The 5th International and National Nursing Student Forum How We Fight the COVID-19 Research, Practice and Innovations

99 ความเครียดและการเผชิญความเครียดในการขึ้นฝึกปฏิบัติในรายวิชาปฏิบัติการ พยาบาลผู้สูงอายุของนักศึกษาพยาบาลศาสตร์ชั้นปีที่ 2 วิทยาลัยพยาบาลบรม ราชชนนี อุดรธานี กมลพร เทือกโฮม บทคัดย่อ การศึกษาความเครียดและการเผชิญความเครียดในการขึ้นฝึกปฏิบัติในรายวิชาปฏิบัติการพยาบาลผู้สูงอายุของ นักศึกษาพยาบาลศาสตร์ชั้นปีที่ 2 วิทยาลัยพยาบาลบรมราชชนนี อุดรธานี มีวัตถุประสงค์ เพื่อศึกษาระดับ ความเครียดและการเผชิญความเครียดของนักศึกษาในการฝึกปฏิบัติในรายวิชาปฏิบัติการพยาบาลผู้สูงอายุ ประชากร และกลุ่มตัวอย่างเป็นนักศึกษาพยาบาลศาสตร์วิทยาลัยพยาบาลบรมราชชนนี อุดรธานีชั้นปีที่ 2 รุ่นที่ 27 ปีการศึกษา 2562 ห้อง A จำนวน 94 คน เก็บรวบรวมข้อมูลโดยแบบสอบถาม แบ่งออกเป็น 4 ส่วน ส่วนที่ 1 แบบสอบถาม ข้อมูลทั่วไป เป็นแบบเลือกตอบ ส่วนที่ 2 แบบวัดความเครียดกรมสุขภาพจิต เป็นแบบสอบถามแบบเลือกตอบโดยแต่ ละข้อแบ่งเป็น 5 ระดับ ส่วนที่ 3 แบบสอบถามพฤติกรรมการเผชิญความเครียด (Jalowiec coping scale) ให้ คะแนนตามความบ่อยครั้งของการใช้พฤติกรรมการเผชิญความเครียด ส่วนที่ 4 แบบสอบถามการจัดการความเครียด และเผชิญความเครียด เป็นคำถามปลายเปิด ค่าความเชื่อมั่น แบบวัดความเครียดกรมสุขภาพจิต มีค่าเท่ากับ 0.83 และแบบสอบถามพฤติกรรมการเผชิญความเครียด (Jalowiec coping scale) 0.99 ตามลำดับ วิเคราะห์ข้อมูลโดยใช้ สถิติเชิงพรรณนาแจกแจงค่าความถี่ ร้อยละ ค่าเฉลี่ย และส่วนเบี่ยงเบนมาตรฐานผลการศึกษาพบว่ากลุ่มตัวอย่างส่วน ใหญ่ ช่วงอายุ 21 – 23 ปี จำนวน 64 คน คิดเป็นร้อยละ 68.1 เป็นเพศหญิงจำนวน 88 คน ร้อยละ 93.6 ส่วนใหญ่ เป็นบุตร คนที่ 1 จำนวน 51 คน คิดเป็นร้อยละ 54.3 ผู้ปกครองส่วนใหญ่ประกอบอาชีพเกษตรกรรม จำนวน 67 คน คิดเป็นร้อยละ 71.3 รายได้ 2,000 – 5,000 บาท จำนวน 57 คน คิดเป็นร้อยละ 60.6 ระดับความเครียดของ นักศึกษาส่วนใหญ่อยู่ระดับสูง จำนวน 52 คน คิดเป็นร้อยละ 55.3 มีความเครียดปานกลาง จำนวน 28 คน คิดเป็น ร้อยละ 29.8 มีความเครียดรุนแรง จำนวน 11 คน คิดเป็นร้อยละ 11.7 และมีความเครียดน้อย จำนวน 3 คน คิดเป็น ร้อยละ 3.2 ส่วนใหญ่มีระดับความเครียดมากที่สุด คือ ด้านความเครียดเกี่ยวกับการเรียนภาคทฤษฎีและภาคปฏิบัติ (x ̅= 2.82,S.D.=0.62) คิดเป็นร้อยละ 56.4 ด้านที่ไม่มีความเครียด คือสัมพันธภาพภาพกับสมาชิกในทีมในการขึ้น ฝึกปฏิบัติ (x ̅= 1.97,S.D.=0.58) คิดเป็นร้อยละ 39.4 และด้านครอบครัวของนักศึกษา (x ̅= 1.84,S.D.=0.58) คิด เป็นร้อยละ 36.8 ส่วนการเผชิญความเครียดในการขึ้นฝึกปฏิบัติในรายวิชาปฏิบัติการพยาบาลผู้สูงอายุของนักศึกษา โดยร่วมส่วนใหญ่มีการเผชิญความเครียดมากที่สุด คือ ด้านมุ่งแก้ปัญหา (x ̅= 3.30,S.D. = 0.93) และที่ใช้น้อยที่สุด คือ ด้านการจัดการกับอารมณ์ (x ̅= 2.46, S.D. = 2.46) และนักศึกษามีความเครียดเกี่ยวกับ การเตรียมความพร้อม เรื่องความรู้ของตนเองก่อนการขึ้นฝึก การวางแผนการพยาบาล การปฏิบัติการพยาบาล การทำโครงการ การสอนสุข ศึกษา และการเก็บประสบการณ์ เผชิญความเครียดโดย การหาความรู้หรืออ่านหนังสือ ปรับตัวให้เข้ากับสถานการณ์ ปรึกษาอาจารย์ประจำกลุ่ม และไปทำกิจกรรมต่าง ๆ วิทยาลัยพยาบาลบรมราชชนนี อุดรธานี

100 ปัจจัยที่มีความสัมพันธ์ต่อการรังแกกันผ่านพื้นที่ไซเบอร์ ของนักศึกษาพยาบาลศาสตร์แห่งหนึ่ง ในเขตภาคเหนือตอนบน กิตติมา สุปินะ,จารุวรรณ อัมภรณ์, อรวรรณ ถาดอก บทคัดย่อ การวิจัยเชิงปริมาณเพื่อหาความสัมพันธ์นี้ (Correlational research) มีวัตถุประสงค์เพื่อศึกษาพฤติกรรมการรังแก กันผ่านพื้นที่ไซเบอร์และศึกษาปัจจัยที่สัมพันธ์ต่อการเกิดพฤติกรรมการรังแกกันผ่านพื้นที่ไซเบอร์ของนักศึกษา พยาบาลศาสตร์แห่งหนึ่ง ในเขตภาคเหนือตอนบน กลุ่มตัวอย่าง คือ นักศึกษาพยาบาลศาสตร์ จำนวน 100 คน เครื่องมือที่ใช้ในการศึกษาประกอบด้วย แบบสอบถามการอบรมเลี้ยงดูแบบเข้มงวดกวดขัน แบบสอบถามความรุนแรง ที่ปรากฏผ่านทางสื่อ และแบบสอบถามพฤติกรรมการรังแกผ่านพื้นที่ไซเบอร์ ค่าสัมประสิทธิ์แอลฟาของครอนบาค เท่ากับ 0.81 0.80 และ 0.83 ตามลำดับ เก็บรวบรวมข้อมูลด้วยวิธีการสัมภาษณ์แบบเผชิญหน้า (Face to Face interview) วิเคราะห์ข้อมูล โดยใช้สถิติ ร้อยละ ค่าเฉลี่ย ส่วนเบี่ยงเบนมาตรฐาน และสัมประสิทธิ์สหสัมพันธ์ของส เปียร์แมน (Sperarman’s rank correlation coefficient)ผลการศึกษาพบว่า กลุ่มตัวอย่างส่วนใหญ่เป็นเพศหญิง อายุเฉลี่ย 19 ปี และมีพฤติกรรมการรังแกกันผ่านพื้นที่ไซเบอร์อยู่ในระดับต่ำ (̅ = 13.48, SD = 4.08) โดยการเลี้ยง ดูแบบเข้มงวดกวดขัน (r=.269, p < .01) และความรุนแรงที่ปรากฏผ่านสื่อ (r=.441, p < .01) มีความสัมพันธ์ ทางบวกต่อการเกิดพฤติกรรมการรังแกกันผ่านพื้นที่ไซเบอร์ของนักศึกษาพยาบาลศาสตร์แห่งหนึ่งในเขตภาคเหนือ ตอนบนอย่างมีนัยสำคัญทางสถิติ ผลที่ได้จากการศึกษานี้สามารถใช้เป็นแนวทางในการเฝ้าระวัง ป้องกัน และให้การ พยาบาลเพื่อแก้ไขปัญหาการรังแกบนโลกไซเบอร์แก่นักศึกษาในระดับอุดมศึกษาต่อไป คำสำคัญ : การรังแกกันผ่านพื้นที่ไซเบอร์, การเลี้ยงดูแบบเข้มงวดกวดขัน, ความรุนแรงที่ปรากฏผ่านสื่อ, นักศึกษา พยาบาล วิทยาลัยพยาบาลบรมราชชนนี แพร่

101 ผลกระทบทางเศรษฐกิจจากการแพร่ระบาดของโรคไวรัสโคโรน่า 2019 ของประชาชนเขตเมือง นัฐวิกา หนูแก้ว, พัณณิตา ทาทิพย์, และดวงใจ สวัสดี บทคัดย่อ การแพร่ระบาดของโรคไวรัสโคโรน่า 2019 (COVID-19) ส่งผลกระทบต่อการดำเนินชีวิตของประชาชน โดยเฉพาะ ประชาชนที่อาศัยในเขตเมือง การวิจัยเชิงคุณภาพครั้งนี้มีวัตถุประสงค์เพื่อศึกษาผลกระทบทางเศรษฐกิจจากการแพร่ ระบาดของโรคไวรัสโคโรน่า 2019 (COVID-19) ของประชากรในเขตเมือง กลุ่มตัวอย่าง คือ ประชาชนที่อาศัยเขต เมืองตรัง จำนวน 12 คน ที่ได้รับการสุ่มแบบหลายขั้นตอน (Multi-stage Sampling) จาก 12 ตำบล เครื่องมือที่ใช้ใน การเก็บรวบรวมข้อมูล คือ แบบสัมภาษณ์แบบมีโครงสร้าง จำนวน 13 ข้อ การวิเคราะห์ข้อมูลใช้การวิเคราะห์เนื้อหา แบบอุปนัย (Inductive Content Analysis) ผลวิจัย พบว่า ผลกระทบทางด้านเศรษฐกิจจากการแพร่ระบาดของ COVID-19 ของประชากรในเขตเมือง จังหวัดตรัง ประกอบด้วย 3 ประเด็น คือ 1) ภาวะเศรษฐกิจของครอบครัวก่อน การระบาด ของ COVID-19 (อาชีพ, รายได้, เงินออม, ทรัพย์สิน, และหนี้สิน), 2) ภาวะเศรษฐกิจของครอบครัวหลัง การระบาด ของ COVID-19 (อาชีพ, รายได้, เงินออม, ทรัพย์สิน, และหนี้สิน) และ 3) ผลกระทบของ COVID-19 ต่อ การดำเนินชีวิต ผลกระทบทางเศรษฐกิจที่เกิดขึ้นไม่เพียงส่งผลต่อคุณภาพชีวิตของประชาชน แต่ยังส่งผลต่อภาวะ สุขภาพกายและจิตใจ ดังนั้น พยาบาลจึงควรให้ความสำคัญต่อผลกระทบจาก COVID-19 ในทุกมิติ วิทยาลัยพยาบาลบรมราชชนนี ตรัง

