , i de I t[l.fu.]1 11Oltov Ifihnq fltnxl n sn::unr5 d rtd: l.r

qrnru :rdu{rxiqliirrno n'::finr:fror:otrdI

9!:1ndou Ififl0tfluo[tus

36 xT rd-:?t?lalf,syru.lu,raut r,rrtu6 0nT69fiBoromaraionnani College of Nursing, tjmaradir Journalflv' .r orirjii 1 nnrln { - &nu1sr{ 2554

, in c,- ,t.6 n ijtu{ru/.r'ru ii kifuii'o nr: 1ilil:s urer

d.:tcirqtnrnrravflorfr'ul:n (P & p Area based

serv ices) n t5fia rr d: t'r6rnr:rittfiuItu]n:rnt:fl n'in5 {n r)- fi tn: :runv rrri:srJ rorlun r : ?rJfl o irlta .:-tu [tay n1::']11: ?]l ria n1: a llu u.l lu 10.{11fl

'a'flq:Ji turtiuR t1{: tuI0i0.t}t lfr ( ttJI hlso'tru fl'ltrdtrd t d.^

lt50 lou tHltu'1t15tTn t50uo truunl:)^ o, I

I .7 n',r: nr:n tn! fl9fl lun l: tryl I5v r0lq osfl{td: qIflll'lllds 0{nU [:n (P & P Area - based

services) 1u4n: r6'r oifi :vri'tl[14fl 1:n:r{ufr onru9^

1 s ft 1l 0.l 1..i i 9 t la v : 3 9r 0 { }r't 9r fl : s fl u l [a 3 fl 9] fl r !flqtu{ru/{'lu nQ iiu/l lu srqurlnyflfis|t}J:sfill.!,,a

0 tm0 t1xt11{5i91110 lm0n5y9lu avgtfl9l llJ:vFrll9t tlldd d d,

I1l U:3 t U tll0 |flIU1J:3Ut0rfl{rd:tJdUJ-lI1^lrIf,t

lJo.lnu l:fl (P & P Area - based services) f1 fl |

*iolhs lenifi il:srrtu 1d'iril rnfi qa

z. rTarauauuvlun r:rJ:vrfi uni'rsio'fi.I

2.1 ruio{0rnnr5dri6'oni.rdrfl un r:rl:srfi u

zuaIn:rnr:eiuairuqrnr uavflo'rfiulin (P&pArea

basedsewices) lunr :?u n?ifi ntrlitao'ont:il:vtu^ud. + AA

Harflu)- 'rrJ ln: {n r:ru'ofirv'tria ra*n1u: 'ruavt6un6.l

l?um fl oo-arirrdrl(asnrru?un1,1unrrriiruu.rlus -im v*

lurrsi ns In r^ { n r: fr 'k{:*tn r: nril crlu.ru T r riu

In:rnr:rilrailqrrnlillrayfl o'rfiuIra (p & p Area-

based services)'j tnr:lurrgiasfi on::ru rirtu^unr:ud':

ldfl aila'fl sr rufi ri rruelll5riohi dorrliuul6uu

fion::rlorhrz.z nr:fi n,: rl:rrl-u rualo:r nr: rirra?l

qtn rluralrlotfl'ul:n tp a p Area - based services)

1u: y n'ir'r rirrfiur rufl rulni {nr5 ruaofioyrirnr:

rJ:"urJq rnniGlunr:ri uriu r runtodo rrlfuu.l6ou^ lD , , t n an*nn::ufr'[rirf rruasioneru rirriotor In: rn rt nr"ofi

h e./ ^ .iJ rnvz! a i.ty'lrir.rarudsrsr rrfr d'r'Iirfi oraSodu in: rnr:

1

I

t

I

I

xlr6lri?ls1ff6no1u1auflifl 'utrxfi SnlendBoromaraionnani College of Nursing, UnaradiiJournal

fld e ornr6 I rnfltrl - fitn 1ou 2554

37

9'Alofliltor{o{

n i ir fl fiu dquu; n 1: qrln rlt. (zs+o). {n^o t ru r:J fl^rifr

r?nr:qtntnrf rnirqurlqtnrnqruvuuuud< a / J I

U: n ll. uufltl:: t: {Tlul{o ifinl: d.ltfl:'lst'l

vrilrrrifl ffn1ilil:viltilrrTtl6r,ri.

n:rudfudUuil5^nr:qxRT{. (zs+01. {u"orl:vrfi udd: x : o'r rulerr$ ru sil uqnn 1fl qtusu.

rirrinr{'ruur :euuu:^nr:qrnrll. uufl ilj:nSgm:xid'ltt:olq1.

q11{A1U. (2540). llrudlao{ CIPP. il^ilf

nirrt:nlurrurfiouasu riirao'rnr:d:stfiu

ln:rnr: xr?r st-o:, urhl.

I lluUt

rirrinlruNa'nr.l:sfiuqtn rnurittrn^ iJruil:vrL ror.

(255I). Srol't0nUrvnu{1R 111 1{ ls l0l

ilrurjrsrL rsr zss t. fiur{nf,i,i t. ri ninn'rfa 4o t 4fltuflanu0J, uu7tu,

cirrinrrurifrnrJ:vtiuqtnrnrrilrvr6 fl lrLil::uror.

(2552). dil"o H fi'nrJ :v fi'u qtn rnum.l vrn^

flrurl:cutru 2s51. fiildn{{fi t, rininfiur(^ lv d 4itu1raflBfu, uuvtqs

Best, J.W. (1981). Research in Education (4th ed.)

Englcwood Celiffs. NJ: Prcrnice.

uq6n: rrun t:u?Innorm r:uavnrasfnvurnr:to{findnurusrurasranrrTrufi sr

A a,, al a l4t 4?Tru't0uT'lu1il1au:il:lTtiluqn:ofl0 ilnmflnur 2552

eJa^la?firu qfurdo ?5?YlrJ dtuYlo{n1 [lasfl0ls *

n'a'uf naluln **

T1JUYI 1

!I

I

I

I

I1

ilnnouo

n r:i6'ofifi5nqrJ:;ardnt^oflnu rnr uLdrLrf,uf,:ru'jr ruq6n::unr:u5lnnoru r:fiunr:y Inryu rnr:J .,i ^t0iunflnut u ru'tafl td9tSutucllgt Yull11 I ?11u1nfl fl]u'ldu: J.r:1s5uu0915fl9l0 ttu lu 109nu ltltuu

df I ao d / a i l; o - , ^ id01J0'rlJruuln:0.irJ0 [ n r:lnu)-']1Jr1U{r0{nnl511f1dou )rn: lsfifilr lyoulJ (Reliabiljry) o?B{9t: firJlj5yflfln

ruoay,h (coefitcient Alpha) ro.insou rn 'ldrirn':rurficlryirn'r .zo 4frfifi1*1unt:-:^rn:rs#'lduri nr:Ae! , d 'tt0flt[0{fl1] 0:0UAg flllAAU d'lu[1jtl{i1JU:Jlfl5nlU t[Ay Chi square test 14:yOtlUUfl1nry .05

f{0n1t10u1{u'11

t. nq6n:::rnr:r:^lnnor r:cJolfnfinr ntorr roflrflq:riarfin d'uflfi t ogjlu:r6'r:Jrunar.r

r{a{l]l ft0 :rfiuIJln

z. drri'rfiilranrfl(BNfl)ro{fnfinulyrouraflrdn:riuwr^nduflfito$lu:y6'urln6(ts.s zz.s)aL'

:oflny61.0:0{drturfloo rnl n fl (< 18.5) Ioud, 25.7 rlay qin'llfl0tcyl (> 22.9) 5 0ua3 t3.l

:. nr':vInryurnr:hjfioerrudrLri'uf,fr'ruq6n::rnr:rilnnorur:rorfnffnurnurura- ^ .1 .,i

nr nsr : f or fr fl duilfr t o d r.rfr riuri r 6'q;r l r dn^qr^fi : y6'u . 05

rircirnty : uqor^n::rnr:rilnnorrr:, nmslnyurnr:, u-nflnsry{flrurasrdo:rinrfin duflfi r

*fnfinuruaruraarani fuilfi : inrrd'ourrurar:u:rvsr:fi on:6nti'^i+*t t ti1,^Btlurfl]rlt,fltftIx11,{unIu}1].tfl.]:ttu1 ta'xlulau ututa1lt :t1ryul] oo:glit0

l

2'.rxfl115r4U',If,UfiU1U1aur t1nnufi oBxandBoromaraionnani College of Nursing, Unaradit Joumd

fi a oriufi 1 xnl1ar - fiqu1su 2554

39

Eating Behaviors and Nutritional Status of the l"t Year Nursing Student at

Boromarajonani College of Nursing, Uttaradit, Academic Year 2009

Polawat Boonsear, Worawit Srathongkum, et al. *

Pisit Phuangnak **

Ahstract

The pwposive of this study was to examine the dationship betrveen eating behavion aldnufition status of

the 1"'yearnursing students Boromarajonani College ofNursing, Uttaradit. A sample of 109 nusing student was

rccniled into study. Data were collected using a questiormaire. The Cronbach' s alpha coefEcient ofthe questionnaire

was 0.76. Data were ana\zed ming frequency, percentage, mear! standard deviation, and Chi square (alpha level

= .05) The frndings revealed that the score on eating behaviors ofthe 1't year nursing shrdents also had normal

body mass index (61 .0 Yo), body mass index above normal range (13.3 %), and body mass index below normal

range (25.7 7o). A non-significantrelationship was found between eating behaviors and nuhitioml status ofthe 1"

year nusing students.

Key : Eating behavior, nutritional condition, I d

year nursing studenls

The 3d year nursing studetrts, Boromanjo[ani College ofnursing, Uttaradit

krstmctor, Professional Level , Basic Nursing and General Health Education Department, Boronarajonani College

ofNursiD& Utfaradit

40 x1r6{1Tt$s'rf,ufl o1u1aulxx1u{ufi oBffi ndBoromaraionnani College of Nursing, dtaradh JoumalOfi 3 otiufi I ni1afl - &nutu 2554

narrrdlfr'€Uflo{{l6Uffi,i , ^d4^ i^

n t:I nuuu ai10rytfl11rnq01nfl l-13

rfl , uS fi ol r oy #{ n r, r ?il f ,, 6r rfl a 1 o.: n r : n 5 y o i rle I a a -i o q ,o , d ,110udl,11flrStllud ltMsnru il1yl I tr.r ltJtuun'trutlllr

druo rt.i t: rrdulnyurnr: rTaunsr'uasrirfiurulunr:I ^-;u: tnnotH l5 1'0t4ttJttdrll: Innu flflyuldn.l0.{ n t:

u?lnno ru r:luiuqurir#lilufl ryr rddo.rldfrn r:,h !

^ s,v

rlfl tlj evuufl']:flnu]nlr ? llflunflrlay qflfl::lJ-'a ct.l .d,

fl'r5u5 tflfr011r r:10.r ruluo {ruud{n rrlu [1{: l}uqorn::rn r:rilnrroril rifiQndo{fi4nru4 ri r6'q

rJ t0 rrrn 1r {n-r rturcirlolun r:u6lnno rfirrudvnrtVJ

tJlrfllrnglmq90 0T4'r:u5 tfln (ry nur0 ?ilunsJ.2544),i -'4 'ittr0{0'Ifl'lrJ:u n r:tll drJultl la.{m r{ d5:11ru"r1r r tl{lno

nrrrnndudruor:uoiuasnr:ilitd'11u#'rnl::rd.l

qe'n:iun ri!;lnn0 rfi riuo r2-fl quriol#rfinfltyur! --,' * 3 , 6,

u rHuno?uou asuI lu{r]]y lrs'u lnt5flrn1rrn 9l@,d,d"i{'q'i rrilufl iufi rfl r rlnryu rnr: fr vrrru rnlu iuiu lqfl

a ay 4t,riuliiu{ fl 00o1fi 't:lJ.1{u0[1,415 1rna10?u14t0u1{:-lu

fr rirnrin6'rurnrfr utJ rfrl#grJdr rh:'aruhirfl ufi

tioiliua0{fi *naryJnu{oorrr:rJ*or#lIay#ondriiuu rnn ilfiorEu loo rirulunilnoru r:rl:srnyr}l:fiu

o ooe, -i - a, j ir,r , ellt:tgfldlll t [l.io?u ry.{uuruul:0 w] l qnfl0{ [1{:']u6t u I I o ur ro yn y @

tu'tulu9ro{u t01l4t: tLl try lun t: d: I {1{ d i ilurlnyl,aasfl:l{n?l lott_lll9lU lflUo.lt l.lrl lS llqflnt: nItU:lnfl

4 u d oorhru <[]lnnu vu lt'l tl.t to:ulGt'ltJu tfurltutl{o llfl n

unfld'{i1uuasl :6u::rL6'rtrqnr6n 6urdn.:ornr:

cJorl:ntrnlil:fiuuayufirrru rirl#frn'rr dtufl tu., ^ { ; :., -^[:nfl nlsorl ] uofl 0tnu lu5uu':tJfl ?tu'tnnfl {1an0fl l:uJ6uuuila'rro'::'r.rn'.ru ritl#rfi onrrurnS0s rfi u$i'rttr, A ,' hi o o t n u u, r,t-o u rJ { o I : tu fli fi .! n fi i n'l rL au 1 tr n r :

;o '". a' , "

ul I nfl 0 l1{ r:111J11:v IuTugrot trrf] t0 n {fl lfl dr:0't11r:t'lri'i rfl trai'fl o-un:-rn::d, 2530 : 8 r - a+) rf rmiulu

q a oql?f,rlJ5tu t n0u uu r., t1J rfiuna?uoflIflu l1_rry,tt'ry

fi orudo.rnr:irrJ:ynruorur:rLrn 6luilnnorur:, J "ns,-U0Ur'lt i Yl I t14tJfl l'lg IRSU ln'ltlnu (fl?U fll'll.lu,2514

: 3 I4) lnfl y,rqfi n::un r:uilnnto,ri'o{ueiru1uqjfi uru

!*u: tflfl o rt4 r:n rn do t! utu r(rnyn in'an r:dr01fi 15

:srnfltov (Junk food) rro;ornr:r'haei{o lrast.id 3 a < cr ;

l'ood) ll q nrmr'r [nYurn]5n I fio rJluJt u'rn]aunt

'lcrfiu Iadrqilryil:umrnro'hriuolFi?aq loornr:cl'r

(oUtSt ?Ifll1o{. 2541 : 95-96)J -,iunf,nu1?ru luraf, ]dgrtuoJclln ryuuyt I

aa/rd11tU'lduT,lu'llj ldu:u: tsluuon:nflo d tu tHfu0lq

l-, a -i"- , 4:v1411{ I8-21 cr{ofr11[ u?uyldrnqTlil{ullJ0{a- i 4 ;, Is19t tuo.t0 tfl ru u: S tjs Yl:1'1fl t u! n l: t t: tlllfl u tst0uti

dur?or:?to'r0 rniunrrfl (Truswell, ls8l : 7l) finr5lilAuu

m, ' i h9r 'rnl0ill'lrd5: r11ulHar01]5yn1: tfirrn 90u [5yr0Fn.l fle o Ai . , d I A,rlo{11'l{1un'tullu n15 d:1{tryaaIta gtuolu09]1.ldl

o ' o a 9ltfl lU : ltJtq{n:Yon:Jlru ln I n] T l h.i: t rn rr,fl r h{flr

uncu tHunfl'll ullu (ourY0 ]{f,flo,1, 2541 : 90-91)

i lnn r:lil6auuilair l{a;:ifl uleirnrirr ri rh?ioiu,A

9l o.t n 1 : o'1 t.fl : [11 1 1] u 0 n i l n u 1 u : u tJ't xJ fl t fl 5 : tJ

- z9 il , dr)[1ItJ1U IU9 ]UnWrr[nrUUllU rn l: 9r'1.1.1 n1: [S

c, -:,1ra{{1ufrou11{fl{ e{uuR15:u tyIluo1fir:fit 4 cquo- '4.0nfl o.lr?flJ)yflt 0.r[lJu1]00r,f, rnfl 0uriu,tdrfi 11, lfl ru

