Journal of The Royal Thai Army Nurses

Environmental Management for the Safety of Psychiatric Patients: The Challenging Role of Nurses

2025-06-04T22:27:32+07:00

A psychiatric ward is a facility that provides overnight care for patients with mental health issues, particularly those whose symptoms may pose a risk to themselves or others. Therefore, it is essential that these wards are designed with safety for psychiatric patients.
This article aims to demonstrate how environmental management is vital for the safety of psychiatric patients, helping to mitigate significant risks commonly encountered in psychiatric care. The key risks include: 1) Risk of suicide and self-harm. 2) Risk of aggressive behavior 3) Risk of escape. Managing the environment for safety is a significant and challenging role of nurses in finding crucial measures to care for and prevent potential harm to psychiatric patients.

Nurses’s Role in Enhanced Recovery After Spinal Surgery

2025-06-01T11:04:37+07:00

Spinal disorders are conditions that significantly affect both the physical and mental well-being of patients. In severe cases, surgical intervention is required to correct structural abnormalities of the spine. Such procedures are considered major surgeries and carry a high risk of complications. Therefore, the implementation of the Enhanced Recovery After Surgery (ERAS) protocol is crucial. Its primary goal is to promote faster recovery, reduce postoperative complications, shorten hospital stays, and decrease healthcare costs. Nurses play a vital role in promoting and driving the ERAS approach throughout all phases of care, preoperative, intraoperative, and postoperative, up to the point of discharge. Their responsibilities include assessment, education, guidance, and nursing care to ensure patients are well-prepared for surgery. They are also essential in preventing and reducing complications during and after the procedure. Additionally, the ERAS protocol emphasizes multimodal pain management, nutritional support, postoperative rehabilitation, and preparation for discharge. Nurses are key personnel in applying ERAS principles to achieve the best possible outcomes for patients and their families. Through their involvement, patients can recover more quickly and enjoy a better quality of life.

Diabetes Patients Follow-up Tracking System in Urban Community: A Case Study of the Diabetes Center, Charoenkrung Pracharak Hospital

2025-06-14T10:28:19+07:00

Diabetes is one of the non-communicable diseases (NCDs) that significantly impact public health systems in Thailand and globally. The urban population, particularly in Bangkok, has a diabetes prevalence rate of 12.5%, which is higher than the national average of 9.5%. A key challenge in managing diabetes in urban settings is the lack of an efficient follow-up system, primarily due to time constraints and work commitments among urban residents. Therefore, self-care education and systematic follow-up for diabetic patients play a crucial role in promoting disease control and reducing complications. Enhancing the skills, knowledge, and competencies of healthcare professionals, particularly nurse educators specializing in diabetes care, is essential. Establishing a follow-up system tailored to the specific types of diabetes and the urban social context, as well as integrating technology to facilitate communication with patients and their families such as Tele-nursing, will improve diabetes management efficiency and contribute to the long-term well-being of patients and their families.

Challenges and Opportunities: A Nurse Entrepreneur in the Health Care System

2025-08-10T17:17:17+07:00

The current healthcare system is undergoing a significant transformation, shifting from the VUCA world, characterized by volatility, uncertainty, complexity, and ambiguity, to the BANI world, which is defined by brittleness, anxiety, nonlinearity, and incomprehensibility. Following global crises such as the COVID-19 pandemic and natural disasters, which have profoundly affected health systems worldwide in terms of healthcare management, medical workforce, and public access to services, nurses, as a vital part of the healthcare workforce, are required to expand their roles from traditional clinical providers to become nurse entrepreneurs. This transformation allows them to broaden health services and better respond to the changing needs of society. This article aims to present knowledge regarding the concept and competencies of nurse entrepreneurs, strategies for achieving success in entrepreneurial nursing, and the challenges and opportunities involved in this role within the healthcare system. Major challenges include the lack of business skills, conventional attitudes, and policy limitations. However, there are also promising opportunities, such as the increasing demand for diverse health services and the professional knowledge nurses possess in caring for individuals. The article concludes with recommendations in four areas: policy, practice, research, and nursing administration as a framework to support and promote the development of nurse entrepreneurs in an effective and sustainable manner.

The Role of Nurses in Physical Symptom Management for Terminally Ill Patients

2025-09-06T09:59:01+07:00

Terminally ill patients are individuals whose disease has progressed to the end stage in which curative treatment is no longer feasible. During this stage, the body undergoes physiological changes, and vital organs progressively lose function. Eventually, these organs cease functioning, leading to physical suffering, particularly in the last period of life. Therefore, effective physical symptom management is essential for these patients. Nurses, as healthcare professionals who maintain the closest contact with patients, play a crucial role in physical symptom management for terminally ill patients to alleviate suffering, enhance their quality of life in the final stage of life, and facilitate a peaceful death. This academic article aims to present the common physical symptoms experienced by terminally ill patients, the role of nurses in physical symptom management, and the barriers to this role, in order to provide valuable information for the effective care of terminally ill patients.

Modern Nursing Leadership Strategies for Internationalization

2025-09-16T09:51:50+07:00

Contemporary nursing leaders play a crucial role in shaping strategies that prepare nurses for the future. Thai nursing education faces complex internal pressures from demographic shifts and external uncertainties stemming from the BANI World situation.
This article synthesizes a strategic leadership framework necessary for educational administrators. The framework integrates Strategic, Transformational, and Adaptive leadership theories with effective management of diverse and high-potential human capital. Emphasis is placed on aligning curriculum potential with the strategic direction and policies of international nursing and midwifery education, specifically driving faculty mindset shifts toward global competence development for students. Consequently, the application of this synthesized framework will significantly contribute to advancing national education reform, ensuring organizational readiness, and successfully producing future-ready nurses equipped with global competencies to meet the challenges of the 21st century.

The Application of Therapeutic Relationships in Psychiatric Patients: The Role of Psychiatric Nurses, Communication Techniques, and Case Application

2025-08-10T20:32:29+07:00

Building a therapeutic relationship with psychiatric patients is a crucial process in psychiatric care. Nurses must use themselves as a therapeutic tool from beginning to end, aiming to help patients understand their problems and find appropriate solutions on their own. The role of psychiatric nurses is crucial in the support and treatment process, particularly in accessing services and cooperating with medical treatment. Patients with cognitive, emotional, and behavioral disorders impacting their lives, self-care, and social interactions. Therefore, the role of nurses requires learning techniques and methods for building relationships in all four stages: Stage 1: Before Interaction: Nurses prepare the patient emotionally, knowledgeably, and with information; Stage 2: Initial Stage: Nurses build trust, establish agreements, and explore the problem; Stage 3: Problem-solving: Nurses maintain a good relationship and assist the patient in analyzing the problem, planning, and promoting behavioral change; and Stage 4: Ending the Relationship: Nurses assist in evaluating and summarizing the relationship and preparing the patient for a stable return to society.
This article aims to present guidelines for practice, the role of psychiatric nurses, and their application in therapy and research. This will enable them to apply this knowledge to nursing practice and assist and resolve their own and psychiatric patient problems, resulting in positive treatment outcomes and preventing conflicts between nurses and patients or their families. This leads to cooperation in solving problems appropriately and creating sustainable change. Patients can return to live appropriately in society within an ethical framework and acceptance of individual differences.

The Role of Nurses in Managing an Age-Friendly Health System (AFHS) in Hospitals

2025-09-16T09:52:07+07:00

Thailand is now entering a fully aged society. Older adults commonly have chronic illnesses and health issues that require ongoing hospitalization. The traditional health service for older adults delivers care in fragmented silos based on specialties and symptoms rather than aligning with patients’ life goals and individualized needs, resulting in key geriatric issues being incompletely or inconsistently assessed and managed across care settings. Therefore, nurses must develop care models that meet the needs of older people in society. This article aims to present the role of nurses in organizing age-friendly health services in hospitals based on the 4Ms framework. This concept emphasizes four key areas of care for older adults: 1) focusing on what matters to the patient, 2) ensuring appropriate medication use, 3) promoting mental health and cognitive function, and 4) encouraging mobility. These address common issues encountered among hospitalized older adults.
Additionally, this article discusses the integration of the age-friendly health service system in hospitals with the five steps of the nursing process (assessment, diagnosis, planning, implementation, and evaluation). This is to enable nurses to apply the age-friendly concept comprehensively in the care of older adults. The article also covers strategies for nursing administrators to successfully develop and sustain age-friendly health service systems in hospitals. Such development and management will contribute to better health and well-being for older people in Thai society.

