Journal of The Royal Thai Army Nurses

The Nursing Care of Children Receiving Chemotherapy Leukemia Case Study

Weathaka Wongmanee — 2026-04-08

This article aims to 1. To provide nursing care for children with leukemia who are receiving chemotherapy. 2. To prevent and monitor adverse effects from chemotherapy. The care and nursing care for children who are receiving chemotherapy are very important. Therefore, nursing care according to nursing principles and processes and health assessment to collect data and plan appropriate nursing care to help reduce physical and mental problems, including changes in image because most patients who are receiving chemotherapy often have quite a few complications from treatment, which affect their health and daily life. If they are not monitored and do not provide good nursing care, it may affect the child’s next medication, which may not be complete as scheduled, causing the disease to recur. Therefore, nurses play an important role in providing nursing care for children who are receiving chemotherapy to prevent complications and help children receive medication and treatment continuously to promote children’s quality of life.

The Role of Hemodialysis Nurses in Caring for Patients with Tertiary Hyperparathyroidism Undergoing Parathyroidectomy: an Experience at Ramathibodi Chakri Naruebodindra Hospital

Wilawan Premchun — 2026-04-08

Tertiary hyperparathyroidism after total parathyroidectomy is a significant complication in patients with (end-stage chronic kidney disease). Nursing care plans should be developed to ensure patient safety and reduce postoperative complications.
This patient’s blood parathyroid levels were 3424.6, 1813.4, and 2029.9 pg/ml, respectively. After surgery (30 minutes), the blood parathyroid level was 88.5 pg/mL. On the 2nd, 8th, and 14th days after surgery, the blood results were 25.3, 3.0, and 5.5 pg/ml, respectively. The patient was hospitalized for a total of 5 days after surgery without any postoperative complications and was discharged by the doctor.
Case studies of tertiary hyperparathyroidism undergoing parathyroidectomy are still uncommon at Ramathibodi Chakri Naruebodin Hospital. Nurses’ knowledge and understanding of the pathophysiology of tertiary hyperparathyroidism caused by chronic kidney disease will be of utmost benefit in ensuring patient safety.

Andragogy: A Self-Directed Approach to Continuous Learning in Anesthesia Practice

Parichad Apidechakul — 2026-04-08

This narrative review article explores the pivotal role of andragogy in shaping the continuous learning journey of anesthesia professionals. Delving into the principles and applications of andragogy, the article highlights its relevance in catering to the distinct characteristics, needs, and motivations of adult learners in the field. The exploration encompasses practical strategies for implementing andragogical practices, including self-directed learning, bridging theoretical knowledge with clinical practice, and leveraging technology for enhanced educational experiences.
The article also addresses challenges faced by adult learners in anesthesia education, offering actionable strategies for educators to overcome obstacles and create supportive learning environments. Furthermore, it explores future directions and opportunities, discussing evolving trends in adult education, potential innovations in andragogical practices, and recommendations for future research.
In conclusion, the article issues a compelling call to action for anesthesia practitioners, urging them to actively embrace andragogical approaches. By recognizing the power of self-directed learning, valuing professional experiences, and fostering intrinsic motivation, practitioners can not only elevate their individual learning experiences but also contribute to the advancement of effective educational practices in the field. The journey of continuous learning becomes a shared endeavor, propelling both personal and professional growth.

Applying Continuous Quality Improvement (CQI) to Develop a Postoperative Care System for the Prevention of Venous Thromboembolism

Puthachart Iamsa-ard — 2026-04-08

Modern healthcare system development widely adopts the concept of Continuous Quality Improvement (CQI) to enhance service efficiency, eliminate redundant processes, and ensure patient safety and professional standards. In 2019, the Department of Surgery, Faculty of Medicine Ramathibodi Hospital, recognized the critical impact of Venous Thromboembolism (VTE) in postoperative surgical patients, which can lead to disability, mortality, and significant burdens on the Thai public health system. This project aimed to develop a VTE prevention system by applying the CQI framework. Results: The implementation of the system yielded the following outcomes: Healthcare personnel demonstrated 100% accuracy in knowledge and practice regarding VTE prevention. Postoperative patients achieved 100% proficiency in self-care knowledge and skills. The incidence of postoperative VTE was reduced to 0%. Satisfaction rates among both patients and personnel reached 100% (at high to highest levels). Conclusion: The application of CQI in developing a VTE prevention system not only ensures patient safety but also enhances the competency of healthcare providers and patient engagement in their own recovery.

Analysis of the Project to Enhance Research Publication Efficiency after International Academic Presentation: A Pilot Study

Wasana Lavin — 2026-04-08

Presenting academic work abroad is an important opportunity to disseminate knowledge and build academic networks. The Faculty of Medicine, Ramathibodi Hospital, provides scholarships to support staff in presenting academic International Presentation. According to the regulations must publish their work within one year after returning from the presentation. This publication is considered the completion of the scholarship requirement. If staff wish to present in next year, they must have published their previous work or received an acceptance letter before they can receive the next scholarship.
This project aims to monitor the effectiveness of program to increase research publication after international academic presentations from 3 fiscal year between October 2022-September 2025. The result was shown that the successfully submitted within 6 months were 28.57%, 20%, and 71.43%, respectively. The research was submissions within one fiscal year at 85.71%, 80%, and 42.85%, respectively. The satisfaction scores were 94.28%, 96% and 95%, respectively. The main factors contributing to delays the manuscript submissions were uncertainty with quality of the research, the duration of journal review process, inadequate planning time, heavy workload, insufficient academic writing skills. And the manuscript was rejected by journals. To address these obstacles, the Critical Care Nursing section would collaborate with experts for facilitate and support in the future publication.

Effects of a Family Participatory Nutrition Literacy Promotion Program on Nutrition Literacy, Dietary Behavior, Food Security, and Health Outcomes among Older Adults with Noncommunicable Diseases

Jeerapa Karnchanakomate — 2026-04-08

This experimental research aimed to examine the effect of a nutrition literacy program with family participation on nutrition literacy, dietary behavior, food security, and health outcomes in older adults with non-communicable diseases. The sample group of 68 subjects was assigned to experimental groups (n = 34) and control groups (n = 34) by simple randomization. The instruments used were the nutrition knowledge questionnaire, the dietary behavior questionnaire, and the food security questionnaire, with reliability values of .98, .71, and .72, respectively. Data were analyzed using MANOVA and repeated MANOVA.

The results of the study showed that the scores for nutrition literacy, dietary behavior, and health outcomes specifically, body mass index and waist circumference in the experimental group after the intervention and during the follow-up period were significantly higher than those of the control group (p < .05). Additionally, the scores for nutrition literacy, dietary behavior, food security, and health outcomes-specifically, body mass index-in the experimental group after the intervention and during the follow-up period were significantly higher than before the intervention (p < .05). Therefore, it is recommended that public health personnel use the nutrition literacy program with family participation as a guideline to improve dietary behavior, food security, and health outcomes among the elderly, in order to sustainably control and reduce complications from non-communicable diseases.

Happiness and Self-Care Behaviors of Older Adults based on the Sufficiency Economy Philosophy: Khao Wong Kot Community, Chanthaburi Province

Kessuda Khowsroy — 2026-04-08

This study aimed to examine the level of happiness, the meaning of happiness, self-care behaviors based on the Sufficiency Economy Philosophy, and predictive factors of happiness among the older adults in Khao Wong Kot, Chanthaburi Province. A sequential explanatory mixed-methods design was utilized, consisting of a quantitative phase involving 192 older adult participants and a qualitative phase involving in-depth interviews with 10 older adult participants. Data were analyzed using descriptive statistics and stepwise multiple regression analysis. The finding revealed that the happiness level among older adults was similar to that of general population (48.11±2.86). The older adults identified six themes surfaced on the meaning of happiness: having sufficient income, good health, emotional well-being, family support, social participation, and religious practice. These reflect the principles of the Sufficiency Economy Philosophy according to the 3 Circles and 2 Conditions components. The self-care behaviors according to the philosophy of sufficiency economy is at a high level (3.8±0.2). The most influential predictors of happiness was economic status (beta =.49), followed by moderation (beta =.23), health condition (beta =-.21), and moral integrity (beta =.17), which together accounted for 56% (r2=.57) of the variance in happiness. In conclusion, economic status and the application of the sufficiency economy philosophy in self-care, particularly in terms of moderation and moral conditions, significantly influence the happiness of the elderly. However, health conditions are a factor that reduces happiness.

Research and Development of 4 Dimensions and 6 Paradigm Shifts of Business Model in Silver Age Population, Chaiyaphum, Thailand

Pattira Kanthong — 2026-04-08

This research aims to study the situational perspective of 4 business dimensions in the silver-age health service system, develop a silver-age business model based on health behaviors and the participation of 6 paradigm shifts, and examine the results of implementing the application in pilot areas of Chaiyaphum province. The mixed-method research collected data from 388 participants for quantitative research and 45 participants for qualitative research, covering 14 districts. The research was divided into 3 phases. Results showed that most silver-age individuals had primary education level and household income less than 30,000 baht per year. The most common chronic conditions were hypertension, hyperlipidemia, and diabetes. In the B2C business dimension, most elderly had never purchased products online; those who did preferred using Lazada, Facebook, and Shopee, spending 100-299 baht per transaction. The business model development used analytical tools including Business Model Canvas, resulting in 5 models. The highest-scoring models selected were “Online store for elderly products with fast ordering and delivery system” and “Community convenience store for elderly products,” which were integrated into a combined model. The application evaluation showed high effectiveness in health assessment with high correlation coefficients for activities of daily living (0.97), body mass index (0.94), and sleep quality (0.91). Most project participants (91%) believed that current social, political, and economic environments are conducive to participation in developing elderly care models.