,i - , 6 tf A[1IOld: dT]{nt:m l{1U10it$aa [uoluorlag0ltJ']g

oitl lootnnrvnr:roiryrntlnuavn'nru r'hlntL iu\ q94 4o4 I q d I 9l

aY'lrJAt flSr flnno rnll 1r:oulufll:r:flu: Lrltlr

fl'1?srl tnlu lnD lu?uq unyr,fla nrJytu luq llr.rrrsiri r rua 1r.i2 a d'u q m;m r r n r: r; uu dr lril:: q

- A,e r tfl iu n nu iu v ?l 1{ i 1J : ; d tfrl o i fi a n f, n : n t: dnu ula y

riorurnr:firu6u1 rirrfi u1:116'1rjdnirfi n:: rudo16ulsr

4 ,tq I I <'o . o ra{uufl lfiflJi)gqounfln rfl uofl0lnu u.tyti lfilnfiR? lu

4d t ritT rinl:Anu't sldoorrur uo a::neionr:< - , a t Jv

9IUrU:E[mfl [U0{01n ]0t unJulr:ylutn: uuuouC oo o- o , 4nlltas[1luflIa{dtn tun15d:"1.1d:5f]fl1turs:tu

d, r 'I tlnu:vlllf,sln (ryua 16l TfltJfllI. 2544 : 2)

o r nfl qm rrir nrirr ffi r'u nu1ofi nu rvr qn'n : : rnr:lilnnroninfinuluu llJ'rdfl1der5ritufin {uflfi r

t

I

It

inurii'onorurar:ilirrsufi on:6srii'ru^oriderua\rl

)

scale)

rilnnto rfnf,nurvlutu tdfl tdaf dufl fi I ruaolttn

rinfinultotutnntaofrfl uqna rn:d run t:t11{1ldrldv.id

d lf l:uq1 5{illlua0{ qtfl l1'l: liln lflflt[1J IltS i

ar,r1:ai ru'oriluduuurrrirl:ssrtufr:'l:J

1fitt

ttrucounl (Questionnaircs) ttri'loonrilu z rnou 16'rrri

doryofrr}l tta;nQGn::rnr,:tilnnorur:to'lfindns rflor taeraa:uirufin duflff t ii ruau +orlo

1dlunr:{ofi tn::rutr?aoondo'rfruuqfr n::rnr:

tzrl:s io.uoinl:liU

er:ar:imordtlnururau:x:rttufi qn:fi ndBoromaraionnani College of Nursing' Uttaradit Joumal

flfi e qdufi 1 t{flr.ra8{ - ftqrr1ou 2554

qn: d'lrJ:v finG'rto av,lt (coefitcient Alpha) 1o'l

n:ouurn'ldrirnxrltdoriutvirril .zo

n66fi 1*1unr:irn: wri{oryo'l#t rri nr: rron, rt'r

o flouas drra6a riautdolnrururot:gtu,ta,

lindnu t U tu ldf,tdgt:utudtlq YuuT I 'lmu laul'lu'11.1 ld

t. rir'ofrnuruqn^ni: fl r:u:^lRnoly'l:qloi

d</1rt : ]AYUU o$t: FrStfl

i< < 042. t1{0Fin! lnl1Y tRSU lr',l li lJ0 {U flflnu I

uguraaraq:riotfifl duflff t iflud'0flurular: :lY

Ituuo6Sqo0

:. rvl^ournrrl#tfrud:vn'jrluqfi n::unr:

uFlnnorrr:6'rnrrvlnsurnr:1o{fnfinsrmururatl ^,: ^

a t1dgl:Su 1'1 I ?l1fllAuflUlUlnu: l lssuuqaSnfl0

aAo a'tEo1luun151tg

:31 rn5rl-lf lun 1: ]n0fl:.lu flo unfln! l

l,,rrnuraendfl :fu6'sr ffi fi t inord'a Ul!rau5 :rsaaJdt.r'uuost: oelfl n1:ffnu't2552 nrulu I09nu

f,nrtuvrirarrr{luutLulrn:reiru :truratrir (Rating

rrriloonrfIu : :vd'u ldrrri ilfrrior^rflurJ::iir

'a"^d, J ','

I de/ )ilflunrrluu t tof t tld, l:Jtnu fluatd0 loutJton I l:Jll

ud9 lfl'J ri.Jflu ttlr tiu'lndlu lu 20 do ! d'{of'l l1r.rfi

rtdgl.lfi'l]xjfi l.l1ullt{ar iiluxu 20 {o dltluudoll6ll; ") J ,i,ofraitr urragr.ttun t:fl:1$dou lnEJo tt t:tJT :flu I

ua:rjrhJl#{rfioastty dru?u 3 vilu e!:'lor{o1rfl 1'lu:,1

rfr0lgt: l'uo ltro11 t (Conlenl \ alidiry) n l:119 doufl I IJJ

rfioriu (Reliability) d-urulaolnrru'l drnr:uoaou

(pre iest) drulu 30 To tlasriru?iuriln1lulfioxi!dlfl

ft?tu

chi square test Inaririluqrirfi : veirfurir6'tgrirfiu .os

alrJHanr:?fi'u

t. finf;nuruutrtoctan:filfin duilfi t

d - /C -fTu rd-o v'{o tu tnu: u: 1Yryuuqfl5o9o tllutv.tfllliu{

frorilufloaas 89.5 nlf,mu Youas 10.5 fio1q rsfl fluhli^cnA<r

rni4 da nolr-luidc,ns 46.7 toilanur fio no 01u 19 u-,, ' .l ,:

"Soua: 44.8 rrdvorq 26 ! souas 0.9 d1u tl'liuuutlov?)

fltflult/,r r 5ofld3 98.I trnEuufioflluloda l :oudt

r.o u',fiuuqj1unur(nro'tirarficruuluIau: :15A a Jq e

ryuuoer:gsrtr :ouay Er.u o rnu'luantufi6uuon4 dy

14011fl ?11tJ1A07,lt ]X1A : t]I1uuqfl tO9lEl :Ouov

ro.rriaulnqjql^rirulurorrlRlnaviuooatfi u{rfi fi o

floaavss.t io.ro.r r60,lnlurioioua:+t.s,ras'ld

iurirldd rueiordouur0a'ir 3,00 I urn norfl uYouos

41

5b.2 :o rd l,l I n^o #oonit 3,001 utYt fl^orfl ufounv +:.s

z. rir6'ryfirranr u (BMt) to.rrinfinura < .in v1 d I dt

rfi: o{iJo11 try tu fl t: [nu5']u:'lulJ 0u dt!u lru ru-rdfldn:fiufr'sr fuilfi t insraovru lu'tdu:u5 tImfi qn:6rirdo6j1urnil,liilnA (BMr :sH'ir.r t s.s-zz.s)

Yosav 61.0:orawr 60 svdur.tou (Bt!tr rlo un'jt ls.s)

louav. zs.l uavRrtvlnryurnl:tfiu (BMI > 22.9)

^i5oflns ll.l o{ fluRxJll I"i

ur.ril0rlri I gITu -Jdnlu (BMl)

,lor1Yn6 nurfl urumsr an: riarfi n t&ufl d t

70

6o

50

40.

30

2o

10

rrno'ir n6 t,r:.s) ni (ta.+::.st rirn-irrlni t" Is sl

42 ?T ?6l1?Tflolfralr€r1u'lflurlt;'ltflufi aaaflaflBoromaraionnani College of Nursing. dnaradit Journalflfi s oritfi I :{nr1flH - fiou1sr.r 2s54

3. r,!qa^n5: nr:uilnnolrr:toninfi nur

ltr,'rlllafl derif fi n,i'ufl fi t imordtrvrfl rurau: i'lyyufi qn:6nd riaulrqjfi uq6n:rufl 1:u:.lRnorn1i

fi q ndorlu: v d'urJru n nr { n^o r$u Yo t)dil 7 1 .1 LLa--

onrlo.rlu:s6'uru rn n'nrfl ufoaa* zz.s 6'{{rr{ nrr^fi 21{ :o,ra.rrur6ofi nqn^nrsunru;lnnoiHi:adlu:sri'ururn

3. I mqfr n::unr:u?lnnoryr:rorrinfinur

lturxroflidsltli fifl futlfi t inura-marulau:tur.rs< ^ ai e q h,mfi qn:6erd fi qnfro l:s6'urn'[drui'hioonrudru

e aa s A a9 adrulinr:drrnorn*o hio uiauild{iu :;nruo nr r:

d.-^Jrdio t * = 2.q51 561aw r 6o nr:6oo rrr:n:sfl orv{o l

9dfl lul1tuflolqflq0 lnt lin lsusllu55 t ( X - 2.81) ttnvn'j i 4'hidrLroioldrugri rd'i( x -2.80)r6on:-rl :sn ruourr:

fiarornrll.rqn}nl 1; -z z+y uavki6rrnio':611fi fi

fl'lur.rdu1J0'luoan0aoo ( t : 2.71)

3.2 t)Aa:: nr:u?lnnorrr:torfndnur

llt ]u]oflrdo51ifl fisr dufl fi t :na#'anfl tulaurlJstya o tA e, v t

1U UOgt:n9r0 m0flgtoiivoulj lunnl{ 'ldtrrinr:,nl: lflu

Itii'.liuil:vnruoinir (t: 2.29) nrilf; oniu :ymtuq.44 1,1 o

0'll.itino{ft tu{0{nl: tFl:udt:0 tt t:fl:u 5l.tr.t ( x-2.zs) nr: l#sounarrruioil :smruorrr:irufu rfl6u

,i ar , ,uouuuuJul.t:yn t11nlu nt:a t{flnfld l n0u:1JlJ:yl]tU

a j +r r,r ,a j jfl't5rdonryo0 'tfi

l5 n:E!o{ttay [lJflrtn50lo ln tni

RrrofirJiruera

zua nr:i{oy{il'ir finfi nuruoruraqrest:

riarfinfufl fi t ivrarfionoruau:il:ryyufi qns6aii'

fi uqGnr : unr:rilnnorur: oqjlu:s rir runar.:

I q do/ a Idoftfid0'tnu'l tu'l0ulJo'llls: lRt6u ot: u qRl:9tu

i ,-,,]{fl:q rldrr'lrus (254711lyty't t JUludru tl{fuovul A,'Jdntouna :00d8 82.66:o{ai t no o6uu tanta

1 l 4,r|nn1'tunfl :0fl ny 1 4.67 ufl nfl tl0lnr{afl t:flnut1]0{

Uc,srr.[unrqori lafl:6 uacdilfl: firund tzssol finl j I

ltq6n:t r nr:rilnoorur: Io u:':rJ1,o{finG su

{uil:vorLfinurflfi q o lunrsrfrfinsotrro{do1fi

o u l tJ u$n 1l d 1.I ?u 1 0 1 lfl o t9 tJ ! 1 n u 1.1 u'] ry 1 n fi 1 0. d 'q v q r./ el - s I1{::tull:-0gtUign lI0 lry l OlI0l:0.1'l: lUt011ll1I

,ld1{qan5: fl r:u5 tnflo ll.t ltl]fil,o tunf,nu I lyu flt:

nr:i! :yflruotflt:at'lt1a1at 6it6'uuae qan:trJas :,-* e uinrru; iRndrfi rrfi rJgffiqnd'a.r ldrui hiaeneurdru

, 6d c, 2( oy oriroitnr:d :rnour*ohioliuumd'liu :svr tuomlr:

{

(t

(i:?.2s) nrr:-r :yrluriruray0ia'hlilarusu^o1n{u flrriusylnuor r::Jq.rqnfira5oluri :rrurirhirr*l( i 2.2 I ) rrdynr::-lrJ:sn ru"lrjiuny I ylo r ( x - 2.28)

3.3 qrra:5 ar:uilnnorvr:tolfinfinur

.i,ii-J"-ln: d iotJlllJd tur.rdlrtroafld60 n ruo{0 In luilrn!udfl rufin u tr o.1n tn Ygrray lo a yuld: ar:,: ril#

flflrurnfltder51i fiEr fuflfi t iTurd'uflr,tu1a!:!:1$ rJ:vtrvufi Nqeln:: a1:ui-IRno.tfi r:fi qndo.rrrov

vufiqn:6nti fidolrJfurJq.r'lduri nr:frr.l:slnu nr:rJfrffifiqnqtd'nuorvorir{'l:fiflrur.ranr:e6'rJl,ru.jli-{.a

u:Hfrfr{.iu5o?il ( x - l.6b) nt:fu :rnruorn r:ryfierlesfiouudr#r,'} (x: 1.46) rra;aiiiu :srtutu:J1ur6fl?(i:1.40)

rr^,il8fi ii 2 ilqAnrrunl:u?Irao1fl itclo siind nurfl urula fl r dnrrYilfi n t'ufl ii I

uqor^n::ln r:rilnnotr nfi 1rjgffi ,r ldtui nr:urJ:rflu

rfrrfr :ylrruor r: nrr riru'{6i nr: ir :smru

o ru r:l#n:u s nri nr:l##ounar.rrdoiurl:;ytru-.-.---.--l s' YAd lfi lt, ?rrnUrJOU nl:rUrlttlllUfln Glyfldlri

ararfroln;u nr:furl:ylrru'ldiuay I ylo{ UniuI: Af.rfr rrlo.rr./rotntinfrnstfl eriuiof, idsrrriolfifl du

ufi t o rdflluri ofinlorin ura-u flrurar:rl:rso a e v a r I ^,;TUUqA:OftO 11 | trunflfl! t110'luldfl]flgl: 5u T I

hiarlr:nrJq^rio'rfi urrYrnr:r?Innomrtldqndor

: i rl fi'{ a n r u r r rq fl o il r ra g 6 fl r^ il n 6'r u n r : 1 sr r il r ff

xlx6l"rsiYrtn#?rfi s,IuT au?lx1'u'uufi Qaxeq6Borornaraio nnani College of N ursi ng, Unarad it'Joumal

fl$ r oriufi I Hn5'lax - fiqu'luu 25s4

43

1 nlru r?r r 1 o 1 u q rJ u u u fi u r l a n'hi rl o u a' u 6 I q u ri r- ^ J-,i,,. 4

fltdsl: fucmfl ryu m I luufl't'llJ drJl{u5nu tuo{nlfl

![as :v luluuo{o11{15 doof]n0iflufl l:'ltulloli,

uirrjrl ufrJlls (2551) lrlruXr 1'{qgtn)-5 n',l5U: tnn, ,, 3 r,r, ,A e)

ri l l: rdsrl^]fll,u08nu ntunlflu0n l9ltn in:vglui"

linltrlolft :1fl101l.fl: d0lu110'1fi ul80ll4T5tlav

fl 1:ri{rdi^ nr: drlniruorlrl: :r fl{fl o'i'unrulu'ldr ui

lrlut::rrra;dlnu r'orirur riruqwrd Irdeflqff l'lunr:r?Innorr-r:ilradr',lo'lduri :rnrr r1r.: :o{a.:!r

;,^fio qnrri ro'rln:sir ilir rru o rn r:'hi,mru rv arflu

,Lqeafl t:u: tfl agrotJo ntsuglt:: Q0 l l: 0'ttn0 tfi InFl

- -.{ e)

1lfltfitfl1td trtlonarJ

,.raflrri6'flv,r!'ir R r x v Jn $u i n r: dx fl n r:4 4vtlfr:'rur{nyu 1anrfl (BMI.) 110'rufl fl fl u11{uT11ld

fr1dsrrlifirfi'fl du?lfi r rieulnaiodlu jyd'ildnor (t s.5A

)- 22.9) 10udz 61.0 50{a{:J1 no 5y9tuzuotJ (< 18.5)

