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š‹’š‹¥†ŠÖš

Royal Thai Navy Medical Journal

ðøąÿĉìíĉñú×ĂÜÖćøÝĆéÖćøđøĊ÷îÖćøÿĂîĒïïñÿöñÿćî
êŠĂñúÿĆöùìíĉĝìćÜÖćøđøĊ÷îĔîøć÷üĉßćÖćøó÷ćïćúđéĘÖ
ĒúąüĆ÷øčîŠ ǰ2 ×ĂÜîĆÖđøĊ÷îó÷ćïćúýćÿêøŤßĆĚîðŘìĊęǰ3
üĉì÷ćúĆ÷ó÷ćïćúÖĂÜìĆóđøČĂ
Effect of a Blended Learning Instruction on
Learning Achievement in Child and Adolescent
Nursing 2 Subject of the Third Year Nursing Students
of The Royal Thai Navy College of Nursing
ðŗ÷ćóøǰÿĉîíčēÙêø* ÿčîìøĊǰöĂâìüĊ**
Piyaporn Sinthukot,* Suntharee Monthawee**
*,** üĉì÷ćúĆ÷ó÷ćïćúÖĂÜìĆóđøČĂǰÖøčÜđìóöĀćîÙø
*,** The Royal Thai Navy College of Nursing, Bangkok
* Corresponding Author: kk_2324@hotmail.com

ïìÙĆé÷ŠĂ
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ó÷ćïćúýćÿêøŤßĆĚîðŘìĊęǰǰüĉì÷ćúĆ÷ó÷ćïćúÖĂÜìĆóđøČĂǰðŘÖćøýċÖþćǰ61 ÝĞćîüîǰ73 ÙîǰđÖĘïךĂöĎúēé÷Ĕßš
ĒïïìéÿĂïÙüćöøĎšÖŠĂîĒúąĀúĆÜđøĊ÷îǰÙŠćÙüćöđìĊę÷Ü×ĂÜÙĎđéĂøŤ-øĉßćøŤéÿĆîǰ KR-20) đìŠćÖĆïǰ0.62 Ēïï
ðøąđöĉîÖćøÿøčðÖćøđøĊ÷îøĎšéšü÷ñĆÜÙüćöÙĉéĒúąĂõĉðøć÷ÖúčŠöÿøčðÖćøđøĊ÷îøĎš ÙŠćÙüćöđìĊę÷ÜøąĀüŠćÜñĎšðøąđöĉî
Inter-rater reliability : IRR) Ă÷ĎŠøąĀüŠćÜǰ0.66 - 0.93 ĒúąĒïïðøąđöĉîÙüćöÙĉéđĀĘîêŠĂÖćøÝĆéÖćøđøĊ÷î
ÖćøÿĂî ÙŠćÙüćöđìĊę÷ÜÿĆöðøąÿĉìíĉĝĒĂúôć×ĂÜÙøĂîïćÙ đìŠćÖĆïǰ0.93 üĉđÙøćąĀŤ×šĂöĎúéšü÷ÿëĉêĉïøø÷ć÷ǰ
ÿëĉêĉìéÿĂïìĊǰĒúąüĉíĊÖćøüĆéÙąĒîîđóĉęöÿĆöóĆìíŤǰ Relative gain score)
ñúÖćøýċÖþćǰóïüŠć
1. îĆÖđøĊ÷îó÷ćïćúýćÿêøŤßĆĚîðŘìĊęǰǰöĊÙąĒîîđÞúĊę÷ĀúĆÜđøĊ÷îēé÷ĔßšÖćøÝĆéÖćøđøĊ÷îÖćøÿĂîĒïï
ñÿöñÿćîÿĎÜÖüŠćÖŠĂîđøĊ÷îēé÷ĔßšÖćøÝĆéÖćøđøĊ÷îÖćøÿĂîĒïïñÿöñÿćîǰĂ÷ŠćÜöĊîĆ÷ÿĞćÙĆâìĊęøąéĆïǰ
2. îĆÖđøĊ÷îó÷ćïćúýćÿêøŤßĆĚîðŘìĊęǰǰöĊÙąĒîîóĆçîćÖćøÖćøÿøčðÖćøđøĊ÷îøĎšéšü÷ñĆÜÙüćöÙĉéĒúą
Ăõĉðøć÷ÖúčŠöÿøčðÖćøđøĊ÷îøĎšđóĉęö×ċĚîđÞúĊę÷ øšĂ÷úąǰ
Received: January 24, 2020; Revised: March 28, 2020; Accepted: March 31, 2020