Exploring Digital Health Technology Utilization among Rural Older Adults: for Public Policy in the Digital Ageing Society

Jintana Artsanthia — 2026-04-08

This descriptive survey aimed to (1) examine digital health technology usage among older adults in rural areas, (2) identify factors associated with digital health use, and (3) propose public policy recommendations to enhance digital health engagement. The sample comprised 50 older adults selected through simple random sampling. Research instruments showed acceptable validity and reliability (CVI = 0.79, Cronbach’s α = 0.80, KR-20 = 0.72).
Results indicated significant correlations between digital use and digital literacy (r = .55, p < .05), digital skills and knowledge (r = .40, p < .05), and between attitudes and digital use (r = .47, p < .05). Digital skills (r = .59, p < .05) and digital competence (r = .51, p < .05) were also related to digital use. Policy support was correlated with digital attitudes (r = .44, p < .05), while digital competence was strongly related to digital skills (r = .69, p < .05).Additionally, 66% of respondents expected technology to improve their health, 68.8% perceived it as easy to use, 76% reported social support, and 64.5% had sufficient device access. These results suggest that rural older adults demonstrate readiness and potential to engage with digital health, supported by improved skills, social networks, and infrastructure. Strengthening digital literacy and competence is therefore essential for reducing health disparities in aging rural populations and for guiding inclusive digital health policies that ensure equitable access and sustainable implementation in the digital era.

The Results of Training on Basic Electrocardiogram Interpretation for Outpatient Nurses

Orawan Bootthumpan — 2026-04-08

The purposes of this retrospective research was to study the objective of studying the effects of basic electrocardiogram interpretation training for 31 outpatient nurses. This research was using the basic ECG and Knowledge of patient care by questionnaire. The content validity index of both questionnaires was .82 and verified by 3 experts. The statistic was including percentage, mean and standard deviation and t-test statistics. The results were showed OPD nurse after received the basic ECG training was 16.84 point (SD=2.30) that greater than the average score before training which was 8.03 point (SD=2.95) and were significantly increased after training at p-value <.05, (t = 13.41). The interpreting and reading basic ECG in normal and life-threatening situations is important. Patient assessment leads to a medical report, enabling patients to receive accurate, rapid, and timely examination and treatment. Training is provided to equip nurses with skills and knowledge in interpreting ECG results, enabling them to apply this knowledge in their work.

Effects of Pain Management Program on Self-care Behavior, Pain Level and Severity of Osteoarthritis in Older Adult with Knee Osteoarthritis

Naruemon Jansook — 2026-04-08

The purpose of this quasi-experimental research was to study the effects of pain management program on self-care behavior, pain level and severity of osteoarthritis in older adult with knee osteoarthritis. The sample group consisted of 42 older adult with knee osteoarthritis who received treatment at the orthopedic surgery department, Jainad Narendra Hospital. They were divided into an experimental group and a comparison group, 21 people in each group. The instruments used in the experiment was pain management program for older adult with knee osteoarthritis by applying the theory of information, motivation, and skill development of Fisher, Fisher, and Harman. The duration of the experiment was 8 weeks. The instruments used for data collection were a self-care behavior questionnaire, a pain assessment form, and a screening form for the severity of osteoarthritis. Data were analyzed using descriptive statistics and t-test.
The research results found that 1. After the experiment, the experimental group had better self-care behavior than before the experiment and had lower pain levels and severity of osteoarthritis than before the experiment, with statistical significance at the .05 level. 2. After the experiment, the experimental group had better self-care behavior than the comparison group and had lower pain levels and severity of osteoarthritis than the comparison group, with statistical significance at the .05 level.

Result of Developmental Care of Spiritual Health of the Elderly before and after Cataract Surgery

mukda seethalanuchit — 2026-04-08

This quasi-experimental research has the objective of studying the result of developmental care on the spiritual health of the elderly before and after cataract surgery. The sample used a purposive sampling method to choose the elderly persons who came to receive cataract surgery at Pathum Thani Hospital, totaling 30 persons. The research tools were Guidelines in Developmental Care of Spiritual Health and the SelfSpiritual Health Care Assessment Test, which tested for confidence of another sample group with similar characteristics to this sample group, totaling 30 persons. The content validity index was .88, and Cronbach’s Alpha Coefficient was .98. Data collection involved assessing spiritual healthcare before providing knowledge on spiritual healthcare, and then assessing spiritual healthcare one week after the operation. Data analysis and presentation with frequencies, percentages, means, standard deviations, and compared t-values. The research result found that the spiritual health care in the elderly was very good both before and after the cataract surgery. Comparative result of giving importance to meaning of life before and after cataract surgery from comparing t-values was different significantly (p<.05) and the comparative result in practical experience of meaning of life before and after cataract surgery from t-values was also significantly different (p<.05). The research result shows the developmental care of spiritual health care affects spiritual health care of the elderly both in giving the importance of the meaning of life and practical experience of the meaning of life after the surgery so there should be an application to the guidelines of spiritual health care in continual spiritual health care in the elderly persons.

Factors Related to Self-Care Behaviors of Recurrent Coronavirus 2019 Infected Individuals and Their Family Members

Wichuda Saengthong — 2026-04-08

The descriptive correlational research aimed to study the relationship between factors related to self-care behaviors of individuals with recurrent coronavirus disease 2019 (COVID-19) infection and their family members. The sample consisted of 163 families of individuals with recurrent COVID-19 infection and their family members. The research tools included two sets of questionnaires: 1) for individuals with recurrent COVID-19 infection, with a content validity index of 0.84 and a reliability coefficient of 0.93; and 2) for family members of individuals with recurrent COVID-19 infection, with a content validity index of 0.86 and a reliability coefficient of 0.91. Data were analyzed using descriptive statistics and correlational analysis.
The study results revealed that: 1) Factors related to self-care behaviors of individuals with COVID-19 reinfection included knowledge about COVID-19 (r = 0.17, P = 0.03), health belief factors (r = 0.55, P = 0.00), and cues to action (r = 0.49, P = 0.00). 2) Factors related to self-care behaviors of family members of individuals with COVID-19 reinfection included history of vaccination against COVID-19 (= 0.21, P = 0.01), knowledge about COVID-19 (r = 0.26, P = 0.00), health belief factors (r = 0.50, P = 0.00), and cues to action (r = 0.56, P = 0.00).

Predictors of Overweight Among Young Adults in Community Mueang District, Phayao Province

Phattaradanai Phattaranavamin — 2026-04-08

This predictive correlational research aimed to determine factors predicting the overweight among young adults within Community. Multi-stage random sampling was used to recruit 143 young adults, who meet the specified criteria, data collection was questionnaires, consists of the Health Belief questionnaire, the Social Support Questionnaire, the Personal Behavior Questionnaire and Overweight Assessment Form. The reliability was 0.94, 0.87, 0.95 and 0.95, respectively. Descriptive statistics, Chi-square test and stepwise multiple regression statistics were performed to analyze the data.
The study revealed that young adulthood had overweight, BMI at the level of obesity level 1 at 44.10% (mean ± SD = 26.53 ± 3), Health Belief (mean ± SD = 3.70 ± 0.60). White rice consumption factors (ß = 0.363, p = .000), perceived barriers to preventing overweight (ß = 0.293, p = .000), and the Emotion Support (ß = 0.208, p = .009) could be explained the overweight 20.30% (R²= .203, R2adj = .186, F = 11.832, (p<.001). Therefore, administrators should increase communication channels and provide exercise equipment in communities, and promote positive behaviors that encourage exercise.

Predictors of Health-Related Quality of Life in Transfusion-Dependent Thalassemia School Children

Thamakorn Thienphuridej — 2026-04-08

This predictive research aimed to study the factors predicting health-related quality of life (HRQoL) in transfusion-dependent school-age children with thalassemia. The sample consisted of 88 pairs of mothers and their children with thalassemia, aged 7 to 14 years, who received blood transfusion services at Sappasithiprasong Hospital, Ubon Ratchathani Province. Data were collected using questionnaires and analyzed using descriptive statistics and multiple regression analysis.
The results revealed that transfusion-dependent school-age children with thalassemia had an overall HRQoL at a good level (M=71.40, SD=14.01). Family relationships were at the highest level (M=4.15, SD=4.34), maternal care behaviors were at a very appropriate level (M=2.24, SD=0.41), and the child’s HRQoL as perceived by the mother was at a good level (M=1.23, SD=0.41). Family relationships, maternal care behaviors, and the child’s HRQoL as perceived by the mother jointly predicted 54% of the variance in the HRQoL of school-age children with thalassemia (R2=0.54, p<0.05).
Based on these findings, health personnel involved in the care of school-age children with thalassemia and their families should promote family relationships and maternal care behaviors to enhance the health-related quality of life of transfusion-dependent school-age children with thalassemia.