Factors influencing the Diabetes Prevention Behaviors Among Muslim Prediabetes in Yaha District, Yala Province

2025-08-10T20:23:20+07:00

This predictive descriptive study aimed to identify factors influencing diabetes preventive behaviors among prediabetic Muslims in Yaha District, Yala Province. A total of 383 participants were selected using proportionate stratified random sampling based on the population of individuals at risk of diabetes in each health service unit. The research instruments included a general and health status questionnaire, a health belief questionnaire, and a diabetes preventive behavior questionnaire. The content validity indices of these instruments were .91, .98, and .99, respectively, with a Cronbach’s alpha coefficient of .84. Data were analyzed using descriptive statistics, Pearson’s correlation coefficient, and stepwise multiple regression analysis.
The results revealed that overall health beliefs were positively correlated with diabetes preventive behaviors at a low level (r = .298, p < .001). Perceived susceptibility and perceived benefits were moderately positively correlated with preventive behaviors (r = .326, p < .001), while perceived barriers were negatively correlated at a low level (r = –.221, p < .001). The analysis revealed that perceived susceptibility, perceived benefits, and perceived barriers together significantly predicted 15.6% of the variance in diabetes preventive behaviors (R = .403, Se_est = 10.985, p < .01). Therefore, promoting awareness of risk and benefits, along with reducing perceived barriers, can help enhance diabetes preventive behaviors and serve as a guideline for developing culturally appropriate health promotion strategies suitable for the target communities.

The Effect of Integrated Discharge Planning Program on Caregivers of Premature Infants

2025-05-24T12:30:40+07:00

This quasi-experimental research with a one-group pretest–posttest design aimed to examine the effect of an integrated discharge planning program on caregivers of premature infants after discharge from a tertiary hospital in Suphanburi Province. The sample consisted of 55 caregivers of premature infants recruited through purposive sampling based on inclusion criteria. Participants received the program for four weeks. Research instruments included: 1) a general information record form, 2) a caregiver knowledge test on caring for premature infants, and 3) a caregiver behavior observation form. Content validity indexes were 0.84, 0.87, and 0.92, respectively. Reliability of the knowledge test and the behavior observation form showed Cronbach’s alpha = 0.80. Data were analyzed using descriptive statistics and paired t-test.
The findings revealed that the mean scores of caregiver knowledge and care behaviors after participation in the integrated discharge planning program were significantly higher than before participation (p < .05).

Predicting Factors of Discharge Readiness in Patients with Sepsis

2025-05-17T07:27:09+07:00

This research is a study of predictive factors of frailty, uncertainty in illness, perceived disease severity, and the quality of discharge teaching with discharge readiness in patients with sepsis. The sample consisted of 107 sepsis patients admitted for inpatient treatment at a tertiary hospital in Bangkok. Data were collected using a demographic questionnaire, the Short-Form Discharge Readiness Scale, a short-form quality of discharge teaching scale, a perceived severity perception questionnaire, a short-form uncertainty in Illness scale for adults, and SHARE frailty index. Descriptive statistics and multiple regression analysis were used to analyze the data, with a significance level set at .05. The results indicated that 63.3% of the participants were ready for hospital discharge. The predictive factors collectively explained 8.3% of the variance in discharge readiness. Statistically significant predictors of discharge readiness included the quality of discharge teaching (ß = .848, p < .05) and perceived disease severity (ß = .080, p < .05). Healthcare professionals should provide dedicated pre-discharge education or develop programs to enhance discharge teaching. Additionally, assessing patients’ perceived disease severity is crucial in sepsis patients to ensure adequate discharge readiness.

Effect of Self-management Support Program on Self-Management Behavior to Prevent Diabetes in Diabetes Risk Group, Yaha District, Yala Province

2025-04-05T15:15:40+07:00

This research employed a one-group pre-test post-test design to investigate the effects of a self-management support program on self-management behaviors for diabetes prevention among individuals at risk. A sample of 27 at-risk individuals was proportionally allocated from each healthcare service unit. The intervention tool was a self-management support program specifically designed for diabetes prevention in this at-risk group. Data collection instruments included a manual, a diabetes knowledge assessment, and a self-management behavior assessment. The content validity indices were 1.00, 1.00, and 0.95, respectively. The reliability of the diabetes knowledge assessment, using the Kuder-Richardson Formula 20 (KR-20), was 0.83, and the self-management behavior assessment had a Cronbach’s alpha coefficient of 0.86. The program was implemented with the sample group for 12 weeks. Data were analyzed using percentages, means, standard deviations, and paired t-tests.
The results showed that self-management behaviors of the sample group after receiving the program were significantly higher than before receiving the program at a statistically significant level of .05 (t = -11.068), and the blood sugar levels of the sample group after receiving the program were significantly lower than before receiving the program at a statistically significant level of .05 (t = 3.935). Therefore, health personnel should use this program in the care of individuals at risk of diabetes to prevent the onset of diabetes and improve their quality of life.

Factors Influencing Smoking Behavior of Patients with Comorbid Hypertension : A Case Study of Community in The Area of Responsibility of Ramathibodi Hospital

2024-09-28T11:54:20+07:00

This descriptive research aimed to study smoking behaviors and factors influencing smoking behaviors of patients with comorbid hypertension in the community under the responsibility of Ramathibodi Hospital, using the PRECEDE MODEL. The sample consisted of 100 patients with comorbid hypertension in the community under the responsibility of Ramathibodi Hospital, selected purposive sampling. Data were collected by questionnaire. Data were analyzed using descriptive statistics, Fisher exact probability test, Spearman rank correlation coefficient and non-parametric regression (NPR).
The research results found that the majority of the sample group were male, age range 25-81 years, married, completed secondary education, general laborers, having income between 10,001-15,000 baht/month, income was not enough and required a loan, living in urban and crowded communities, smoking 10-20 cigarettes/day, moderate smoking behavior, predisposing factors (stress, knowledge, attitude and self-efficacy), reinforcing factor (social support) and enabling factor (community environment) did not influence smoking behaviors. However, it was found that the community environment was significantly related to smoking behaviors at the .05 significance level (Exact Sig.=.005).
Recommendations: Smoking cessation programs and activities should be developed for hypertensive patients, involving the community in creating an environment conducive to improving smoking behaviors.

The Effect of Health Behavior and Nutrition Care Process on Estimated Glomerular Filtration Rate (eGFR) in Older Person with Chronic Kidney Disease at Subdistrict Health Promoting Hospital Nong-keaw Sisaket Province

2025-07-05T11:50:06+07:00

This quasi-experimental study with a two-group pretest-posttest design aimed to study the effects of health behavior and nutrition care programs on estimated Glomerular Filtration Rate (eGFR) in older adults with chronic kidney disease at Subdistrict Health Promoting Hospital Nong-Keaw, Sisaket Province. The sample consisted of 30 older adults with chronic kidney disease stages 1 to 4. Participants were selected through purposive sampling and divided into two groups of 15 each: an experimental and control. The groups were matched based on gender, age, and education level. The experimental group received the health behavior and nutrition care program for six weeks. Research instruments included health behavior and nutrition care program, demographic questionnaire, Mini-Mental State Examination - Thai version 2002, Barthel’s Index of Activities of Daily Living, Questionnaire on Perception of Food Consumption Behavior with a reliability score of .94, and an assessment form for estimated glomerular filtration rate (eGFR). The data were analyzed using percentage, mean, standard deviation, and t-tests with a significance level at .05. The results showed that tolder adults with chronic kidney failure in the experimental group had significant increase in eGFR after the intervention. Moreover, the eGFR of experimental groups was significantly higher than that of the control group after the intervention.