 Volume 47 No.1 January-April 2020


š‹’š‹¥†ŠÖš
Royal Thai Navy Medical Journal

3. îĆÖđøĊ÷îó÷ćïćúýćÿêøŤßĆĚîðŘìęĊǰǰöĊÙüćöÙĉéđĀĘîêŠĂÖćøÝĆéÖćøđøĊ÷îÖćøÿĂîĒïïñÿöñÿćî
đÞúĊę÷Ă÷ĎŠĔîøąéĆïéĊöćÖ
ÙĞćÿĞćÙĆâ : ÖćøÝĆéÖćøđøĊ÷îÖćøÿĂîĒïïñÿöñÿćîǰñúÿĆöùìíĉĝìćÜÖćøđøĊ÷î
Abstract
This study was a quasi-experimental research, which aimed to investigate the
effectiveness of blended learning on students’ learning achievement in Child and Adolescent
Nursing II subject among nursing students of the Royal Thai Navy College of Nursing, academic
year 2019. Data were collected from 73 third year students of Royal Thai Navy College of
Nursing, using pre-and-posttest with 0.62 score of the KR-20, evaluation of learning summarization
through mind mapping with the scores of KR-20 between the evaluators were from 0.66
to 0.93, and a survey of the opinion of teaching management with the Cronbach’s alpha
coefficient validity was 0.93. The data were analyzed using t-test dependent and relative gain
score, which detailed the results below.
1 . The third year students had higher mean test score after applying blended
learning than previous test significantly with  score.
2. The third year students had improved the score of mind mapping summarization
and group discussion for 16.3 percent.
3. The third year students had positive opinion toward the learning management
in the “excellent” level.
Keywords : blended learning instruction, learning achievement
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š‹’š‹‹šŠ¤|Ÿ•ƒÊ¬q‚™‚¬‰i‹šl‰ ¤‰‘šŠ 


š‹’š‹¥†ŠÖš
Royal Thai Navy Medical Journal

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 Volume 47 No.1 January-April 2020


š‹’š‹¥†ŠÖš
Royal Thai Navy Medical Journal

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š‹’š‹‹šŠ¤|Ÿ•ƒÊ¬q‚™‚¬‰i‹šl‰ ¤‰‘šŠ 


š‹’š‹¥†ŠÖš
Royal Thai Navy Medical Journal

ÖćøÝĆéÖćøđøĊ÷îÖćøÿĂîĔîøć÷üĉßćÖćø ÖĂÜìĆ ó đøČ Ă ǰêŠ Ă ÖćøÝĆ é ÖćøđøĊ ÷ îÖćøÿĂîĒïï


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 Volume 47 No.1 January-April 2020


š‹’š‹¥†ŠÖš
Royal Thai Navy Medical Journal

Implement
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blueprint ×ĂÜøć÷üĉßć đúČĂÖÖúčŠöêĆüĂ÷ŠćÜĒïïđÞóćąđÝćąÝÜ

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š‹’š‹¥†ŠÖš
Royal Thai Navy Medical Journal

ÖćøÙĆéđúČĂÖñĎšđךćøŠüöÖćøüĉÝĆ÷ǰ Subject ÖĞćĀîéÙŠćÙąĒîî éĆÜîĊĚǰéĊöćÖëĎÖêšĂÜÿöïĎøèŤǰ