Effect of a Health Belief Enhancing Program on Parent’s Behaviors in Prevention of Acute Respiratory Infection in Preschool Children

Chatkhwan Kiddee — 2026-04-08

Parental behaviors significantly influence the health of preschool children, especially in preventing acute respiratory tract infections. This quasi-experimental study used a two-group pretest-posttest design to compare outcomes before and after program implementation. The sample, selected using cluster random sampling, consisted of 54 parents of children aged 3–5 years attending a child development center in Chiang Mai Province and was divided into an experimental and a control group (n = 27 each). The experimental group participated in a Health Belief Model-based program consisting of 8 activities over 9 weeks, while the control group received routine care. Research instruments included the health belief enhancing program and the parental care behavior questionnaire for respiratory infection prevention, with a Cronbach’s alpha coefficient of .87. The analysis employed repeated measures ANOVA. Parents in the experimental group showed significantly increased prevention behavior scores after program participation at both 6-week and 9-week follow-ups (p < .001), with significantly higher scores than the control group (F = 317.98, p < .001). The most improved behaviors included infection spread prevention (t = -17.00, p < .001), symptom observation (t = -6.80, p < .001), and infection avoidance (t = -15.16, p < .001) with significantly. The Health Belief Model-based program effectively and sustainably improved parental prevention behaviors. Pediatric nurses should implement this program as a guideline for promoting preschool children’s health.

Lifestyle of Healthy Elders Aged 80 Years and Over

Anunya Soponnark — 2026-04-08

This qualitative research aimed to explore the lifestyles of healthy older adults aged 80 years and above. A total of 13 participants were purposively selected. Data were collected through in-depth interviews, observations, and field notes. Data were analyzed using Colaizzi’s (1978) method. The findings revealed five main themes describing the lifestyles of healthy older adults aged 80 years and over: 1) Daily living, consisting of three subthemes: 1.1) working in rice farming as the primary occupation, 1.2) engaging in daily leisure activities, and 1.3) using religion as a source of spiritual support; 2) Health care behaviors, consisting of three subthemes: 2.1) preparing meals independently, 2.2) using dietary supplements based on personal beliefs, and 2.3) performing light exercise regularly; 3) Health problem management, consisting of three subthemes: 3.1) consulting physicians for medical treatment, 3.2) self-care despite physical limitations, and 3.3) using beliefs to alleviate health symptoms; 4) Social and family interactions, consisting of two subthemes: 4.1) receiving care and attention from family members, and 4.2) regularly participating in social activities; 5) Adaptation to aging, consisting of three subthemes: 5.1) quitting smoking and alcohol consumption, 5.2) saving money for emergencies, and 5.3) letting go and achieving peace of mind.
The results of this study can serve as a practical guideline for nurses and healthcare professionals to plan care, promote health, and appropriately enhance the quality of life among older adults.

Development of a Self-Management Model for Elderly at Risk of Stroke in the Digital Era

Chakkrit Phukjit — 2026-04-08

This study aimed to develop and evaluate a digital-era self management model for older adults at risk of stroke. A total of 50 older adults residing in Ban Du Subdistrict, Chiang Rai Province, were selected through simple random sampling and assigned to an experimental group (n=25) and a control group (n=25). The experimental group received the developed 12 week self management program, while the control group received routine care. Research instruments included assessments of knowledge, risk level, self management behaviors, blood pressure, and lipid profiles, all demonstrating acceptable reliability. Quantitative data were analyzed using descriptive statistics, the Wilcoxon Signed-Rank Test, and Independent t-test, whereas qualitative data were analyzed through content analysis.
Results indicated that older adults required user friendly digital media, risk alert functions, and proactive support from health personnel. Following the intervention, the experimental group showed significantly higher knowledge and self management behavior scores than the control group (p<.05). Ten year stroke risk decreased significantly (Z = -3.26; p = .001), along with reductions in blood pressure and lipid levels compared with the control group.
In conclusion, the developed self management model effectively improved health behaviors and clinical outcomes among older adults at risk of stroke. Integration into primary healthcare services and enhancement of digital literacy are recommended to support long term sustainability.

The Effectiveness of Health Literacy Enhancement Program on Health Literacy and Rabies Preventive Behaviors among Village Health Volunteer and Community Leaders

Jintana Tongpeth — 2026-04-08

This quasi-experimental research aimed to examine the effectiveness of a health literacy promotion program on health literacy and rabies prevention behaviors. The sample consisted of village health volunteers and community leaders selected through purposive sampling. Participants were divided into an experimental group (35 people) and a comparison group (35 people). Data were collected before and after the intervention using a questionnaire that had been validated with a content validity index of 1 and a reliability coefficient of 0.89. Data were analyzed using descriptive statistics, and differences in mean scores were compared using the t-test. The results showed that after participating in the program, the experimental group had significantly higher mean scores of health literacy and rabies prevention behaviors than before the intervention and also significantly higher than the comparison group (p-value < .05). The findings support that the health literacy promotion program was effective in enhancing health literacy and promoting rabies prevention behaviors among village health volunteers and community leaders. Therefore, the program should be expanded to other areas to support the achievement of the goal of eliminating rabies from Thailand.

Experiential Insights: Barriers to Advance Care Planning for Quality of Life in Long-Term Care in Private Hospitals

Jintana Artsanthia — 2026-04-08

This research was a qualitative study aimed at exploring the barriers to advance care planning (ACP) concerning quality of life in long-term care. The purposive sample consisted of 26 participants, including palliative care nurses, patients, and family members. Data were collected through two focus group sessions and in-depth interviews, and analyzed using content analysis.
The findings revealed that the barriers to ACP included: lack of knowledge and in-depth understanding, unclear communication, time constraints and workload, inconsistency within the healthcare team, patients’ and families’ cultural beliefs, changes in patients’ health conditions, existing practices and policies, as well as lack of support and resources. Proposed solutions to address these barriers include: providing education, offering communication training, equipping healthcare professionals with effective communication skills to engage patients and families, establishing accessible data management systems using technology for both patients and healthcare providers, offering consultation services with designated advisors to support documentation and record-keeping, developing supportive ACP policies at all levels, and building collaborative networks between hospitals and relevant agencies to strengthen ACP implementation.
In conclusion, ACP can empower individuals to make genuine decisions regarding their own treatment and enhance the quality of long-term care.

Unit Costs and Break-Even Points Analysis of Management by Dialysis Nurse Managers in Dialysis Center between Government and Private Hospitals

Phattharanun Phaetwong — 2026-04-08

This descriptive research aimed to study unit costs and break-even points in the management of dialysis centers by dialysis nurse managers in government and private hospitals. The population consisted of reports on costs and break-even points per service unit from expenditures of chronic kidney disease stage 5 patients receiving dialysis services, totaling 20,303 and 10,425 sessions, respectively. The sample included 30 patients from hospital in dialysis center, selected purposively, with data collected retrospectively from January to December 2024. Research tools comprised records of labor, material, and investment costs across 12 cost units, with content validity evaluated by three experts achieving a score of 0.97 and observational reliability at 0.87. Data were analysis used frequency, percentage, and average
Results: In government hospitals, the total cost of dialysis centers was 31,440,965 baht, with the cost proportions for labor, materials, and investments being 64.32 : 32.34 : 3.34, leading to a unit cost of 1,239 baht. For private hospitals, the total cost amounted to 19,265,271 baht, with cost proportions for labor, materials, and investments being 71.91 : 24.64 : 3.45, leading to a unit cost of 1,053 baht. Break-even analysis revealed that government hospital dialysis centers had fixed costs of 4,821,720 baht and variable costs of 1,239 baht while private hospital dialysis centers had fixed costs of 3,352,485 baht and variable costs of 1,053 baht. With service prices set at 1,500 baht per session, government and private centers surpassed break-even points at 1,829 and 6,957 sessions, respectively.

The Relationship Between Health Perception and Exercise Behavior among Thai Adolescents: A Cross-Sectional Correlation Study

Alongkorn Aksornsri — 2026-04-08

This study aimed to examine the relationship between health perception and exercise behavior among Thai adolescents, using data from high school students at Naresuan University Secondary Demonstration School, in Phitsanulok province.
A cross-sectional study was conducted with a sample of 324 students selected by simple random sampling. Data were collected using questionnaires on health perception and exercise behavior, which were validated for content validity and reliability. Data were analyzed using descriptive statistics and Pearson’s correlation coefficient.
The study found that the perceived benefits of exercise had a moderate positive correlation with exercise behavior (r = .40, p < .05). Perceived barriers to exercise had a low negative correlation with exercise behavior (r = -.25, p < .05). Perceived susceptibility and perceived severity of not exercising had low to moderate positive correlations with exercise behavior (r = .33, p < .05 and r = .36, p < .05, respectively). Therefore, health promotion programs should focus on enhancing the perceived benefits of exercise and reducing the barriers faced by adolescents to encourage healthy behaviors.

The Effectiveness of an Empowerment Program for Parents on Knowledge and Behaviors for Early Childhood Developmental Promotion

Thipakorn Pomsri — 2026-04-08

The purpose of this research was to study the effectiveness of early childhood parent empowerment program on knowledge and behaviors of early childhood developmental promotion. The research was a quasi-experimental study with two groups measuring outcomes before and after the experiment. The sample group consisted of early childhood parent aged 3 - 5 years, totaling 56 participants. They were divided into experimental groups of 28 participants and a comparison groups of 28 participants, which were specifically selected according to specified criteria. The program used in the research consists of Empowerment Program There are 5 activities being carried out: 1) Knowing the situation 2) Practicing expertise to increase confidence. Exchange knowledge from real experiences 3) My beloved child’s care schedule 4) Build confidence Manage to maintain 5) Evaluate and follow up for a period of 8 weeks. Data were collected using a knowledge questionnaire about promoting early childhood development and a behavior questionnaire for promoting early childhood development. The instruments had reliability scores of 0.77 and 0.84, respectively. Data analysis was performed using descriptive statistics and reference statistics, including the Independent test and Pair t-test.
The results of the experiment showed that the experimental group had a higher mean knowledge score than before receiving the program and a higher mean behavior score for promoting early childhood development than before receiving the program with statistical significance (p < .001) and the experimental group had a mean knowledge score and the mean scores on behaviors promoting early childhood development Statistically significantly higher than the comparison group (p < .001).
The results of this research can be used as a guideline for empowering parents of early childhood to further promote early childhood development.