Rlrv InTulnrrrnu (- 22.q) 50uns l3.3donnA0iflLlo,-oJ-

NAn',l:flnutr0{1,!:l.ttJutl: rtJt lntfutufln9 ! tdnu[u- 4 - 4 id

ltut'tnrqlf,uflflo rrdEar:d o'r:rflftfi (2548) Tflnul

u u'i r6'yfi l a o n ifl I o'l ifl i u 1 urr rn el y iu o o ntdJ

tfruruifiooti'lurnoninrrsaru founy 42.6 rraygi rn i I49 t J i- 'lrlfucl1 :0Udy 45.70 dr ltln? llflflJim (> 22.9) 110A ? i

<, , ioJ - ^ t erluna 11 u'tfiunlnuln cl]u tgt:gtu Soudy 10.7* <s - ' Agtfrrn r:rf [nnolr r:ro iiudufrdo{f!rj:yyrruo nr r:

fil#ufi"r.rru'hiairn'j', r,zoo fiIu,,nuuG 6'rriu nrjrudr

^.t9d 41,1.1lt{unlnu n1:f,lldtlJ t nlt 00flntn { n]fltll0 tr.{

drurinsi'lana.r

r^ron r:'l'6'0 y.|!ir n nyln$utn r:[[dy

lrq6nr rtun1r ui-Jnno rntrr oi rinf,ns rflatu tn

- ^ - ^tA ! q

[flfiau rflurlJ ldfl ldfl:uiuq]fl $u1lYl I fl']u tl.Iru n0g

luNori'nto{imerd'ouoturau:ru:rttufi osr:6nriA -4 e t

rrdy'[ulix irr]u nfinurytrJruIaflrda: fl?u lfiqoo nrird'r n raln unr: [6iu6wru6s o onfitfr'l n1u

,9llUnt:l9urto ltun u0fln tnu :vuun l:ff.1]r{alfu

dir 0r? r fi :vrYuqirrfiu rfi runr:l#n6'l :ru, ravn r:3 "o,,tzu rr"ldlnl dl.ltu tui1inlutl1 lnl]ufl ltJ't:ollI tl.l

n nrlnru rnr:oqilurnorqirJn616'rriru t'r'r4rd. 2514)

qlrltSliiAltUs

t. florruouuvlunr:rirruan r::-fi o'lrl1d

nr: eilra5uinfi nslrururasrafl :ffii6er

fufl ff t lilnnoinrrsiluHd'nlflryurinrni6 q rl:ynr:

n r:uilnn0 rfi r:a rut lln.uu rnr: 1#tonnflo.rfi'l

nlqTulJla n1fl10.{u nfln! 11{ tJ1 1Af,tflAtU[Uq49l

#ufl fi t :ruri.r{fl fi on::rLrfi o ci rrai drn rfl 1u5 lrr

fifi,i rsirfirur nnroa rn i ril nsr^uagr airL a$r ln r rrLii - j y o i- , - -rno rnun l:u: rfln0 t?t t:ylfifl9t0,l lu: )011 ntoryu

: ,,-ldnl0nlntt nGl

2. dornuor rus fl iriun r:i#gnfisiotJ

2.1 nl:fla!r: uuudry urv ailr6flrriu

lrqorn::unr:ri1nnorrn: Inc1dfi d'n1nvurityff

s il:vn t: luil:vryrn:unsn;irsr'rodr.r6u rJu ro rriua i Ju,nr:fl u10u6] lnflal]] Lll

z.z n a: finu r 6nin arfi ur i'r rir u or;,

[un t:uil-nno rr r:fi ri.rr.rrrrionqor-n::ln r:liInnarrn:rol#nfinur €,r ranrdn:flarfin

44

Y^t0nflt:01qo{

qJ11r114. Q534). Inruarani n1.rrfl fl tufi lufl r :

1'{:14XlU1l: ttJfi',rfl'ltuiuf,flg1 u{anu r t]fll ouf,Ro-Jrrasfil:d fir:1f,flfi. (2548). [ruxvn'1R15

oo4eaqulruflr1,{ofl1: qflnr fi.'11:flliflu8

1l:n]:1ry]fl]: lJl{1111U1aflflOU nU 13. 3

(n.fl .-a.s. 2548) 10-1 7.

(I

o fi u:11111€l1l .

a?runu rfrSlrun!N. (2544). nr l ;1rflufr9|[d31{q9]n::iJ

nr:r?1no orur: to{finG flu: veiuritu

fln utglouud'1fl [:{[:uud lr9r dinaTullr nrifl urii'alutcrfl nr {l?1vlrJ1{ ru nt . fl.

e42545.'r11U',tU1'rUrfl fl U',rfl r dgr:tJfi rufllcrl9

u14 1'tt4ulafl:1xJf|ttt14':.

r.qrun{ trflrLrrr. (255 1). fl qAn::ilnr:u?IRnoryr:

rJ: a rn n lirasi'l,locro{finfinu r1u drrno

rroo{ 6'ru5ordu.r1nri. irurfi iluri'dnsr

sran: rfarfisr :rurirarii'sr4allvri.

v I 4d u I q dflT:rflror orru dflita a.rfltfl[u (raynfuv. (2550).

n llc lnsu rn r: uq6n::un r:uilnno nl:A9,tdut

ttasfl 0n::t.l9lu:1{n1010'llofl luqu :

*int:flRU'r[1JO{fi4 i. ltU1ll1ddt5 2550 .. 34 :

98 105.v /s

?iIUnrQ.l0u IdFr5olraiDrytt Q o. (2550). nl5flnur

lrqrrn:: r n r:rtlnn oru rt fi fi rua ri on r:rfr fl l:0fl ur.rrorfinrEou#url:ynrufi nu rfl fi

+- o lurrsriufi qrorroraorfi ourriuairuo

#aur drmo16ruutu-N!rs {'rfi Soau::olu5.

rirfin ar r r:u qt {'rxio nrryo uuj.6/s

ourry0 1{flv10{ (2541). tnyuf,r dasn:0un5'r. d r n

^e/^1.1lJ 1{ U }11?11fl I d Utn UA 5 fl]dA 5 }Jfi1',lTU]A8

Jlflugl:flld9t:.vl

xau 0u1r:u1{rtu. (2530). tnluu run. n n1flflfin::u?d/afl.1flq: n0rs?Tarfl1dsr: 1,}fl111u1du

siuniun:il:nr rJ:yarunn: filr(ri'nuai.

n q.i [111,!"4 .

Truswell.A.S. (t981). Food habits of adolescents.

Nutrition Review, 39, 73-88.

x1rd1rer4mf,sfi u1u1auflir1r ufi QnlandBoromaraionnani College of Nursing' Uttaradir"Journal

flfi : qthrii 1 n11ifl - fiqr1ou 2554

45

nr:rJrvtfiurfrngor:rJ:rnrnfiurin:{deunurula (ff flnqnrlfi riu.s. zsst)4lal

illurauflururdll:lJ:.lsYuu 0gl:oglcl

sfit: fiourt *

i:vamr 6 flvrtrn ***tu01c1'11

aiorg

qour6fl **

rufllq,l::ar ***

tmnauo

- .!t i" - a nYo qr<nr:Il:srnuun-nfiel:11lufl5sr1urr tJlldlfl[u [1t0 lfilufllt1t9lu tfidtlf,fl: l un?1 l]it lvflu

-q P-] . ,o , d o ',pr:it'urfirvr::tuu rofrfifiinqrJ:: alrirfiorJ.-rrfrund'nqn:rJ:;n rafiufn:{'irunatu ta frutdouuruto

d A c,s q9U:l:rrrufi qn:6nd 1oul{;rlrrlu6rl (cIPP model) n{16":otirl fio flrirr5onr:ol:urdnqn:rl:;nrefia:in:flrirur{uur6r flnr:finur 2552 druru ao nu {1{riorfrorld'urif:u#rrlronr:llUr1rrdI:{ al rn t nu llarura?ryr$u iiruru t't nu olotzdfiaou uavfirivr:imtnau iiruru 6 nu :vn'ir.t

,{ 2{ d iqrdlr6ourn: rnrfilr6oun:n6 rnr u.fl. 2551 rq;o rl-0fr l"firiluuut aolo trJ:rrfiur a'nefl: :rntqfiuffl:

ALfly?ar{s'rura nasuorarrynfl[uR.']vnlfido!n'rlllso]Jutoqmraouarru :vn:^uuo'nao:ldrirdrLrl:sfimil

o-aylrro'rn:our-lrfl (Cronbach's alpha coeflicient) rvrrrYu .lo ?rn:rv#{aryn ]nal#4o^er^rfiiilt t ar r rrav

^ ,tfl1:'llnt1v14tuolil r{afl t5'10 u1tl] ?'t

toAttl. oruu:ulr n]r lfiur:' rJUd t 19]q rj:s d in10 {fi dn {er5og tu: unulJ lnllqn doanadinx

rrzuuuierurrn:ugfiorragd{n uli{mpr^qfuri to (u.o. 2550-2554) udv[[ unr:f;nurrrr.rryrd (\.f,.2545-ltr-l

1559) nx riJll.,J"rv dull0 r In5 id: r irafldfl: [u0H rdr:rlJoirdndo:09 tu:sourJ rnc, qo. e ' A -2. FllU 0nUU llfl]llU']lq d:JLlglfl0 il"ltlJl:Unl: r) IJ:]J t9lu: ltJUflvuUUlqdU)^3nUl.l1fl dlll1:t

;: ; -tldglt[du trI d{rln0q [u:;9u tn 1l0nufluu duun 1:r)^uu?r]nvttuulflduTv0urtn

3. 6'run:yu:uni: n:yuaunr:6'snr:6cunr:aouodlu:yrYururn oror:dri fncr nl:5ouay

rl:;riur.ra odlu:y6'rrrn uay :;uunr:r?yr:u6'nen:'lu: rtuunoryn::rnr:uitir:iyrnr:, a e" c! | ) 4 A I '4. otufldf.rnfl rudtt:0nt:0u:Nd1ulJtfl:0udy 29.21 uln:qtf,dudgfl nlrrFr 2.75-1.00)a ,

finor a''nunrsfil,,r-ul:s d.rriod lurseuurn anu yrelu no trrruririrlo ordr.:ru qirlorir.rru frn:rre)

:llr'tflYo!n flq00ud0 TnHEfl tTllr'tugti luuou^ - I :"' *'orarl:-rrl:.rrfi

oldulu nr:rJfrrl:rN6'nan: ni:6'0n1:Gfl urrr:douflanm1nufl: {u [5rIu1 ,lqarq rsnr:flounrnilfr ri6rn*01#fi fl

-liunmr;dLr rras{nrurranao:siou

6riir6'ar , nr:i:vutund'nafl: Hdn apr: rlr; n rnfiufqt: d'iruflur! ra

* uarlrair,rdn "irurrLrar:firgr ** naruairyrdn ,irur n r: *** vrururai,yrfi

fl tn lrytfl l:11lfltuldtqfl H ll.tflr ud3Pid:al0 't1ru.lafl1\ ul! tal r: iJ: t,r'Yuu 0fr:qflir

46 ?156I15i11U'rAU t''rU18UX Xm{Ufi fl nlanflBoromaraionnani College of Nursing, Unaradit Journalflfi J qrYufi I nzrrur - fiou.ruu 2554

An Evaluation of Certilicate Program in Practice Nursing Curriculum

(New Curriculum 2008), Boromarajonani College of Nursing, Uttaradit

SasidhonChidnayee* Itv{onthaUdomlerd**

Weeray,uthInpanao*** SaranyuKaewsuwan**+

ABSTRACT

The purpose ofthis study was to evaluate the Certificate Program in Practice Nuning Graduated in 2008

from the Boromarajonani College ofNursing. Uttamdit. The CIPP model was used for evaluation program. The

sample included 86 new nurse assistants, l8 mentors, and 6 nusing instructors. Data were collected between

January and July, 2010. The research instruments consisted ofa structured intewiew gurdeline and the Cr.miculum

Evaluation of Certificate Program in Practice Nursing Questionnaire. They were conient validated by experts. An

intemal consistency was 0.96. Datawere analyzed using descriptive statistics and content analysis.The results of

this study were as follows:

I - Context: The objectives ofthe curriculum were appropriate and rated at highest level and consistent

with social needs, the 10n Economic and Social Development Plan (B. E. 255G2554), and the National Education

Plan(B.E- 2545:2559). The overall cumcu.lum's struch)re and content were rated at high level.

2. lnpul: Qualifications of applicants who commenced the program were rated at high level. The

inshuctors, nursing menton and facilities were rated at high level,

3. Process: The nurse assistants mred leaching and leaming process, advisors, ald measurement ard

eraluation at high level. The cuniculum administralion system was managed by academic administer committee.

4. Output: The GPA ofmost previous nursing assistanceprogram students werc ranged berween 2.75

and 3 ,00, and overall competency scores ofpractice mrsing were rated at high ler.el. The outstanding characteristics

were service minded. hard working, and good responsible, however, less practice skills were weakness ofthe

nusing Dro$am students.

The results ofthis study are useful for an inrpl:r.emcnt ofthe curriculum, particulmly for clinical practicc

in order to improve nursing practice skills in the long nul

Kelvords : Evaluatioq Certificate Program in Practice Nursing Curriculum

*RN, Senior Professional Level *RN, Professional Level **+Registered Nuse

Pedratric, Adult and Aging Nuning Deparfinent, Boromarajonani College of Nursing, Uttaradit

)

ncrruiirfiqtos{ftytrnr:i#tr

lnurihhlrrd'rnr:rl:vrfi urid'nqcr: fl qn

t{.1lf}J l€l nO nl:Y'l0l:01 lq[U Fl ]U0 ifi rlndO: r'ldn):

rl:vlfi uud'nqor:fi unuufi rird'tymnrurl:rnr; uiu t)

rl r zua dlqmit o.rrinr?ou trdrrjrtl r:Ji uurfiatfil

rnnrdr ror: g ru z t vtl: s fi vt'n rvrto rr fi'nqn: loo4 h' ' o

110150r r'r 1J::qloq{fi:J1010{r.rdn{a5 :o ltl0ulI [:

rl.IUlsd n f.]l:uul.{50 tu n:uulun tit:flun lSdoui-

tuoll'l'tln 'ldortl ln: fl l:t:uu 1ltvdl1frR llll.tto tr.l

ruay l ) ruariionr: 6'ofi ul or, nn'rrfi ond6fi qo d lrilr:j.

n r:,i :uriuirr: fr'o r:arrm rrro-onfrdfranlun ttrim r:d do a

U UAgflnnr: nr5[:uu 0nfliu.rl unt:!rvltJucYd a I d II11r14U1l:gdlt5fl 1Mt0{nt51t:1.rl:{ lUI tXt lnU0fl

ar:drtifl t tflgngrurautlrtrttufi oatfindBoromarajonnani College of Nursing. Uttandit'Joumal

flfi s qlfufi 1 lln:1nfl - fitru1uu 2554

1o ur.J nor' N a'n4rrr fi klil n r:rfl o ao uuda- i"

rnn )r 5lJ 0sFro.run )rUsuUq lfl0n{a:n ruvlfllt'lufl'iourirfn

l ruoarvn5:un r:n l:finu lrilrvter (zs+o)