102 ทุนความสุขของนักศึกษาหลักสูตรพยาบาลศาสตรบัณฑิต วิทยาลัยพยาบาลบรมราชชนนี พุทธชินราช จารุกิตต์ จันทร์งาม บทคัดย่อ การวิจัยพรรณนาเชิงเปรียบเทียบมีวัตถุประสงค์เพื่อศึกษาระดับทุนความสุขและเปรียบเทียบความแตกต่างทุน ความสุขของนักศึกษาหลักสูตรพยาบาลศาสตรบัณฑิต วิทยาลัยพยาบาลบรมราชชนนี พุทธชินราช ระดับชั้นปีที่ แตกต่างกัน ประชากรคือ นักศึกษาหลักสูตรพยาบาลศาสตรบัณฑิตชั้นปีที่ 2 3 และ 4 ปีการศึกษา 2563 จำนวน 469 คน เครื่องมือที่ใช้ในการวิจัยเป็นแบบสอบถามทุนความสุข จำนวน 50 ข้อ ตรวจสอบความตรงโดยผู้เชี่ยวชาญ และนำไปทดลองใช้กับประชากรที่มีลักษณะคล้ายคลึงกับกลุ่มตัวอย่างจำนวน 30 คน คำนวณหาค่าความเชื่อมั่น ด้วย วิธีสัมประสิทธิ์อัลฟาของครอนบาค ได้ค่าความเที่ยงเท่ากับ .961 และจัดทำเครื่องมือวิจัยรูปแบบออนไลน์ นำไปเก็บ ข้อมูลจากกลุ่มตัวอย่างจำนวน 216 คน วิเคราะห์ข้อมูลด้วยค่าเฉลี่ย ส่วนเบี่ยงเบนมาตรฐานและวิเคราะห์ความ แปรปรวนแบบทางเดียว ผลการวิจัยพบว่า ระดับทุนความสุขของนักศึกษาหลักสูตรพยาบาลศาสตรบัณฑิต วิทยาลัย พยาบาลบรมราชชนนี พุทธชินราช อยู่ในระดับมาก ( ¯x = 4.23,SD. .46) และค่าเฉลี่ยทุนความสุขของนักศึกษา หลักสูตรพยาบาลศาสตรบัณฑิต วิทยาลัยพยาบาลบรมราชชนนี พุทธชินราช ชั้นปีที่ 2 3 และ 4 ไม่มีความแตกต่างกัน (F =2.166, p-value=.177) ข้อเสนอแนะ วิทยาลัยพยาบาลบรมราชชนนี พุทธชินราช ควรส่งเสริมให้นักศึกษา ตระหนักและปฏิบัติในการดูแลสุขภาพเรื่องการรับประทานอาหารและการพักผ่อน จัดกิจกรรมให้นักศึกษารู้จักตนเอง ยอมรับความแตกต่างของบุคคลอื่นและสร้างทัศนคติที่ดีต่อวิชาชีพ คำสำคัญ : ทุนความสุข นักศึกษาหลักสูตรพยาบาลศาสตรบัณฑิต วิทยาลัยพยาบาลบรมราชชนนี พุทธชินราช

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105 The Active ROM (Range of Motion) Set to Overcome Joint Stiffness and Muscle Atrophy for the Bedridden Elderly. Supichaya Chompupin, Supannika Labmark, Weerapat Ravisit Boromarajonnani College of Nursing, Nakhon Lampang Abstract In 2021, Thailand has become the Aged Society completely. In Thailand, 15% of the elderly have been bedridden. They have been prone to joint stiffness and muscle atrophy. The authors studied at Lampang the Social Welfare Development Center for Older Persons, Muang District, Lampang Province. It was found that almost all of the elderly who were bedridden have complications with joint stiffness and muscle atrophy. “The Active ROM (Range of Motion) Set to Overcome Joint Stiffness and Muscle Atrophy for the Bedridden Elderly” was invented to prevent and restore joint stiffness and muscle atrophy, and to encourage the elderly who are bedridden able to do active exercises by themselves. It has 4 subsets, consisting the stretching and relaxing muscles (SR-Muscles), the mighty little Nham, the Squeeze, grip, and move the Hand-joints (SGM-the handfingers), and the More U move, the less the Stiffness shoulder joints. As a result of the trial of this innovation, it was found that the innovation can be practical and beneficial to the elderly. They can move their bodies and joints more, doing all exercises on the bed, and increasing the more range of the joint and more muscle strength.

106 Best Box for Preventing Falls Natthawadee Bunphim, Benyaporn Pimkhote Abstract The purpose of this innovative study was to create the fall prevention devices to prevent falls of the patients who are older people and sit and lie down on the bed mostly. The materials are composed of the pieces of wood, steel, rubber, and wheeled vehicles. PDCA process was used for invention, including P=Plan, D=Do, C=Check, and A=Act. 1) P refers to the planning process, review literature and draft of innovative invention. 2) D refers to action following the plan of the study. 3) C refers to check and try out with the participants. 4) A refers to action for revision in the next steps to improve following the next cycles of PDCA. The innovation was implemented by 10 older people in a community. Using this device for moving up and down and also around the bed and then evaluation of satisfaction by questionnaire. The results showed that the innovation could be helpful for moving up and down easily around the bed and moving patients on the bed effectively without accidence. Moreover, the innovation is strong and good weight assistance. Furthermore, it has also a foot massage at the innovation that would be helpful for blood circulation. It can also be a chair for caregiver to sit. Therefore, this innovation can be applied for moving patients at the hospital and sick people and adult people at home.

107 Confident pants: Innovation for patients with urinary problems Kiattisak Wongsrida, Chatchanok Srimora, Chonnikan Phaiwan Chanin Sinthuma, Thititana Yamsopee, Bunyawi Chaopaina Pimpakan Sonklin, Saranyu Phanwilai Boromarajonani College of Nursing, Suphanburi Abstract This quasi-experimental research aimed to study the pret-posttest control group design to develop "Confident Pants for patients with urinary problems" innovation. The sample consisted of 10 patients with indwelling catheterization or retained catheterization in a community hospital in Suphan Buri Province. The instruments consisted it is divided into 2 parts personal data questionnaire and a questionnaire on knowledge, satisfaction, and confidence in the innovation trials. The quality of the instrument was determined by an examination that obtained content validity values from 3 experts with an IOC of .97. Confidence was analyzed using the Cronbach alpha coefficient formula of the Self-Care Cognitive Test, which yielded a reliability value of .87. The confidence of the participants in the innovation experiment was a confidence factor of .91, interview consisted with it reliability of .90. The data were analyzed using frequency distribution, percentage, mean, standard deviation, and t - test. The results showed that the experimental group had a statistically significantly higher mean score of knowledge and self-care in the 2-week period (p<.01). The overall average satisfaction was at a high level (x= 4.70, SD = .354). In terms of innovative pieces, the appearance was suitable and modern with the highest score (̅=5.00, SD= 0). The least aspect was confidence in daily activities (̅=4.30, SD = .483). The research results showed that the innovation of “Confident Pants” can prevent infection, facilitate daily life, enhance confidence and maintain image, and enhance self-care knowledge of patients with retained catheterization. Keywords: Innovation for patients with retained catheterization, Urinary tract infection

108 The Effects of Using an Innovation of Web Application "Office Care, Doo Lae Kun" on Knowledge and Satisfaction regarding Office Syndrome in SNC Staff Borommarajonnani College of Nursing, Suphanburi Abstract This study is quasi-experimental research aimed to study the effects of using an innovative "Office Care, Doo Lae Kun" on knowledge and satisfaction in regarding office syndrome in SNC staff. The sample was 30 staff recruited by using the office syndrome risk assessment form, selected by simple random sampling. The research instrument was questionnaires that was tested for content validity by a panel of 3 experts, yielding IOC of 0.71. Consistency reliability using Cronbach’s alpha coefficient yielding a value of 0.95 for satisfaction questionnaire and using KR-20 yielding a value of 0.78 for knowledge questionnaire. Data were analyzed using descriptive statistics and paired t-test. The results of a study were found as follows: 1.The occurrence of office syndrome, regarding muscle and skeletal was found at Neck pain was found mostly followed by shoulder pain (83.70% and 79.70%, respectively). As well as eyes and vision, it was found burning eyes and watery eyes (57.30%) follower by double vision/blurry vision and headache (56.40% and 41.90% respectively). 2.The experimental group had statistically significant higher mean scores of the office syndrome knowledge of staff after using this innovation (t=8.968, p< 0.00). 3. The staff had a high level of satisfaction (X=4.22, SD=0.71) The findings suggested that people who risk with Office Syndrome should apply this innovation of Web Application as a guide for prevention of Office Syndrome. Keywords: Innovation, Web Application, Office Syndrome