The Priority Needs for the Development of Competency of Village Health Volunteers in Food Consumption Promotion for the Prevention of Type 2 Diabetes in the Community

Aorntira Boonpradit — 2026-04-08

The Descriptive research was used to study the priority needs the development of village health volunteers’ competencies in promoting food consumption to prevent type 2 diabetes in the community. The sample consisted of 352 village health volunteers from a multi-stage random sampling, which was determined following the methods of Daniel and Cross. The research instrument was a dual response style questionnaire, and index of item objective congruence has item scores between 0.60-1.00, and reliability coefficients of questionnaire were 0.98-0.99. The data were examined using descriptive statistical methods, including frequency, percentage, mean, and standard deviation, and the prioritization of needs was determined by the Modified Priority Needs Index (PNI_modified). The research findings indicated the primary requirements for enhancing the competencies of village health volunteers in promoting food consumption to prevent type 2 diabetes in the community. The first competency is knowledge, the second is skill, the third is motivation, the fourth is self-concept, and the fifth is traits. The PNI_modified index values were 0.18, 0.17, 0.12, 0.11, and 0.10, respectively.

Predicting Factors of Quality of Life Among Older People with Type 2 Diabetes Mellitus Dwelling in Bangkok Metropolitan Area

Isara Sakulprakopkit — 2026-04-08

This correlational predictive research aimed to study the predictive power of health perception, access to health services, and family support over quality of life among older people with type 2 diabetes mellitus who lived in the Bangkok area. The sample included older people with type 2 diabetes mellitus, where 244 participants were selected using simple random sampling.
The data were collected using questionnaire and analyzed using descriptive statistic, Pearson’s correlation analysis, and multiple regression analysis. The results of multiple regression analysis revealed that health perception, access to health services, and family support were able to co-predict quality of life among older people with type 2 diabetes mellitus living in the Bangkok area at 20.7% (R²= .207, p<.001).

The Effect of Patient-Centered Care Combined with Abdominal Massage Program on Constipation in Frail Older Adults in an Orthopedic ward

Suwara Promwee — 2026-04-08

This quasi-experimental study aimed to evaluate the effect of patient-centered care combined with abdominal massage program on constipation in frail older adults in an Orthopedic ward. The sample consisted of 48 patients aged 60 years or older, selected using purposive sampling. The participants were divided into two groups: 24 patients in the experimental group and 24 in the control group. The experimental group received the program for 8 days, while the control group received routine nursing care. The research instruments included screening tools such as the FRAIL scale, Mini-CogTM, and a Constipation Risk Assessment Form. The data collection tools comprised a demographic questionnaire and a Bowel Pattern Assessment Form. The experimental intervention included the patient-centered care combined with abdominal massage program. Additionally, the monitoring tool used was a record-keeping form for bowel movements. Data were analyzed using descriptive statistics and independent t-tests.
The results revealed that the experimental group had a significantly lower average constipation score after the program compared to before and compared to the control group (p < .05). The findings indicate that the patient-centered care combined with abdominal massage program effectively reduced constipation in frail older adults in an orthopedic ward.

The Preparation for Aging among Pre-aging Population of Khon Kaen Province

Palichat Chanaharn — 2026-04-08

This descriptive research aimed to study the readiness of the pre-aging population (aged 45-59 years) in Khon Kaen Province to enter an aging society and identify related factors. A total of 422 participants were selected through multi-stage sampling. Data were analyzed using descriptive statistics and Spearman's rank correlation coefficient. The results showed that most participants were female, with an average age of 52.9 years and a mean monthly income of 11,132.42 baht. The majority owned their homes, had no chronic diseases, and were covered by universal health insurance. High levels of technology access and community participation were observed. Overall, readiness for aging was rated as high ( = 3.93, S.D. = 0.74), encompassing health, social engagement, economic stability, housing, and technology. Key factors significantly associated with readiness included income, income sufficiency, housing status, healthcare benefits, attitudes, health behaviors, and social participation, with statistical significance at the 0.01 level.

Effects of the Integrated Adaptation Program on Stress among Alcohol Uses

Saranya Puwat — 2026-04-08

This quasi-experimental study aimed to examine the effects of an Integrated Adaptation Program (IAP) on stress levels of alcohol users. A total of 60 participants were selected through simple random sampling and divided into two groups of 30 each. The experimental group received the IAP, which consisted of eight weekly sessions, each lasting 120 minutes, along with 20 minutes of daily homework. The control group received standard care. Stress levels were assessed using the Thai Stress Test (TST) before and after the intervention. Data were analyzed using descriptive statistics for frequency distribution and percentage, and mean stress scores were compared using a dependent t-test.
Mean negative stress score of the experimental group post-IAP (M= 8.73, SD= 6.27) was significantly lower than pre-IAP (M= 27.70, SD= 6.21) (t =11.91, p < .001). Mean positive stress score of the experimental group (M= 28.37, SD= 5.68) was significantly higher than pre-IAP (M= 12.37, SD= 7.17) (t = 11.08, p< .001).
Mean difference of mean negative stress scores pre- and post-IAP for the experimental (1 = 18.97, SD= 8.72) and control group (₃ = 1.97, SD= 14.30) significantly differed (t =7.00, p< .001). Mean difference of mean positive stress scores pre- and post-IAP for the experimental group (₂ = 16.00, SD= 7.91) and the control group (₄ = 1.77, SD= 17.33) also significantly differed (t= 5.11, p< .001) These findings suggest that the IAP reduced stress level among alcohol users and might be an alternative option for this purpose for healthcare professionals.

Effects of a Self-Efficacy Enhancement Program on Self-Care Behaviors of Older Adults in the Community

Rungkant Plykaew — 2026-04-08

The present quasi-experimental study with a pretest-posttest two-group design aimed to examine the effects of a self-efficacy enhancement program on the self-care health behaviors of older adults in the community. The sample comprised 50 older adults aged 60 years and above who met the inclusion criteria. They were selected by simple random sampling from two subdistricts, with 25 participants in each group. The experimental group received the self-efficacy enhancement program, and the control group received standard health education. The data collection instrument employed was a self-care behavior questionnaire for older adults, which exhibited a content validity index (CVI) of 1.00 and a Cronbach’s alpha reliability coefficient of 0.85. The collected data were then subjected to a thorough analysis using both descriptive statistics and t-tests.
The findings indicated that following the implementation of the program, the experimental group exhibited significantly elevated mean scores in terms of self-care health behaviors when compared to their pre-intervention scores and the control group (t = -7.417, p < .001 and t = 5.517, p < .001, respectively). These findings suggest that a program emphasizing learning through the successful experiences of real-life role models and videos, with skill training and continuous verbal reinforcement, constitutes a practical approach that community health nurses can apply to promote health behaviors among older adults in ways appropriate to their contexts.

Outcome of Care and Factors Associated with Mortality in Neonates with Hypoglycemia in the Neonatal Intensive Care Unit, Ramathibodi Chakri Naruebodindra Hospital

Chayaporn Wongyai — 2026-04-08

This retrospective descriptive study aimed to investigate outcomes of care and factors associated with mortality in neonates with hypoglycemia in the neonatal intensive care unit. A purposive sampling of 100 newborns with hypoglycemia. Data were collected from electronic medical records through the hospital’s three-level data verification system. Statistical analyses included descriptive statistics (percentages, means, and standard deviations) and association tests using Chi-squared and Fisher’s exact tests.
The results showed that neonates had a mean blood glucose level of 31.79 ± 12.81 mg/dL, with 13 deaths (13% mortality rate). Twelve factors were significantly associated with neonatal mortality (P<.05), comprising: 1) eleven neonatal factors including birth weight <1,500 g, Apgar scores <7 at 1 and 5 minutes, respiratory distress syndrome, endotracheal intubation, pneumothorax, intraventricular hemorrhage, congenital heart disease, neonatal sepsis, blood transfusion, and phototherapy; and 2) one maternal factor: gestational diabetes mellitus. This research findings indicated that the neonates with hypoglycemia had a high mortality and complication rate.

Develop of Knowledge Transfer and Skill for Using Intellectual Health Promotion in The Elderly Innovation by Community Innovator Participation Approach to Elderly Caregiver

Phatcharaphan Chaiyasung — 2026-04-08

This research is research and development aimed at developing and evaluating knowledge transfer activities and skills in using innovations for promoting cognitive health among the elderly, with the participation of community leaders in transferring knowledge to caregivers of the elderly. The research is divided into two phases: Phase 1 involves the development of knowledge transfer methods through focus group discussions with community leaders, and Phase 2 involve the research process and procedures, including action planning in collaboration with community innovators. The tools used for data collection were 1) knowledge transfer activities and innovation skill training 2) a knowledge and skills assessment form. 3) a community innovator knowledge transfer skills assessment form. Data were analyzed using mean, standard deviations, and paired t-tests.
The findings revealed that 1) The development of knowledge transfer activities consisted of three activities: knowledge dissemination, training sessions, and practical skills training. 2) After participating in knowledge transfer and skills training activities, the sample group demonstrated a significantly higher mean score in knowledge, skills and the ability to transfer knowledge related to the use of innovation compared to their score before the activities, with statistical significance (p<.05). Therefore, developing knowledge transfer activities with participation from people in the community should start from identifying the issues. The design of the activities will lead to continuity, sustainability, and unity within the community.