Influence of Factors Related to The Nursing Service Quality in Hospitals Under The Office of The Permanent Secretary, Ministry of Public Health

2024-06-30T12:07:44+07:00

The research aims to 1) analyzed the direct and indirect influence of factors related to the quality of nursing services in hospitals under the Office of the Permanent Secretary, Ministry of Public Health 2) developed strategies for developing the quality of nursing services in hospitals. The sample group was professional nursing personnel. and service recipients A multi-stage sampling of 856 people was used. The research tools included 1) environmental factors in nursing practice, 2) service provider factors, 3) job satisfaction factors, 4) service recipient factors. and group discussion issues. Quantitative research results were analyzed using structural equation model analysis and qualitative analysis.
Research results were 1) service recipient factors had the most direct impact on the quality of nursing services. There was a direct influence size of 0.71. The job satisfaction factor there was a direct influence size of 0.35 and environmental factors in nursing practice there was a direct influence size of -0.06 and the service provider factor variable there was an indirect influence size of 0.19. 2) Take the service recipient factors that had the most direct influence and affect quality of nursing services. Prepare strategies consisting of 2 main strategies and 2 secondary strategies, with main strategy number 1: strategy to promote the quality of nursing services, public health care to have adequate health knowledge to prevent disease and emergency situations. Key strategy number 2: Strategy to promote all forms of health literacy to reach patients of all age groups and cover all disease groups.

The Effect of Self-Efficacy Promotion Program on health behaviors in the elderly with uncontrolled hypertension

2024-03-16T11:55:44+07:00

The purpose of quasi-experimental research with a pretest-posttest design was to study the effects of a self-efficacy promotion program on health behaviors among the elderly with uncontrolled hypertension. The sample group consisted of 60 elderly individuals with uncontrolled hypertension divided into an experimental group of 30 subjects and a comparison group of 30 subjects. The instruments used in the study included the experimental instrument, which was a program to promote self-efficacy in health behaviors. The data collection instruments included demographic data recording forms and a health behavior assessment form. Index of item objective congruence testing resulted 0.85. Reliability testing resulted in a Cronbach’s alpha coefficient of 0.82. After receiving the program, The experimental group had higher health behavior scores than the comparison group. Statistically significant (p <.001) and the experimental group had Systolic Blood Pressure and Diastolic Blood Pressure values reduced to within disease control limits more than the comparison group with statistical significance (p <.001). Studies should be conducted on retention of self-efficacy in the experimental group over periods of 6 months and 1 year. Studies should also be conducted on the development of persuasion skills in public health volunteers to promote continuous perceived self-efficacy in communities. Furthermore, studies should be conducted on self-efficacy programs in the control group to create perceived self-efficacy and reduce blood pressure levels to a controllable level.

The Effects of a Care Program for Patients with Coronary Artery Disease Receiving Transfemoral Artery Angiography with the Application of King’s Theory of Goal Attainment

2024-07-19T09:29:33+07:00

The quasi-experimental research was to study the effect of a care program for patients with coronary artery disease receiving transfemoral artery angiography with the application of King’s Theory of goal attainment. The sample was selected using a Purposive Sampling is a patient who have had their transfemoral artery angiography. The sample of 62 patients were divided into an experimental group of 31 cases and a control group of 31 cases. The research instruments were the following the effect of a care program for patients with coronary artery disease receiving transfemoral artery angiography with the application of King’s Theory of goal attainment. The program was developed on literature review evidence-based practice. Data was collected by using personal information form, a cooperative assessment form, a comfort scale and the complications assessment form. Data were analyzed by using descriptive statistics, Chi-square and Mann-Whitney U test.
The results showed that after using a care program for patients with coronary artery disease receiving transfemoral artery angiography with the application of King’s Theory of goal attainment, the average score of cooperation in the experimental group was higher than those in the control group with statistical significance (p<.05). In conclusion, the program can be applied to caring for patients in cooperate in correct performance during cardiac catheterization procedure. The research suggestion is that professional nurses should use this program to further improve the quality of nursing care for patients with cardiovascular disease.

The Effect of Satir Model Online Coaching on ADHD Mothers’ Cognitive Emotion Regulation

2024-07-13T18:14:52+07:00

This quasi-experimental study examines the effects of online coaching using the Satir Model on cognitive emotion regulation in mothers of children with ADHD. The sample consisted of 44 mothers whose children with ADHD. They were randomly assigned into two groups: an experimental group and a control group, with 22 participants in each group. The instruments used included an Online Coaching Program Using the Satir Model to Enhance Cognitive Emotion Regulation for Mothers of Children with ADHD and a Cognitive Emotion Regulation Questionnaire (CERQ). The experimental group received the program six times, each session lasting 45-50 minutes, twice a week. Data were collected at three stages: pre-test, post-test, and follow-up. The data were analyzed using repeated measures ANOVA with one between-group variable and one within-group variable. Pairwise comparisons of mean differences were conducted using the Bonferroni method. The research results indicated that the experimental group had a significantly higher mean score for cognitive emotion regulation after the experiment and during the follow-up period compared to before the experiment, at a statistical significance level of .05. Additionally, the experimental group had a significantly higher mean score for cognitive emotion regulation after the experiment and during the follow-up period compared to the control group, at a statistical significance level of .05. This program should be incorporated into the regular practices of hospitals with child and adolescent psychiatry departments.

Effects of Developing Pediatric Electrocardiogram Interpretation Skills of Professional Nurses by Web Application

2024-09-21T07:15:40+07:00

This quasi-experimental study aimed 1) to study the pediatric electrocardiogram (PECG) interpretation skills of professional nurses before and after utilizing a web application, and 2) to compare these skills before and after the development of PECG interpretation skills by a web application. The participants were 14 purposively selected pediatric cardiac intensive care unit nurses. Two research instruments were used including 1) the web application for developing PECG interpretation skills with content validity ranging from 0.80 to 1.00; and 2) PECG interpretation quiz, and its reliability was 0.83. Data were analyzed by using descriptive statistics and the Wilcoxon matched-pairs signed-ranks test. The results revealed that: 1) overall pediatric ECG interpretation skills of the professional nurses before and after using the web application were at a moderate level a very good level (percentage 91.57 Interquartile range IQR 7). 2) Their PECG interpretation skills after using the web application were significantly higher than the prior (p < .01).
From this research, administrators should establish guidelines for the development of pediatric electrocardiogram interpretation skills among professional nurses using web applications in conjunction with standard care.

Effects of the Health Belief Promotion Program on COVID-19 Preventive Behavior among Medical Patients in a University Hospital

2024-08-03T10:46:23+07:00

This quasi-experimental research used two groups to measure the antecedents. The objective was to study the effect of the health belief promotion program on COVID-19 prevention behavior among 52 patients from medical wards, with 26 patients in the experimental group and 26 in the control group. The research instruments for data collection were questionnaires on demographic information and COVID-19 prevention behavior for medical patients in a university hospital. Data were analyzed using descriptive statistics, Wilcoxon signed rank test, and Mann-Whitney U test.
The results of the study found that the experimental and control groups were in the age range of 61 years and were equally female and male. Most have primary school. There is a congenital disease. Most cardiovascular system diseases and most of them had received the COVID-19 vaccine after receiving the program within 4 weeks, the experimental group’s median practice scores increased from 32.00 points to 36.00 points (out of 40 points) (p<.001). This improvement was not observed in the control group, whose median practice score remained statistically unchanged at 32.50 points. While the median practice scores between the groups, both before and after, were not significantly different, the overall outcome suggests that the Health Belief Promotion Program on COVID-19 prevention practices could be a valuable tool in preventing respiratory infections in other groups of patients with emerging and re-emerging diseases that have the same mode of transmission.

The Effect of Group Counseling Intervention Focusing on Fear of Negative Social Evaluation, Social Support, and Substance Use Norms Among Sexual Minority Adults in Bangkok

2024-09-28T10:23:17+07:00

This study examined the effects of group counseling intervention targeting fear of negative social evaluation, social support, and substance use norms among sexual minority adults in Bangkok. Sixteen participants, recruited via snowball sampling, were randomly assigned to an experimental group or control group (eight per group). The experimental group attended eight weekly 60-minute sessions, while the control group completed a one-day word memorization task. Using validated Thai-language instruments including BFNE-S, Substance Use Injunctive Norms Scale, Thai-MSPSS, pre- and post-intervention assessments were analyzed with Repeated Measures ANOVA. Results showed significant reductions in fear of negative evaluation and increases in friend and significant-other support, with no changes in family support. Substance use norms significantly decreased for total and occasional use but not regular use. Findings suggest group counseling is effective in improving mental health outcomes for sexual minorities. Recommendations include culturally sensitive interventions for counselors, nurses, and policymakers, with future research exploring individualized approaches and sexual minority identities.