109 Innovation of the Mask Trash to Prevent Infection for Nursing Students, Princess of Naradhiwas University Princess of Naradhiwas University Abstract The COVID-19 pandemic situation makes people need to use masks. Therefore, the amount of mask trash is high, and thus, destroying the pathogens on the masks, before disposing of them into a bin is necessary. Heat from UVC lamps can kill the pathogens on the masks and reduce the budget for destroying the masks due to being infected biomedical waste. The aim of this innovation study was to develop a surgical mask trash can (SMT) to prevent transmission for the nursing students at Princess of Naradhiwas University. The SMT was developed by installing the UVC light in a trash can and using the heat from cellular cells. The heat from the UVC light is higher than 60 - 7 5 °C, by which the pathogens are killed. The 3 0 nursing students were recruited to provide their opinions and levels of satisfaction with using the SMT. The statistics used in the research were descriptive statistics, frequency, percentage, mean and standard deviation. From the results, it was found that the highest levels of satisfaction for using the SMT were in the items of “The SMT is suitable for the current situation” (̅= 3.9, SD = 0.31) and “It is recommended that the SMT be put everywhere in the university.” However, there is an expectation that further research on the SMT can be conducted by testing the effectiveness of the killing of the pathogens living on the masks in the SMT. Keywords: mask, killing Coronavirus disease 2019, COVID-19, trash, biomedical waste

110 The Result of The Innovation, The Anti-ankylosis Pillow Junthima Kanjana, Thanakorn Khobbuaklee, Narathon Khunkamut Nithiporn Theawthai, Piyaporn Siphophan, Wirada Dakawong Sirirat Janthon, Netiya Jaemtim Boromarajonani College of Nursing, Suphanburi Abstract This quasi-experimental research was manufactured to study the result of the innovation, the anti-ankylosis pillow, in the experimental group. In the period of the experiment, the sample was caregivers and bedridden paralysis patients who had a cerebrovascular disease. In addition, the purposive sample was 30 people of the experimental group. Due to the epidemic situation of COVID-19, it was difficult to apply the innovation to the sample group. Therefore, the researcher applied the innovation to 3 0 third-year students, Bachelor of Nursing Science, so as to evaluate the efficiency of the innovation. The research instruments consisted of a general questionnaire and a satisfaction questionnaire in order to use the data to develop the innovation before applying to the sample group. The index of item objective congruence (IOC) from 3experts was 0.67–1. The reliability value was as follows: the satisfaction questionnaire was 0.97. The data were analyzed by frequency distribution, percentage, mean and standard deviation.The result after applying the innovation, the anti-ankylosis pillow, to the sample, 30 third-year nursing students, showed that the mean of satisfaction to the innovation (̅)=4.27, S.D = 0.61). In addition, the topic which had the highest mean was the innovation is reasonable and cost-effective (̅)=4.36, S.D = 0.61). From this study, there were 2 further development guidelines. The first one is to adjust the thickness and length of the pillow to suit each patient's physique. Another one is to change the material from cloth to some more durable material for ease to clean. Keywords: anti-ankylosis pillow, bedridden paralysis patient, ankylosis

111 Development of an Innovative Hearing and New Sound for Older Adults with Hearing Impairment in Nakhon Si Thammarat Province, Thailand Nirattanaporn Wathsang, Nanthana Sungkaew Nichanun Libong, Boontida Theucksuban Boromarajonnani College of Nursing, Nakhon Si Thammarat Abstract Background: Presbycusis is the most common problem occurred among older adults. It significantly affects their quality of life. Therefore, in order to address this problem, the efficiency and minimizing cost of device for improving hearing are essential. Aim: To develop and test the efficiency of hearing and new sound for elderly with hearingimpairment between before and after using it Method: This developmental research was conducted between January 2021- March 2021 and recruited a purposive sample of older adults with age-related hearing loss, whose age is 65 years and above (N=12). This innovation was performed in three phases: 1) pre-development, 2) development, and 3) post-development. The hearing and new sound was the research instrument and was used for an intervention. The efficiency of hearing and new sound scalewas the tool for data collection and was validated by expert panel. The descriptive statisticswere used to analyze the data. Results: Hearing and self-confidence level after using the hearing and new sound was higher than before using it, with a mean score of 4.67 and 4.58, respectively. Conclusion: This innovation can improve the hearing and self-confidence level. It can be considered as a device to enhance the quality of life of elderly people with presbycusis. Keywords: Hearing impairment, Older adults, Innovation

112 “Walk for You” The Walking Assistive Innovative Device : a Case Study of Alzhimer’s Patients Pannipa Bunlee, Seubtrakul Tantalanukul Supranee Muenya, Saifon Wankhao Boromarajonani College of Nursing, Uttaradit Abstract Introduction: Alzhimer’s patients generally show dementia and spend most of time sleeping which blunts in their activeness for their daily routine and causes them to be phlegmatic and disinterested with their surroundings. This requires for the caregivers to assist them in most of their activities on the regular basis. Research Design: “Walk for You” the walking assistive innovative device aimed to improve the patients’ capacity in moving their body and lessen exertion by supporting the patients for their practice of walking. Methodology: This case study recruited one Alzheimer’s patient and one caregiver to receive the implementation of “Walk for You” the walking assistive innovative device which was approved for innovation qualification from 5 specialists and followed the scope of protection the right and welfare of thesamples. The research instruments for data collection were satisfaction assessment form. The data was analyzed with descriptive statistics of frequency, percentage, and mean. Research Findings: It was found that 1) “Walk for You” the walking assistive innovation device could enhance the capacity of body motion and decrease exertion for the caregiver in supporting the Alzheimer’s patient in walking and 2) the sample had satisfaction level towards the device at highest level as a whole (mean=4.70, S.D.=0.55). Suggestions: The level of the device’s chair should be more flexible and could be adjusted according to the standards and the height of a patient’s bed. In addition, the sizes of the seat cushion and backrest should be more compatible with actual uses and there should be push handles for the caregivers and shockproof cushion at the front of the walking device Keywords: innovation, walking, Alzheimer’s patient

113 Hinges help patients moves up Tanicha Panyakaew, Supaporn Chiangjen Abstract The patient's body slides down from the head of the bed when patient lies on bed for a long time, which makes the patients uncomfortable. Sometimes pressure sore is easily formed. Low self-help patients, rely on others to assist in raising them and requires at least two lifters. Helping to move quite is difficult for caregivers. Sometimes, if caregivers have chronic ongoing care that is less self-supporting, it causes pain in the musculoskeletal area of the back, leading the panel to innovate. "Hinges help patient move up" The objectives are 1) To help the caregiver relieve the patient to move the patient up to make them comfortable to sleep. 2) helps to provide relieve from the body pain in the pathological part during movement. 3 ) encourage patients to help themselves. The target group of using real health innovations are the patients who need strength to support themselves to move up side by side and Patients who can support themselves or move their bodies on their side. To encourage patient to do exercise to make the body movable. To restore the recovery of the patient's. The development method is as follows : PDCA implementation process Plan: 1) Meeting to review the problems encountered in nursing practice 2) Design simulation of innovation and operation 3) Select the target group that will be used in real life 4) Review Literature 5) Propose-consult an advisor and friends within the group about innovation topics 6) Plan an innovative invention method budget for inventing innovations "The pub slides the male upside down" utilizes a total budget of 350 baht. How to use innovation? 1) Caregiver open the supporting hinges of innovation 2) Select a support point that is suitable for patient 3) Patient knees need to bend 4) The nurse placed the innovation so that the leg of the innovation collided with the side end 5) Place patient feet on the idea of innovation 6) The nurse uses a cloth across the side and tied to a wooden barrier and let the patient to catch 7) patient lift himself up to the head by pulling the cloth across the side of the mug to support 8) The nurse has kept the hinges and side cloths neatly. Check : The nurse check effect of innovation with who used innovation can help themselves to move up without support of other person and innovation is cheap enough to buy for patients. Action : It has limitations on the use of innovation 1) Patients who are unconscious can't help themself due to muscle weakness and atrophy of muscle mass 2) Patients with all foot ulcers 3) Patients with pathology in both legs, such as fractures in both legs. The open wounds of both legs became impossible to exert and disabled patients or lower limb paralysis, etc. 4) Side by side without a barrier at the end.

114 Application for Knowledge Development and Clinical Judgment in Elderly Patient with Delirium for Nursing Student Charuphat Lamoon, Kansuda Singha, Ketsadee Chuadthong, Gedsarin Phomakhen, Khattiyanee Sriyai, Chanthani Champein, Jaruwan Damdin, Jirapa Supasorn, Jaroonsree Meenongwah Boromarajonani College of Nursing Sanpasithiprasong Ubon Ratchathani Abstract Delirium in elderly patients is happening when they are sick or admit to the hospital. Most nursing students lack the knowledge to care properly. Therefore should addition the knowledge of delirium for nursing students via new technology and up-to-date proper treatment. That is helps nursing students to be confident. The purpose of innovation for nursing students Boromarajonani College of Nursing Sanpasithiprasong, who practices in the ward and uses the application to learning and clinical judgment on delirium in elderly patients. The procedure of innovation has 2 parts. Part 1 Create the content on paper, consisting of 1) Create a 2-part knowledge quiz consisting of knowledge quiz 15 items on delirium in elderly patients and quiz 19-item on clinical judgment on delirium in elderly patients 2) 2) Find out the quality of the test, that find the content compliance index and confidence and 3 to determine the content of knowledge on delirium in elderly patients. Part 2 Build an application by 1) bringing quizzes and knowledge content into the Android platform 2) Find the quality of the application by looking for the content compliance index and confidence 3) Trial with Bachelor of Nursing students, 3rd year, Boromarajonani College of Nursing Sanpasithiprasong year 2020, 80 people. According to the findings, The application can help 1) the students had a knowledge score after using the application was higher than before using the application, and 2) the clinical judgment score after using the application was higher than before using the application. The statistically significant application was at .05 and 3) the students satisfaction with the application was at a high level. This application is used on smartphones with the Android operating system. It has the following features: 1) can search knowledge very quickly 2) this application can use offline 3) it is easy to use and proper for nursing students or interested health personnel. 4) there are 3 scenarios with scenario exams, and 5) scores are processed immediately after taking the exams. This innovation study suggests that using applications can improve clinical knowledge and judgment. This will help nursing students to be confident in taking proper care of elderly patients with delirium.