Outcomes of an Education Training for Nurses’ Knowledge and Interpretation of Arterial Blood Gas

Woramon Moreechat — 2026-04-08

This research is quasi-experimental, aimed at studying the objective is to study the effects of providing education on the interpretation of arterial blood gases for nurses at Ramathibodi Chakri Naruebodindra Hospital. using a research questionnaire. The questionnaire consists of three parts: demographic information, questions regarding the interpretation of arterial blood gases which include 1) indications for arterial blood gas sampling, 2) specimen collection, 3) reading and interpreting, and questions about satisfaction with the program. A questionnaire was used to assess knowledge before and after training, with participants completing the same set of questions twice. The average scores for knowledge in interpreting arterial blood gases and satisfaction scores were compared before and after the training using a paired t-test among 55 research participants. The study found that before training, the knowledge scores for interpreting arterial blood gases were low in 21 participants (38.18%), moderate in 19 participants (34.55%), and high to very high in 15 participants (27.27%). Following the training, the number of participants with low knowledge scores decreased to 3 (5.45%), those with moderate scores decreased to 8 (14.55%), while those with high to very high scores increased to 44 (80.00%). Statistical testing showed a significant increase in the average knowledge scores after the test (p < 0.000, t = -13.561). When assessing satisfaction scores, the average before training was 3.870 (S.D. ± 0.840), and after training, it averaged 4.510 (S.D. ± 0.573). Statistical analysis revealed a significant increase in satisfaction regarding the arterial blood gas training (p < 0.000, t = -7.618). However, it is recommended that this training on patient care should be conducted regularly, and ongoing sessions should be provided to enhance nurses’ competency and improve the quality of patient care.

The Effects of Using an Integrated Health Promotion Model to Prevent Dementia of Older People in Nonthaburi Province

Sukaroon Wongtim — 2026-04-08

This was a Quasi-experimental study which aimed to study effect of using the integrated health promotion model to prevent dementia in older people at Nonthaburi Province. The sample was 40 elderly people obtained from purposive selection. They were divided into an experimental group and a control group with 20 people in each group.
The research instruments used in this study consisted of :1) an integrated health promotion model; 2) a questionnaire assessing knowledge related to dementia ; 3) an assessment tool measuring preventive practices aimed at reducing the risk of dementia 4) a questionnaire evaluating participants’ opinions toward the model; and 5) a questionnaire assessing the utilization and potential for model dissemination. Data was analyzed by descriptive statistics, including percentage, mean, standard deviation, and content analysis. Comparative statistics were Wilcoxon test for comparison the scores of knowledge as well as practice to prevent dementia before and after experiment of the experimental group, and Mann-Whitney test for comparison the scores of knowledge as well as practice to prevent dementia after experiment of the experimental group and the control group.
The results revealed that 1) after using the integrated health promotion model, the elderly had increased knowledge as well as practice to prevent risks for dementia with statistical significance at .01 level, 2) after experiment, the experimental group had knowledge no difference significance with the control group, however, they had practice to prevent risks for dementia better than those of the control group with statistical significance at .01 level, 3) the experimental group had satisfaction opinion to the integrated health promotion model at the highest level, and 4) the experimental group would take the knowledge as well as practice to prevent risks for dementia in caring themselves and suggestion to other people.

Effectiveness of a Stroke Educational Application on Knowledge and Satisfaction Among At-Risk Groups in Ra-hang Community, Lat Lum Kaeo District, Pathum Thani Province

Kwanta Boonvas — 2026-04-08

This quasi-experimental study used a one-group pretest-posttest design to compare stroke knowledge and evaluate user satisfaction with a stroke educational application. A sample of 30 participants was selected through purposive sampling based on predefined inclusion criteria. Research instruments were validated with an Index of Item Objective Congruence (IOC) of 0.67–1.00. The knowledge assessment tool and satisfaction scale demonstrated reliability coefficients of KR-20 = 0.85 and Cronbach’s alpha = 0.92, respectively. Participants engaged with the application for six weeks. Data were analyzed using descriptive statistics and the paired t-test. The results revealed that the mean knowledge score significantly increased from 11.73 (SD = 1.53) to 13.07 (SD = 1.08) post-intervention (p = .05). Overall satisfaction was high (Mean = 4.44, SD = 0.54), with “Stroke Knowledge Content” and “Application Utility” receiving the highest ratings (Mean = 4.57, SD = 0.50).
In conclusion, the application is a reliable and well-accepted tool. It serves as an effective educational approach to reduce healthcare access barriers, promote primary prevention, and support cost-effective, long-term disease management and behavioral modification

The Effects of Health Literacy Enhancement Program on Health Literacy Self-care Behaviors and Clinical Outcomes among Hypertension Patients with Risk Chronic Kidney Disease

Kritsapon Thepin — 2026-04-08

This quasi-experimental research was a two-group pretest-posttest design. The purposes of the research were to study the effects of a health literacy enhancement program on health literacy self-care behaviors and clinical outcomes among hypertension patients with risk chronic kidney disease. The sample was selected by Simple random sampling experimental group and a comparative group with 30 persons each. Research instruments were 1) a health literacy enhancement program. The program was based on the concept of health literacy by the department of health, over a 12-week period. 2) a handbook of health literacy and the prevention and delay of kidney disease progression and 3) Questionnaires on health literacy and self-care behaviors. Cronbach’s alpha coefficient of health literacy and self-care behaviors were .87 and .84, respectively. Data were analyzed by descriptive statistics and a t-test.
The result revealed as follows: after enrolling in the program, mean of health literacy self-care behaviors and creatinine of the experimental group were higher than before enrolling in the program and higher than the comparative group to a statistically significant degree at p-value < .05. Blood pressure and urine albuminuria of the experimental group were lower than before enrolling the program and lower than the comparative group at p-value <.05. These findings suggest that a health literacy enhancement program can enhance health literacy and help prevent chronic kidney disease among hypertension patients with risk chronic kidney disease.

The Effects of the Empowerment Program on Self-Protection Behavior Against PM 2.5 Exposure Among Older Adults in Chiang Mai Province Area

Prattana Palakomhaeng — 2026-04-08

This quasi-experimental study with a two-group pre-test post-test and follow-up design aimed to examine the effects of an empowerment program on self-protective behaviors against PM_2.5exposure among older adults in Chiang Mai Province. The study sample comprised 68 purposively selected older adults, who were allocated into an experimental group (n = 34) and a control group (n = 34). The research instruments included: (1) the experimental instrument, which was an empowerment program for self-protection against PM_2.5 exposure, and (2) data collection instruments, consisting of a measurement scale assessing selfprotective behaviors against PM_2.5 exposure. The data collection instrument demonstrated a reliability coefficient of 0.89. Data were analyzed using descriptive statistics and repeated measures ANOVA.
The results indicated that self-protective behaviors against PM_2.5 among elderly participants increased significantly immediately following program participation and at the 12^th week compared with baseline (p < .001). Between-group comparisons further revealed that the experimental group exhibited significantly higher self-protective behaviors against PM_2.5 than the control group (p < .001) at both post-intervention assessments. These findings suggest that the empowerment program is effective in enhancing and sustaining self-protective behaviors against PM_2.5 exposure among older adults. Accordingly, the program may be considered a viable strategy for health promotion in elderly populations residing in areas affected by air pollution, thereby reducing health risks associated with PM_2.5 exposure.

The Effect of Telemedicine Health Care Model for the Elderly person with Diabetes Mellitus on Blood Sugar Levels Control, Quality of Life and Program Participation Satisfaction

Rungnapa Chantra — 2026-04-08

This study aimed to examine the effect of telemedicine health care model for the elderly with diabetes mellitus on blood sugar levels control, quality of life and program participation satisfaction. The quasi-experimental research, one group posttest design was conducted. The population was elderly person with type II diabetes mellitus and 30 samples were selected using purposive sampling. Data were collected using blood sugar record form, quality of life questionnaire and satisfaction questionnaire with item objective congruence: IOC, 0.67-1, and α- Cronbach coefficient, .78 and .70 respectively. The statistics used were frequency distribution, percentage, average, standard deviation and one-way repeated measures ANOVA.
The findings showed that after participating in the telemedicine health care model for the elderly with diabetes mellitus, most of the participants had blood sugar levels between 121-180 mg/dl, the comparison of blood sugar levels at month 1, 2, 3 and 4 after the program showed no significant difference (p-value > .05). the quality of life after participating in the telemedicine health care model was found as high level and also the program participation satisfaction was good level. In conclusion, the telemedicine health care able to be an option to promote the ability of elder to control their blood sugar and provide good quality of life.

Factors Predicting Suicidal Risk Among Adolescents in a Northern Province of Thailand

Wichuda Pawin — 2026-04-08

This predictive correlational study aimed to assess the risk of suicide in adolescents and identify predictive factors, including depression, cyberbullying behavior, and internet addiction behavior. The study sample comprised 173 male and female in a northern province of Thailand. Data was analyzed using correlation statistics and multiple linear regression analysis, with stepwise method, statistical significance at a level of .05.
The research findings were as, among the sample, 45.70% exhibited a risk of suicide, with the majority of those at risk (58.2%) displaying a low level of risk, followed by 22.80% displaying a high level. Cyberbullying behavior was not a predictor of suicide risk in adolescents. Depression significantly predicted suicide risk in adolescents, accounting for 37.40% of the variance (p < .01). Internet addiction behavior was a significant predictor of suicide risk in adolescents, explaining 5.50% of the variance (p < .01). Depression and internet addiction behavior were joint significant predictors of suicide risk, accounting for 42.90% (p < .01). These findings have significant implications for psychiatric nursing and mental health professionals. The results provide valuable insights for developing targeted nursing interventions to mitigate suicide risk among adolescents, with a particular focus on addressing and reducing depression and internet addiction behaviors within this vulnerable population.