The Effect of Family Nursing on Family Function among Adolescent Pregnancy at Prangku District Sisaket Province

2024-11-09T23:39:30+07:00

This research is quasi-experimental research with one group pretest - posttest design aimed to examining the effect of family nursing on family function among adolescent pregnancy at Prangku district Sisaket province. The samples consisted of 10 pregnant teenagers, and 10 of those teenager’s family. The sample received the 6-week program. The research instrument consisted of the family nursing guidelines to promote family function in adolescent pregnancy. The health of teenage mom and family handbook, both of these interventions were developed by the researcher. The data was collected by family function questionnaires based on the perception of family and pregnant teenagers. Data was analyzed by using Wilcoxon signed rank test and Mann-Whitney U test. The results revealed that: after intervention, the family function during adolescent pregnancy based on the perception of family and pregnant teenager The family function during adolescent pregnancy based on the perception of family and pregnant teenager higher than before intervention. The different was statistically significantly (P<.05) and the perception of family function between family and pregnant teenager were no difference (P>0.5) These findings suggest relevant healthcare personnel could apply this program to encourage families to be able to take care of pregnant teenagers.

The Development of a Triage Model for Emergency Patients Using a Smartphone Application

2024-10-11T22:42:54+07:00

The objectives of this research were: (1) to explore the emergency triage situation, (2) to develop a smartphone application model for emergency patient triage, and (3) to study the effect of using the enveloped emergency patient triage model. This research and development project was divided into three phases. For Phase 1, studying the emergency triage situation, eight key informants were selected by purposive sampling, consisting of 1 doctor, 1 supervisory nurse, and six staff nurses. For Phase 2, developing an emergency triage model using a smartphone application, the key informants were the same as in the first phase. For Phase 3, applying the model, the samples comprised 184 emergency patients which were gathered by systematic random sampling and calculated using G power Data were analyzed using descriptive statistics and Mann-Whitney U test.
The research found that emergency triage was incomplete, with disconnected information systems and nurses lacking expertise. Triage processes were inconsistent and inaccurate, falling below standards. A new emergency triage model was developed as a smartphone app using the National Institute of Emergency Medicine’s criteria. The user-friendly interface simplified triage with predefined lists. The app improved triage time and accuracy significantly. The average triage time was reduced to 50.85 seconds, and accuracy was statistically higher than traditional methods at the level of .001

The Development of First Line Nurse Manager Competency Scale, Lerdsin Hospital

2024-07-13T18:25:33+07:00

This study aimed to: 1) identify key competencies of first-line nurse managers, 2) develop a competency assessment tool for first-line nurse managers, and 3) evaluate the tool’s quality at Lerdsin Hospital. The study was conducted in three phases. In Phase 1, competencies were identified through focus group discussions with 25 senior, middle, and junior-level nurse executives. Data from these discussions were analyzed to define essential competencies. Phase 2 involved developing the competency assessment tool and identifying indicative behaviors using a Likert scale. Phase 3 assessed the tool’s quality through expert content validity analysis and reliability testing among four assessor groups: supervisors, first-line nurse managers, peers, and subordinates. A total of 235 participants were selected through purposive and systematic sampling. Data from assessments were analyzed for consistency across groups using mean and standard deviation.
The findings identified five key competency dimensions for first-line nurse managers at Lerdsin Hospital: 1) Leadership (five sub-competencies), 2) Management of Nursing Service Quality (six sub-competencies), 3) Resource Management (five sub-competencies), 4) Professional Ethics, Morality, and Law (three sub-competencies), and 5) Academic Knowledge, Research, Innovation, and Information Technology (three sub-competencies), totaling 22 sub-competencies. The Index of Item-Objective Congruence (IOC) ranged from .60 to 1.0, and inter-rater reliability was .86. Future research should develop a rubric-based competency evaluation tool and an online competency assessment platform.

Effects of a Health Behavior Promotion Program on Foot Complications in Type 2 Diabetic Patients Ban Nonudom Sub-District Health Promoting Hospital, Wanonniwat District, Sakon Nakhon Province

2024-07-13T18:29:50+07:00

This study was quasi-experimental research using a one-group pretest and posttest design. The One Group Pretest Posttest Design aimed to study effects of a health behavior promotion program on foot complications in type 2 diabetic patients Ban Nonudom Sub-District Health Promoting Hospital, Wanonniwat District, Sakon Nakhon Province. The sample groups 30 selected was carers for type 2 diabetic patients by purposive sampling. The research instrument was a questionnaire The entire questionnaire underwent content validity verification by 3 experts, yielding a Content Validity Index (CVI) of 1, and demonstrated reliability with a Cronbach’s alpha coefficient of 0.98. Data were collected from 1st March, 2024 to 30th April 2024. The statistics used for data analysis were descriptive statistics and paired samples t-test, with a statistical significance level of 0.05. The results showed that the mean scores of after is higher than before used effects of a health behavior promotion program on foot complications in type 2 diabetic patients Ban Nonudom Sub-District Health Promoting Hospital, Wanonniwat District, Sakon Nakhon Province. For knowledge after participating in the program (Mean Difference = 4.97, 95% CI = 4.39-5.54, p<.001), mean scores for health risk assessment after program participation (Mean Difference = 11.67, 95% CI = 10.50-12.82, p<.001), mean scores for problem-facing assessment after program participation (Mean Difference = 11.90, 95% CI = 10.87-12.92, p<.001), and mean scores for preventive behavior practices after program participation (Mean Difference = 14.13, 95% CI = 12.07-16.19, p<.001).

Effect of Capacity Development Program on Health Literacy to Prevent COVID-19 amongst Public Health Volunteers in Bangkok

2024-05-25T18:14:51+07:00

Quasi-experimental research with a two-group pretest-posttest and follow-up design aimed at exploring the effects of a capacity development program on health literacy to prevent COVID-19 amongst public health volunteers in Bangkok. The sample group consisted of 40 public health volunteers in Bangkok. The study period was 4 weeks and followed up for 4 weeks. The experimental group received the program to develop cognitive skills, access skills, communication skills, media literacy skills, decision-making skills, and self-management skills. To promote health literacy and behavior to prevent COVID-19. Data were collected by answering questionnaires. Analyze the data as well. Frequency distribution, Average percentage, Standard Deviation, Chi-Square, Independent t-test, and Two-way Repeated Measures ANOVA. The research results found that after receiving the program, the health literacy and behaviors to prevent COVID-19 of the experimental group were better than before receiving the program and better than the control group to a statistically significant degree at p-value < .05. The results of this research are a guideline for developing the potential of public health volunteers in Bangkok. Control and prevention of the outbreak of COVID-19 and other infectious diseases. It is recommended that research on health literacy for public health volunteers in Bangkok be developed. In other matters such as chronic non-communicable diseases, cancer, and caring for dependent patients. To be consistent with current health problems.

The Effects of Cognitive Stimulation Program on Cognition and Activities of Daily Living for Older Persons with Chronic Disease and Mild Cognitive Impairment in the Community

2024-07-29T15:26:12+07:00

This quasi-experimental research with two-group pretest-posttest design aimed to investigate the effects of a cognitive stimulation program on cognition and activities of daily living for older persons with chronic disease and mild cognitive impairment in the community. The samples were 48 older persons aged 60 years and over with chronic disease and mild cognitive impairment living in a community. They were consecutive sampling was selected according to inclusion criteria assigned to the experimental group and the control group of 24 people each. The experimental group received a cognitive stimulation program. Consisting of a total of 6 activities, taking a total of 6 weeks, with 1 activity per week, 3 hours per activity while the control group lived a normal life. The data collection tools included Barthel ADL Index, Lawton Instrumental Activities of Daily Living Scale (L-IADL) and Montreal Cognitive Assessment (MoCA) (Thai Version 8.1). The data analyzed using descriptive statistics, Paired t-test, Wilcoxon signed-ranks test, and Analysis of Covariance (ANCOVA).
The research findings were as follows. After the experiment, the mean score of cognition and Instrumental Activities of Daily Living of the experimental group receiving the cognitive stimulation program was significantly higher than the control group at the .05 level (p<.001). However, the mean scores of activities of daily living were not significantly different at the .05 level (p=.239).