115 Development of a Predictive Screening Tool for Patients Reporting Symptoms of Acute Coronary Syndrome Kanista Boonsri, Kanchana Chamaree, Kanyanee Waenngoen, Kanyanee Waenngoen Krittiyaporn Sanguankeaw, Kanyarat Saoliam, Krisadaporn Kaewjai, Kanchana pongthanu Ason Karaket, Tatsapon Palachai Boromarajonani College of Nursing Sanpasitthiprasong Abstract Acute Coronary Syndrome (ACS) is a life-threatening condition. Evaluation of risk-based symptom screening by patient with symptoms report is the important thing for prediction and the success of treatment. This process innovation has the aim to create a prediction tool and screening people who are at risk of Acute Coronary Syndrome. This Innovation using “Value chain model Klein Rosenberg” literature (Kline and Rosenberg, 1986) search for the empirical evidence in 6 databases that consists of Pubmed, ThaiJO, Semantic Scholar, BMJ. Journals, PMC Journals and Synthesize the empirical evidence with the evidence-based quality evaluation criteria of The Joanna Briggs Institute, Australia. 15 studies were included consisting of Level 1= 2, Level 2 = 5 and 3a = 8. Design the tools and content validity by 3 experts that Improve tools before implementation trial. The result summarizing signs and symptom of Acute Coronary Syndrome has 2 important characteristics. First, 8 typical symptoms include 1) Pain in the jaw, neck, shoulders and arms 2) Chest Pressure 3) Chest pain 4) Upper back pain, 5) Palpitations, and 6) Sweating. Second, 4 atypical symptoms include 1) Heartburn 2) Nausea and dizziness 3) headache 4) Fatigue and 5) Abdominal pain. It was found that the pain scores associated with disease more than 7 points. The higher score is 14, divided into high risk of ACS > 7 points and low risk level < 7 points without the specific symptoms. This innovation is in the development and trial phase. In the next phase, it is necessary to use the tools for evaluation in community screening, Health promotion hospitals and emergency departments, and needs to Diagnostic tests, Sensitivity, Specificity, Likelihood ratios, Predictive values with 95% Confidence Intervals for a clear summary of the quality of the innovation Keywords: Prediction tool, Acute coronary syndrome, Signs and symptoms

116 Re-CUEs Thanyapohn Janowat, Thidarat Chaopa, Tidawan Kaewkhumkerd Nongluck Putthasen, Naphason Siri, Napatsawan Thongphan Natthamon Phuangarsa, Nanticha Rodkamnerd, Namfon Khongwangthong Namphet Phonphat, Nampet Phoemkhetkon, Nichanard Kongmoung Nisa Sathongpim, Usanun Intamas Boromarajonani College of Nursing, Swanpracharak Nakhonsawan Abstract Cerebrovascular disease is frequently found in adults and elderly which causes 1 of 3 of mortality in the country. Mostly, the cerebrovascular disease survivors live with disabilities and poor quality of life and they are at risk to die from complications. Therefore, they need support from their caregivers due to poor of communication, memory and weakness of muscle regarding arms and hands. The best duration for brain recovery mechanisms for both memory and muscle control is the first three to six months after having cerebrovascular disease. Patient rehabilitation should be starting from proximal to distal and stimulating joint movement and weight resistance exercise. This aims to build muscular strength and improve brian perception and memory. The Re- CUEs comprises two parts which are muscle and memory improvement. It was created by using lowcost local materials. The Re- CUEs is a wood box for muscle, wrist, elbow and shoulder training by pulling and pushing. There is a small box inside the square box for improving the patient’s memory. After the trail of the ReCUEs, it was easy to use and the samples rated high satisfaction level scores.

117 Safe sex Safe life Model Panravee Thomthong, Pannika Sarachat, Pachanee Reinthong, Picha Kalapaphuge Pimapsorn Yoosompong, Phiyada Pinsakon, Phattarawadee Uaeju, Pattaraporn Pungnin, Manudsanan Suppalerksakul, Rutnicha Yongkasikum, Laksanaporn Deephool, Laksanaree Reangwong, Srisuda Ngamkam Boromarajonani College of Nursing, Swanpracharak Nakhonsawan Abstract Unintended teen pregnancy and birth and sexual transmitted infections among teenagers are major health problems in Thailand. Early pregnancies among adolescents have major health consequences for adolescent mothers and their babies. Pregnancy and childbirth complications are the leading cause of death among girls, and other health, family, and social consequences. Adolescents who may want to avoid pregnancies may not be able to do so due to knowledge gaps and misconceptions on pregnancy prevention. Strategies to address adolescent pregnancy were increased knowledge, awareness, and skills for addressing issues around adolescent pregnancy, parenthood, and sexuality Safe sex Safe life Model is a sexual education media for youth in school. Students can access it by scan a QR code. Media has contents such as condom use, unintended pregnancy prevention, sexual transmitted infection. This model allows young people to participate in thinking, allowing them to share their ideas and train them to be aware ofsexual problems, to resolve and prevent problems on their own. After experimenting with the Safe sex safe life model in schools, students have increased knowledge of sexually transmitted infections and prevention. Students are interested and satisfied with learning from the use of teaching materials and innovation

118 Innovation of Enhancement with Reels for Arm and Leg Muscles and Afzelia Seeds for Blood Circulation: a Case Study of Patient with Stroke Namfon Saengsawang, Wimon Onseng Boromarajonani College of Nursing, Uttaradit Abstract Introduction: muscle weakness is present in patients with stroke because blood supply is interrupted to the brain or blood vessels suppress the brain cells. Research Design: development of Innovation of Enhancement with Reels for Arm and Leg Muscles and Afzelia Seeds for Blood Circulation: a Case Study of Patient with Stroke aimed to improve the ability to help patients in the case. Methodology This study recruited on patient with stroke to receive the innovative device which was approved for innovation qualification from 3 specialists and followed the scope of protection the right and welfare of the samples. The research instruments for data collection were motor power assessment form designed by Medical Council, and 2) satisfaction evaluation form toward the innovation. The data was analyzed with descriptive statistics of frequency, percentage, and mean. Research Findings: It was found that 1) Innovation of Enhancement with Reels for Arm and Leg Muscles and Afzelia Seeds for Blood Circulation: a Case Study of Patient with Stroke could improve from 4 points of motor power scores before using the innovation to 5 points of motor power scores after using the innovation, and 2) the case study had satisfaction towards the innovation implementation at highest level (Mean=4.50, S.D.=0.45). Suggestion: Innovation of Enhancement with Reels for Arm and Leg Muscles and Afzelia Seeds for Blood Circulation: a Case Study of Patient with Stroke was able to improve exertion and rehabilitation of legs muscles and it was recommended for at least 4- 8 weeks of long-term implementation in future studies. Keywords : innovation, reels for arm and leg muscles, stroke patient

119 Local Wisdom Application on the Development of Muscle relaxant Equipment for Vegetable Farmers Chatthiya phanjerm, Keskanok Deeprom, Narong Santong, Praphaporn Khambai Preeyaporn Salee, Rungwarin Sommut, Soawadee Wannarod1 Tawichai Bootsadee, Chart Thaicharoen, Dittaphol Jaisue Boromarajonani College of Nursing Srimahasarakham Abstract Farmers are exposed to various health risk factors. Therefore, this study aims to study on health problem situation along with the need for caring and muscle relaxant equipment development. The target group is 22 specifically selected vegetable farmers. We collect information and needs by using questionnaire, group discussion, and muscle relaxation assessment form (before and after relaxation). The data were analyzed using descriptive statistics and content analysis. The result showed that 1) General information: participants who has age range 35-54 years, average age 43.8 years, the proportion is 64.2% female and 35.8% male, face the most musculoskeletal problems and willing to learn how to use and equip muscle relaxant equipment. 2) Development process: nursing process, evidencebased learning and local wisdom are applied. There are 5 procedure including 1. Data collection and analysis 2. Problem diagnosis 3. Planning the design, searching for empirical evidence, and using local wisdom in order to create model 4. Practice 5. Evaluation and improvement. 3) The result of the development brought about 2 innovative sets: a muscle relaxant made from palm wood and a learning guide. 4) The levels of muscle relaxation among the target group had decreased. In addition, they had increased their self-care skills. From the assessment, they had the highest level of satisfaction; an average of 4.68. In conclusion, stretching equipment and postures are able to help relax muscles. However, it should be continuously developed in order to make it more convenient to use. Keywords: muscle relaxant equipment, local wisdom

120 The amazing dummy with the abnormal sound of internal organs in children Thitichaya Malaithong, Natawan Thareesit, Tanya Tondee, Nilamon Wirunphan, Sasinipha Sresomneuk, Anisara Ruenthong, Jaruwan sanongyard Boromarajonani College of Nursing, Suphanburi Abstract This quasi-experimental research aimed to study the effect of the efficacy of the innovation of children dummy with the abnormal sound of internal organs in children. The sample consisted of 15 3RD nursing students, Boromarajonani College of Nursing, Suphanburi. The tools used for data collection consisted of 2 parts. Part 1; was the innovation of the children dummy. Part 1; was the satisfaction questionnaire and the third part was the cognition test. Finding the quality of the tool by examining its content from 3 experts, IOC = 0.91. Interview consisted with it reliability of to .95 The data were analyzed by frequency distribution, percentage, mean, standard deviation, and paired t-test. The results showed that after using the innovation, the overall average quality of the dummy was at the highest level (̅= 4.57, SD = 1.55) and in terms of usefulness and use, the overall average was at the highest level (̅= 4.68, SD = 1.49) and found that the mean cognitive score after the experiment (̅= 9.40 , SD = 0.99) had a higher mean score than before the trial ( ̅= 5.47, SD = 1.88) statistically significantly different at the level (p < .001). This study shows that the amazing dummy with the abnormal sound of internal organs in children infants can be used to assess the abnormal sound of internal organs before practice. Make users aware more understanding and there are guidelines for further development of this innovation. Keyword : Dummy, Abnormal breathing sounds in children, Satisfaction with the use the innovation of children dummy.