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ñĆ Ü ÙüćöÙĉ é ĒúąĂõĉ ð øć÷ÖúčŠ ö ÿøč ð ÖćøđøĊ ÷ îøĎš ךĂÿĂïìĆĚÜÞïĆï đìŠćÖĆïǰ0.62
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ñúÖćøđøĊ ÷ îøĎš ìĊę ÖĞ ć Āîéĕüš Ĕ îǰöÙĂ2 ĀúĆ Ö ÿĎ ê ø ñĆ Ü ÙüćöÙĉ é ĒúąĂõĉ ð øć÷ÖúčŠ ö ÿøč ð ÖćøđøĊ ÷ îøĎš
ó÷ćïćúýćÿêøïĆè æĉ êǰĀúĆÖ ÿĎê øðøĆï ðøčÜǰóý ēé÷ĔßšñúÝćÖÖćøðøąđöĉîÝćÖÙèąÙøĎñĎšÿĂîǰĔî
 øć÷üĉßćÖćøó÷ćïćúđéĘÖĒúąüĆ÷øčŠîǰ2 ÝĞćîüîǰ øć÷üĉßćÖćøó÷ćïćúđéĘÖĒúąüĆ÷øčŠîǰ2 ðŘÖćøýċÖþćǰ
 ךĂǰúĆÖþèą×šĂÙĞćëćöđðŨîĒïïđúČĂÖêĂïǰēé÷  öĊÙŠćÙüćöêøÜêćöđîČĚĂĀć Content Validity