Risk Factors for Developing Cardiovascular Disease in The next 10-Years in Type 2 DM

2025-04-26T12:40:42+07:00

This descriptive correlational study aimed to identify factors that may predict cardiovascular risk over the next decade in 144 individuals with type 2 diabetes attending internal medicine outpatient departments and diabetes clinics at two hospitals. The data collection comprised retrospective blood test results from the preceding six months, along with measurements of body weight, height, waist circumference, and blood pressure. Additionally, responses to questionnaires were gathered, addressing general information, pertinent health history, self-management behaviors for diabetes, and 10-year cardiovascular risk assessment. Descriptive statistics and logistic regression analysis were employed for data analysis
The results indicated that the mean 10-year cardiovascular risk was 17.10%, with 33.33% of patients categorized as low risk and 66.67% as high risk. Significant factors associated with elevated 10-year cardiovascular risk, as opposed to low risk (p < .05), encompassed age, systolic blood pressure, duration of diabetes, and cholesterol levels. Individuals aged over 65 years (OR = 69.71, 95%CI = 7.90–616.19, p < .05) and those with systolic blood pressure exceeding 140 mmHg (OR = 8.33, 95%CI = .78–89.52, p < .05) were significant predictors of cardiovascular risk. The model was able to account for 75% of the variance in 10-year cardiovascular risk.

Needs Assessment of Electronic Portfolio Development for Nurse Anesthetist Students

2025-05-24T12:37:18+07:00

The transition and implementation of electronic portfolios for nurse anesthetist students requires a systematic needs assessment. This research aims to (1) compare the current status and needs for a portfolio, (2) prioritize requirements for development, and (3) gather opinions from anesthesia educators. A mixed-methods research design was used to survey the needs of 45 anesthesia nursing students and three nursing instructors to assess the current and desired state of the portfolio. Statistical analyses were performed using paired-sample t-tests and the Priority Needs Index (PNI). Significant differences were found between the students’ current and desired views in three dimensions of the portfolio: portfolio components: M = 3.56, SD = 0.73 (current) vs. M = 4.12, SD = 0.90 (desired); t(44) = 4.88, p < .001; portfolio technology: M = 3.25, SD = 1.09 (current) vs. M = 4.35, SD = 0.75 (desired); t(44) = 5.91, p < .001 Portfolio usefulness: M = 3.71, SD = 0.77 (current) vs. M = 4.18, SD = 0.80 (desired); t(44) = 5.09, p < 0.001 Students identified the most critical needs in technology (PNI mod = 0.34) and the less critical needs in obstacles (PNI mod = 0.12). The results underscore the importance of addressing gaps to develop user-friendly and effective systems.

Effects of Self–Management Support Program on Preterm Birth Protection Behavior and Preterm Birth among Pregnant Women with High Risk for Preterm Birth

2024-12-08T08:10:04+07:00

This Quasi-experimental research aimed to investigate the effects of a self-management support program on preterm birth protection behaviors and the rate of preterm birth among pregnant women at high risk for preterm birth. The sample group consisted of 60 pregnant women with a high risk for preterm birth who attended the antenatal care clinic at Ratchaburi Hospital from July to October 2023. The participants were selected based on inclusion criteria and decided in 2 groups, that of an experimental group, and a control group, with 30 women in each group. The experimental group received a self-management support program developed from the self-management support, while the control group received standard nursing care. Data were collected by the personal information questionnaire, the preterm birth protection behaviors questionnaire, and the preterm birth rate recording form, and analyzed using the Independent t-test, and the Dependent t-test statistics. Results found that after participating in the self-management support program, the experimental group had significantly increased the mean score of preterm birth protection behaviors (mean = 19.6, SD = 1.59; t = 21.35, df = 29, p < .001), and this mean score was significantly higher than the control group (mean = 137.07, SD = 10.23; mean = 119.53, SD = 8.70; t = 7.03, df = 58, p < .001). However, the risk of preterm birth in the experimental group was not statistical significantly lower than that of the control group (OR = 0.48; 95% CI = 0.04, 5.63)

Prevalence and Factors Associated with Incontinence-Associated Dermatitis in the Isolation Critical Care Units of Vajira Hospital: A Retrospective Study

2025-03-08T09:28:09+07:00

This study is a retrospective chart review aimed at determining the prevalence and associated factors of incontinence-associated dermatitis (IAD). The sample consisted of 264 patients admitted to the isolation intensive care unit at Vajira Hospital. Retrospective data were collected from 1 October 2023 to 31 August 2024. The research instrument was a self-constructed record form with a content validity index (CVI) of 1.0. Data were analyzed using descriptive statistics, Chi-square tests, and simple logistic regression analysis. Associations were presented as crude odds ratios (ORs) with 95% confidence intervals (CIs). The prevalence of IAD was 36.70%. Clinical factors associated with IAD included bowel movement frequency, enteral feeding, serum albumin levels, Barden scale, SOFA scale, length of hospital stay, PAT score, and endotracheal intubation. Medication factors associated with IAD were 10% potassium chloride syrup, sodium phosphate, magnesium sulfate salt, piperacillin/tazobactam, vancomycin, laxatives, vasopressors, meropenem, and sedatives. Personal factors were not significantly associated with IAD. These findings can contribute to developing guidelines for preventing IAD in critically ill patients.

The Development of Child Care Teacher’s Self-efficacy in Pediatric First-aid and Basic Life Support Skills in Child Development Center

2025-04-19T15:06:03+07:00

This quasi-experimental research was conducted through a two-group pretest-posttest design aimed to investigate the effect of self-efficacy enhancement program on knowledge, perceived self-efficacy and pediatric first-aid & basic life support (FA & BLS) skills among child care teachers. A total of 34 child care teachers were selected through purposive sampling based on inclusion criteria, divided into control and experimental groups of 17 participants each. The research instruments consisted of questionnaires on knowledge, perceived self-efficacy and the skill observation checklist for pediatric FA & BLS. The content validity index of the instruments were 0.8-1.0.
The results revealed that: 1)The experimental group, after receiving the self-efficacy enhancement program, had the statistically significant higher mean score in knowledge, perceived self-efficacy, and pediatric FA & BLS skills compared to the control group. (p<.001) 2) After attending the program, the experimental group had the statistically significant higher mean score in knowledge, perceived self-efficacy, and pediatric FA & BLS skills compared to before attending the program. (p<.001) Therefore, the self-efficacy enhancement program should be implemented to promote knowledge, perceived self-efficacy and FA & BLS skills in child care teachers.

The Comparative Study of Quality of Life among Nursing Students, Vongchavalitkul University

2025-06-01T09:44:36+07:00

The descriptive research aimed to compare the quality of life of nursing students in the first, second, and third years, Vongchavalitkul University. A sample group of 282 nursing student was selected by simple random sampling. The research instrument was the World Health Organization Quality of Life Questionnaire, Thai version (WHOQOL-BREF-THAI). Data were analyzed using descriptive statistics and one-way analysis of variance.
The results of the research found that the sample had a mean age of 20.16 years (SD=1.47). Most of them were between 18-20 years old (62.8%). Almost all of them were in good health (96.5%). Their family status had parents living together (72.0%). The average family income was between 10,001-20,000 baht per month, the highest at 30.5%. The average monthly income that students received from their families was ≤ 4,000 baht/ month (42.9%). The first year nursing students had the best quality of life (mean=102.75, SD=14.11), followed by Third-year nursing students (mean=101.49, SD=15.19) and second-year nursing students (mean=101.02, SD=15.53). A study comparing the quality of life between nursing students in different years, it was found that there was no statistically significant difference in overall (F=.336, p=.715), and in terms of physical health (F=1.385, p=.252), mental health (F=.441, p=.644), social relationships (F=.668, p=.514) and environment (F=1.053, p=.350), respectively.
Recommendations, the quality of life of nursing students should be promoted. Activities should be organized to cover all of nursing students, especially for second-year nursing student. Longitudinal studies should be conducted and comparisons should be made covering all years.