The Effects of Simulation Base Learning Model on Knowledge, Clinical Judgement, and Self-confidence in Nursing Care during Intrapartum Care of Nursing students

Woraporn Boonjeem — 2026-04-08

A quasi-experimental study was conducted to investigate the effects of the Simulation-Based Learning (SBL) on knowledge, clinical judgment, and self-confidence in nursing care during intrapartum care among nursing students. The sample included fourth-year nursing students enrolled in the Maternal-Newborn Nursing and Midwifery Practicum I Course. Participants were chosen by simple random sampling, resulting in 32 nursing students in the experimental group and 32 nursing students in the control group, totaling 64 nursing students. The experimental group received instruction through two simulation scenarios, while the control group received traditional teaching. The research instruments consisted of a knowledge test, a clinical judgment questionnaire, and a self-confidence in nursing practice questionnaire. Cronbach’s alpha coefficients for these instruments were 0.944, 0.939, and 0.942, respectively. Data were analyzed using descriptive statistics, paired t-test, and independent t-test.
The results demonstrated that, after the intervention, the experimental group that received SBL exhibited significantly higher mean scores in knowledge, clinical judgement, and self-confidence in nursing practice compared to the control group (t = -1.91, p < .01; t = -1.06, p < .01; and t = -1.39, p < .01, respectively). Furthermore, these scores were significantly higher than those recorded before the experiment (t = -5.73, p < .01; t = -4.14, p < .01; and t = -2.98, p < .01, respectively). These findings support integrating SBL methods in nursing education to enhance students’ knowledge, clinical judgement, and self-confidence in their nursing practice.

The Effectiveness of The Self-efficacy Promotion Program on The FACEBOOK Application for Nursing Students at Boromrajonani College of Nursing, Surin Province

Fasai Saendee — 2026-04-08

This is a quasi-experimental study with a two-group pretest-posttest design aim to study the effectiveness of a self-efficacy enhancement program in nursing education in conjunction with the FACEBOOK application among nursing students. The sample consists of 60 first-year nursing students for the academic year 2024, who meet the specified criteria. They are divided into an experimental group of 30 and a control group of 30. The research instruments include a general information questionnaire, a self-efficacy assessment, a readiness assessment for studying nursing, and a program to enhance self-efficacy in nursing studies, which incorporates the FACEBOOK application. This program includes successful experience, models or symbols, persuasive language, and emotional stimulation. All activities are conducted over 3 weeks. The questionnaires and program have been validated for content validity with a CVI of 1. The reliability of the assessment tools was found to be 0.89 and 0.90. Data analysis includes frequency, percentage, mean, standard deviation, and comparison of study results using paired t-tests and independent t-tests.
It was found that the average scores of self-efficacy and readiness to study in the nursing field after participating in the program were significantly higher than before joining the program at a level of p < .001. Furthermore, after the experiment, the average scores of self-efficacy and readiness to study in the nursing field in the experimental group were significantly higher than those in the control group at a level of p < .05. This program can be applied to enhance the awareness of competencies and readiness for nursing students. Keywords: Program, Self-efficacy, Nursing students’ readiness.

Factors Related with Nursing Care for Stroke Fast Track of Nurses in Nong Phai Hospital, Phetchabun Province

Siriwan Prasongphon — 2026-04-08

This descriptive study aimed to study the factors related to nursing care for stroke fast track of nurses in Nong Phai Hospital, Phetchabun Province. The sample group is 88 professional nurses. Data were analyzed using descriptive statistics as well as inferential statistics, which included Pearson Correlation Coefficient at .01 levels of significance.
The research results revealed that perception of stroke fast track was shown at the high level (Mean = 4.22, SD = .55), accessibility of stroke fast track was shown at the moderate level (Mean = 3.61, SD = .72), perception of information and social support of stroke fast track was shown at the moderate level (Mean = 3.62, SD = .77), and nursing care of stroke fast track was shown at the moderate level (Mean = 3.62, SD = .55). Perception, accessibility and perception of information and social support were positively related to stroke fast track at the high level of .01 (r = .563, .544, .571, respectively). Including 3 factors: perception, accessibility, and perception of information and social support were positively related to stroke fast track at the high level of .01. (r = .699).
Findings of the study provide a baseline data to promote workforce development planning to nursing care for effective and efficient care of acute stroke patients.

Development of Nursing Practice Guidelines for Continuous Renal Replacement Therapy in Critically Ill Patients with Acute Kidney Injury in The Intensive Care Unit at Chiangrai prachanukroh hospital

Budsaba Akarawanasakun — 2026-04-08

Acute kidney injury (AKI) is common among critically ill patients and is associated with high mortality, prolonged hospitalization, and increased treatment costs. Continuous renal replacement therapy (CRRT) is an important treatment option for this population, but its complexity requires standardized nursing guidelines to ensure safe and effective care. At Chiangrai Prachanukroh Hospital, no such guidelines were available, and complications were frequently observed. This study aimed to analyze nursing problems in CRRT care, develop evidence-based nursing practice guidelines, and evaluate their effectiveness in terms of nursing performance, nurse satisfaction, and patient outcomes. A research and development design were employed in four phases: situation analysis through interviews and record review, guideline development using evidence and the FASTHUG framework, pilot testing for feasibility, and evaluation with 90 nurses and 86 patients.
The results demonstrated a significant improvement in nursing practice scores (3.29±0.53 to 4.39±0.41, P<.001) and a high level of nurse satisfaction (4.48±0.54). Patient outcomes also improved, with longer filter life, fewer circuit clots, reduced thrombosis, shorter duration of mechanical ventilation and ICU stay, and significantly lower treatment costs.

Factor correlation with Acyanotic congenital heart disease in children aged 0 to 6 years

Eakkarat Boonchom — 2026-04-08

This cross-sectional study investigated factors associated with heart failure (CHF) in children with acyanotic congenital heart disease (ACHD) attending the pediatric cardiology clinic at Siriraj Hospital in 2021. The study included 1,235 children, with 443 in the CHF group and 792 in the non-CHF group, matched by age and sex. Data on 16 child-related and 17 caregiver-related variables were collected and analyzed using the PRECEDE Model. The final sample for multiple logistic regression was 840 participants. Age and weight of children did not differ significantly between groups (p = 0.820 and 0.823). Caregiver factors were influential: caregivers older than 30 years were associated with lower CHF risk (OR = 0.69, 95% CI 0.51–0.93, p = 0.016), while caregiver knowledge of key CHF symptoms increased risk (OR = 1.48, 95% CI 1.02–2.14, p = 0.039). Preventive care behaviors and continuous monitoring reduced CHF risk (OR = 0.62, 95% CI 0.43–0.89, p = 0.009). The model explained 3–7% of CHF variance.
These results highlight the critical role of caregivers in preventing CHF. Practical application includes caregiver education, continuous symptom monitoring, and preventive care guidance by nurses. Strengthening caregiver capacity can promote proactive care and reduce complications in children with ACHD.

A Study of Care Needs and Quality of Life among Nursing Students in Nakhon Ratchasima Province

Natthawirot Choodum — 2026-04-08

This mixed methods study aimed to (1) examine care needs and quality of life among nursing students in Nakhon Ratchasima Province, (2) compare these factors by gender, age, and year of study, (3) investigate their relationship, and (4) analyze qualitative insights regarding students’ care needs. The sample included 213 undergraduate nursing students (years 1–3) from Nakhon Ratchasima Rajabhat University, selected via stratified random sampling. Data were collected using demographic, care needs, and quality of life questionnaires, along with open-ended questions. Quantitative data were analyzed using descriptive statistics, t-test, ANOVA, Mann– Whitney U, Kruskal–Wallis, and Spearman’s rank correlation. Qualitative data were analyzed via content analysis.
Results showed that overall quality of life was high ( = 3.47), while care needs were low ( = 2.51), covering academic, behavioral, emotional, and environmental aspects. Major concerns included academic workload, stress, and educational expenses. Gender and age did not significantly affect outcomes, but first-year students reported higher quality of life than second- and third-year students. Care needs did not differ significantly between groups and were not correlated with quality of life. Qualitative findings supported the quantitative results.
These findings suggest the need for targeted interventions, including academic support, stress management, and financial assistance, to enhance nursing students’ well-being and overall quality of life.

The Effect of Skills Training-Based Psychoeducation Program on Functional Ability in Patients with Schizophrenia

Kulissara Thongmai — 2026-04-08

This study was a quasi-experimental research aimed at comparing the functional abilities of patients with schizophrenia before and after receiving a skill-based psychoeducation program, as well as comparing the functional abilities between patients who received the skill-based psychoeducation program and those who received routine care. The participants were inpatients at Srithanya Hospital, with 16 individuals in each group, over a period of two weeks. The research instrument was a functional ability assessment, administered before the intervention and one month after the experiment. Data were analyzed using frequency distribution, mean, percentage, chi-square test, dependent t-test, and independent t-test. The findings revealed that the mean functional ability scores of patients with schizophrenia after the intervention differed between the experimental and control groups, and the mean functional ability scores of those receiving the program were significantly different from those receiving routine care at the .05 level. In conclusion, the skill-based psychoeducation program had a positive effect on improving the functional abilities of patients with schizophrenia. Continuous training and follow-up are recommended to ensure long-term benefits.