 Volume 47 No.1 January-April 2020


š‹’š‹¥†ŠÖš
Royal Thai Navy Medical Journal

Index : CVI
ǰđìŠćÖĆïǰǰÙĞćîüèĀćÙŠćÙüćöđìĊę÷Ü 2.4.1 đך ć óïñĎš đøĊ ÷ îìĆĚ Ü ßĆĚ î đóČę Ă
øąĀüŠćÜñĎšðøąđöĉîǰ Inter-rater reliability : IRR) Ăíĉïć÷×ĆĚîêĂîĔîÖćøđÖĘïøüïøüöךĂöĎú
öĊÙüćöđìĊę÷Ü×ĂÜÖćøêĆéÿĉîĂ÷ĎŠøąĀüŠćÜǰǰ- 0.93 2.4.2 ĒÝÖĒïïĒÿéÜÙüćöÝĞćîÜđךć
 Ēïïðøąđöĉ î ÙüćöÙĉ é đĀĘ î êŠ Ă Öćø øŠüöÖćøüĉÝĆ÷ĒúąĒïïÿĂïëćöךĂöĎúÿŠüîïčÙÙú
ÝĆéÖćøđøĊ÷îÖćøÿĂî ēé÷ĔßšñúÖćøðøąđöĉîÝćÖ 2.4.3 éĞćđîĉîÖćøÝĆéÖĉÝÖøøöÖćø
îĆÖđøĊ÷îó÷ćïćúýćÿêøŤßĆĚîðŘìĊęǰ3 Ĕîøć÷üĉßćÖćø đøĊ ÷ îÖćøÿĂîđðŨ î øą÷ąđüúćǰ16 ÿĆ ð éćĀŤ ǰēé÷
ó÷ćïćúđéĘÖĒúąüĆ÷øčŠîǰ2 ðŘÖćøýċÖþćǰ öĊÙŠć ÖĞćĀîéÖĉÝÖøøöÖćøđøĊ÷îÖćøÿĂîĒêŠúąÿĆðéćĀŤǰ
ÙüćöêøÜêćöđîČĚ Ă Āćǰ Content Validity Index : éĆÜîĊĚ
CVI
ǰđìŠ ćÖĆ ïǰ0.97 ÙĞ ćîüè Ā ćÙŠ ćÙüćöđìĊę ÷Ü - ÿĆ ð é ćĀŤ ìĊę ǰ1 : ìĞ ćĒï ï
ÿĆöðøąÿĉìíĉĝĒĂúôć×ĂÜÙøĂîïćÙǰđìŠćÖĆïǰ0.93 ìéÿĂïÖŠĂîìĞćÖĉÝÖøøö
ÖćøđÖĘïøüïøüöךĂöĎú - ÿĆðéćĀŤìĊęǰ2 : đêøĊ÷öÙüćö
ĀúĆÜÝćÖēÙøÜøŠćÜñŠćîÖćøóĉÝćøèćÝćÖÙèą óøšĂöñĎšđøĊ÷îĔîÖćøĔßšøąïïĂĊđúĉøŤîîĉÜǰĒúąÖćøđךć
ÖøøöÖćøÝøĉ÷íøøöÖćøüĉ ÝĆ ÷ǰÖøöĒóì÷Ť ìĀćøđøČ Ă øąïïǰOnline quiz game ēðøĒÖøöêŠćÜė
ĒúšüǰñĎšüĉÝĆ÷ĒúąÙèąéĞćđîĉîÖćøǰéĆÜîĊĚ - ÿĆ ðéćĀŤ ìĊę ǰ3 - 7 : Öĉ ÝÖøøö
1. ×ĂĂîč â ćêñĎš ĂĞ ć îü÷Öćøüĉ ì ÷ćúĆ ÷ ÖćøđøĊ÷îÖćøÿĂîĔîßĆĚîđøĊ÷îǰøŠüöÖĆïìĞćÖĉÝÖøøö
ó÷ćïćúÖĂÜìĆó đøČĂǰĔîÖćøéĞćđîĉî ÖćøüĉÝĆ÷Ēúą ñŠćîøąïïĂĊđúĉøŤîîĉÜǰĔîĀĆüךĂìĊęǰ1 - 
đÖĘïךĂöĎúÝćÖÖúčŠöêĆüĂ÷ŠćÜ - ÿĆ ð éćĀŤ ìĊę 8 : Öĉ Ý Öøøö
2. đöČę Ă ĕéš øĆ ï Ăîč â ćêÝćÖñĎš ĂĞ ć îü÷Öćø Ăõĉðøć÷ÖúčŠöÿøčðÖćøđøĊ÷îøĎšéšü÷ǰOnline quiz
üĉì ÷ćúĆ ÷ ó÷ćïćúÖĂÜìĆ ó đøČĂ ǰñĎš üĉÝĆ ÷ éĞ ć đîĉ î Öćø game ÙøĆĚÜìĊęǰ1
üĉÝĆ÷êćö×ĆĚîêĂîǰéĆÜîĊĚ - ÿĆðéćĀŤìęĊǰ9 - 14 : ÖĉÝÖøøö
2.1 ×ĆĚ î üĉ đÙøćąĀŤ ǰ Analysis
ǰñĎš üĉ ÝĆ ÷ ÖćøđøĊ÷îÖćøÿĂîĔîßĆĚîđøĊ÷îǰøŠüöÖĆïìĞćÖĉÝÖøøö
ÝĆ é ðøąßč ö ÙèąÙøĎ ñĎš ÿ ĂîǰđóČę Ă øŠ ü öÖĆ î üĉ đÙøćąĀŤ ñŠćîøąïïĂĊđúĉøŤîîĉÜǰĔîĀĆüךĂìĊęǰ6 - 11
ÖøąïüîÖćøÝĆéÖćøđøĊ÷îÖćøÿĂîĔîðŘÖćøýċÖþćìĊę - ÿĆ ð éćĀŤ ìĊę ǰǰǰÖĉ Ý Öøøö
ñŠć îöćǰĒúąøŠüöÖĆ î ÖĞ ćĀîéđðŜ ć Āöć÷ĔîÖćøÝĆ é Ăõĉ ð øć÷ÖúčŠ ö ÿøč ð ÖćøđøĊ ÷ îøĎš éš ü ÷ǰOnline quiz
ÖĉÝÖøøöÖćøđøĊ÷îÖćøÿĂîĔîðŘÖćøýċÖþćîĊĚ game ÙøĆĚÜìĊęǰ2
2.2 ×ĆĚ î ĂĂÖĒïïǰ Design
ǰñĎš üĉ ÝĆ ÷ - ÿĆ ðéćĀŤ ìĊę ǰ16 : ìĞ ćĒïï
ĒúąÙèąÙøĎñĎšÿĂîøŠüöÖĆîĂĂÖĒïïđîČĚĂĀćÖĉÝÖøøö ìéÿĂïĀúĆÜìĞćÖĉÝÖøøö
úĞ ć éĆ ï ÖćøđøĊ ÷ îÖćøÿĂîǰÖćøüĆ é ñúǰêĉ é êćöñúǰ  ×ĆĚ î ðøąđöĉ î ñúǰ Evaluation)
Ēúąðøąđöĉîñú ñĎšüĉÝĆ÷ĒúąÙèąÙøĎñĎšÿĂîøŠüöÖĆîóĉÝćøèćñúÖćø
2.3 ×ĆĚ î óĆ ç î ć ǰ Development) ìéÿĂïǰĒúąñúÖćøĂõĉðøć÷ÖúčŠöÿøčðÖćøđøĊ÷îøĎš
ñĎšüĉÝĆ÷ĒúąÙøĎñĎšÿĂîǰøŠüöÖĆîüćÜĒñîÖćøÝĆéÖĉÝÖøøöǰ ×ĂÜñĎšđøĊ÷îǰĒúąĔĀš ñĎšđøĊ÷îìĞ ćĒïïðøąđöĉ îÙüćö
óĉÝćøèćđúČĂÖēðøĒÖøöÖćøđøĊ÷îÖćøÿĂîĂĂîĕúîŤ ÙĉéđĀĘîêŠĂÖćøÝĆéÖćøđøĊ÷îÖćøÿĂî
ĒúąòřÖòîÖćøĔßšÜćîĒêŠúąēðøĒÖøö 3. ñĎ šü ĉÝ Ć÷ ĒúąÙè ąǰøüï øüöךà öĎú
2.4 ×ĆĚ î éĞ ć đîĉ î Öćøǰ Implement) êøüÝÿĂïÙüćöëĎ Ö êš Ă ÜÙøïëš üî×ĂÜך Ă öĎ ú Ēúą
ñĎšüĉÝĆ÷éĞćđîĉîÖćøǰéĆÜîĊĚ îĞćĕðüĉđÙøćąĀŤ×šĂöĎú