,,!lr r:l,rell u rfi dfld$r:tJ5sflouo tultu9tou1,0{nt:n tliu9l

oori':v ru rir uqruoouriryrrrav::lrtuirIo{fi d'ndn:

nr:rr.:uprunr:rirm6'nasr:\il14uavnr:dryfinfl fl :hJ14 nr:il:vrfi uud'nao:rravnr:6oun1:doud{fl r:

s'l j' !lJ:vrtJufidnflotn3fl 11.t1J tll'llfl5lefi qi?nd0 fi I

I u cat r dda 'ar a 6 ,at4rll UJdonndo{n l 1l0A linnoolluUlvfllltfl l 0)!U1,

o v tv 4a t e !,nrrrLri'ryr'uriilufl n-oirr.rd'nd,fi :f u1hifi il:sfi vrtnrn

(xstJ fldfltv,2535)<^o,

1fl U1AUllU1UtAUt!511tYUU qfl :O9tf)

rfluanrriun r:fins rooufi,ru rlu fi1fr'o no rriu

Tr:sr:utlsyun rirrinrruild'qn:yrTl{ n:rr:'rnj 4- a ,dltr: q1 cu{r.r1{utn{fl lurl]:flf,flqndrnl

,a49fl rlrylu ru rd lrylt Fl,lun lr?rru ]qndln rdsutnr)^rut99'rfl)n I: otun1: In0[rdg1{9]ru Io.{nfl1 lN: uds o'lu

drurir:rfr ar.linrur::u d.r1ufl nr:fi nu1 2552 ar E ra'u

(ifu

rlr^or]:srfruo'rriri:;no rorrra'nafl : :vnrafitnisr:ri

16rdotoos'hirylrselnio'hicoqndo.rriranrue) a @ ! ^ , o rd e/ d

l[10 doullt odiflxluu ] onflo tU rl{9l0txlfll:9lOgllU

ruo;r1:vrfi uud'nqn:r1nil'Jrva'nqn: ff{n'uxursatl

n'r fi.rnr uav antrrrxqdorl qir.rrrarrfuv?ohi

(?0: 4flr:v.2546)

rfiurlsr fr rf,lurLofi tvri r'lilrinr:r{eilu rNfi'nrer:rio'Iil

add5s,2535)

urvrrryriruqrT.nnr:fi ns1rrfi 'rryia^(1r.fl .25q2)t c, oe) d d, ui a .

u{r u u lfl n1rfl nuluuln, o iu o d rfrru Iu n t: r{puu r

nuuavf,{n ru^0l#nulmorflunu ilo{afi{ Ao'lnn,.i

tr.tq rJflorr::u !lli rl,run r)-rlnuutr d tqto{lanlrdu 'ldri]on nor:l n6'nafl: :rn rqfiaffl:firiruvraru roi4d ia er t 4 A ,

d'rnu itrr:-tutu r0rfi6 rflunufifrotun ry,r [qJrdn']r]JrUu rv{orrau::rlrflltlJrrorlflau6'fl:rrirfi'l1u:suu

Nrer:S1udrfl a #r'lotolnr:Hnur6oua'nqn: rvr:r; drnr 6rfid'nflfl:fifi:scsrrn rnr:ou:-rl t fl Liud'ursi4d

tlJ u uu 1 lt I J Iu n r )- 0 qn l: fl n H 1 G|llJ 1I d fl 1 0 i n ] :.. er q odr ,:

:vfluFr n 1wfl ltflnu 1.la? hfrfldar0ulluaflrif,ij q !rY. ru I oY ,, d e)

110g9ld I latuntt1]5uu5 i lHaoand0{nufl I ltJqo 3n't:

- tr e , d,v'.,. <fl0ldin ltdvdlttl9aOlJe)Ul 0tTIrlIfitldI[:tia

n l:flflu tl.Jft an u g 1j:rtdlJS:nu; 0 ttJl,t dn tudnu I

v , J- A ,,&rrdEd{n floinr: uonr tnufi dn dfl: }10nd: l{tu

.4-tu 51.{r'ld tt0!ta rfiu.t rJfln:}Jnl lurfitJ redr.rntdR r},,i

tl n.e. zssz - zssj drrr runei-rn r:finou:rJ inuid'r,

n?trJR t:1J5vluul.t nndo:1140u )fldn )tl ru l1,dn l:rliril:ltfrnon: nr:fionr:6ourr:aou uavfl o{a4 o,lnofiuu t14rH ]v d flo t1l

Iat9t0rl:v ifln1:?flfl

rrrofloil dlnil lu'rr lren rfu,l 'n^orn

rnrrro#olrnsatrqoo99)

$"1u1'l0lurd ftiuuSul1 ftlu 0n8 1l I ft t n:y ?1.t

n'r5 asol!fi nr.toFruon afl dFr:

-tffo1tu n1510u

n t : fi n u r o :-r fi rfl u n r : i i'u r I r r,r : : or r { desc ripr ive

rcscarch t rfio :vrfr un fi nqer:il:; n refi rrin: {ri r u4^l

1{tJlU1A Xll01Afl U]U1A :UT]YYUU qq5flqn

-ld,idint 1]I nrfllla€./l.Jlr a.? hJfl lun rdr?a lHnn4flt

47

48 a'r?a1ti s1f,gfl u1u'laurlrt'rr{ufi onxfi afiBoromaraionnani College of Nursing, tittaradit Joumalflfi 3 efiufi l n?rnr - fi$u,roq 2s54

t Jt ,(fi an (9r: [ulJ ],t.fl . 255 I )0.:n!:s n0uet ruusullq v o I

^ ,o d

utnuu t[lJ'l fl:sulun t: rlaYudzudfitlJ0{zudt[:0

nr:ouiuHa"nda: :ynrflfi ufa:fi1i )urlururailnr:

flnuI2552 0ttuun t:: tLl5'ttJ{0 d:3fi I r{ n:'tn -

fl5AA1n 1r.fl.2553, )aeh . ^- l -ia y"a

nqua ]ouNll t,u tun Dflfluuofln:{uao fld rrsn

n1501J:Ufi dndfl :1J:yntmtflusl:p.r51tt1{ulu ld l'}lu tduda/dl

?,{u ru tn!::J:tqfluu ost:91910 tJflmflnut 2552 t tuxu-cJll

86 nu Hxltu'tr.llun tJ?,tu tu td 1 ftu ?,tututat5tsuto el 4 i

0 lu )u lTnu zu :1i httayo tomfl,{doun tulu6ftu

rn:dolru^od1fiunr:io-u

r[lJ1JdOUfl 1lJfl 15!]tr(tu-llfi d'nflfi r Xyntfl,,t t , ' vt r/ ' 1)

uuu9r5fl$lSnutu rd u:sfloufr?uJ fl? latrn 1)roryd

fiahl z) nr:r.l:yrau?ia'ndrtrrayn1i6'onr:6sunr:

11.fl .25 50-25 5 4 [ [o v I rs]u n 1 5 f; R u 1[ r# r ryrsr^ (u. g, ZS+: -

2559) r^flr1{n?rrdo'rnr:rird'qnudruqrRrl{1o.t

:vnrfl rravrrrrdlnrsnilfl urruurirotilr]arurfl e

iiruru : {o air'rotflnl:m m'lu'tr: n::xJ

nl:a-r q q0mr [n:o{NoeAq her'o A-0.D0u lou rlrlJlrdo 0ruYloouljd.ir tRulrudolJ

ar nr:l|:yoJ-ufi d'ndn tylr,'t!1arndaif fi fl ro{nfi t:o9u q <lfiuru rrayfliuy (2553) tUTnao{ I*ntunFinut

d'ndq 5fl ururaf,1de51iilfi$fufl fi z intrrii'rr44J

11U11J1nU: :]YSUU qA:OStft 0tu1u I5:tfl ftlu'tiu

i

II

- ja r r aq dn!iustlY,rtll:r.dinfl t hdnd0flnl1l I$.t

1{10U0r:R1nyu 5 0uq! rravfl lliuny'l{fiyrrull

fry[tuu$'].r 1.00 - 1.80

lfirunxuuoumqfi

nst[uu1'].1 1,81 2.61

nruq'tfluou

nurruuYx'r 2.62,3.42

o ao u, s o r09u0ou$llooflt lnnl:1nU tnIfll?a I tot ttJ [f]:Uhan:JTUI - o I t - < rnvr i[f].'l 1r ldu 10 al]flll5yrnTns0nrfl[f]u Ii l1rt1

l . o yq'i 9 u ' ,/ a ,,ud0anu ry turnullJoIny t dr t:nrtt0{to{duoi,r,f*I"i-

nqlJfl tou't.1 rFlflo all{ unnyQnT td'tuli ryd.ti tnn ti91tel0UttdlId: n 0U l.l a(UU: 0t n']:'1[r'l: tsyt r]{ 61

tvirn: tyri'[un nr: lrJ rlns 0:. rrur][ ry{i'rfi0il: c ]uryf

nr.rimnr:ryirfiu

fl'tii-ru: ?rult0ud,au rtro a d 9:] s

zu Jn0 lOFl lluUn l:[fl]]:']U1t Jutrr1l6i lfltrlJ

nsuuul'l{ 3,43 4.23

4ftvt[uu 1-1lJ t0fl i

flvItuu 11lt'lufl n

4fisr[uu luluf]':

flv uu filJlBn.r

ftsrruu li lJ taft.l

.r) - ^ d dtlav 3) 1ouatry{f]iuR'l n1l fro[tju[r]u'tn1l riusroue""rsiolilfi

teyrohao: lurl:yrfiurl I ttu 6ldfirt6i0.l{o r :-.rtu urds9/a o .l. ry1flfll1 ntu.sddrr t qldlu JBnlt Jt'tutd0

aotA"tIUr ral]5rrtyry fr on:pr'erti rfiofirrotirnn :sald

iL a i" e,o ad , ytrl:0 IUOVI tY tUn lll{UU:yrloljfilu fl58u .Ifl (Clonbach'salphacoefficienfl lpiritn,lrrurdO

n r ri r n r u rfi o riu I o u1#4vr : #lrJ : r fi n t'do ll it o.r

futatr tr.rudouo.rruri"rariu ryirril .qo

^- e^ inlt?r7rDu6rlrf u0nnQ n?ou l0

doufl a''nda: rsRrafi arin:{rieunaluia ;RUfl.tr

rflrclouuo':uuuaount lfluuulltta:rri'lu :ylror 'iotrnqilsirod r{fir{ ri :u1unr:d rir'oldfun r:dlor

,aq 14ro o- Ao o',.J?0fi lFlll ln t5y{lrnu d1lr110,:n{!9 t0u ) J

rirs:;6'unr:r, anr lrJr4lJ runyrluureduro{n EU::q iflo:snlr{lra;rorr:u:'.ruu^o1unr:riri6un{rufirodrl

fi gloruurdororufi 6a:y1unr:o ourrlJUdolJn'lrJ

dlur:fl il6Ifl ratl#oeru:'tLn^o1unr:rdt:'?ruqo

rfiudrarJrunat

lltu0 tuurR

flsIruu1ix.t 4.24, 5.00

lfiuqxux.,1n11qo

? q 9tlflnu5vdlflto ll rdnqfi: iln tfll-Jf, uatry x JUt{r] tu t(l, ^ - i^n Ilft1ltteJ ]tfl:uqn0llaydnn t [ 11.] y r Ft0l.] lJ ?1 d1J 1JDJJll)11 lloUlldlU0rlufljlFl: llj:llJ lrdurirllillrgr r:1 !

11la1tims"lfft fi a1u1auf,ll11itufi an:fi ndBoromaraionnani College of Nursing, Uttaradit"Joumal

flfi s ariufi I Hn:1afl 'fiqu'lou 2554

49

^ - " ieouutu ra ina Id'tln 15blJ5Ufi dn{fi 'l

Jtvn ldl-lflJntry1

u rurnt]: i1rysuff qn:ontiflnr:finur z:suohrq o ,

2. n]flfidi t9:uoutula tunl::xu: ltJlJo{n

piiriarqirur rfrr,iiiiunr:0utiJ rt,ll(1lfl r0 i?fr olJtg f, {nuo.1qi---''-" ri- c

n r:ifiu lr{ourfllaoro r n? tl.] dfin:'ltl unr:,d ri rl^-Aq,ta-rr-e,n1:ldU [rJ04rd1i!nr:OU:L]flUUoll[lll: 1tJ{lu ltu tjln0

^ , 9 au .ro o/ , -r:uFll,r)-xurllri0{a fl llnudYnnqrJfl ldul.l (rdt,05ulti

dq,ltfi l5rflLl511l:- 1u1]0{dl]0 ifl l: anr'

L,^- , ,,t ,, ol. a'rn u?.r r0ud{r[u ud0u0 lt]unH[1]:u

fl 'lxou:lJlravl0n?r dxt.lu^orir6urru1]fl oun1R1ulu

I dlnrfiA nqt- 4 eaq oro4 l1lrl IO:1tr11n rdollflluou fltitu touluult

3douul aS1tf, 01Jn?'ltJdlJLlSflI10{nll9toultuljfl olj

/ a- a l, laflr nouu'r hlllft: rylilr l{dom nt:^flflu tni{utflu

cloilntr rnfirdr:-un l: ourxrmfinde: :snrflfi ofar(n/o a dt I

fl$ lu1{fl ruld tontu:ru 86 nuflalljuS0uds 95.56vi c) -l5. l'OUdlsiflfllR t1,! n lnrJlllul10 i fliu

9, o a , YA5.1 lJA d n l fl n t: d r n t u iu 1l n fl11

ivdtn0110ln1] nnflflt totln9iul l{ 'li I 11u I n 00ln l: u

@ ellJX s 0 r?, nn (ar I ldvo l0 15r]fl dol-J

, eJ o 4 eia e)

5.2 lJO n0lnr.rd"tr: rn l:01t:lJ H [9rlnYA: r<, d a err u s e'l'tLn u{[ t?i n {r.ln F]o 14 t u tp.l lufl l:l'lutut d 14lfiu 114 0E!11 lu

udv?rsilnoayifr fl udvlns?i1r{il-{dorirudo'ru aern r:I 'r dt:{vtu1 tn l?tu l ltJfl'l:1,{t tuId rl,tofl00utu'lsr

u 4 L qrd ntu fi ll.tu'ltl tufl't:1tul1ltntlnt 0'tut01ut11{

q L[ro I o q dn'iulfd,t lfrr nItoufl,'tflr(aI ottuuntflnut?utluqtfl:Jno{u

,au , d I ttlt )flftrlr 1Y{ 11H 11{ u 1r.l lun t:.

t, ,,

fl lI ta[[dv:o i1ixflf 16l'ianl: r]]u iae,lrfl?ry rn r:A: r .! ,

[1{ 01tr [0 txqqu)-i flin rlai1100uiu lalnu:']u: lufl0rya

2) rJlunrsflur laeiuuouraimftr

unsf1il#rHofrilxu lourirruoqor arrifidorfl ur'rott Aagt, c d d

fllJ 10mu qlr r ul{ rJ ru'rdlJflugl { run lufl d i dlt: 0

fl r : rr l r : r u io ril u u o lll ra d rdu r lu t or s fi eini r :-u

nn:oil:tJfl nilA-fei iiruru t o nu

:) nrandlnr:riniut:ar r{rrlf r u r?r r.l.r s n r : vr uril r a I q ulffi 6 n I : drl n I u ait8r a' n

. i ?avflf o:Jfl laouumnn rd n luilr lryD(l 1 ]0 u 111 0 lu lu

2 n;.1

+) norurairyrBuirarfi"lfi dr o

fl rJ ruldn r : au vru r n { ru u fl o udr t orriurl'nrir ri'l n ruri

rrdvfufinnrndur 1 ntt#{rnalruuhiir::rdru,i.< - I'l"f[]d

r'lun l:d n rutu nqria, I $t [u'i lla:t ]null

ffi6'oaqrJlonrruridtg

6. n1: tslfi lend.]ttlflurflfl llflrsgno^ -:drdin rrl.r'r.l,rfleuur l0 (il.fl.2550-2554) rrplun r:

finurudqmsr^ (y1.fl.2545-25s9) fi efl rrnrr do{nr:

iira'":nudruoc,nruro.r! 15vMfl l4d'nfl fl rilrsn rnfi oriq :9t 4 ^ Ir.try1fl1,tu.l 1a -1flfl1afl u]!1a :lJ:]$suu o91509fr

11.fl.2551 [Ofld]id]fi:U n]5 {O:U:0 { flO11]U10 i4a/

?mfllafl1tt 1 1n :!:.lsfluu osl:9tgtfl

^ lrJn1:1tn:lv1l1ro a

t. dorya,:irurlnoa irn: rs#InoldafiEr-6 rr, , iy ' irYiv,t:rfllu'l l9 [R nl:t[0n 0ifll1u0 :0udv n ltQdu

t [avd'tu [ufl .1[1]uutst: 6 1u!,Ao6d,@

2. 10r.rdrnfl rn fllrufl9l1rugl0lrdndn:rrd,

n1r6'0 nr:dn1,i?rd'nao:rl:v nrsfi orisr:fisi:auarura

d'ldo',nn,r,ur,,u1rdou0ur irn: wrilnuldrfi 6

^ rr9 ' ; .t" il1,,[::iu 't tqrrn n r: 0nrr0.lfi']'tuft fltulrufiIY?{nvllu}J nllaafl lravnlluunluuurFrtsru

:. rlorLarrnri rn rrurla rfl rfl o ffi 6'uldri r{oun

r{efi ro ri olrfiorrodrrrflu:EUU :1!frilL + uqrlfla l€lt?itnIt dtuIltrfrfloiflaua

9/ a',- ^ ,J4. u0 dn Intond t5 lYttnt:-Jtft5 t3lItu01t I

(content analysis)

NAfl1:"1OflaJ

2afl r:'llft:rrHnlRfl 159lolJnuuiI01J6r'lu[[ag

N1:dlJR'18flJ

xT xd-lsilru'tfi'Elra1 lAu5lrX',]fl'Uufi ABXandBoromara,ionnani College of Nursing. Littaradit Journalflfi 3 arjufi I ernl'rn - finu,Uu 2s54

l. nr:rJ:srfiudruu3rn lduri rJfrryr

In q rJ: r a r rit o ni fi h qu : 1 n : r a i r l r o.r 1.r 6in qol,i - cto.!