Factors Associated with Neonatal Outcomes Among Mothers with Gestational Diabetes Mellitus at Thasala Hospital

Luksamon Luksanavimon — 2026-04-08

This retrospective study utilized data retrieved from the HosXP database and delivery records of women diagnosed with gestational diabetes mellitus (GDM) who gave birth at Thasala Hospital between October 1, 2020, and September 30, 2023. A total of 331 cases were included. The objective was to examine maternal factors associated with neonatal outcomes among women with GDM. The research instruments comprised a general information record form, a maternal health status record form (CVI = 1.00), and a neonatal outcome record form (CVI = 1.00). Descriptive statistics including frequency, percentage, mean, and standard deviation were used to analyze general and maternal health data. Associations between maternal factors and neonatal outcomes were analyzed using the Chi-square test or Fisher’s Exact Test, as appropriate. The results revealed that the number of previous abortions was significantly associated with gestational age at delivery (p < .05). Pre-pregnancy body mass index was significantly associated with neonatal size for gestational age and neonatal head circumference (p < .05). Additionally, total gestational weight gain was significantly associated with both neonatal size for gestational age and neonatal head circumference (p < .01 and p < .001, respectively). These findings suggest that healthcare providers should establish systematic follow-up and close monitoring of gestational weight gain among women with GDM to ensure optimal fetal growth and prevent adverse neonatal outcomes.

Effect of the Individual and Family Self-Management Program on Health-Related Quality of Life Among Adolescents with Transfusion Dependent Thalassemia

Suphannee Luangchan — 2026-04-08

This quasi-experimental design aimed to study the effects of the individual and family self-management program on health-related quality of life among adolescents with transfusion dependent thalassemia. The sample were 32 adolescents aged between 15-19 years old. Purposive sampling was used to choose the sample population, which was divided into experimental and control groups, each consisting of 16 participants. The research instruments for experimental activity included the self-management program for individuals and families, which was developed by the researcher and based on Ryan and Sawin’s approach for eight-week training. The instruments for collecting data were 1) a general information questionnaire; 2) a transfusion-dependent quality of life questionnaire which wase test for reliability using the Cronbach’s alpha coefficient with a value of .89 and a validity of .77. The data were analyzed including frequency, percentages, mean, standard deviation and t-test statistics.
The results showed that the mean score for health-related quality of life among experimental group after using the Individual and Family Self-Management Program was statistically significantly higher than before using the program and statistically significantly higher than control group (p<.05). These findings suggest that nursing teams can implement the Self-Management Program to promote the health-related quality of life to be continuously at home for adolescents with transfusion dependent thalassemia.

Development of Nursing Practice Guidelines for Critically Ill or Occluded Cerebrovascular Disease Patients at Satun Hospital

Chintana Rueanghiran — 2026-04-08

This research and development study aimed to (1) examine the current situation of care for critically ill or occluded cerebrovascular disease patients at Satun Hospital (2) develop nursing practice guidelines for the care of critically ill or occluded cerebrovascular disease patients at Satun Hospital and (3) evaluate the effectiveness of the developed guidelines. The study samples included 50 patients diagnosed with critically ill or occluded cerebrovascular disease patients at Satun Hospital and 50 registered nurses, selected through purposive sampling. The research tools consisted of 1) focus group discussion questions, 2) nursing practice guidelines developed by the researcher. Data were collected using a knowledge and understanding test for patient care, a nursing skills assessment form, a questionnaire on professional nurses opinions and satisfaction, a patient satisfaction assessment form, and a patient complication record form. The instruments were piloted and reliability was determined. The study results revealed that 1) the nursing practice guidelines consisted of patient care protocols during the first 24 hours, 24–48 hours, and 48–72 hours 2) The knowledge and understanding scores of patient care after using the developed nursing practice guidelines were significantly higher than before using the guidelines (p<.05) 3) 92 percent of professional nurses followed the developed practice guidelines. 4) The opinions and satisfaction of professional nurses towards the use of the guidelines were at a very good level. 5) The satisfaction of patients and their relatives towards the use of the guidelines was at a very good level. 6) The complications of patients were reduced.

Development of a Lifestyle Promotion Model Based on Lifestyle Medicine to Prevent Hypertension of Military Personnel in the 1st Army Area

Chatchai Choosaeng — 2026-04-08

This study aimed to: (1) examine the health status and lifestyle behaviors of military personnel under the 1st Army Area; (2) develop a lifestyle promotion model based on lifestyle medicine principles to prevent hypertension; and (3) implement and evaluate the developed model. The study employed a research and development (R&D) design consisting of 3 phases: Phase 1: Situation diagnosis, quantitative data was collected from 241 military personnel, and qualitative data was obtained from 12 stakeholders through in-depth interviews. Phase 2: Model development, the lifestyle promotion model based on lifestyle medicine principles was developed using the findings from Phase 1 and validated by experts. Phase 3: Model implementation, the developed model was implemented with an experimental group (n = 30) and a comparison group (n = 30) for 8 weeks. Data analysis in the implementation phase focused on evaluating changes in early- and intermediate-level outcomes of disease prevention, using pre–post comparisons within groups and outcome comparisons between the experimental and comparison groups.
The results revealed that after the intervention, the experimental group demonstrated significantly higher levels of perceived severity of hypertension, perceived susceptibility, response efficacy, and health-promoting lifestyle behaviors than before the experiment and compared with the control group (p <.01). Furthermore, body mass index (BMI), waist circumference, and systolic blood pressure significantly decreased (p <.01). These findings indicate that the developed lifestyle medicine-based model was effective in promoting health and preventing hypertension. These findings reflect a reduction in risk factors and meaningful changes in disease prevention, representing key mechanisms for the effective long-term prevention of hypertension.

Effect of the Group Resilience Enhancement Program on Suicide Risk of Patients with Mood Disorders Hospitalized in Psychiatric Hospitals

Sarochaluck Thinnaphat — 2026-04-08

This quasi-experimental research aimed to examine the effects of the group resilience enhancement program on the suicide risk of patients with mood disorders. The sample consisted of 34 patients, both male and female, aged between 25-59 years, diagnosed with mood disorders (F31.x, F32.x) and receiving treatment in the inpatient department of a psychiatric hospital under the Department of Mental Health, Ministry of Public Health. The participants were divided into an experimental group and a control group, each consisting of 17 patients. Data were collected using a personal information questionnaire and the Mini International Neuropsychiatric Interview (M.I.N.I) for suicide risk assessment. Data analysis was performed using descriptive statistics, one-way ANOVA with repeated measures, and independent t-test statistics.
The results showed that: The suicide risk scores of patients with mood disorders in the experimental group were significantly lower after 1 month and 2 months of receiving the group resilience enhancement program compared to their pre-program scores, with statistical significance at .05. The suicide risk scores of the experimental group were significantly lower after 1 month and 2 months of receiving the mental resilience enhancement program compared to the control group which received standard nursing care, with statistical significance at .05. There was no significant difference in the suicide risk scores of the experimental group between the 1-month and 2-month follow-up periods.

Competency of Charge Nurse in University Hospitals

Ratchaneewan Kaewthong — 2026-04-08

This research aimed to analyze the component of the charge nurse competencies at a university hospital. The participants (n = 514) were randomly selected using simple random from charge nurse who had experiences at least one year in an inpatient ward. The research instrument were sets questionnaire of charge nurse competency in University Hospital with a content validity value of 0.84 and a reliability value of 0.94. There is a method for collecting data. Through the research coordinator the objectives of the research were explained. Method of data collection and give knowledge To access the sample, the person responsible for distributing questionnaires and receiving them back from the sample group. The Data was used for data collection and analyzed using Varimax method for component analysis, principal factor extraction and orthogonal factor rotation. The results of the analysis of competency components of charge nurses at University Hospital included 3 components, and 30 indicators with cumulative of variance acconnted for 62.761%, 1) Leaderships and quality management 14 indicators with standardized factor loading ranking from 0.461-0.744. 2) Regarding work skills required in the 21st century had 10 indicators with standardized factor loading ranking from 0.465- 0.768. and 3) Nursing practice and professional ethics had 10 indicators with standardized factor loading ranking from 0.569 – 0.783. It is suggested to use the results of research on competency in areas that have a low average level of importance, namely the ability to research and develop innovations. and the use of foreign languages as a guideline for developing the competencies of shift supervisor nurses so that shift supervisor nurses can perform their duties efficiently collection and analyzed using Varimax method for component analysis, principal factor extraction and orthogonal factor rotation. The results of the analysis of competency components of charge nurses at University Hospital included 3 components, and 30 indicators with cumulative of variance acconnted for 62.761%, 1) Leaderships and quality management 14 indicators with standardized factor loading ranking from 0.461-0.744. 2) Regarding work skills required in the 21st century had 10 indicators with standardized factor loading ranking from 0.465- 0.768. and 3) Nursing practice and professional ethics had 10 indicators with standardized factor loading ranking from 0.569 – 0.783. It is suggested to use the results of research on competency in areas that have a low average level of importance, namely the ability to research and develop innovations. and the use of foreign languages as a guideline for developing the competencies of shift supervisor nurses so that shift supervisor nurses can perform their duties efficiently

Factors Predicting Commitment To The Educational Institution Among Nursing Students Of Vongchavalitkul University

Kanlaya Paikoh — 2026-04-08

This quantitative predictive study was conducted to examine the relationships between personal factors, family relationship factors, institutional involvement and relationship factors, and institutional commitment among nursing students, as well as to identify significant predictors of institutional commitment. The sample consisted of 240 first- to fourth-year nursing students, who were selected using stratified random sampling. The research instruments included a personal characteristics questionnaire, a family relationship questionnaire, an institutional involvement and relationship questionnaire, and an institutional commitment questionnaire. The Cronbach’s alpha coefficients of the instruments were .90, .94, and .95, respectively. Data were analyzed using descriptive statistics, Pearson’s correlation, Spearman’s rank correlation, chi-square test, and logistic regression analysis.
The findings indicated that institutional commitment was significantly associated with gender, age, academic year, family relationships, and institutional involvement and relationships. However, cumulative grade point average was not found to be significantly related to institutional commitment. Logistic regression analysis revealed that family relationships (β = 1.003, p < .01) and institutional involvement and relationships (β = 3.132, p < .001) were significant predictors of institutional commitment among nursing students.
These findings reflected the importance of strengthening family relationships and promoting student involvement in institutional activities. The results could be utilized as a guideline for developing policies and activities aimed at enhancing sustainable institutional commitment among nursing students.