121 Developing innovative Lung vibrator doll for Reducing Secretion Retention in Pediatric Pateients Khanittha Khuntho, Yannaphat Hiranrakwong, Pawanrat Mayurachatsakun Pornpimon Thiansri, Pakdiporn Jongsomjit, Waree Duongtangrod* Supawadee Somsanuk, Orn-anong Yimyai, Chiraphun Phothong Boromarajonani College of Nursing, Suphanburi Abstract This reseach and development study the Lung vibrator doll for Reducing Secretion Retention in Pediatric Pateients were (1) to develop prototype of Lung vibrator doll for Reducing Secretion Retention in Pediatric Pateients (2) to evaluate behavior’s pediatric patients and (3) caregiver ’s satisfaction to Lung vibrator doll for Reducing Secretion Retention. The concept of creative innovation accroding to Transitional object attachment theory. The sample of this reseach were 2 groups; 2 children (1-5 years old), and 2 caregivers in Propaya community, Maung, Suphanburi. The research instruments were behavioral observation form of the sample on the use of vibrating dolls for children and parental satisfaction questionnaire. Analysis data by Descriptive statistics ; percentage, mean, and standard deviation, The results of the pilot study analysis after using the lung vibrating doll for reducing secretion retention in pediatric pateients showed that the most of behavior’s pediatric patients was at a moderate behavioral level (Before “Positive” X = 2.66, SD = 0.258 / “Negative” X = 2.53, SD = 0.258), (Before “Positive” X = 2.47, SD = 0.258 / “Negative” X = 2.40, SD = 0.316) and 2 careginers' satisfaction was at a good level. (X = 3.67, SD = 0.389) The next development approach is to bring the innovative pulmonary rattle doll to use in a growing number of pediatric patients with other respiratory problems. and compare it with other lung percussion methods to further assess the effectiveness of the innovation. Keywords: Lung vibrator doll, Reducing Secretion Retention, Pediatric Pateients

122 Formulating formation of coconut shell (Cocos nucifera L) active charcoal for teeth whitening ABSTRACT Teeth are one of the important aesthetic factors for a person, including tooth color. The effect of tooth discoloration can cause a person's lack of self-confidence. The use of teeth whitening materials can cause side effects in the oral cavity so that the use of natural ingredients is chosen as a tooth whitener, one of which is activated charcoal. Activated charcoal has an absorption capacity of 25-100%. The purpose of this study was to determine the activity of coconut shell-activated charcoal toothpaste as a teeth whitener. This study used 20 dentures and then soaked them in coffee solution for 17 days to change the color of the teeth. Tooth color was measured using a classical Vitapan shade guide. Teeth whitening activity test was carried out for 14 days. Toothpaste was made in 4 formulas with different concentrations of coconut shell-activated charcoal in formula 1 (0%), formula 2 (6%), formula 3 (10%), and formula 4 (12%). The results of the observation showed that the preparation of coconut shell-activated charcoal toothpaste can give tooth discoloration. A statistical tests showed that coconut shell-activated charcoal toothpaste had a significant difference in activity as a natural ingredient for whitening teeth. Keywords: activated charcoal, toothpaste, teeth whitening

123 The effect of providing health education with the innovation of"Mom Diary’s" Penpak Luok-in, Jittima Chanaphim, Chonlada Sangngernyod Darunee khammuntri, Thanyawee Kanrtha, Pimchanok Khammun Ratthakan Krai-ngam, Wirawan Pongseeda, Suphansa Tansombun Boromarajonani College of Nursing, Suphanburi Abstract This quasi-experimental study aimed to study the result of "Mom Diary’s" innovation on self-care ability of firsttime pregnant women who entered the service in the clinic Chao Phraya Yommarat Hospital, 30 people. The methods were conducted and developed innovations and tools used in research consisting of 2 parts were respiratory care model, an assessment which was divided into 3 aspects, questionnaires consisted of general characteristics, the satisfaction assessment form, and the knowledge measurement form. The quality evaluation of the instruments by content validity from 3 experts, (IOC = 1), analyzing the validity by using the Alpha Cronbrac coefficient formula in the knowledge section= 0.7, the questionnaire on self-care during pregnancy was 0.78 and the self-care behavior was 0.88 and the satisfaction assessment form was 0.95. The data were analyzed using descriptive statistics by percentage, mean, S.D and t-test. The results showed that the first pregnant women were statistically significantly more knowledgeable after using the innovation at the level (p<0.05) with mean satisfaction with the innovation. Overall ((X ) ̅= 4.50, S.D = 0.49), it was found that the topic with the highest mean was Overall satisfaction with diary use ((X ) ̅= 4.56, S.D = 0.50) and gestational self-care behaviors were averaged overall were good at the level ((X ) ̅= 2.69, S.D = 0.49) The results show that the first pregnant women tried the innovation of "Mom Diary" have a better understanding of how to behave and to enhance fetal development and increase confidence resulting in correct health care behaviors. Keyword : Primigravidarum, self care ability

124 We will survive covid-19. Prepared Nantinee Phongphanitaumphai, Phiyatida Jitarkha Nongnuch Archalikhit, Pongsakorn Binchai Boromrajonani College of Nursing Chainat Abstract The objective is to promote health for people to know about Covid-19, symptoms, including how to protect themselves from COVID-19 and adhere to the D-M-H-T-T principle, which consists of Distancing, Mask Wearing, Hand Washing, Testing and Thai Cha na as principles. from the Department of Disease Control to deal with the new wave of COVID-19, with such principles not difficult to do Therefore, it is appropriate to disseminate it for everyone to know. By presenting it in an infographic format for readers or interested parties. The content is easily understood through pictures, with accurate information, complete and easy to understand. It is an important tool that will help people to protect themselves from the epidemic and be able to get through this crisis together.

125 CAI: Intramuscular injection Jiraporn Jaojulee, Supapich Paisanjai Boromarajonnani College of Nursing, Phayao Abstract A Computer Assisted Instruction (CAI) named Intramuscular injection was created as an educational tool on showing area of intramuscular injection, how to deliver a medication deep into the muscles, and knowledge quiz. It was aimed to make a basic guideline on intramuscular injection which can be useful for nursing students. The participants were 50 of first year nursing student in the academic year 2020 at Boromarajonani College of Nursing, Phayao. Assessment was conducted by testing knowledge regarding intramuscular injection at baseline and after learning from CAI as well as satisfaction toward the CAI was evaluated at post-intervention. Data were analyzed using descriptive statistics and the comparisons of before and after studying was used a dependent ttest. The findings revealed that there was a positive effect of the CAI on the significant increase of knowledge regarding intramuscular injection after learning from the CAI (p<.05). Also, the participants had high level of satisfaction of learning from CAI (mean=4.41, SD=0.59). Therefore, the intramuscular injection CAI can be used as an educational tool in order to promote a better understanding on muscular system and moreover it can be used as a basic guideline for further study on intramuscular injection for the second year nursing students. At the same time the students have gained knowledge and skills of information technology for a lifelong learning. Keywords: CAI, Intramuscular injection

126 Effects of Using a Damask rose oil to Relieve Pain Relaxing Massage in Student nurse, Boromarajonani College of Nursing Phayao Abstract At the present, most people are found to be stressed and anxiety from various problems especially in terms of studying and working that affect health conditions This study was a quasi-experimental research. Aimed at Study the effectiveness of using damask rose oil in helping to relax the body. reduce anxiety reduce body aches and help you fall asleep easier. To study the satisfaction of using damask rose oil and to promote the use of local wisdom in health care. The study sample was nursing student Boromarajonani College of Nursing, Phayao with muscle aches and sleep problems 60 people by using the efficacy evaluation form of damask rose oil and the satisfaction questionnaire on the use of damask rose oil. The data were analyzed using descriptive statistics, i.e. frequency, percentage, mean and standard deviation. The research results showed that The results of the evaluation of the effectiveness of innovation found that innovation can reduce pain At the highest level, 90.67 % (̅= 4.53, S.D. = 0.72) Innovations are highly secure for users at the highest level, 92.33% (̅= 4.62, S.D. = 0.87) Irritation of the skin on the body at the lowest level, 29.33 % (̅= 1.47, S.D. = 0.85) smells good helps the body relax reduce anxiety and help you sleep better at the highest level, 91.67% (̅= 4.58, S.D. = 0.77) the form of innovation is the right size and easy to carry at a high level 89% (̅= 4.45, S.D. = 1.10) it is an interesting innovation and can be put to practical use at the highest level, 90% (̅= 4.50, S.D. = 0.91) innovative, easy to use convenient to use at the highest level, 95.33% (̅= 4.77, S.D. = 0.59) and the satisfaction of using the damask rose oil innovation found that most of the students were satisfied with the overall innovation at a high level 94.11% (̅= 4.71, S.D. = 0.64) . Therefore, using Mon rose oil to relieve pain and relax massage is another option to promote health by using local wisdom.

127 The result of Innovation applications “Music Therapy to Relieve Stress” Jiraphon Chaiyamas, Thananya Khamsaen, Phichaya Malithorng, Mutchima Tunboon Wassana Khiawsen, Sasithorn Plerdkaew, Suphattra Chailangka, Supattra Chansuvarn Boromarajonani College of Nursing, Suphanburi Abstract This study This was a quasi-experimental study. to study the effect of innovation on stress reduction of nursing students between the experimental group and the control group in the post-test sample group is a nursing student in the first year of Bachelor of Nursing program at Boromarajonani College of Nursing, Suphanburi. The sample used a specific selection. A sample group of 80 people was divided into an experimental group of 40 people and a control group of 40 people. In the beginning, the creation of innovative pieces was based on the concept of music therapy of Murrock and Higgins (2009) and the cultural capital of music in Suphanburi province. and bring tools to experiment with innovation is an innovative application of music therapy to relieve stress and a tool used to collect data. It consisted of 2 parts 1) Department of Mental Health Stress Scale (ST5) 2) Application Satisfaction Assessment Form “Music Therapy to Relieve Stress” All tools have been verified for content by experts. Passed the content review by 3 experts and then analyzed to find the value (IOC) equal to .94 After that, the innovative workpieces that have been verified by experts and the tools are put into the experiment. to be tested with a sample group. with similar qualifications to the sample group of 10. Confidence was determined using Cronbach's Alpha Coefficient. The value was equal to 0.74 Comparative analysis using paired - t test statistics. The results showed that After using innovative applications “Music therapy to relieve stress” found that the sample group had a lower average stress score than before using the innovation. They were statistically significant (p<.0.5) and had the highest average satisfaction with the use of innovations. Is Clarity of images used to accompany the application (M)=4.70,(S.D)=0.46 followed by The clarity of the sound used to accompany the application (M)=4.65,(S.D)=0.48 Respectively Results of this study innovative applications "Relief music therapy" can greatly reduce the stress of first year nursing students. Because the application of music therapy relieves stress. There is awareness about stress. Self assessment of stress level and stress management activities that use music therapy to reduce stress In addition, it is a guideline to prevent the stress of online learning for nursing students from the epidemic situation of COVID-19. Keywords: innovative application of music therapy to relieve stress, music therapy, stress, nursing students, adaptation

128 The lock for safe Nutcharee Nokthong, Panuwat Phowat, Banthita Suepsingkhan, Bunyanut Suthakhachonkun Bantita Lammahit, Panatda Mueangthong, Pitsana Saengthongthap, Pawarissara Philuek Pattamawan Sukjam, Pajaree Rasri, Pornchita Chanapai, Panpasa Rachsiri, Manot Muankan*, Thamaporn Suksawan Boromarajonani College of Nursing, Swanpracharak Nakhonsawan Abstract In Thailand, there are over 1.7 million calls for emergency service for around 1.8 million patients per year. More than half of the patients need to receive resuscitation and transfer to the hospital by the ambulance. One of the ambulance car standards is having a place for liquid and blood hanger at the headliner which is aimed for wellorganized and safe from falling. From the preliminary survey of ambulance nurses, the most common problem is unable to lock a liquid bottle to be still. Therefore, it is difficult to manage intravenous fluid according to the therapeutic plan as well as to provide patient safety by preventing the fluid bottle from falling down.The “Lock for safer” innovation was developed by applying Newton’s law of motion to create a fluid locker to attach with the ambulance headliner. It is adjustable for fluid bottle size and level. Moreover, it is user friendly regarding it is easy to control fluid level according to the therapeutic plan. The innovation is in a good size, good appearance and fit with the ambulance headliner. The results of the study found that the fluid bottle had less swing. The users were satisfied with innovation usage and its appearance.