'uolr tfll:tlJoifiafl491: r.Ifl rr: tfl t: ol:url:;rfiui r

nr",u,ru',rorru,,;rqrlrrou,inuord'ncsr:lqfl :ru.i_

ogjlu::6'urrnfiqo (t 4.31. S.D.-.71) lc:.rn{rr

Na'n4n:]au: Jr.rddlu:Eeu rn ri 4.t2. S.D. .B5r

^ I ir j a d,ylil l: tU lc? llJ t lf,1,r)fl nillU Ul r dUd.l dO rld l l,1.l

il:s lflrfl ur) r: il5 r n duo rfifl od'lu: v6'xrLrnfi do

( i :4.36, s.D.:.63) isollrnxrurfi rrvdlJ1lo{1{uxoarl

lou:r:Logjlu:rriutJin ( i =4.21, S.D.:.67) fiilleriry1i-.ia'!t:Jnvttuutf, audndo fto fi u'to1slna l51tq rytJ

-)frxllrn.rxJlvd :y6',!il1flfiEo ( i -1.27, S.D.=.65) eryt.iaia11tJfl vuuulqaud{dfl ao 1ry1[rfl unfl 1:1r?utltaoqtta

,,Jl,?t uxJ1,,tu6Iu

flr:r.{i,l' I nlrirAaJr'dyrirulfi 1tlu! tgli1 lulloJnu ft fiulm t ttwna'nd.ffi fiu?niilttdznlr{finlrfrnu]

x

1n:raitlrd'nqn: 4_t2

4.31

3.98

4.29

4.15

4.36

.85

.68

.65

.57

.64

.63

1n

uln11dfi

rJrn

tu1flfldn

tJ'rfl11d0

tu1fl

UlNTflfI

nlt ruJJrydtJ.I]0itgtQlliydJftlJol an{a:-t,ur10lrylnt:flnu rfl I nl

ilnu?s'ilqfltsau

doofl aonfl !ftxru9to{nt:10.1d{n}.19lu9/4

doofl60nfl nll sro int:1onr{t5uu

rilurJ:ylflyflunr: :ynotorfiu

2. n r:ilrvtfiudrufloffsrirrr7r ldurinorauri6fir{rG gu o.lor:rifldou rrdyfl of,oarirauu

flt:t:uu5da9, d

2.1 n d:J lt9rf'ttlr It:Bu 111r ) r11lt 'rf,rl

o, ,oyluluraut :rryYuu qfl:on oun 15 n ry ! Ft46u d1,11Ft

Y I o Ul ,- r , 410tr'l[1 l:un t501]iJJ ttsntnlJ dlulJtnllJ tr:iut-lj d ye, v

luo {0 lfluft'l t .y0 q dri 9t1J0.{r.l{flltuul:ou:lJi_

[9U: J!If]sr[uUIQnUtytlUrJ ln( X-].%.S.D. .8q)

z.z d'ruoror:rirfaou rrasfi rfiLqni6i{flnc 9,, o aH! I l0I1l l: ud luiJ tnlln0r )9lrl: fl tu 't Iyr r.rd tri1)

nr:daur :yriun'rilJ!1{uryd}.r1onorortrirrnlfi rdg.:

llHrlit,ll lflu:lueJUtuiUol]].J lrr ( -y-4.21. s.D. .61),)d.fl lUrl li l:fl lgU: lJJ0U l1 li3fi u Lt lr) ( X4.24. S. D.-.h0)d ,-!

d ruu r'l r:dfr rfr ullur nr ri #lnl^nu: ruodlu s:o'u tnfi da

( x:4.21, S.D.=.63)

z..t ilrr f,arrriraq un r:6ruf lu :i r iltr'u

(t:3.96, S.D,= .89) flllrJrljuryfl roirfy{Ulfl:er<i-

duu duufl 1: [: uu:,Jn3rtuulf,au:EFlu:J ln ( x =4.00.

S.D.: .87) olnt:dorud finyuuurods:y6!rrnI i LsO. s.D.-.8s ) n'lt yo uo{}ni:t^ rurda:{o r

aAnUnl:flRUlUnyllUUlDAU:yOUlJln ( a :3.98, S.D.

: .79)I a , my ,

J. nl: :fl uft lunruulufl i: lollfl n15

u:1.r1:ftaflagt: n]:0 0 nl: rt uu nt: d0 u n1:x9tlldye t)a

1l:3IIJUNAn l5flnU'] rl l0 l: Ull inU I

3.1 nr:uifii: dnder: intLrd'afi

n sns:r.rfl r:fi 6'ftdo:il:yn1flfi ufifl :fi,irtruourat udlflanu onu:

3.2 nt:iqat Suuflt:dou r.ld nt)-

J:srx,!n:yu?unr:flonr:6aunr:aou Joa:r:Loziluqt tA '<:efl]l rfl ( x 4. 14, S.D.-.6S) o luo'1t t:ulllliflu I

4inefiuuraafl4{qq ( x :4.23, s.D.:.60) fll:0on0n:iu

',sdorir a4un r: r5 uuiloflr tufi rr; uutodrr:yd'urtn nr:Guuaridou oqjlu:rri'lrurn (i+.11, S.D,=.71)

x1x6{1xafl mfruflr,1u1au? r1ttufl qntendBoromaraionnari College of Nursing. Unaradit Joumal

flfi s qrlufi I Hni1nx - fi(ru1uu 2554

51

oAa i a j{omunsrruur dflq[{qn n0 d09tlr1l: nt:- 0iq nl5

- -i-,nGurr: rravilQnilirnflrr6fi6dsiryrdu ( x-4.2I.vi< -i 3i

S.D.-.65) lolrrJfi l U[ AflA ]11E9n^O flfrn r:6r'U)a

nitrd0u11l{o-tfl 418 fl qn?l}Jttglfl stli: g1lx1'1qnfla

1o{fnfi nur ( t :3.98, s.D.=.s8)

3.3 niiiouav rvrru^ur.ranr:finur nr:

inrravnr:rl:vur^ur{anr:fi RU14nr1ofi :nd'rnvrtuu

ilrn {ddfi nruuurofiu{rqa 6o n r:hirinfin s r

:r'{luruaor,r r:ritr dyn:suluiylli r: dtJ ( i =4. t 5.

s.D.=.77)ti ,a tA ,a

J.4 0t0 i:u?lU5nuI o t0 rtttlu:flu lnm

rJ:vrfruInu:tLoqilu:sd'urrn (i4.23,s.D.:.60), i< - A 4 oro rd et1J011JJ )- yflUflylluU[f, dfl d I q9]n 0 lfi r'll!5flH lO lU

y .io - i15rn l: ( x =4.30. S.D.-.60) to11u:s9lUnYLlllutf,aUI a , a oro,o

fi r(fln0 drrfl:rJ lHn td{ tn ( x :4,15. s.D.-.60),^99uoudtYnfl fl11!9ltufl:ru1ufl15ut0rflt0uav d9 q

0lnntid ntuflit![lJ r:unr:0utlJ rt:dullulrrdu^ 4 e, ^

yi -1f{0 ru ta'ts t"lrlI HU: l.i 1:uaE o rn t: u urulltul46rfldn:

^ rlurtn lffljuuat4s?t,7!u lu)d 0tnn tr2Lfl5 't;1.r'u0 x't14 , ,a@

lla I fl0 nl:09lnl:[:oun l: doufl ]:rUUr) Ifl fll]nlldI9 Y4 4 . uruufll:uuruufl lflqr nlt0ornnn:T flt:l5flunl5d0u,ri e,B[1t:Ufl',]501Jt r.idndfl:1h-3fl lflu 01t 9t: Hs-J U l,! u t u ld

m ',1, " ,

nt r lidtnHarfl Etdou tulju [0] In l: dou:y6"u'ltua - y a etqtiovrl{uwdtufl rldututlro.ii]nfir rtltnl,0 rtu ft ltJJ

tlarnlfar0:86'unr:f;nrr rrn; :yOUnt:ointrdt{tu

nfrngm:fi:voyr:a tR lidu: tfl rn:,flufrnuynt:fln

fl!9nutnfln )lxrutu trurrdyd tJJ r:fl 0usrituSt nu

11 qUX/r t9l

4. nr?ilrgrfiu$iluflafiaet

4.1 HAdUqlrrlr rifl r:r:uu drlt0

fl 'ltoLl:rJ ln:9rf, aSdydlJ9t':r[fr 2.75-3.00

- i< , a-i^4.2 fl an! y111{{U:yd{nlltltfl rAfl

ri ni uR loo: :ruuny: rud ruod"[uiv$i'r]r rn r x - 4.07.

s.D.- r.00) rdou^r r: sr r: rtrrlru vrt j r lndruuqjlu

fl an r:il:yru^urfi {qrunrillatriulo lf, 6i trE t9t

nll ou: r.r?i a q$r:1J: vntf,uu un:flfl1uuulu ld10I

iflu r,j-ana rura 6o n?rtufidrlf, o rdr.t ru rilriu ri"rlosa i - ro

T I t lU ISrlu)-l: I q,Odgltl:Jnll :llllnYo1lo 0Aooufl0) " nvgt

TfiUvn h-ll ugt.llul'td rutt0Tl tauou

n150fi :ufla

l. nt5 :vtltuotuu:u ridn t:10ul{1.11,l?us,'lflqutvd':nloifiarrdn: ln: {d: Nloi andqS

rfiorrcr:;to.lrfinen:fi n?r rfi rrsarLoqilu:v6'ud s 9'

xJtn hafl fliil5 Tyntfluuljfl:fltlulltjlu tat0tlllu tdtJ

neo ^ j " o . 14

tftfl tluufl t: t9Ttn't Tdnlnl: utu lafl"tfiuo tfitJ

ii ru ruil il-l0n^n]flfl:lil'hifloun ir 14 nriron^sr loufi

rio?trnqufiIilr?o fl)1 24 ru':afin nrnilqufr

urroiryrfinurii:}J o riil1afin fiulniyrr flty 28r , db 'tr'iu'lun9 1]:vnounr0nmTqul t uounl t I 8 l{u-lungl

raoAn,9n nl]oufit l:Ju00fl1't l0Hutuna (dntnt:lIu ru 1d,2552)

nr:fi nurrofl fl rm{r'jrrJfrtytuo;iorqr.l:rrlri'ro.r

t ii'n qor:ffnr r:Leonn#orfrirrruu rfloru lrflru{ frorrdr

d{nilu?ir m6afifi 10 (y{.fl . 25s0-2554) lurl:y16uo a1r4 y l rt

rafl dgr55?ull9Iutnu tfi Ifr I:J1{:0 11{fl lutlintua6fl ryryr Qrur,rrJ or^uD5rrl o15r,0i in?rudrrlrr0trqtun'tSrtnljfu t Tn!y tun t: u:yflouo tTlI ljfi1ltu

un{ tun l: fi l5 is1gtou]i flnofl5 rrdsd5l{[0n]frd ,r , j

flT:t:tJuSnn t:: 0:uf::r.J0u]{gtotu0nQ9

r6lfldgl: d0qflAo{nUlltlun l:flnU lt[1l.lY l9l

(vt.d.2545-255st ironu r:runirj rrierurl#rfl urur"rud.i e!. ,r}1flXrU:fl.Il1ill 1 ,t: t{fl tu 09t ti dau iuInIxiSa r5:tu

rldrn;ur::tr ie ut::u1unr:dr:,r6in odi:uilfr6uod t'finr runt trnyud'ngrn:rfloionraffi ri r5,tnr:f;nur

a n '5:vdur-rurfipn^n ufinur hirirn j uitfl finuudu arui4

(1J.6)1{r0r118 01mTJfiAflqfi:finryytr?.lf,Rutfnrt :on9,qA

rraydoqndoidufrflr r tn tii{nufitu drr l:0Jdr fifludl4 a , a9v

rin I Mnarrndu ututaltrffillo.lrruo8 to:un t:oulJtit

rfi rnr:H6ouururaluifl 0ta-u fl r!rafrifion:yn:al

52 tr:ar:i grffs aru, nu:n:rt$.6i an56ndBoromaraionnani College of NutsinS dnaradir Jounulfi 3 ofiufi 1 ni'rn - finurrlu 2554

dr[ r:orqfl[ Au

unynrirrqrrna u 0'1Lr rai.rnfiuvirffivi&

n'l'lu9to.tfl Dlnn n:T l-tud1!unt5u:n D-l'{olu rd trn!i9 t tt ,' 4 rr9lflrln ,{s]ullu l1t laltayflY'turya0flu tlr R r:dt:'10

nrruo{ornr:#ryruT{urild 1r.fl.2550 lul: rno rr ronudi,b,

druru olo nu I:{ uru rar''r'Iil z:s nu 'i:.rr',rorrrn

wsu 1403 nu (oolriul!:EU5 :1s5u0,2550)

^ _iIt{u1{flut[f,tu$nt[laydnntuatfi.:fifinu 11 10

<9 v Y dt l?rU lUt'l9 U'lrltUR l nU![Avfl ?lUllJ:Jttl{1] 0 {ry]JSUo94 u ?tl.ltJfrl'ltJll:oull iFr rul lifllu fltut::r.J ittJI:5u o1)^u[r

fin:rrarr rrolun rllfifltuH i firflnsvlunr:il:ynou

orBl,{ nrififl u rdrJ::ouvua:'frnssl#fr n rrfi'onr6uufljv-fr Roon do r fi r-:.-na rn ril lnvmn [u tatffiJ-uluri mir auu1Sr99J < a Ill{r.tflou laflldu't lu?l]fl r flnun rfll ufl'r:rd:udrrfllavd.