š‹’š‹‹šŠ¤|Ÿ•ƒÊ¬q‚™‚¬‰i‹šl‰ ¤‰‘šŠ 


š‹’š‹¥†ŠÖš
Royal Thai Navy Medical Journal

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ǰQǰǰ

 Volume 47 No.1 January-April 2020


š‹’š‹¥†ŠÖš
Royal Thai Navy Medical Journal

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š‹’š‹¥†ŠÖš
Royal Thai Navy Medical Journal

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 Volume 47 No.1 January-April 2020


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Royal Thai Navy Medical Journal

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đĂÖÿćøĂšćÜĂĉÜ
1. National Education Act 1999. [Internet]. [cited 2020 January 20]. Available from:
IUUQXXXNVBHPUIVTFSTURG-IFEOFXT'JMFT/FXT'JMFT/FXTaccount_m3.pdf. JOǰ5IBJ

2. Tongpitak N, Piromyitpong S. The development of flexible learning model for
Rajabhat Undergraduate students in Lower Northeastern Region. Veridian E-Journal,
Silpakom University 2017;9 
-42. in Thai).

š‹’š‹‹šŠ¤|Ÿ•ƒÊ¬q‚™‚¬‰i‹šl‰ ¤‰‘šŠ 


š‹’š‹¥†ŠÖš
Royal Thai Navy Medical Journal

3. Eryilmaz M. The Effectiveness of blended learning environment. Contemporary Issue


*Oǰ&EVDBUJPOǰ3FTFBSDIǰ 4)-6.
4. Saenboonsong S, Saelee S. The effects of a blended learning using project based
learning process to enhance creative products and teamwork skills of education
students majoring in computer education. Journal of Graduate Studies Valaya
Alongkorn Rajabhat University 2017;11 
:-207. in Thai).
 Sucaromana U. The effects of blended learning on the intrinsic motivation of Thai
EFL student. Canadian Center of Science and Education 2013;6 ):141-7.
6. Mafyan F, Nouhi E, Abbaszadeh A. Effect of blended electronic education on learning
and self-efficiency in nursing student in the cardiovascular intensive care courses.
Journal of Nursing Education 2014;3 3):49-
7. Inkaew C, Napapongs W. Effects of blended learning in photographic technology for
educational communication for undergraduate students, Faculty of Education, Prince
of Songkla University. Academic Services Journal, Prince of Songkla University
2016;27 
:29-36. in Thai).
8. The Royal Thai Navy College of Nursing. Bachelor of nursing science program revised
curriculum : BE. 2013). Bangkok: Academic Affair and Sevice Center, Naval Medical
Department; 2013. JOǰ5IBJ