129 “Wear and Press for Smoking Deduction” khemmisara Ngernying, Janpen Lungboot, Janthra Rachsanit, Jaruwan Kongpaen*, Charuwan Buakhi, Jirapat Kawsukha, Jiraporn Wongsa, Jirarad Kamonin, Juthamat Deebua Chutarut Bunsarana, Jettawan Piluek, Chanaphat Sangsin, Thansinee Prompradit Boromarajonani College of Nursing, Swanpracharak Nakhonsawan Abstract Cigarettes are the second cause of sickness and death in Thailand. It not only impacts the smokers, but also their close persons and people in the public. The way to reduce this loss is encouraging the smokers to stop smoking. Tobacco dependence treatments could be using medication and non- medication. Non- medication treatment for quit smoking is foot reflexology massage. Numbers of cigarettes per day are reduced and smokers can stop smoking after providing this treatment for 10 days. However, the limitation of foot reflexology massage is that it must be done by hands. Therefore, this is considered an inconvenience for people who are working and doing some activities. The Wear and Press for Smoking Deduction was created from a cloth bag with massage buttons. This is for the smokers to wear on foot. This innovation works by the smokers walking and pressing weight on foot. It can be used anywhere and anytime. After the trail, samples felt the change of taste and smell of cigarettes in day two and more in day three and four until they stop and quit smoking

130 Development of Mobile Application (Commu-App) in Enhancing Communication to Older Adults with Home Ventilators Abstract Background: Older adults with home ventilators are suffering because they cannot communicate with families or healthcare providers in what they need to talk as unmet needs. Subsequently, they experience stress and depression. Objective: Aims of this study were to develop a mobile application and test the efficiency of an application for communication among older adults with home ventilators. Methods: Steps of development of this application were based on ADDIE model: analysis, design, development, implement, and evaluation. 40 samples included older adults (n=10), caregivers (n=10), nurses (n = 10), nursing students (n = 10). Data were collected between May and July 2021. The tools of this study were a personal data questionnaire, system usability scales, and satisfaction scales. Content validity index (CVI) of the application was .77. Data analysis: Data analysis were percentage, mean, and standard deviation. Results: System usability scales of all samples were good (̅= 4.48, SD = 0.14), and means of each group included older adults (̅= 4.52, SD = 0.30), caregivers (̅= 4.69, SD =0.54), nurses (̅= 4.24, SD = 0.54), and nursing students (̅= 4.45, SD = 0.62). Satisfaction levels of all samples were very good (̅= 4.73, SD = 0.21), and means of each group included older adults (̅= 4.64, SD = 0.11), caregivers (̅= 4.98, SD = 0.09), nurses (̅= 4.69, SD = 0.14), and nursing students (̅= 4.62, SD = 0.53). Conclusion: The implementation of this mobile application can be used for enhancing communication to older adults with families and healthcare providers. Consequently, this application can reduce stress and anxiety to older adults with home ventilators.

131 A Circle Walker Musaya Thanamas, PhatawadeeNuanpian, PhawitaThipyan Phuchanisa Srithai, MatchimapornYodying, MatwanPweukbuakhao MintraChuasamun, Ratima, Polnui, RattaphongKhamnurak and WanaliPansom Boromrajonani College of Nursing, Nakhon Si Thammarat Abstract The demographic statistics of the National Statistical Office shows that in 2020, Thailand is an aging society and it’s approaching the level of a complete aging society. Coupled with the trend of continuous decline in the ratio of the working age to the elderly, it is necessary to prepare and create factors that facilitate the elderly to be able to rely on themselves as much as possible. Specifically, motor abilities were negatively correlated with older age. This increases the risk of falling with increasing age. Moreover, complications from falls affect balance and movement that lead to movement disabilities. The innovative circle walker can be folded up when not in use. This device has a convenient handle and an installed wheel system that controls the direction of movement for both straight walking and turning. There is a safe braking system with a comfortably installed weight-support-chair. The circular structure enables convenient walking and protects the user from falls, thereby enabling the elderly to have freedom to move according to their needs in a safe manner with the greatest benefit in maintaining mobility for them. Hence, it helps older people to reduce the occurrence of unnecessary dependence on others for their movements. The result was compared with that of walking time when using an over-the-counter walking aid. Using a sample of 17 the older people walking on a level ground for a distance of 3 meters, it was found that there was a statistically significant difference in time. (p-value<0.001); with walking time in use of a circle walker reduced by 10.75 s (Mean difference = 10.75, 95%CI: 10.17-10.33). Keywords: Walker, Elderly, Older people

132 Gently rolling, pain relief, leg massage Janchai Maneewong, Chayuda Wiwakwin, Nattakan boonyo Natnicha Tiaocharonesin, Warangkana Janthawas, Siriyakorn Jamjang Sirilak Kaewbuadee, Sunanta Maneesang, Auntika Chinlamat Boromarajonani College of Nursing Suphanburi Abstract Background: Sitting or standing for long periods of time as a result, the muscles around the calf cannot work. This may be caused by tired leg muscles. Objective: This study aims to study the effect of using innovation. and the evaluation of satisfaction with the use of innovation, and the objective was to study the effect of the use of innovation. and assess satisfaction with the use of innovation. Methods: The sample group was graduate nursing students. Long standing wards and long online classes were chosen by selective sampling technique by an experimental group of 30 volunteers. Results: The results showed that the experimental group had an average of satisfaction with the use of innovation. Overall, it was at a high (̅=4.28, SD=0.65) . Considering each aspect, it was found that in terms of model design and usability, average scores (̅=4.93, SD=0.61). Using (̅=4.27, SD=0.63) on satisfaction with the innovative foot massager (̅=4.23, SD=0.68). The quality of the instrument was determined by checking the content of the contents from 3 experts and analyzing the confidence by using the Alpha Cronbrach coefficient formula. got a confidence value equal to 0.8The results of the study show that the innovation of gently rolling foot and calf pain relief massage can actually reduce foot and calf pain and cause satisfaction to real users, resulting in good foot and calf health. Recommendations:. The results showed that The innovation can actually reduce foot and calf pain. and create satisfaction for real users Reduce foot pain problems for people of all groups who want to relieve pain and promote foot health, but need to adjust the size and shape accordingly. To develop further innovations even better. Keywords: health promotion innovation, reduce leg pain, leg massage

133 The effect of the innovative respiratory care model on knowledge and satisfaction of third year nursing students Boromarajonani College of Nursing, Suphanburi kingkarn Jaisue, Yada Mekkala, Duanghathai Monthong, Tippaporn chownako, panisara Monyahong, Suchittra Uthaisaen, Areewan Ruk-u, Inthira Habsuwan, Jaruwan sanongyard, Rawadee, Pisit Poltana Boromarajonani college of nursing, Suphanburi Abstract This quasi-experimental research aimed to study the effectiveness of LIS MIND innovations on cognition, satisfaction and self-care related to COVID-19 among subjects. The sample group used in this innovation development was divided by simple random sample and drawing lots with 30 third-year nursing students from Boromarajonani College of Nursing, Suphanburi. The instruments by content validity from 3 experts, IOC = 0.73, interview consisted with it reliability of 0.94. The data were analyzed using descriptive statistics by percentage, mean, S.D and t-test. The results reveal as follow: 1. The experimental group had a higher mean score on cognition about COVID-19 after using the LIS MIND innovation than before using the innovation. There was a statistically significant difference at the level (t=7.291, p< 0.01).2. The experimental group had average self-care scores. Included in the high level (̅=3.75, SD=1.26), with the most found including self-care behaviors (̅=4.13, S.D. = 1.13) 3. The experimental group had a high level of overall average satisfaction after the trial (̅=3.40, SD=0.69). According to the results of the study, the innovative LIS MIND was able to assess and transmit vital signs data, and transmit data wirelessly in the present while actually. It has been reviewed for reliable accuracy to provide patients with timely care, and have warmth. The innovation can be used to evaluate and help patients with yellow levels of COVID-19 effectively in the future. Keywords: COVID-19, cognition, satisfaction, self-care

134 Wristband Monitoring of Children in the Clinical Setting and COVID-19 Wards Darin Thikaow, Nattikan Langkapin, Trasaphorn Saileamthong, Thipwara Phoemsuwan, Thunchanok Leosawathiphong, Thunchanok Arjariya, Thanchanok Buntham, Thitima Jongketkan School of Nursing, Mae Fah Luang University Abstract Vital signs are crucial in determining the health of children who are in a fragile state. In the pediatric departments and COVID-19 ward, the patients’ vital signs are assessed no less than every four hours and are often done more frequently, depending on the severity of the conditions and symptoms. The monitoring of vital signs in these fragile children especially children with COVID-19 is often difficult because of the frequency of crying, involuntary movements, and spreading of the disease making monitoring difficult at times. The accuracy and difficulty of these measurements can often result in imprecise measurements and an increase of the clinician’s time and effort in gathering this data. A new “wristband” can solve this problem. The innovation is designed to monitor vital signs in children who must be closely observed while they are unwell. This “V/S Wristband” incorporates the use of infrared wave and light pulse technology found in larger more cumbersome equipment. The wristband collects light on a photodiode that has passed through the hemoglobin and will detect crucial information. The wristband sensor can display real-time data including: electrocardiogram (ECG), body temperature, heart rate, respiratory rate, and oxygen saturation all in one small and compact device.The use of this new innovation will allow health professionals to detect problems immediately and reduce the risks that can occur in pediatric patients. Moreover, it is convenient to use and safe. We believe this new design will improve patient outcomes and increase nursing efficiency in pediatric departments and COVID-19 ward.