t1,0N tu{rn:01tafll ltJ:?utJ0:3 't l{n'tftif lOntu $,,su

4niy6'111unriileilurd ::ausIr:{{ruIro6,rmoqm*, :.r " - i

nl56lflouttJ5yuyfl1Jllfif, lnfidt€,d tfitu :.1i tu t lrJo

,41 dr 'd:1{11 tfla0n lunt:u:gn0u0 t$1,!rlng[!1]s0 iT rrflt:

r duu{rusrr nrr flrinn.u.nsduornnr:dn1yrnr5$i

dh nrir:ri rlffi uor#ofi u l€,mu1unr:,id^nfi si?afl aril raj, ^dtrtYlos'luu:: [11m IU1J l0[tf]nuy,tutl] talmsll rytn'tizuaa

t[,e t I .itatun I tu:1 00tn0ifint nflioidlufl0{0uIe{flarural utcrgt 6',: u ienrnr?afionou.ir.l rqiu

It ruu ru ta,daoo l:{ arurddlflfru 'l#n r: nrirrqu4 t9 et @

lprnr)-flRUrI rnryllJ'DUR1: ou:lJ

'o d

i lnfl )turytlJ nfl']ttitp]d lr:ofl't:ou:lJldu0d^ ; - a ,

[[ugfl1:tl,ttJtgltJdl:gtnuxnu?{qfl fl :: ntunl:u:n1:: 4 r- --qlT{ n r: n fl!er tuln: ruxut rfl:luyl I lfirnnfl? tuJ,o ,i zi.duu l0 tun r:uQx9.itu tuo{otnt 0d'tt:ont:0u:tJ

rudrordo l1#n r:quari:uru6o{fi 16uilrofi otilu:;os;d, -ttJ:utt:{fi:o0u Iu:yuyyllllu0ugl: lu [9t fl nl::nu I

hrsnl liJdgo to fl 1:9tltnn 15 tfl:110 tl.t t: n r: tqdnrfl,'torTfl

' 4 t qy t a t,A 'fl l: TlUrn douu ttJ 11ln0r tl{n r:fitlds lu[]1doryllog1 4 u o n9/0 eI 1.1 : g u g )- u t r:'l fi 5 0 0 u sr :'t u 0 s fl : y 1l l to tu n n u iu y

fl l8ti5 0n:y11 lt'Jxfl ur.tu5 yfl ou15 tryy{nt: ulu 1a

sulju { (: gtljuun:y?I, r.ld'tI t: qt lr.f, . 25,14)

2. nl::gnJlroluuoouu'trlr't t ftrr fla^, , a ?9

E dri!a4r1'r51.]n r:ouiu 0m r50{dou uo0rJduu49duunlS[:flu:

in€,r.l'arirr.r unnildtuiifiro.rf?r{riuni: oilrrls Yi - q) tlIfl r:Frfi[d0a0u ttlntou tn0rymd ntflo{fl lu

eein t:dolt0lunvtluu:0uag 40 rJo{fiv[[uudoum ln tn

Aqtd1l0dou 2 ryq flo tfltl I i,odou?ftflBrafltdfit ay

3rrlrr,ardqrfi z a*inn rur'hurnvnru rdrnqv rirlr?99 d , a v i - a It vry[1]tout rJufi tllJTl:01J tu:sau ut nt:flnlnonrJllr t:1]

nt:ourrlouiGn naoul{rfu rflunr:ionlrffiug ruu 'oeo sA a i a c,I tan tfiuarumnufl '1tflflulYt0utQlltsdtu111u1fltfr9t:

t "o.s,dro aa ,)lmoflolsrfftdsEYt't tliuf.t:tRlmrmTJ arfl d'1flfl rfl?l n9o d t ,, aFldlr0nrt0usur{u?'t6l[1,1r nl:01]rtuun ?fln1'flnHl

sNtrsr:gFlu tmJflilut0uit{d1:nnDflnu]:rau!:iuqM5tqu

otn6Yo luu: tYnfl flotJgnou I i: otJdy 48.84 11t:1J

nrto1lir/}idndfl irJ:vnrafi afn:frd:a aruraA,reid

tuo{01nfi 1{lu{1t :ofl ay 62 tltouStJtuo'l0tnIJn'ltu$ou, 4y i ^ d , .i

d tul4u.lr.lj lut0u: tTuttgtlJlu0 ti tflgt0{n l: r1{xJEtu ?s}l

^ idr d elr)rfllp ?1lulJ7IunJlus?urfiaofl ?01ul:llraruto- Agt< 4 d:!u lalldstonYu fl t: ytr.t[: uuu fl t'] 50ufi:otJ0it14u

.n^iLliv |fllru ludtlj t'llflYtstul5uuoem [nqfl1ru 50rJ1unm4 99 ,t @ alsUUAg?UFlulOidOnnnOlnlmry (Tough. lqTl 0l.l tu

I /s .i , yj< e ddrJu:rdrn l0']rrnr.254I) ltT{u1l4TrJnx l 50 lu

d 99 a ,A ,An tr[:uu59rlu9]utoi0EUanutugfio luuryYlx titu ]ri]J ttr

9q A d, , . Afl lrn5vylsolsu 50n[00n ISnt rtu:Itogyrn!3l]tl.tlJ EmJ

,l .tc)'l l{tl21,lfll:I)-UU08Ilfl lo1l.l lumnUfl I0t IrdEtUU,Ag[AOnOls ttdUfl nn:5U10.1SrUrO.l

d t " j

'^ -^llltL1 0 l01:ulJ:Y rl lll110U0l i'lU lUlfl UIAUd a /a' d

1,!UtlJ rdU:tJttyxuu qfl:o9to Unt:flnu1 2552

d-rulrnfi 1dn r:frnEr:rduil;iuqrlnioon; 58.s1

:vasrininrsilArier^'nu.i?uurn!inn'jr ro fl 6utlaty

:0udr 53.65 ni n'lltrrfitJtsd [un t:0'tulroofi 1DJ5

t 3 tq aI tdvu:yfl un150.ll[nrylt ]5lJn l: 01h^ rJ n D flnu lto I

i1[:0.1:oi :srul tddr]a (2545) 11u'J tanu snavtdA+/aar94

ll iLlrl d':nno ruufl TUn? tu :oufl l.tf uly tn15 [rns

x1i6l'lxi slA'ufi ri1u1auflri1.utufi ontEnriBoromarajo nnani College of N ursing, U ttaradit"Joumal

flfi r cfiJfi I rnl1ar - fi[ru1uu 2s54

53

-4n:tu a9tor{adrJqrttlI'rfl 1:158u?ry]R]uloilR6llrot l.lA q t ?a n,j, q

ua mflJ.0l ryii,ounnflJrDrv,lul ntot:tDJnl)u luuu ltoAavayIunl r n.trJ'lsdulroiluo Mdoun!:Egr nlTJ:tlatfll:

rirl:l1dororfi orornifl 0rd'urfl e nr:oll5tJ 6nder:

nrtfi n!rrorfl qry1 n"1qxi:iu (2s40) 1'!u'jrnrrrLfiror dr:dlfl r.{Haoqlaoonq"r" ri"rfi luni:6aunr:cou?nara'o'l6En:vrfi uufl 5v?'u ?,1 d"rrrt0r qtdrd:urlnnatr ' a e4cu{y1tJll.td0Fttldr.l]l'tu tu dfrluT{u 11]'ta Iun r rrnluqrl

6/d

'U rl.l zu1 l: gfl O1l'lltl$Y{fi'l: ?ItJ lU'ld fl l: r{O ln: : n )- 0

4 a 9t a, J:snmfi uffl :frrhmfl ru rnrfl uni{uin d rtlnr: ri liuo 91 4 ,4 u dqe/ ,

ClOUtllgllO{2S ltill4A0OttAin l'lUOtl l{SOtrlU 1l lU tl4OU

i ^ ul)11011[1fl ruofi l tnlnul4:0uT]tnu5vollr.,lou5lJ

r''h o'u ariuauun r: rSau{1o0: rufinv uuui-e

rads:eq'u ifl r.inn rrilisdonndsiiiun r: ;vtfiu'uo.r,o dflflu,0n l5flnul nn dfl5lru tu rdflld0:u0r11sr

ln6r: 8nufi uarril"111 qfl ilrAfl , 2553) fi il:vru-ufl o6'u

e, ,o - t:^ - L,yfluufluufi t:r: uu?0g [u: vFlur.] tn iu'r11utaa lq

n'rrfiu nt:1uuurr1{ar: il: u #unilnrmnrr finu ri" o,Tn 1 Un tfido luunl:flfl! lUiofi tl.tu onuduuduu

4 Y t 4 ? 9t , t^@a .14n t:r:fl1l:ryu n0 Y,t trgl0: t.t0 { dlt9l fi0 tljfll]afl t5r

r )"flfu fi 1fi9111,[flflidl1u ]a5 s 11111fl',ll{ 1,1f]

l. n l:uilruu0 t n5y! l!n ): D:gu'lun t5

i'Fnr:6uunr:aoulosrrilodlu)-ysirrLrn rirmfir

a9nt0 [91fl tifrluol.]10{1tu llj1d?rylryl{

rirunrnfl rn:orqdsd;d fr{rlei 2.i s-3.oo :ond.rrJl

lidnd9:1J:vntfluu0:HYtultullj rd tn fllt nq n t: odlurn:o,adocyarsiqrsi z.so-z.u+ Hnduqnt'n rnr:tt

riuuriun*u otiiluo rriil:ynolnSoflri'ora ru :yn t:tt, t t ?^ta n otu tllf, 1J:3dunt: tolJ anu yloiuylt:uu

ln anel^rio n1:6uu nx1 lroul ff ittasr ri'q: ra:un:

n1:1{U1u1auAi n1:Fiqifl:5ri "fi .f, .25M fi fi nr::v11

,lTl l: 1J:lJ 'l: fi d n flfl: :flt ldUllFl.l9llflflg

s 4 , do t ,)nr:lJR tt l{andaSl uatunnuuonuS tvn01,alS

:vtrun::rnr:uir{1: d'ndfl5 1nu n::unl: ;1r1:

ndne n:iiru':u 9 nu irru;firrlrurirulnni?

03ut111:r.nun E fl 5 5 u fl.l:1l: l.t 15 'l at fl"l: o101:uA,Am :nu tfl r5u:Lruu [ou:']tJog lusvou 'tn ( x =4.23.

s.>.oo) 16'frq1#linf;nuroqjlunrrlqrraroqoror:d

ff ilfnu r rrayfi o ror: rirl: v ii r.fi'u aool#n r: nrrauay

l#rinlfnu rd.rrio,rnr:#0u r ru;r r udsflnril rfi 11ilr a r, o ,o oo4. n t: I: sruunruzuar{dgt hdlrinn t:0u:

aount' u ?f nltflnultailftt ?f n1:doul,o.ifi tr r:.r 1 1h 1 il #l q mtr o.r d : s n o u rn rl-u r o fi #no"r,r,: d

-s1{dru4fl fl fl Avn g, 2544; tUl'lAnU0l l.lUYl:t.'ltJ, 2549)

- i.s , a

EOrdnu Elrlrn :Ydlfl f, rnnr:UTrrxJu

i r^-- ' u e,fr rJflrior.- r ru: rlriu{riro no u raul i r fi n r:rl:crfi u;! E d e d a , A - t

ll lfiiuu?ntrav$t tlrf,u lulrorflS?nu lryu nllrJry0dgt€,

duu rl rn3lrdyrl u} .tlru ru r o:'S rras l: nro ru ra, a

' eo d a i - t ,tonsu1l:g[1.Ju I ]r.ldtt: nfl t5 01lt xJUfi'l'txJcUo dflrJ rrfl

,luun.,raoudun',nnqufl fi ,i'oluinum''unmrJq^ri6

rirulNqj6'onr:6oun1:dou'[u]:{ urxraqq:6qri'i<i ,^ -^is,.r I :1utryt11r{n1lfl stT [:iltrJtu ]f,r11f i u5

Ir'tttaiui a qitriuuay Jr{flarura arurH o n:yr dr

n rJlfruu.r, ry f ifr 1unr:TlnrJnd6osniul#fi ri'nsy,, t,,o i

n l: ! fl usr i tu 11 I d rJl'l { ru u tu I : o { I 0 i q flr t : : tJ

oEflr::q .{j ^ n 4 ,,ljfl 1l t}1Uivl uno ru01.t11J n :swr1d'uirruuofl

6 9nfliun l rl lnf i lllu lr.l l|fll:lltl lU'ld AY11U lU 1dlY lYll

^ -i- t o teet< ?nur:t ul100ttuu1l Itfir.lt:uu ttJxJrlar Iun r:d{[n: rvt4

o':rrf 6rnr:finurto{1r'ldou':ri qqqfl ifl 'rri (2539)

- i" a ,i" dnufl ryn rfi 1unr:finur{fi ri u3onr:dnu r1u?r#n{fl :

U9)1j:gfrTruflllgHtvn ou

c)fl't: tnfl l: r: r,unt: doun lnulufln rfl10:J 6l

.,4 - a,u I il1ulU]l: vltJU I fi1r! t ryOd$rUgrofl UrO ttl,!: ry

o I'r Li'ro o l 'rBlqorntu lru'j rrlna rn:luilo{il'rfl lrir,fi rltunrrlr rirdruriunou uonrrnffnr: rgru^ufir,ruds iol:Lv A 9l

r.rrirfi rorrlrirolrorrlla fiafi ri16nil'jr "rirll#riraT{uru.rdlirf,aonr:Irit6' rdu nr:arufl ddl?v nril#

' J ed.lxru f'l'l lxriuzu9l501lfi [:uu:[:1 0'tdl.r'tu dtfi:uJ t

^ ' 9Jo dd rnl:fl ut!rau:glxu'l lfdd lr, $fl 't:0u:1Jlt0.t itlu r6i0

54 xT x6l1rimu1fia?ro, U,lnux x'l{$rJii oqranfBoromaraionnani College of Nursing, Linaradir JournalOfi s oriufi I flnl.tsx - fior.t1rlu 2ss4

rd^.tYalTJnfl lflu:n r:0td'Ntu ft'] t Su Ftyou qnanntllgl

n lfl lfl {n rua uduytltrfl )Il?19 tili?t.ln aa nu?IUtu )d

rrosfirirln

rlorououuy'lun rtri u an t:i6'u\rfl #

1. n yflsi ntrliur:rf,ndn:filtru:mN- r, q, y - 9

nl5H619ltlryXflllulU ld tl.l fl09nA0{nUfl? lUgl0 in l:10i

rril rorru fi'rnrnigrraslonryu a tifin t:rfirLrfrrln r:fln

nrnrJ6^rin^ urioy r.i :uI runiu 1:IuarIraro,:ig4 I lrt ; ',Jfr t] :id{nflstul,{utu ldlld t 1:nTtul1 tfiflonl:i1 ,'ld'ua

ru,-rti rl rciu nt:muflarf trr rl:lridtuuntfi 0rr.r t:

z. nr:r{ruurNdnaq: nr:fi nr:frflu'r

3. n15d1ndnqq:hJrJ6'ffi1#rfrerruadrrovfi

rl:y frr4D^n ril 1d'naprfrnaoon#olriunr rudo.{n r:cr.r.r

18'11U d{n! n1: r}lU1 afldfl:n'l5n1u,lo{!,l.t [n: { flf t{ro nr ii'nqrir: n::-rJ:-rrlr^l

^ ,-.- j j _ , a5 tu 11,'tfl tn uft tuol.tlflt:Erflulnunl:sxuflu4 d d J , ra qanU5V,l fl 'l: ltn: 'lE

14r.1f,fl t:g:1111't i l.t 0 rUflUfln t:ItlI\

t50]Ut[1{tultO Ar.i1 11fl

3.2 loil:Ed.rri dr:y:ruerytn?1flu1#,4<drodd,t4ltflunol u 11ll1lu llnufl?. llJu

:..1 n rr-riro r rrrrhlrtuyfrnasr:to la, , t tA

0 t0 t:uftl5 nl: lfinll ir[nn tn t:8[r]axnu

nr:rirnii'nqor:ejnr:rJfrri6 loarnnlsrourrrfl nr:9't

u0uFl{ IuI0{ fls luli u I u I dgt 'DJ5 ytuttuIo t dn I

fl151'!UtUtAltAyntefl:x.tfl]f1: flI_--.o q 9ds y t A y ,au6o e/,finndar thu [nr{d: lilian do:ltruun]n!0ra tfitl6uuorrLr:o6orflu rilflu

I

x'rrn,l5evrmffoYrg,tumuxlll.lfl iufi on:AndBoromarajonnani College of Nursing. Uttaradit Joumd

tfi r otiufi I trnl,lar - 8rnr'tult 2554

55

1rxaou'rri !q,qmfi fl id.(2s39). n1:il5vrfi uudnqn:

y^toflcIt:o1{lo$

tJSYrl lflUUUSIS:ssiUflU n:v?1: l{dlD lim d U.