The Effect of Empowerment on Glycemic Control Practices and HbA1c in Patients with Type 2 Diabetes Mellitus

2025-02-22T14:12:53+07:00

This study was two groups pretest-posttest quasi-experimental design aimed to investigate the impact of empowerment on glycemic control practices and HbA1c in patients with type 2 diabetes mellitus. The samples consisted of 74 type 2 diabetes mellitus patients, divided equally into an experimental group and a controlled group through simple random sampling. Gibson’s empowerment concept was applied to the experimental group, while the control group received standard care. Research tools included an empowerment plan for type 2 diabetes mellitus patients, a glycemic control practices (with a content validity of 0.96 and a reliability of 0.80 measured by Cronbach’s alpha coefficient). Data were analyzed using descriptive statistics, Chi-square tests and t-tests.
Results showed as follows the study revealed that after the empowerment implementation, glycemic control practices significantly improved in the experimental group compared to before the intervention (p<.05), and this improvement was notably greater than that observed in the control group (p<.05). HbA1c significantly improvement was notably less than that observed in the controlled group (p<.05)
The research indicates that the empowerment can enhance glycemic control practices and HbA1c in patients with type 2 diabetes mellitus. Therefore, empowerment should be applied to develop continuous self-care skills.

Health Literacy Influencing Health Promoting Behaviors of Behaviors of Students in The Three Southern Border Provinces of Thailand

2025-04-19T15:19:08+07:00

This study is a study on health literacy affecting health promotion behavior of students in the three southern border provinces. The objectives are 1) to study the level of health literacy and health promotion behavior of students in the three southern border provinces, 2) to study the factors of health literacy affecting health promotion behavior of students in the three southern border provinces. The sample group is 392 students in the three southern border provinces using the multi-stage random sampling method. The questionnaire is the research tool. The statistical data analysis is done by finding the frequency. Percentage, mean, standard deviation and multiple regression analysis.
The results of the study found that the Overall healty literacy scored at very good level ( = 3.27, S.D. = 0.39) overall health promotion behavior had an average score at a good level ( = 3.22, SD = 0.40). The health literacy factors in terms of media literacy (ß = 0.050), communication skills (ß = 0.048), access to health information and health services (ß = 0.046), and self-management skills (ß = 0.042) affected the health promotion behavior of students in the southern border provinces at a statistically significant level of 0.05, and could jointly predict the health promotion behavior of students in the southern border provinces by 49 percent.

The Effects of a Health Literacy Enhancement Program on Health Literacy and Health Behavior to Slow Progressive Renal Failure in among Hypertension and Diabetes Mellitus Disease

2025-05-24T11:57:45+07:00

This quasi-experimental research, two-group pretest-post test design. Aimed to study the effects of a health literacy enhancement program on health literacy and health behavior to slow progressive renal failure among hypertension and diabetes mellitus patients. The participant was purposive sampling from adulthood to elderly patients who had been diagnosed with hypertension and diabetes mellitus for more than one year, 80 participants were divided into a control group (n=40) and an experimental group (n=40). The experimental group received the 8-week health literacy enhancement program. Data collection instruments consisted of a health literacy questionnaire and a health behavior questionnaire related to delaying kidney deterioration. The reliability coefficients of these questionnaires were 0.89 and 0.88. Data were analyzed using descriptive statistics and t-tests. The research results revealed that after the trial, the experimental group had significantly higher mean scores for health literacy related to delaying kidney deterioration compared to the control group (p<.01). Additionally, the experimental group demonstrated significantly higher mean scores for health behaviors related to delaying kidney deterioration compared to the control group (p<.01). This program can be applied in teaching, nursing practice, and patient care to develop and enhance health literacy among patients with non-communicable diseases (NCDs) who are at risk of developing chronic kidney disease, thus preventing the progression to end-stage renal disease.

A Study of Stroke Patient Caregiver’ Competencies During Emergency Situation in Community, Kham Pu Sub-District, Phayakkhaphum Phasai District, Maha Sarakham Province.

2024-04-26T22:38:39+07:00

The descriptive research aimed to study the competency of caregivers of stroke patients with emergency illness in the community. The sample comprised 231 participants: primary care unit personnel, emergency medical services providers, village health volunteers, caregivers of older persons, and primary family caregivers. Data were analyzed using descriptive statistics.
Results showed that primary care personnel had the highest knowledge score (criterion-referenced percentage 93.75; high level), while primary family caregivers had the lowest (68.80; moderate level). For attitudes, primary care personnel had the highest mean at a very good level ( =1.00, SD=0.00), and village health volunteers had the lowest, also at a very good level ( =0.86, SD=0.07). For practice, primary care personnel had the highest mean at a very good level ( =4.88, SD=0.14), and primary family caregivers had the lowest, likewise at a very good level ( =4.55, SD=0.79). In conclusion, overall competencies ranged from good to very good; however, strengthening the knowledge and emergency response skills of family caregivers and community networks is recommended to enhance the quality of community-based stroke care.

Self-Efficacy Perception, Self-Esteem, Stress, and Anxiety of Nursing Students Before Maternal-Child and Midwifery Nursing Practice

2025-07-20T09:23:18+07:00

The objective of this comparative descriptive research was to study the level, and to compare the self-efficacy perception, self-esteem, stress, and anxiety of third-year and fourth-year nursing students before the maternal-child, and midwifery nursing practice. The sample consisted of 79 third-year and 74 fourth-year nursing students from a higher education institution. The research instrument was an assessment of self-efficacy perception, self-esteem, stress, and anxiety with a reliability of 0.96, 0.90, 0.82, and 0.96, respectively. Data were analyzed using descriptive statistics and independent t-test.
The results of the study found that third-year and fourth-year students had moderate levels of self-efficacy and self-esteem. Their anxiety was at a slight level. Third-year students had normal levels of stress while fourth-year students had a slight level. When comparing the mean scores, third-year students had higher self-efficacy than fourth-year students but had significantly lower self-esteem, stress, and anxiety than fourth-year students (p<.05). In conclusion, students who had already completed the maternity nursing practice 1 helped them increase self-esteem, but did not reduce stress and anxiety. Therefore, students should be prepared every time before starting nursing practice.

Factors related to AIDS prevention behavior of people aged 18-59 years in Phai Was Subdistrict, Kanchanadit District, Surat Thani Province

2025-07-05T12:17:30+07:00

This study is a descriptive research to study the leading factors, enabling factors, reinforcing factors and AIDS prevention behavior of people aged 18-59 years, Tambon Plai Was, Amphoe Kanchanadit, Surat Thani Province, with a sample of 244 people. Data were collected using a questionnaire developed by the researcher with a reliability value (Coefficient Cronbach) of 0.91. Data were analyzed using descriptive statistics and Pearson’s product moment correlation coefficient.
The results of the study found that the leading factor, the overall perception of AIDS infection, was at a high level (96.68%), the enabling factor, the overall access to health care systems, was at a high level (74.59%) and the supporting factor, the overall social support from family members, was at a high level (94.26%). The AIDS prevention behavior of the sample group, overall, had a moderate level of AIDS prevention behavior (78.69%). When analyzing the relationship, it was found that the factors with a high level of positive relationship with AIDS prevention behavior with statistical significance at the 0.05 level were: enabling factors (r = 0.849), leading factors (r = 0.161), and supporting factors (r = 0.138).

Leadership Soft Skills and Success Factors Affecting to Development of Quality and Standard of Primary Health Care Services in Health Service Unit for The Directors of Sub-District Health Promoting Hospital, Buriram Province

2024-02-22T21:59:20+07:00

This cross-sectional descriptive study aimed at examining leadership soft skills and success factors affecting to development of quality and standard of primary health care services in health service unit for the directors of sub-district health promoting hospital, Buriram province, The study was based on 165 Sample size by used simple random sampling. The content validity of the questionnaire was verified by three experts. Data was collected between 1-31 January 2024. The statistics used to analyze the data were descriptive statistics. and inferential statistics, including Pearson correlation coefficient and stepwise multiple linear regression. The results showed that overall leadership soft skills and success factors had a high relationship with the development of the quality and standards of primary health services in the health service units (r= .779, p-value< .001) (r= .778, p-value< .001) In addition, the results found that planning and organizing skill, creating understanding for collaboration among stakeholders at all levels, having supportive plans for organizational units, developing and teaching skills, receiving support from managers at all levels, communication skills can together predict the development of quality and standards of primary healthcare services in the health service unit of the director of a district hospital in Buriram province were at 72.0% ( = .720).