135 Development of Ankylosis-free Path Innovation Natnicha Phonudom, Prachya Panya, Seubtrakul Tantalanukul Boromarajonani College of Nursing, Uttaradit Abstract Introduction: Limitation of motions in patients with injuries could result in muscle weakness and frozen joints. Research Design: This study is a Quasi experimental innovative research with one sample group. By investigating before and after the experiment, it aimed to develop an innovation that could help patients with ankylosis and examine its efficiency in enhancing the patients’ joint movement and performance of daily activities. Methodology: The samples of the research consisted five patients who could not move their body or were still in the muscle rehabilitation of grade 3 or above at the male and female orthopedic wards of Uttaradit Hospital from April 5th to 23rd , 2021. The Ankylosis-free Path Innovation was approved for innovation qualification from 7 specialists and followed the scope of protection the right and welfare of the samples. The research instruments for data collection included 1) body motion record form and daily activities, 2) satisfaction assessment form of the innovation users, and 3) satisfaction assessment of professional nurses in using the innovation. The data was analyzed with descriptive statistics of frequency, percentage, mean, and T-test. Research Findings: It was found that the samples had higher mean scores of body motions after the innovation implementation than before the experiment with statistic significance 05 (p < .05) 2), the satisfaction of the innovation users was at highest level as whole (Mean=4.95, S.D.=0.26), and 3) the satisfaction of the professional nurses towards the innovation was at high level (Mean=4.32, S.D.=1.69). Suggestion: The adjustability of the Ankylosis-free Path Innovation should be adapted for the functionality which was suitable for the patients whose physical limitations were present with various motion. The implementation of this innovation should be continued and expanded to other groups of patients with body motion difficulties in a broader scale. Keyword: innovation, ankylosis, joint motions

136 Herbal Ant Repellent Spray Parichat Autthang, Panisa Mankhong & Voranuch krueakam-ai Boromarajonnani College of Nursing, Phayao Abstract The insecticide sprays selling in the market generally was produced from the chemical phosphorus which is toxic chemicals rather than using natural materials which is safer. This study was the innovation aimed at assessing the effects of using herbal ant repellent spray to get rid of ants. The natural materials for producing herbal ant repellent spray composed of lemon peel, galangal powder and vinegar. All materials were boiled and put into the bottle spray; then testing its effectiveness by spray the herbal ant repellent around the food. At the firs time of spraying found that ants rapidly moved from food, but some ants still remained on food; then the second time of spraying found that fewer ants still remained, but if spraying it 4-5 times, all ants moved from food. It took 4 minutes after using the herbal ant repellent for get rid of ants from food. The study suggests that the herbal ant repellent is quite effective in get rid of ants. Although it requires the number of herbal ant repellent sprays by spraying it 4-5 times in order to get rid of ants, it took only short time to get rid of ants. Compared to the production of commercially ant sprays, the herbal ant repellent spray is safer for eliminating ants; including it is not irritated to skin.Therefore, people or companies should interested in producing the insecticide sprays by using local herbs products rather than using chemical materials. Also, this innovation should be developed in the lab and to extend the idea to the industries according to the concept of Thailand 4.0 eras or “Innovative Drive Economy”. Keywords: herbal, ant repellent spray

137 DEEM TiCK Process: A New Normal Learning Style For Transformative Learning Nirachada Muengkhao, Apinya Ang-in Boromarajonani College of Nursing, Nakhon Lampang Abstract Conservative learning styles were not fit to apply and develop nursing skills, knowledge, critical thinking, and problem solving. In the other hand, Adult learner is important for development 21st skill and improve core nursing skills and life-long learning in nursing students. The innovation aims to create learning style for development nursing skills, knowledge, critical thinking, and problem solving. Participants of this study were 8 third years nursing students in Boromarajonani College of Nursing, Lampang Faculty of Nursing, Praboromarajchanok Institute. Tranformative learning by DEEM TiCK process was have 8 components; Data, Encouragment, Environment, mentor, Time, Comprehensive and Knowlegde. Result: The result was found, DEEM TiCK process was well trigger new learning style that leading to transformative learning in order to appropriate caring of health need patient. DEEM TiCK process is initial that nursing professional. Keyword: transformative learning, nursing professional

138 Effectiveness of PCK Tal Tan Tung Dance on Blood Pressure Levels and the Satisfaction on Innovation Program among People with Pre-hypertension at Prachomklao College of Nursing, Phetchaburi Province Woramon Yurayata, Chompunut Charoenphon Panisara Songwatthanayuth, Junjira Seesawang Prachomklao College of Nursing, Phetchaburi Province Abstract Introduction: The number of person with pre-hypertension is continuously increasing due to inappropriate behaviors, leading to the new hypertensive patients in the future. It can have harmful health effects due to the destruction and hardening of blood vessels, which leading to paralysis, disability, and death. Research objectives: This study employed quasi-experimental study with one-group pretest - posttest design. The study aimed to examine the effectiveness of PCK Tal Tan Tung Dance on systolic and diastolic blood pressure, and the satisfaction on innovative program among people with pre-hypertension at Prachomklao College of Nursing, Phetchaburi Province Research methodology: 12 people with pre-hypertension who hadsystolic blood pressure 120 - 139 mmHg, diastolic blood pressure 80 – 89 mmHg, worked at Prachomklao College of Nursing, Phetchaburi Province, and aged 25-60 years old were recruited. Samples received an innovation program for 4 weeks by using the palm sugar tree to exercise for blood pressure management with 30 minutes, 3 time a week, and then 4 weeks followup. Data were collected using blood pressure monitor and program satisfaction questionnaires. Cronbach’s alpha coefficient of the questionnaires was .80. Data were analyzed using percentage, mean, standard deviation, and paired t-test. Results: The study showed that the mean scores of systolic blood pressure and diastolic blood pressure after receiving the PCK Tal Tan Tung was significantly lower than before (p<.05). The means scores of the satisfaction on program were high level (M= 4.89, SD= .36). Conclusion: The results of this study indicate that the PCK Tal Tan Tung Dance could help to decrease blood pressure among the person with pre-hypertension. Keywords: Pre-hypertension, Blood pressure, Satisfaction

139 Push and away from Covid-19 Natkrita Thapthong, Natthakarn Chomkate, Natcha Laman, Natthinan Khankasikham Natthaporn Duangkaew, Natthawan Wongpichai, Thongnguen Duangma, Thippawan Phanlaw Peeraphat Thongsaijai, Thanaporn Naksuth, Thanyalak Aiemampai, Wandee Yamchanchai Boromarajonani College of Nursing, Swanpracharak Nakhonsawan Abstract The COVID-19 era in Thailand causes by the Corona virus 2019 that transmits through droplets and airborne. They spread into the airway of susceptible hosts and they got sick. Germ could be life on any surface as shaking hand, common use. They lived on plastic or stainless-steel surface for 2-3 days. If people touch the contaminated surface, they would be gotten germ into their airway, then they got sick. It would be better if we used other organs, such as elbows, to open and close the doors. It reduced the risk of contamination of pathogens from contact with hands and touching the face. Push and away Covid-19 is an innovation that applied beam and force theory for inventing the doorknob. It was made from local and inexpensive materials. It worked as a hand when pushing the handle down by the elbow to open and took off the elbow for closing the door. You could open and close the door without hand usage. The results of the trial showed that the door could be easily opened and closed without touching the doorknob and reduced the risk of exposure to Covid-19

140 The Stepping on slide and far away from Covid Wanitchaya Laesanklang, Vananchaya Jansombat, Wanida Noicham Wanwalee Yomsee, Wannisa hiripong, Worawan Aonto, Warissara Buakaew Waridtha Pluemchai, Walaipon Saresukh, Wasinee Janpong*, Wannapa khamhanphon, Waree Panthong, Wandee Yamchanchai Boromarajonani College of Nursing, Swanpracharak Nakhonsawan Abstract Thailand has been facing Covid- 19 pandemic which causes from getting coronavirus19 from large and small doplets through resptratory tract. Germs could stay on surfaces. If people touch on dirty surfaces, such as, other people’s hands or public appliances and then touch on their own faces, it would be easy to get an infection. possible to get germs to one’s self by touching public things, for example, bank notes, restroom and office doors with regard to touching on knob- opening door without hand sanitizing. This could catch germs to one’s self and also others. “The Stepping on slide and far away from Covid” innovation was created for assisting people to open and close the door knob without touching on it. The aseptic technique and wire rope tension were applied. The innovation was developed by using general materials which are easy to access. This innovation is simple to use. After the trail, it is found that the innovation could be used to open and close the door without touching the door knob. This is considered to reduce the spread of germs.

141 The Kawaii Robot: A prototype outpacing innovation of COVID-19 Prevention. Chutikan Wongchaiya, Choentawan Kaewpanma, Thitapat Raksat, Titapa Chainual, Nutcha Namatkham, Nutthanun Permkeasorn, Nutphimon Thipakaew and Nattarinee Boonsert School of Nursing Mae Fah Luang University Abstract It is a proven fact that handwashing can significantly reduce the risk of infection against COVID-19 and other infectious diseases. In this study, we developed the Kawaii Robot to improve the attitude and/or behavior of healthcare workers and clients regarding handwashing in the pediatric ward. The Kawaii robot works by teaching users the five movements for hand hygiene as well as the importance of handwashing by presenting videos on the LED monitor. It also promotes handwashing by using a motion sensor to notify people while they are within 1-meter of the patient's bed with automatic alcohol hand-sanitizer dispenser. Using the black light to ensure the correct cleaning of all surfaces and measuring the temperature with infrared waves before interacting with the patient, with the particular function of changing to the night mode as request. The Kawaii robot manifestation is a rabbit because it represents gentleness and kindness. The eyes on the robot are important in this context as known people change their behavior when they are watched, which is known as the “Hawthorne Effect”. Kawaii Robot possesses two batteries that require six hours to charge and will last three days. In conclusion: this innovation is robotic prototypes for promoting hand washing behaviors and preventing the spread of COVID 19. For the future we would like to invent, test, and develop the robot's capabilities for a long-term use.