?.<115 frflj ru llu r n r:^ flnu rE H fl uix"il$r d ru l'r i u

llayyln, llidnd05, 1JflJcll61111t,1af |rlr.i11vrt,r

doa3unSufl:iIter.

flryryr rirqr::ar . (2540). nrrrLfi'1fr rd:vn-jrlori-.q cnu slr0{flIryd0uxr'lfl1lJr0{nqufl

a0zua d qTt11]nil1:$ullt$tnluronfl qu

vo.rrin6ur.r.iurl:: nrufirru rilfi o ''i; rGurr

d'.rfi'qcirfn i-ltt rrr: l u nttfi nur fl.{fi {er

diEltn ]. U 5 tUtU lU 1'! U t r) I: flflS I fl Iflfliufi r fl.t.llgt fltln:lryttFt? ulnt tl-Jvllu?,

!iucI]9't?11014fl li't1TU1a0u:v,n.vllqor^ar0lldnut t{u1.,t5}1)J. (254S). U{nu t{q lunfl'tllut

ll iJ Omn fl n no r.r0 duq T nfl 1{fl 15rr0u'u8'r

llrlfln!1YlUlUlAfl1fl$l5 'rimUIA04.7

fltdrnuu. x m€/]u 1{ l.J f n t: fln}].lfllflFlt

lJ14t fllqtfl d 111"l Y]fl t5't0 un15 flflu1.

u qngt111u'iau xJfi t'l11u]4 f.J:1tJ fi 1lfi iI.

f lsfl0{ tu(ufls1 f,LUnflHflfli. (2545). yl'y'1y

riq.n-fr nrrfinrlrri{$rG (afufi 2) 1r.fl .254s.

rril tts $o!fi tx n yfl116-2t ;ilfr l9ru'l'In 2545.

. J,: lryfirlt l{r!nU I orluil:ln rqli r'Iil. t.ZS++r. :srilatn:yfl 5?.?dttr.lr at aql'irdaalnna 6.rqiau

rfi,r*dquatfl{r01u do ru n u r u t n lun : rln r IfirJlr0 if.r1l5r n0u ls't5 n l:flullttfrfl l5 6i9l { fi 5 r R fi : o fl l: ?t f/ t l t 'l n a 3 n 15

l.,{q{n5:n .fl.2544.larJ I l8 910u1{rfl! 128n-)X'tll'l 24 fr U11ftll 25 44.

^./'qt:4d-15u. (2546). a1:uflu.l nnflfll: 9ll ltu'l

a#u 6dd:r. (2535;. nr:finrurtd'nqn:ttavnri610u.4

nSnl U'1: d:'lt,ld1d1-1.aa4

xlt u]aaltuMau5Ll: r51uu ogl5fl fifl . fi dfl d9l:

rJ:rn raff urior:firi )uutuura (fi fi'nqo:1rri

l{.fl. 2551). ?mUrdanururol: u: rvvufiaJ

flgt:flflfl.(rond li I:rufl'loq lut)

ir:'o'r:or ierui'lodqd. (2545). nrifirruiq 6'nu vi4 , e v 4 J

n:11 v{.111:: fl lfrfl o i u nfln H t nv I tn t: u

fi rerurd'urfl nIu'iaEnr aoorrnflrrurS,

?rrd15?0ulrasnm,uru0t., 25 (2). 149-1 65,

gfitt fierulauasiliucmr ofl 16fl. (2553). nri :v[^u

u frn an: y o rr ra flr asr: fflr fifl (nfrnqor:ovq

[11UU (01-ldt]-t5lfl 0 lfl Un.? tlr d rD Itat ql,

qrsu) fl nr:f;nu1 2552. 51u{1uaf,u.

^ ta

O9)5 Q fi 0: ?11fl lADlIUlUldll 5 llt]SYU1l^Jo9l:9fl0.

d6r11iu :yu: ll$ryun. (2550). nr:d'l:'lrnxl,^fl0{nrr nna l nS cl o,l d6ll u:n15flnnfl

n: E m51t dlt t: tu q1]rrag o{fln t: nfl:0.{,vl

d lull rl l0U 1{.fl. 255 l-2555.

dn rrr r: l,luru r.l.(2552). rlorilii'utn I jrrYran r:

Yr : olud'nqn:il:v nrnfi orior: flriroutnuaay,iq.

11.fl.2552. dunultuo 24 nurt?{lJ5 l55l 0 tn

http:i/r'rtu \,.tnc.or.th/.html

arrl:sariilornrnt. t2541 ). f,nu lfl i6'ufi rfi trrcio lduidnr:r[f lEa]dnu sranrysrufiuq :sa.rri

u0 runfl0u r tud.lnan:yfl5 tid tt l: ql].

lltu rdurlrFr tu tdfll 1 rfl 15 I [111r ut [6ly d tr l5 0l fitJ

fl lq nu tfl(sfl dfltuuyt:r :lJttaTunrirrjnrrurlii'on:u11i'l.ldrrI: qtn:v11:?.,dlfr1: dl,.

rJfr grJnr:finur.nq{rfl r,r"4 :flrl our4.

drrinlru n r:fins rrrr{ryier rf iu'nu iern fg ruert.(2s45). niwnlranuru#lyrB ( .n.254,5-

2559): qriildqil. nE'um .i: fl?nlrxrun:i!,'l

fln n'rrio.t-

dtfnlrunoryn::rnr:d'erurnr:rfl :ugfi nrravri'rnl

rurirsrfi drrinuranflrLun5. (2549). uoru

lt9IUt d.: nUl [a3 tfl:! ga nt tfits19tf,u1] 11dtl

1N.fl.2550-2554.

o n-dn n n.r d q n n n dn6 l n r; o ti rfi a : er' l n r a r r a vil oy

r ra roiqriuqrri. {2544). flnfiudfinrcai0-4

,.rd dUfll1t11t I n t: t: uu'ly lfl otJ 11 trgto5ll s) irin ri o u : s fr u rir a r fi n u ro o u il a I o1u

1:'rG autolig n:d fi nu ri.ru inou r1E.

r r: a r: i fluua y rtoru rll o r .. 24(3). 3I l-326.

??rd1x514$1ff€'vra1u1autHl.ltnufi onteo6Boromaraionnani College of Nursing. Uttaradit Joumal

flS 3 qfiufi I nl1nx - fiqu,tur 2554

In:.rn r:fi on::rut oirum ffn gn:uar fr'su u rrinfi nu trJ: iu"lnt: fi rqri rlfi arliouufi :,: ilulfl u

{nr:u?nt:irtnll+o{ "4fiflryryr1vruuulufladsi1{tlol{ : nrrGi{tGriultasfrluTler Y

flumrlotndo"quRlllltl: 91114 O { fl 0 o 0l9l2u R 1: I- ,t

oiYlu ltsq'l*

:antr: uluisrri**

* na nlraivrBudrlrqnrr nraitnn r:l'luttraqfinianf inordaualulal:lr-r*vuff qn:6nri

** uo 1; taiyrdltdtutqunt.-iirau ntniryrnt: lratutaourtioqlturtalnr:'uatrrao-stL')v ittuld'unul1J l.11li 1l:i I x ru il ,111;ilr i

57

fi?1ilrflilil1

aniriunr:finurdruqtnrlrdosfieirudrrLlunr:frolurqtnrntol :ltrruttasdto nr:

riqailuayrmtuniotrinerufdruqfiflqtyt'lualunr:r1:turnr:{rrt:qttaqtnrvttol tvsrryufrqlu:vdu

qn:qfl04finro :vd'lm6rray:rri'uururrifir{lufi,rrird'ryuavrflur(urnololjyrfltd'fl orrrau:l:rttuu qn:onn

lunr:rflund"rnmlfuargurlnarlnt:Gtrufdrunr:eisra?uqtnrvrt#riuT su leu'r-flfl1n-u.Il#fini:

finruinr:rilra?lqrnirur6rynr:ul\ruirrflu'hru nruldnr:rilfiu.:rutorguriril,a?rrqtnrndl'ldsilffulru

nolauorlurlnfrurfrotoliflcr.i'tr.l nr:riorairlq'unluuavnltdu{flnlil 1:nl1i6'r$aontflufll:qtra

qtnruorri:r:.rttnvrflrrfion::llinr:ufitto'lnt:fiou:^nr:qxnril1#iiuil:vry',rv, 6ndu'fluti'don l:6uu) " ' " t,rlunt:fiu v,laR tlrru t:otudlnaoo

{rrnvn r: rlnil,;tlottto I fndnu tuott ttd ryirllitfll-l:rll:rllfldl]lht

ruavflillinrrfin:rtfiryroltoiar.r?nr:1u:yn'urn(rJ:yr11'1, lJuielliltasoiliu rtEifr'I,25s3)o'lldttrru

orriorrlf{ornalou6'qdrln:snr:fion:: urc:-:Lt fi'aqq: ltavfiflulfnfinu tq:nrrnr: rirqrirq 'r

,i^qrt.fin rli$Ut:: rJ"llrflqn r:tin t: iltn t:,io l "qililtuq r"lttul818r.ladfl l.ltloU: n tt d{ld:![tasvl Uqtn l1{

-3x.n: fr 1fi f,.{ fl n0fi1l.J

,!? 9t 6rlJt v d $ft

t. ru'0l#rinfinu.rordrdria:rtnudla.rra?lqtnrn fln?lilf lifluno uovfrnuv'[unl:iirufloer

o'rrrf1u:vfirnrn.r r:io.r n,r^ri.r,oirurrotiiudqtnturlr:olltfirrr,toodtonr:{'u,riorno^old

z. ufio1#{ou:r ffnrtrf fr'nunn^ ttavfrnuvlunr:d'rrairLrravflur{qtRltl}Jl:nlfid{flaoe!vrafl 1Ufl t:ltUl.tUOtnA d

:. ufioIfflrur6'oqrflunfilnrrufrt,rrqutin,rr'rnt:riuu{dtunt:a'rtail'tasflur{qtntuttl:or.9

1-l dinaoqe']fl fl l:m1]YUorndoljd :,:!xJR ln

ntjurihnuru)r^

5susfi I 01n1:u? urau?{u-l ra 5rJr1$d^l,ruU osr:qgtn flr ?u 1 Flu otdtflunS1]nfln! I

irrnurirrilra?rqtnrn#ui.lfi + iiru':u 6 nuA qv

1vuv"n2 rtrl l:lJfl r50U:lJn00 ld l:u

u01u1aotu1u 3 eu uav u nflflu 11\ uluta 0]fl4^ll llrylUluflonlAm n lUlU 20 fiu lllu]nt n0 0lrllTfl

aal111UlAU 01 rA lXJ515YUU O9l:FlqO 3 nU arfl

! ^')unf,nu td ldrdrn:!nuu ldirfl: qtn tY{ vuul1 .+

n1u'lu 6 nu

9l'l'l1lflf"{f,F l'ir'.r : I rirll"tlL li ii, '.1t i:..r. t. ;nnltilono{n

ei "l -nn'J'lIlr l:0 in It llillldJl l. i J ,i,r )n.l J r i , I r ' r , ' r I I I l t iEl I

r-Nnqu16'4nnu

dufl'll,,JtJ t: sl1t.i d.! nao9l99 dJ. flt,Ul5Un1:0U:ulJfl trlJY{i1\d infl 0

ln:.rnr:Inu:eu rnn'ir#0fl as go

4^,/4. ?110raufl ulutautxJtltsulJ ogr:fr9't6ldr . st 4 c ye,

luufrd.ln r lxJllrdgflu€jnd lifl lfl:uu5alun Itd.ud:,J

(tf, tfl uyldtnifl u1rqrfi #{noood?anr:fruNflornf;o

?to1[uun)5

.l, tflrt rJ

t. gutiri'rra?rqtnifl :jBd1u{ru fflurxr{[u.{un1:i'ellirIn5{nr:f,l1dhun0nr:rinf;nur irmw

'r ji ,)d YtuI i tuu: fl 151$ tfl l:udir'ltumlnfl't10 {

z. tfiouln:.:nr: roo flei^Iflr'rR r:

:. rtsiiri{niuyn:: n r:ei uu^u r rulnrJn u

+. rvqrunruvn:r nrin'rfiu.nuldo'Jr.l

llflun]rrfi?a ntr nt'$i1tfiuit llaynt: :yduuay

aq rlnnn r: o" lfr uln :.1 n r:

lruolruuntt4v:vuv llnfl0n:5 ,.|fl rl U: lJ 119t1 U lflnun lY'l

crs! u ^4d,2. ,lr1l l)1]n l:oul Nullf,Ufl$lmgpltln li9ltrR t. rinffrru riln.rrl{Rrr r: no iulr ooo,rriv.{ J

rli lu{[in rfl r:fludnn rfl irri irr.i J,riaorf]un ru r

01flrflfnifflfinurlrnudrd'rrfl?ilfltnr lunr:rflu

ilrrrn: l#nr ru#nr: eirrairLr rnrfl ur',ldtn r t.t l:q l

r dr na oo d'ia nr : nir n rlo ur6o 1u : s ri'ild r fl al il ;u fi

16 n:rfilr 2553 r-ral 09.00-12.00 1.r (0 Jrlflsv' \ o,

fl 1501flll09t tfl0 tryRtuto{nqu)

ftuvd 2 frnou:u1uf.l{onririrrd;!4raYel

(rdr,tllut"{E1,Jt t?IUttft't1{d ifl noofilufl ): 11u}tu0lfl n0

luiufi z: nrlnu2553r?ar 15.00-18.00 u flo1ua , n /r a

urn r [ ?lurlHu i]1u f,uuditd:iJqln tlr

{,,.UU :rt uHa

:s rfi uHa : rn'j r l oi rrfr unrr ua y fr uqo

In: {n r : snil frrfi iq r.r6 nr: eir nlu'r }H gr"'.rfi

oifrilu tfil1!flf]ue v ^.i4,2. fl(ejt:un t;dljl flf,uanmoflo,.l l:fl a

dlrR t?IlJ r: 9r tH n.rnaoo lo

:. fircltiun t:ou.^lirrr rlfi lnoltrri,rl9}

rn: iflt: IorJ:xtllJtfln lr:oua3 80

+. ilrurd'onarurau:ilrryruii ofl:6aii4 o ! r

^ 9,tuunain'l l :t[dvfl1]flnd I in t:r)-uu:otun r: d !la:

rrasfrluddrnt ut:qtfi d'inaoed''tun1:riufi :10lfl f;o

5JgJ[10101[tdl{nt:i --l:sByll 1?U?l 16 XJntrnt 2553

:yosl,l2 ?1,111 26 un:]n 25-t3

doll.lytoltuunt:a I l, .,, a

flo l1.l 5ntiltltllullhu !1lu flufldild:u611JR1l'!',]llUldUlIt tU]aU5 :]SYIIU OA:Ofl A

s. :varuqufiidhafitfiorflo'i

?1?tr'r?t s'lfrst'rt lulautlrt,)"nufi AnsandBoromarajonnani College of Nursing, UnaradiiJoumal

flfi s sflufi 1 rn:1a - -gu1ur 2554

59

crqilrua nr: 6 rrfi uln: l or:

rfio1#r:rrdlHnnr:rir,u-urrurracdrruohhrinrurrruluionrariohio'.rlririrnrs rsru'ur.{a]n:{nrr