9. The Royal Thai Navy College of Nursing. Bachelor of nursing science program revised
curriculum : BE. 2013): course specification in child and adolescent nursing II academic year
 BanHLPLǰ"DBEFNJDǰ"GGBJSǰBOEǰ4FWJDFǰ$FOUFS ǰ/BWBMǰ.FEJDBMǰ%FQBSUNFOUǰǰ
JOǰ5IBJ

10. The Royal Thai Navy College of Nursing. Bachelor of nursing science program revised
curriculum : BE. 2013): course report in child and adolescent nursing II academic year 
#BOHLPLǰ"DBEFNJDǰ"GGBJSǰBOEǰ4FWJDFǰ$FOUFS ǰ/BWBMǰ.FEJDBMǰ%FQBSUNFOUǰ JOǰ5IBJ

11. The Royal Thai Navy College of Nursing. Bachelor of nursing science program revised
curriculum : BE. 2013): course specification in child and adolescent nursing II academic year
2016. Bangkok: Academic Affair and Sevice Center, Naval Medical Department; 2016.
JOǰ5IBJ

12. The Royal Thai Navy College of Nursing. Bachelor of nursing science program revised
curriculum : BE. 2013): course report in child and adolescent nursing II academic year 2016.
Bangkok: Academic Affair and Sevice Center, Naval Medical Department; 2016. JOǰ5IBJ

13. The Royal Thai Navy College of Nursing. Bachelor of nursing science program revised
curriculum : BE. 2013): course specification in child and adolescent nursing II academic year
2017. Bangkok: Academic Affair and Sevice Center, Naval Medical Department; 2017. JOǰ5IBJ


170 Volume 47 No.1 January-April 2020


š‹’š‹¥†ŠÖš
Royal Thai Navy Medical Journal

14. Jukgrinku71blog. Blended learning. [Internet]. [cited 2019 December 20]. Available
from: IUUQTKVLHSJOLVCMPHXPSEQSFTTDPN. JOǰ5IBJ

 Khanthakhet T, Onming R, Pradubwate R, Wongyounoi S. The development of a
blended learning model emphasizing on information and communication technology
literacy characteristic for undergraduate students in higher education. In: The 17th
graduate studies of Northern Rajabhat UOJWFSTJUZǰOFUXPSLǰDPOGFSFODFǰ+VMZǰ ǰǰ
/BLIPOǰ4BXBOǰ/BLIPOǰ4BXBOǰ3BKBCIBUǰ6OJWFSTJUZǰǰQǰ-ǰ JOǰ5IBJ

16. Ritthikhan L, Sangsawang J. The development of a blended learning model for
enhancing transfer of learning for Undergraduate Students. In: 2" National and international
SFTFBSDIǰDPOUFSFODFǰǰ'FCSVBSZǰ-16, 2018. Buriram: Buriram Rajabhat University;
p. 793-ǰ JOǰ5IBJ

17. Bundasak T, SoSome B, Chaowiang K, Jungasem N, Thiankumsri K, Sittisongkram S.
Being learners in 21 st century: teacher and nursing students' perspectives. Journal of
.$6ǰ1FBDFǰ4UVEJFTǰ 
-89. JOǰ5IBJ

18. Samarak G, Wannapiroon P, Pirlyasurawong P. Development of blended learning
model via social network by using case-based learning on video sharing for
developing critical thinking skills. Technical Education Journal King Mongkut's
University of Technology North Bangkok 6 
-14. in Thai).
19. Yimyam S, Charuwatcharapaniskul U, Chareonsanti J, Indarangkura Na Ayutthaya A,
Xuto P, et al. Developing on blended learning for developing the 21* century learning
skills. Nursing +PVSOBMǰ42:129-40. in Thai).

š‹’š‹‹šŠ¤|Ÿ•ƒÊ¬q‚™‚¬‰i‹šl‰ ¤‰‘šŠ 171

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