142 A Study of the Effect of an Innovative Hot Pack Tank Top Usage on Breast Engorgement in Postpartum Mothers in Don Pho Thong Sub-district, Mueang District, Suphanburi Province Kunthida Sangkhadee, Piyathida Buasongsri, Methawi Yinthananon; Laddawan Tuengphan, Vipaporn Suansri, Siriluk Niampan, Ampaiwan Boonthon Boromarajonani College of Nursing, Suphanburi Abstract The purpose of this research were to improve the effectiveness of using an innovative hot pack tank top on breast engorgement in postpartum mothers. This is a quasi-experimental research study. The research was conducted by the innovative improvement from researchers, as well as the manuals that have been verified and certified by 3 experts. The sample consisted of 3 postpartum mothers whose had got grade 3 or higher of breast engorgement symptoms (Pilot). The samples were selected specifically. The questionnaire was used as a tool in terms of evaluating the satisfaction on the effectiveness of innovations. Data were analyzed by descriptive statistics, percentage, mean, standard deviation, and qualitative data analyzed.The results showed the effectiveness of innovation as the sample group had a decrease symptom in breast engorgement symptoms from level 4 for 3 people. After using the product, it was found that the degree of breast engorgement decreased to Level 3 for 2 persons, and Level 2 for 1 person. In terms of satisfaction towards the innovation usage, it was found that the average score of satisfaction was at the highest level as the average score was 4.33 (S.D was 0.48).From this study, there were further development guidelines as follows: 1) There should be an improvement in the size of the chest shape so that it can be fit with all body sizes. 2) More studies on the properties of other fabric types in terms of cooling which lead to customer’s satisfactions should be conducted. 3) The support liner should be added to prevent the milk flowing out and contaminated the breasts. 4) The space for freely opening-closing for storing milk around the nipples should be added during breast compression. All suggestions would be developed by the researchers for further innovation development.

143 Effectiveness of Innovative Look Prom Application on knowledge of Child Caregivers in Evaluating and Promoting the Development of Children aged 0 to 6 Years Old. Yukon Muangchang, Kantima Duanyai, Kaewta Kaewpissadan Jirawat Chukan, Janjira Phanaek, Nattaphon Pimpan Pongsakorn Thaotachan, Muttita Dangsuwan, Saowalak Kerdsewee Boromarajonani College of Nursing, Suphanburi. Abstract This study was conducted as a quasi-experimental research with the one group pretest-posttest design. The aim was to study the effect of using innovative media of the Look Prom application on the knowledge of the child caregivers in child development evaluation and child development promotion from aged 0 to 6 years old. Purposive sample group was specifically selected 30 caregivers of newborn to 6 years old children. The research instruments consisted of two parts: (1) the Look Prom application (2) The demographic data questionnaire, knowledge test on the development and the development promotion of 0-6 years old children, and the satisfaction survey towards using application. The sample group obtained the knowledge through the application. The instrument quality was evaluated by analyzing content validity from 3 experts, the IOC value was 0.78. For the reliability value, it was analyzed by using Cronbrach’s alpha coefficient formula to assess the knowledge in development and the development promotion tests. The reliability value was 0.82. In addition, the satisfaction level was 0.89, analyzed by using frequency distribution, percentage, mean, standard deviation, and t-test dependent statistic.The research results showed that the mean score on the development evaluation and the development promotion of the experimental group after using the application was statically significantly higher, p<.01. From the outcomes of the study, the innovative Look Prom application is the media that provides the knowledge which helps the caregivers in evaluating and promoting the development of the children from birth to 6 years of age appropriately. The application is available on mobile phones. This can assist parents to evaluate and promote the development of the children aged 0 to 6 years to reach developmental milestones and detect developmental delays in the children at an early stage. Keyword: Application, Child Development Evaluation, Child Development Promotion, Children Aged 0 to 6 Years Old, Child Caregivers.

144 Herbal remedies in lumbar pain Abstract Story project Innovative herbal strapping to relieve waist pain The objective is to create for students in the group to apply the knowledge of herbs that they have studied to create innovations that can help treat or relieve discomfort from pain in the lumbar region. Performed by making a waistband and an herbal compress bag. The herbs used and the properties are playing to relieve muscle aches, anise to relieve pain, cinnamon to relieve pain, to nourish the body, to improve blood circulation, bergamot to improve aroma, lemongrass to cure. Aches and pains, mung bean relieves aches and pains, relieves strains, relaxes Good heat retention, salt helps to conduct heat. The method of use is to steam the herbal bag for 1:30 minutes and wait for the water to boil before steaming the herbal bag. Then, the sample was 20 second-year nursing students, class 30, using herbal bands to fasten them to the waist for 6 minutes. After using the herbal band, the waist pain was reduced in 15 people, and when using the herbal band, it did not affect the pain level.There were 5 people using the Face Rating Scale, and they were satisfied with the use. The herbal compress for lumbar pain was at a high level. Accounted for 78.33%, as measured by the average overall score of satisfaction It has been shown that the herbal lumbar supporter can actually be used. And effective in relieving lumbar pain. Keyword: lumbar pain

145 Continuous Passive Motion 2 in 1 Machine Innovation : a Case Study of Patient with Stroke Thidarat Wongsawat, Wimon Onseng Boromarajonani College of Nursing, Uttaradit Abstract Introduction: Patients with stroke can be generalized by having muscle weakness and frozen joints which can be prevented and relieved by exercising on their arms and shoulders. Research Design: Continuous Passive Motion 2 in 1 Machine Innovation was aimed to improve rotation movement of shoulder joints in patients with stroke. Methodology : This case study of this research recruited one patient with stroke. The Continuous Passive Motion 2 in 1 Machine Innovation was approved for innovation qualification from 3 specialists and followed the scope of protection the right and welfare of the samples. The research instruments for data collection were 1) shoulder joint motion assessment form, 2) satisfaction evaluation form towards the innovation implementation. The data was analyzed with descriptive statistics of frequency, percentage, and mean. Research Findings : It was found that 1) the Continuous Passive Motion 2 in 1 Machine Innovation could improve the rotation of should joint movement in the patient with stroke which was reported by a goniometer that the case study before using the innovation had rotation movement at 125 degree, and after using the innovation at 130 degree, and 2) the case study had satisfaction towards the innovation implementation at highest level (Mean=5.00, S.D.= 0). Suggestion : The Continuous Passive Motion 2 in 1 Machine Innovation was designed to improve the rotation movement of shoulder joints in patients with stroke. There should be further studies on improvement of rotation movement of shoulder joints for long term. Keywords: innovation, joint exercise, patients with stroke

146 Bamboo Stick for Step-taking for Hip and Thigh Muscles Enhancement Innovation Kittima Wanhakit, Kantawit Juprempree Boromarajonani College of Nursing, Uttaradit Abstract Introduction : Tumble in the elderly causes sever injuries such as wounds, internal organ damage, and difficulties in physical movement. Enhancing the hip and thigh muscles could prevent such problems. Research Design: This case study recruited one patient r to receive the implementation of the innovationwhich was approved for innovation qualification from 3 specialists and followed the scope of protection the right and welfare of the samples. The research instruments for data collection were 1) motor power assessment form designed by Medical Research Council and 2) satisfaction evaluation form toward the innovation. The data was analyzed with descriptive statistics of frequency, percentage, and mean. Research Findings : It was found that 1) Bamboo Stick for Step-taking for Hip and Thigh Muscles Enhancement Innovation could improve from 4 points of motor power scores before using the innovation to 5 points of motor power scores after using the innovation, and 2) the case study had satisfaction towards the innovation implementation at highest level (Mean=4.75, S.D.=0.50). Suggestion : There should be proactive policy to examine the seniors in communities who might have risks and distribute this innovation to improve the elderly’s enhancement of the hip and thigh muscles. Keywords : innovation, bamboo stick for step taking, hip and thigh muscles enhancement

147 Playground Development for Preschool School Childhood Development Promotion through Local Wisdom Khanokwan chamwan, Tipsukon Sonthadet, Napaporn Phoopong Nittaya Wisethmuen, Mingmongkhon Nakphuk, Rujira tonmatd Sirada Ritchuay, Anootsara Nabundid, Dittaphl Jaisue Srimahasarakham Nursing college Abstract Childhood is an age of growth, thereby it is necessary to promote proper development. This study aims to develop the playground for Preschool school childhood developmental promotion through Thai local wisdom. The sample group was selected by the purposive sampling amount 29 of 3 to 5 years. The data were collected by using descriptive statistics analysis questionnaires for developmental screening test, childhood developmental promotion, and efficiency of innovation usage. The result shows 1) general information, children ages 3 to 5 who are average 5 years; there are found normal development (82.76) and developmental delayed (17.24). Therefore, to encourage the childhood development, it is necessary to have more space and other activities in different ways. 2) developmental process, there are applying nursing process, empirical evidence, and local wisdom application including 5 stages; (1) data collection/ case study/ problem analysis and feedback, (2) problem diagnosis, (3) Plan design, empirical evidence researching and local wisdom application for prototyping, (4) actual practices, and (5) evaluation and improvement. 3) The development of innovation showed 2 satisfaction that children are satisfy, there are found dominant 4.86 of playground and developmental promotion manual. In conclusion, they are promoted the development of children but it should be more various range design of activities and should be track for long-term development. Keywords: preschool school childhood development, local wisdom, developmental of playground

148 Spray herbal ant repellent Abstract story project ant repellent herbal spray The objective of this study was to study the effectiveness of medicinal plants in repelling ants. Because ants are insects that exist in the general environment. Can be a nuisance and damage Therefore, it is necessary to think of a way to solve this problem. But the chemicals in products used to kill ants are generally harmful to the environment and humans. The study group, therefore, researched antrepelling medicinal plants that are safe to use and can be seen everywhere in their habitats. The medicinal plants studied and used to create a spray product were lemon peel and galangal powder.Those who come to study can modify the product as appropriate and can apply the formula for making this ant repellent herbal spray for the benefit of those who are interested.