1ocl#uuraououinxrrlfi.iilo1u1unr:ou:ilt'q1d',fi'qdruurflolrortJrl'nlJy{'{ttolottavttu d{tnrir d'{:rsa;t6afl

cto tllu

1. lluudollol]t Satisfaction Questionnaire : Ilealth Promotion in Postpartum womeni,aa

(Thai Tradition) ryir[1Jloonr u2floU n0iaodtua

flou1l I rtuu douotu ft't rtudil,! o ln drrstuv{o tfl'tti'iti[t]ultlju :vu lorf l nvuuu 5 tvflu no

5,4,3,2 Lflx I snuiiler"'u Hrrilta6uuavrirc:urfi a'uuutJlpitSlu

olsr{d r ut-rrr dollo rlJr}'ltJ lanfl o'h (rrla ornduqfud'rrfl unrurri'.lnqu)

fif.llo

:sgruo1l fl{lI{olo" t ld I01ulu ([tJ0:rcuugt)

u0ulrdo uou runarl ru1fl ulnnf,o

l. dfluolgunaflfl 11111 ntnr unulft 110.1lllu'ln:*Ara

2. llnurnt: d0d'Enrl :lJoi'r1lu]fli9q9al. nlt l{:o lunl5gtoll{oryn0ltJ

E qtAr s,-4 01 filr :11 to:1 rfl ]flnl: 01 h-tJ

v-i5 FllU dfltumfllt5lr

6. rt)nfl l5U:i rloUn lt01J:Ll lrdgU0t9lU itflU0

7. ivuvl't'dr1ufl irflfl nrtolJsrJ

8. ntru?ufl rt{ufl oul(avnrr6'fl n1iail5il1uni'rfi

4 Q3.s)

2 (l 1.8)

l (5.e)

3(17.6)

lt5.e)

17 (100)

t3 (76.s)

l7 (1oo)

17 (r 00)

l5 (88.2)

16 (e4.1)

14(82.4)

16(94.1)

n-|lf,au

4.51 - 5.00

3_51 - 4.50

2.51 - 3.s0

1.51 - 2.50

1.00 - 1.50

tnalqifl anar fi -tg

: v dr n'lr ilnFlr#u o;]lu:r olu rnfi qor

: s 6r n'lrlfi n r# u o $lu : ; o'u r r n

: vrirnr rrfrnrl1u otilu:rd'url runnrrq a d ,l

5yelufl lt!fl fl [Huo g [u:rn]]u0uoad'qwyj

:Ed'!n ) rrn-qrfi uotilu:vd'r{oafr an

60 frslrururaues:rttufi oae6ndani College of Nutsing. tinaradit Journalnn'nax - fiqrnsu 2s54

fi?lrofit llr?t{ylolo

Mean (SD) tvflun?l Yt{ olo

t

2.

3.

4.

5.

"id,nnu[u3qfl afl nrl'r114fi114[Uunulotljo i )1ru lnt-trra

mnuvfl 'r:fl odlrflllIl?110.tx11ulfl :nlr:.rY,rYoxilunlrqrouiodnnttt yAn c,-or nsr g?l ler otflflr5o1]ttu

611XJdfltU1101t:tJ

6. lofldll ffino1lr-llto1J5rJ (rnv ofarirrauo

7. 5sr,sr?a.r1unr:7lnnr:ol:u

8. R:v1rxun1:{uoourravnr?{sn1rou5il1ilfli{fi

5.00 (0.00)

4.76 (0.437)

s.00 (0.00)

5.00 (0.00)

4.88 (0.332)

4.94 (0.243)

4.82 (0.393)

4.94 (0.243)

tu lol4f,slA

lnmds

ulfr frn

u1nflq9)

rlrnmqq

mmdor

il1nfiqo

tJ'1flllflfl

i'r]nqr51{fl 2 fl1l'ii fr]r0an150 :rluniil

:"" ' er 4112[1ri:?u81]?]Jro t)dy 71.21 un )rrffiflo1iod lE

-;veivou )n qounqru u9!1\u rlTnusn r:do'd rsfr'r'r drlj r: ljlunnlrlrul4rJorDd0r[0sdlur:ofloun rflrtu,AAttA"ir,r51o'DTU rn: ny[[uuqltqauu0ulrqa(4.70) 0 rnlu0i I

iJ1n1fl fi RUyRlUlO.inqUU0.l?11t 1O5ufi AvnUUglfl qln

riu 6ld r}?o r:rnourirorurflun ru ui'rrrquldlri' 4 oie | < o, !'nc,y A

s9rr iut.t 1 I n l:!:yrLru}t'rfl ot-r lauofl?]qa

flo ii2 u udouorililarsrflo

unfl nulunuurd{ld:lJq1n1T{

t. fin:iruninnnlo lunfiilruarrlrjur1ru'lnu

ff6nrrnnuhraro,r rauadrRlwoinu,hl04 i'1 , 4,Jn't lUlJu tn tuflt: ddullu14JJ0tndo

li er d3. lar ouFlt t5lFr

+. 'ldrTflu rn ru ro-lnqulunr: froa r:

naxJ nuol0lSullrlyufl fl nu10tfl t lxl1lrytuluf]0d(aflo nrd1. Ullduo tFlFltulrl

,j2. iv ll l0nluou l{u.l

2. lrlrflitns)

fl astfl fl 15'd{[r]fi fi.l:18nu16snei01ilfl

1. ??1Ut fl: llag ir nfln! lllnuutfi i i] l; i)

:. 'ldrinuvnr:lir{rilrflufiil fliruxunr: nr:fiqrurrinfir.rurU:6uinrrfirqdrq.rfiarJimun:::L,i ^,'lmsrirr t:t?n r:irrD l)-[6D{ "nxl^fl [urutI nutu rur.rr]

arir.runu, nr: riqc?luayfiluv,lantwrqifi d'{na0sr)oclAdlro )f rfl l:ll1thtuorfldo" tuu Int ln trqt llr riS )unu

,, iv , -.i?lnil l8 uY.tfr0ia uui lu5ltuD [! s] ml

no'xltufttnr: lurr t:rl:yrir'ufl ,in trGuu-.i

1 I rr lrlTl U 1{ lnrr l:l:UUn I? AelUrS A ir) t,i{u1,,1f,fl t},1

o,ri l:n l?{difl6lr)OO lUn ltllUfi }Jdrn dO lUn 1d11q H!

I2. ornfl r:q unflflgrt'1fl[rl.Jmry181r.,I

flenldn (unl5dtfgr0S ndu 2 nu unflnu)11i 2 nll

1

tl,llJ rnlu

a0nflo{1) sry I oo y! ,,'1 6la 51l(tdsR({tlt)lto rlJtufr14ulfll,llflrl

uiirula firdu.rfir:ry dnnud':uorrueulo u::ornrfl

r:1ufruro'r

+. {r{ror:1fi n.lruaulorf o lnr:fl ur,l

dJr rt/,DJ r: o ]l.t ii"r n a o n 6': u rrr : fr'1l rlo rno^o fi rio

dnnrlodirauh uay6'{'lafl{nrr 5 ? B'luuay

n1rflfifl1lnnu

r:rJruanr:6uu{

druimsra-a

nr:frerIn:inr5fr on:: rdilrld'nqfl)-udfl

, 4 U'dltnnl5111lvu0lndo tqllnnu

x1?6r1xlru1flo?ru1u1aur{11trtr fi qnrfiadBoromaraio nnani College of Nu-rsing, Uttaradit"Joumal

flii .l ofir$ I rnl'talr - firnnau 25s4

t.: drunr:ufl'ltfltgvln rv rrYr nr:

aL4 1lnuv0lun l5mufilJ0[ d01ud I

z. rinfinuiunudrri.rra?uqtnru'ldrrraau

pirlvr6 uavrnSodrufinf;nsr uruta

l. rinf; nu rfl :vr.tlin'ravrfi unr ru ri t6'E

^o iuY. oYa o tloiQurjiuqr 1110 :xxo'lQ tnl1 lfl9l:{ l lry{londnBOl

duetqvlflarJ,r ru ?tflf,dult D avulistd ur

^ i c./

flraudn[d:lld1lR1Yl 11[ 1]fl1t

rravdlUdUiAdil{mun::rr\mu trd?finr rutiuli-l , , a uqr"1lis0 tull0eununndo lo IoulDl'l lvn)501flllo4

olrinlrLfd'ruqfi fl qryr'tyl01u n1:Quaqtnllrtn: rlr

I aela a q q qi) 4 14+nqilitilri lldu]l{fia i6lufi:: tFltl:.ln o ln 15ulldu tn ludftluun la tflu: )-u ln lfrn l:llt uglitl, 4 o a, ll| , o ad

4uilryiu1110.rnu tunr: lrydqu l1{: rllnultnlrt,,n a a,TIUU lU tUn l:l]U tJ0[nd0 [1^lof,ilfl:udln ]l( 15F1 I

a ^dh < E.io,fl't ulrrlu 10 t118 1l l ttitnon tTH uulllrJU: u drtn'l

lrasfi rlrvAmtfl a rfi of,auno'fi 6sionrsrirtrfl oo

6'qnoon frla'.rcur:n rrutLuud4fi fl qtgr'lutrfi trrii

qnfiaou"lIt ^ Iquudslfr: ar{nl?,r t9lff.tuttl,{5 llagou:N

a e .i 4 q, 4 , ,n]:Tl lfilJnlflAar tnl lnnd rlu :'l:J[l I [q[n501lu9l]U

dqrnrfl 6'uxmsldu[[xJmryru1dfl o6rdrr'lun-r:tHattfl d

r ^ 'A i, < ,/u11U tllgUU[[AUn l: grfigr0 d0 dl:tlIo :E tuYuttd:

9J

n?r :? 0l n]0Hul

sn1{1{flflnut

l. ff ir.nrnfre ln#nfinur1#rfl urinfinsr

ql?i d{nn Bqlrl rl ro{fli 1ud9nrTufi:0 d trfl}J:'ltJ0 {Svfill

flrnoro id0lliunrrfiflst ou fltiltt ct?il'ldIn0

4 d 4ufl tunlguxufl l: u: ulnl: n ltnqnl:t:uu: tYnu

jj 4nflnu 1 [uu1,l[5rJ1,t7]rnu tl] Di 5'l]Jn{nQ}Junflnu I

msrurasranififif,nunr sl:{fi'!1iiufiflfiffl :sa rri r1{d'runruro'.ir'rrlsr(srflei1.{fiudi1d:rsv(?nr'lufl.r:

nvfl !5:0ur10{unflirul1{t,1 14fl 1dR5utucll914 - I | -:

lY,t flnunlv{q rus|l.1..l 5lti6lrlJtsdunl:ar mlJdl ni

t.t drun r:drl ru,flufilr rJ:sr rultu.A

nu?mu1n5111lJOlJ1

r9r:u n]:o1l5tuxj1n

1.2 drutr"nuvrrr:sl^opiodoai: ttosntr

tJfuh )9 ):.!ldedlJrr.- ruorrr,rflo 114ilo

lunr:iinnr:ou:r rriu rdon;uu rno'o aqu'lu:

oir.rlrrn uoifi ::o:r'rar'lunr:fiersrifl ni:ou: #os

61

o.rri'narrLf {{durravfi nTrunrnqfi 1o1u{il-fl iUqrlmu

^ ,i,p)nDosu,ffgn? rtufiulo asfiaru::itusd{ 1un l:

nlrmoofl xnfl 1r115 uud:3Ft1tdlnd

{lrurlravaJa::n'lunr: 6'o nr: or: rlun :Jr d rir,fl uoio.:fi n

flnusdrunrur6'.rnqstfi oi0rn{rdriunr:or:ru'lu

nf.rfi 'hiaurrrndnei,rfraar:r unrurlfluld 6lld:y uylxarlu nr: d4lduuas rt:l a ro n dr: tflunlul0{nqu uon0'rnuuqfl atn:r[ar1r0rfl Sxrfl']1tudlulifr

^?!5l0irylnl:Tlutllldll l:911111: nltagn 15 r'lqin)-: n d{{

nt: 0]Jgl05l[ldgunfln!1fllut:oullduoltflunfla floufllfilu9)

n rqJuur'l tfrou rilqflao.ilfi iva 4nn1r4119]t

nq iluuSnlt'ltlnl: tfitflnh-ou:lJt:0I

nrrrtuuriorna^oruiqnnan lfl uofl leuH tJr.lfl tunr:

6'oou: drunrurri'snqurrririnfinurflsiutatln di

Ur ilrnr:d qdrE rfiarliwut::l'lno {n r:uinr:

rsrrr15 tunr.iu fl rifi'ruilrlfl lnrflurrnihJ{oi I.rvrn^

dquaq{1#r#ufi {#nfl Rt\1o{11ru1n: :r:Ld'rrinfi nur

r rnurirfi a rru r: nrirflrl oooon r'ldodu rt:vfr'llo

flt'ruou:u

dronoou{lunrurdlnqu

6'rvir1#rfi nfl q1r r1u nrt !fl;ux,'? i1l

62 1'ltt1ilyrs1dr,?rg1urauxri51td fi ofitfinaiBoromaraionruni College of Nursing Linandir Jo,rrnalflfi r qriufi 1 n.I1a - finrn0r 2554

,U0tduoltuv

l. n1:f,n)ru!r.r nr:orl: 1#[ rv iJnhI e J s./ ovn{lriotru ru'o ln rndorl#r:a rlun r:u Jdrond t:lrds

-,i & qr{fl nn uyfirFrfrod0fl l5l1lua1u10ifl q!

ead,2. rl1)^r.lntlrlbtO lUtl lS'i0{nqUlfl 0[6ltrllliltu,iy,rzi,o

nuufiJtu I tl1u [lo.1n )t ?o111,01t]d0lyl0dtlfl:u

q1nr [lnvvluu n ll\yryiYd{f]doFrr [n ?rlu]f,ugtr.r I:sriutn6orir0 :ald.rnr:rl:yyldrufrufquririlrai:J

<4.,'q1fl 1 uay1llflrau ullj'rou:tJ:lsuuuqq5fl91fl [(fl

rn:orirauosei-r{ :vr a, lq v

3. d0 ruuol:flns tsl ru{In l nt: tnf, u

' 4114 ? y7dqufl ild:u tfi t.inltrNUIn{5 0 lul,rofioino?'tra lun l:

nuaqtrril6'1sQfi fl qryrlmtr{rTnfinut n:ort r:ridura49<

O{Ftn: (t(lgfr lfltufl ?tlfl l:nq :YU?Unltltt,Ul Itlu

qr rnrr lunnnS:urfl)-iJH an{qr H:onnn5: lre}lu I

^iunflflllu: 1nt:frflt:115fl il?s]R]: ntonllmru -lr.l

frarlimrur::ltorryr6

?1 ra1rino1fi filolumufl 11tilJfi qffi AndBoromanjonnani College of Nursing, Utteradit Joumal

8fi a cfiufl I flrxr1m .f,rru1uu 2Es4

loflfi1r6'tqA,t:vRru:rluisrriilayo:ris u,li6r.(2s53).nrrufilnolwiouinr:ritraiuuayiiurJqrRttrr:nrud,.lonoor

rirUffinr:rt'lurlotndo to'tlrrrrrNdrnoondrnYrLuinr:denruuinr:ul,{rdrrHulnu ilr0rii'r,nrnum

u:tt:T ryufi qn:6od' ryuririua?*qflnrv{ iflfidr,ilururaur}Jirryufi qnrdomi anrriun:uu:u5lUyun nirllt?.tfl 1f 15Bl E1'.

63

b-