Caregiving Preparedness and Burden Among Caregivers of Persons Receiving Hemodialysis

2025-07-20T08:52:18+07:00

Patients undergoing hemodialysis require close and continuous care, which causes caregivers to face challenges in physical, psychological, emotional, social, and economic aspects, leading to a significant caregiving burden. This descriptive research aimed to examine caregiving preparedness, caregiver burden, and their relationship among those caring for patients receiving hemodialysis. The sample consisted of 144 caregivers purposively selected from hospitals in Guangxi, China. Data were collected using a sociodemographic questionnaire, the Preparedness for Caregiving Scale (C-PCS), and the Zarit Burden Interview (C-ZBI). Both instruments demonstrated acceptable validity (C-PCS = 0.71; C-ZBI = 0.73) and high reliability, with Cronbach’s alpha coefficients of 0.92 for the C-PCS and 0.87 for the C-ZBI. Data were analyzed using descriptive statistics and Spearman’s correlation coefficient. The results revealed that caregivers experienced a relatively high level of burden ( = 50.25, SD = 17.65) and a low level of caregiving readiness ( = 14.21, SD = 5.24). Furthermore, a significant moderate negative correlation was found between caregiving preparedness and overall caregiver burden (r = -0.474, p < 0.01), including burden across multiple domains: relational, emotional, social and family, financial, and loss of control over life. The findings of this study may serve as fundamental information for developing interventions to enhance caregiving readiness and reduce caregiver burden.

Development of Program to Enhance Working Memory Through Narrative Therapy Among Primary School Students

2025-06-10T17:15:37+07:00

This quasi-experimental study aimed to develop and examine the effects of a program designed to enhance working memory through narrative therapy among primary school students. The participants were 24 third-grade students selected through simple random sampling. Using a matched-pair design based on their working memory scores, the students were randomly assigned to either an experimental group or a control group, with 12 students in each group. The research instrument was a working memory enhancement program developed by the researcher, grounded in narrative theory and Multicomponent Model of Working Memory. The program was validated by five experts and revised following a pilot study prior to implementation. Data collection tools included the Corsi block test (CSBT), Forward digit span test (FWDT), Backward digit span test (BWDT) and One-back task (1BT). Data were collected in three phases: pre-test, post-test, and a four-week follow-up. Analyses were conducted using repeated-measures analysis of variance (with one between-subject and one within-subject variable), with pairwise comparisons using the Bonferroni method. The results indicated that the experimental group showed statistically significant higher working memory scores at both post-test and follow-up compared to the pre-test (P < .05). These findings suggest that the working memory enhancement program based on narrative theory can effectively improve working memory in primary school students and could be applied in educational contexts. Further research is recommended to evaluate long-term effects and broader implementation.

Predicting Factors of Breast Cancer Prevention Behavior among Muslim Women

2025-03-02T00:32:36+07:00

This study aims to describe the breast cancer prevention behavior and to examine factors predicting the breast cancer prevention behavior among Muslin women. The factors were perceived susceptibility, perceived seriousness, perceived benefits, perceived self-ability, and social support. The samples, randomized by cluster sampling and simple random sampling, were 105. The statistic was descriptive, Chi square and Multiple Linear Regression Analysis. The results showed that the average score for the breast cancer prevention behavior Muslim women was the moderate level (3.40, SD=1.11). Factors that significantly predicted the breast cancer prevention behavior among Muslin women were perceived susceptibility of breast cancer (β = .298, p < .05) and social support (β= .452, p < .05). The total variance explained by these factors among the sample was 43.8 percent (R² = .438, F_(2,104) = 39.687, p < .05) The conclusion of study showed the two significant factors effect to the breast cancer prevention behavior among Muslin women. So, effectiveness of health promotion should concern two factors.

Factors Related to Active Learning Management of Nursing Students

2025-07-05T10:27:22+07:00

This descriptive research aimed to study nursing students’ attitudes toward active learning and to examine the relationship between various factors, including the classroom environment, teaching media, teaching activities, and instructors. The sample consisted of 218 nursing students from Boromarajonani College of Nursing, ranging from the 1st to 4th year in the academic year 2024. The research instrument was a questionnaire assessing nursing students’ attitudes toward active learning and the factors related to these attitudes. The content validity of the questionnaire, resulting in a content consistency index of 0.67 to 1. The reliability of the questionnaire was determined using Cronbach’s alpha coefficient, yielding a reliability score of 0.97. Data were analyzed using descriptive statistics, including frequency, percentage, mean, standard deviation, and Pearson’s product-moment correlation coefficient.
The research findings indicated that: 1) Nursing students had a high level of positive attitudes towards active learning (Mean = 3.72, S.D. = 0.61). 2) Factors such as teaching activities, instructors, teaching media, and classroom environment had statistically significant positive relationships with students’ attitudes toward active learning, with correlation coefficients (r= 0.63., 0.61, 0.53 and 0.43, respectively), with a p-value of <0.001.

Factors Affecting the Outcomes of the Nursing and Midwifery Licensing Examination among Nursing Graduates of Kuakarun Faculty of Nursing: A Qualitative Study

2025-07-20T08:26:00+07:00

This qualitative research aimed to explore factors influencing the outcomes of the national licensing examination for professional nursing and midwifery (Level 1). The study sample comprised nine nursing graduates who had completed their degree and successfully passed the licensing examination. Data collection employed focus group discussions and semi-structured interviews, together with academic records from 19 relevant courses, totaling 214 datasets. Data were analyzed using content analysis to ensure rigor and credibility.
The findings revealed that factors associated with examination performance can be categorized into two main domains. Internal factors included academic achievement in relevant courses, personal motivation, examination attitudes, and prior experiences with subject content. External factors encompassed pre-examination preparation, the organization of the comprehensive examination, and supportive learning environments that fostered knowledge and skill development. The study highlights the importance of enhancing academic readiness, cultivating appropriate attitudes and motivation, and strengthening institutional learning support systems as critical components of examination success. The findings of this study contribute valuable insights for strengthening the preparedness of nursing students undertaking future professional licensing examinations in nursing and midwifery.

Long COVID Experiences, Management and Outcomes of Patients with Post Coronavirus 2019

2024-11-10T00:13:20+07:00

The purpose of this descriptive research was to study Symptom experiences, management and outcomes long COVID among Patients infected with the coronavirus 2019 confirmed by the ATK or RT PCR test results and pneumonia. One hundred and four patients who were admitted at Chaturas Hospital, Chaiyaphum Province between June and December 31, 2022. The instrument was a questionnaire on residual symptom management in patients after COVID-19 infection. Frequency, percentage, mean and standard deviation were used to analyzed the data. The participants aged between 22 and 92 years old, with the majority being female. The symptom experience was as follows: 1. The first five of Long COVID symptoms was 1) weakness 2) cough 3) muscle and joint pain 4) fatigue 5) dizziness. The first three of frequency of Long COVID was 1) muscle and joint pain, 2) increased hair loss, 3) weakness. The first three of severity was 1) muscle and joint pain 2) cough 3) weakness and the first three of Distress of Long COVID was 1) muscle pain and joint pain, 2) increased hair loss, 3) weakness.; 2. Most of symptom management strategies and outcomes was having a rest, asked for help from others and taking medication. It is recommended that health care providers should assess the experiences in order to delivery comprehensive symptom management recommendations. Comprehensive symptom management not only reduce the impact of symptoms but also help individuals live as normal as possible.

The Efffect of Self-Efficacy Program on Blood Prerssure Control Behaviors in Hypertensive Patients with Uncontrolled Blood Pressure

2024-08-24T08:25:13+07:00

This quasi-experimental research aimed to study the effect of self-efficacy program on blood pressure control behaviors in hypertensive patients with uncontrolled blood pressure. The study was conducted at Lang Suan Hospital in the Wang Tako Subdistrict of Chumphon Province. Patients were divided into two groups: an experimental group consisting of 31 participants who underwent a self-efficacy program, and a control group of 31 participants who received standard nursing care. Selecting a simple sample group. The research measurement utilized was a self-efficacy program, which included a self-efficacy questionnaire for hypertensive patients and a questionnaire assessing the blood pressure control behaviors in hypertensive patients with uncontrolled blood pressure. The data were analyzed using mean, standard deviation, and statistical tests including the Paired t-test and Independent t-test
The findings of the study revealed that, the experimental group demonstrated a significantly higher average score for controlling high blood pressure compared to the control group (t= 9.75, p=.000). Furthermore, the experimental group exhibited lower systolic and diastolic blood pressure levels than the control group (t=10.18 and t=7.26, p= .000).

Factors Predicting Immunosuppressive Medication Adherence in Kidney Transplant Persons

2025-06-10T08:46:49+07:00

This predictive correlational study aims to examine adherence to immunosuppressive medication (ISM) and the predictive factors influencing ISM adherence among kidney transplant persons. The study sample consists of 113 kidney transplant persons, aged 18 years and older, from the Kidney Transplant Clinic in a tertiary-level government hospitals in Bangkok. Data are collected by using eight questionnaires, including: Demographic data questionnaire, ISM questionnaire, comorbidity questionnaire, social support questionnaire, perceived susceptibility to kidney rejection questionnaire, perceived severity of kidney rejection questionnaire, perceived benefits of ISM questionnaire, and perceived barriers to ISM questionnaire. The results revealed that: 1) The participants demonstrated a high level of ISM adherence, with an average score of 23.09 (SD = 0.84). 2) The predictive factors influencing to ISM adherence among kidney transplant persons included time after transplantation, social support, perceived barriers to ISM, and perceived susceptibility of kidney rejection. These factors account for 31.40% of the variance in ISM adherence among kidney transplant persons (Adjusted R^² = 0.314, p < .05).

The Relationship between the Health Belief Model and COVID-19 Preventive Behaviors among Junior High School Students during the Endemic Phase in Mueang District, Surat Thani Province

2025-08-24T11:37:13+07:00

This research aimed to study 1) health belief model and self-care behaviors for COVID-19 prevention, 2) the relationship between health belief model and self-care behaviors for COVID-19 prevention during the endemic phase.
The sample consisted of 450 junior high school students in Mueang District, Surat Thani Province. The research instruments were questionnaires on health beliefs and self-care behaviors, with reliability coefficients of 0.89 and 0.94, respectively. Data were analyzed using descriptive statistics and Pearson’s correlation coefficient.
The research findings revealed that 1) health belief model regarding COVID-19 were at high levels in almost all aspects, except for perceived barriers which were at a moderate level, and self-care health behaviors in both phases were at high levels; 2) health belief model had moderate positive correlations with self-care health behaviors in both phases (p<.01).
Recommendations: Adapting health education programs in schools adjustments should focus on changing health beliefs, particularly risk perception and disease severity, and continuously promote correct health beliefs even during the endemic phase.

Association between HIV Prevention Literacy and HIV-Infected Risk Behaviors among Military Conscripts

2025-09-14T12:46:28+07:00

This study aimed to examine the association between Human Immunodeficiency Virus (HIV) prevention literacy and HIV risk behaviors among military conscripts. A sample of 165 conscripts was selected by simple random sampling. The research instruments included an HIV prevention literacy questionnaire and an HIV risk behavior questionnaire, with content validity index (CVI) values of 0.87 and 0.88, respectively, and Cronbach’s alpha reliability coefficients of 0.81 and 0.98, respectively. Data were analyzed using descriptive statistics, means and standard deviations, and Pearson’s product-moment correlation coefficients.
The findings revealed that overall, HIV prevention literacy was significantly and negatively correlated with HIV risk behaviors (r = -0.200, p < .01). Specifically, questioning, assessing, application, and decision-making skills demonstrated significant negative correlations with risk behaviors (r = -0.209, -0.208, -0.201, -0.192; p < .01). Additionally, understanding skills were negatively correlated with HIV risk behaviors (r = -0.137, p < .05). The results indicate that enhancing HIV prevention literacy, particularly emphasizing inquiry, access, application, and decision-making competencies, is crucial for reducing sexual risk behaviors among military conscripts, providing practical guidance for prevention strategies.

Factors Associated with Vaginal Infections in Pregnant Women with Preterm Labor at the Government Hospital

2025-10-18T10:05:50+07:00

This retrospective analytical study aimed to investigate the prevalence and associated factors of vaginal infection among pregnant women with preterm labor. The study sample comprised 327 pregnant women who were admitted to a hospital. Data were collected from medical records using a structured data collection form and analyzed with descriptive statistics and the chi-square test. The findings revealed that the prevalence of vaginal infection in pregnant women with preterm labor was 42.8%. Statistically significant factors associated with vaginal infection included substance use ( = 6.782, p = .014) and body mass index ( = 6.920, p = .048). In contrast, other general characteristics such as age, educational level, and occupation were not significantly associated. These findings highlight the need for early screening of pregnant women with such risk factors during antenatal care, as well as the development of policies and nursing guidelines focusing on health promotion, substance use reduction, and nutritional management to prevent vaginal infections and reduce the risk of preterm birth.

Factors Predicting Sleep Quality Among School-Age Children in Bangkok Metropolis

2025-09-27T21:02:08+07:00

This research aimed to study the factors predicting sleep quality among school-aged children in Bangkok metropolis. The sample consisted of 418 students in grades 4 to 6 from elementary schools in Bangkok. Participants were selected through multi-stage sampling. The research tools included the following questionnaires: 1) demographic information, 2) emotional problem and peer relationship questionnaire, 3) electronic media usage behaviors, 4) physical activity behavior questionnaire, and 5) sleep quality questionnaire. Data were analyzed by using descriptive statistics, Chi-square, Spearman’s rank correlation coefficient, and logistic regression analysis. The results revealed that the majority of school-aged children (83.25%) had poor overall sleep quality. Emotional problem and peer relationship, electronic media usage behaviors, and physical activity behavior were significantly correlated with sleep quality (r = .12, .32, p < .05 and r = -.24, p < .001, respectively). These factors also predicted sleep quality (O_Radj = 3.31, 95%CI = 1.38-7.98; 3.67, 95%CI = 1.99-6.78; and 11.90, 95%CI = 4.70-30.07, respectively) and together explained 31.7% of the variance in sleep quality among school-age children (Nagelkerke R² = .31).

The Effects of Health Literacy Promote Program on Rational Use of Nonsteroidal Anti-Inflammatory Drugs on Health Literacy and Drug Use Behaviors by Elderly with Musculoskeletal Disorders Symptoms

2025-11-01T15:21:31+07:00

The purpose of this quasi-experimental research was to determine the effects of a self-management program on the functioning of patients with bipolar disorder during the recovery stage. The sample consisted of 72 patients with bipolar disorder aged between 20 and 59 years, recruited using inclusion criteria, and paired based on age. Then each pair was assigned to the control or the experimental group, with 36 patients in each group. The experimental group participated in the self-management program. Their activities comprised 6 sessions, each session lasting 100 minutes, once a week for 6 weeks. The control group received normal nursing care. The research instruments were the following: 1) the self-management program, which passed an examination for content validity by 3 professional experts; 2) the functioning assessment short test (FAST); and 3) the Young mania rating scale: Thai version. The reliability of these questionnaires were determined with a Cronbach’s alpha coefficient of .93 and .82 respectively. The data were analyzed using descriptive statistics and t-test.
The results found as follow: (1) The experimental group, participants had mean functional scores post test participating in the self - management program higher score than pre test (pre-test; M = 52.72, SD = 6.76 and post test; M = 64.31, SD = 6.09) the functional higher scores was significantly (t = 16.83, p < .001). (2) The mean difference of the patients’ functioning between the pretest and posttest in the experimental group that participated in the self-management program ( E = 11.58, SD = 4.13) was higher scores than the control group that received normal nursing care (C = 6.08, SD = 4.99) significantly (t = 16.37, p <.001).

Effectiveness of Development the Innovation of Photo Patch Category Play Activity to Develop Receptive Language and Expressive Language of Preschool-Aged Child

2025-09-27T20:55:57+07:00

This quasi-experimental pretest posttest design aimed to study the effectiveness of development the innovation of photo patch category play activity to develop receptive language and expressive language of preschool-aged child to compare the development of both aspects after using. The sample group consisted of 30 preschool children aged 4-5 years from Wat Bo-Ngern School, Lad Lum Kaew District, Pathum Thani Province, selected through purposive sampling. The research instruments included: 1) the innovation of photo patch category play activity and 2) a developmental assessment form for receptive language and expressive language of preschool-aged child with CVI values of 0.87 and 0.80 respectively, and reliability of 0.85. Data were analyzed using descriptive statistics and t-test statistics. The research results showed that language comprehension skills in shape categorization showed the greatest improvement, t = 8.95 - 9.85 at p<.001 level, while basic subtraction by shapes showed the least improvement, t = 4.68-5.12 at p<.01 level. For language use skills, answering “if hungry” questions showed t = 7.24 constant at p<.001 level, and explaining object functions showed t = 3.85 constant at p<.01 level.