Factors Associated with Anemia in Pregnancy and Maternal and Neonatal Outcomes among Adolescent Mothers at Community Hospital, Nakhon Si Thammarat Province

Kanyapak Pluemjai — 2026-04-08

This retrospective study aimed to examine the factors influencing anemia and birth outcomes among adolescent pregnant women. The study sample consisted of 249 adolescent mothers. Four research instruments were employed: (1) a general information record form, (2) a maternal health record, (3) a record form assessing factors related to anemia during pregnancy, and (4) a birth outcome record form, all of which demonstrated excellent content validity (CVI = 1.00). Data were collected from the HosXP database and delivery records. Information on general characteristics, maternal health, factors associated with anemia, and birth outcomes was analyzed using descriptive statistics. Factors influencing anemia and birth outcomes were analyzed using Pearson’s chi-square test or Fisher’s exact test.
The results revealed that the mean age of participants was 17.58 ± 1.38 years. The mean gestational age at the first antenatal care (ANC) visit was 13.08 ± 6.47 weeks, with a mean pre-pregnancy body mass index (BMI) of 21.52 ± 4.05 kg/m². The mean total weight gain was 11.47 ± 5.52 Kg. The mean gestational age at delivery was 38.27 ± 1.45 weeks, and the mean birth weight was 2,903.61 ± 445.48 grams. Gestational age at the first ANC visit and pre-pregnancy BMI were significantly associated with anemia during pregnancy (p<.05). Furthermore, gestational age at delivery differed significantly between adolescent pregnant women with anemia and those without anemia (p < .05). Therefore, stakeholders should promote normal BMI in adolescents and encourage early ANC before 12 weeks to ensure proper fetal development.

The Relationship between Macronutrients Consumption and Nutritional Status of Elderly Bedridden in Nakhon Si Thammarat Province

Tipwan Ponthophong — 2026-04-08

This correlational descriptive study examined the consumption of macronutrients and their association with the nutritional status of 210 elderly bedridden persons in the Nakhon Si Thammarat province that were calculated by using G*Power program. The research tools include 1) Barthel Activities of Daily Living: ADL and 2) the interview form created by the researcher’s literature review consist of 2.1) personal information 2.2) health conditions information (IOC = 0.80 - 0.89), 2.3) retroactive 24-hour dining record form and 2.4) Body mass index assessment form. Analyze data by using numbers, percentages, averages, standard deviations and calculate energy from nutrients obtained with INMUCAL Version 4.0. Analyze the correlation between the amount of macronutrients obtained and nutrition in bedridden elderly using the Fischer statistically significant test at .05.
The results showed that the sample had an average age of 80.70±10.55 years, an average bedtime of 4.10±5.67 years, consumed carbohydrates, proteins, and fats, averaged 450.11±246.07, 122.00±84.75, and 191.71±143.71 kcal/day, respectively. By an average obtaining total energy of 763.83±393.89 kcal/day. Most of them obtain energy from macronutrients less than they should have per day for Thai people. The amount of carbohydrates, proteins, and fats that the sample obtained is statistically significant in relation to nutrition (p<.05).
Therefore, community nurses practitioner and related parties should jointly assess the elderly bedridden people’s nutritional status and ensure that they get the proper amount of macronutrients.

A study of the competence of professional nurses in discharge planning for hip fracture patients

Suchart Panlarp — 2026-04-08

This research aimed to study the competencies of professional nurses in discharge planning for hip fracture patients, and to develop and pilot an assessment tool for discharge planning competencies. The sample consisted of 108 professional nurses at both operational and expert levels. Eighteen professional nurses were interviewed, and the competencies of 90 nurses were assessed using the developed assessment tool, which had a Cronbach’s alpha reliability coefficient of 0.95.
Qualitative results showed that the sample suggested emphasizing competencies in professional ethics, leadership personality, respect for human dignity, knowledge of the disease, informing patients about their treatment plans, self-care, attending appointments, preventing complications, and using educational materials such as brochures, videos, e-books, and QR codes to disseminate information to community health volunteer teams. Quantitative results showed that the majority of the sample had competencies in professional ethics and nursing conduct, discharge planning skills, and nursing skills, scoring above 80%. However, competencies in communication and information technology use were relatively low and need improvement for more comprehensive and up-to-date discharge planning for hip fracture patients. To be effective and a best practice.

The Related Factors of the Request for Career Advancement among Supporting Staff in the Faculty of Medicine, Ramathibodi Hospital

Hatairat Pobchaiyaphum — 2026-04-08

This retrospective study aims to examine the factors influencing with the requests for career advancement among 806 support staffs at the Faculty of Medicine Ramathibodi Hospital, Mahidol University. The descriptive statistics were including frequency, percentage, mean, and standard deviation. The unpaired t-test was used to analyze data between groups in continuous data sets. Chi-square and Fisher’s tests were used to analyze the related factors. The statistical significance level was at .05.
The study was found that personal factors were significantly associated with applying for career advancement included age, education level, years of experience, nursing position, affiliation, administrative position, and academic position (p<.05). Comparing the differences between those who had applied for career advancement demonstrated higher skills in all parts (p<.05) and lower perceived problems and obstacles in all parts compared to other group (p<.05). These findings suggest that development initiatives and institutional support should be strategically provided to interested groups to increase their likelihood of achieving professional success and advancing in their career advancement.

The Development of a Readiness-to-Care Model for People with Psychiatric Problems in the Community of Village Health Volunteers

Wararat Pratanvorapanya — 2026-04-08

This research and development study aimed to (1) examine the readiness of village health volunteers in caring for individuals with psychiatric problems in the community, and (2) develop a readiness preparation model for community-based psychiatric care of village health volunteers. A research and development approach was employed and conducted in three phases. Phase 1 involved a situational analysis with 20 key informants. Phases 2 and 3 focused on the implementation and evaluation of the developed model among 93 village health volunteers, respectively. Research instruments included a readiness assessment questionnaire, and a feasibility assessment questionnaire. Data were analyzed using descriptive statistics and an independent t-test. The findings revealed that the situational analysis identified three key dimensions: (1) individual factors of village health volunteers (skills, attitudes, confidence, and motivation), (2) knowledge related to caring for individuals with psychiatric problems in the community, and (3) support from family and community. After implementation of the developed model, preparedness scores were significantly higher after the intervention compared to before the intervention (p < .001). Moreover, the developed readiness-to-care model demonstrated a moderate to high level of feasibility for practical implementation. The findings indicate that the development of a readiness-to-care model for people with psychiatric problems in the community of village health volunteers is appropriate for the community context.

Mental Health Challenges of Nursing Students in an International University Context

Patra Phuekphan — 2026-04-08

This quantitative cross-sectional study examined the prevalence of depression, anxiety, and stress among nursing students and identified academic, financial, psychosocial, lifestyle, and personal factors associated with psychological distress. Differences by academic year and nationality, as well as coping strategies, were also explored. A total of 147 nursing students (≈80% of the population) participated in the 2025 academic year. Psychological distress and coping strategies were assessed using the DASS-21 and Brief COPE inventories, both demonstrating high reliability (Cronbach’s α = .96 and .91). Data were analyzed using descriptive statistics, Pearson correlation, and multiple regression.
Moderate to extremely severe symptoms were reported by 28.5% of students for depression, 54.3% for anxiety, and 25.1% for stress. Adaptive coping strategies—acceptance, positive reframing, and active coping—were most frequently used, while maladaptive coping was less common. Psychological distress did not differ significantly across academic years; however, nationality was significantly associated with depression and stress, with higher levels among Thai and Asian non-Thai students. Emotion-focused and avoidant coping were positively associated with distress, whereas problem-focused coping showed no significant link. Regression analyses identified heavy academic workload and lack of social support as predictors of depression, workload as a predictor of anxiety, personality traits as a predictor of stress, and pre-existing mental health conditions as the strongest predictor across all outcomes. These findings highlight the need for culturally sensitive interventions that reduce workload, strengthen social support, foster adaptive coping, and enable early identification of mental health concerns among nursing students.

A Study of the Desirable Characteristics of Nursing Graduates from the Bachelor of Nursing Science Program 2027, according to The Stakeholder Needs at Southeast Asia University

Donleudee Rojviriya — 2026-04-08

This study aimed to identify the desirable characteristics of nurse graduates for the Bachelor of Nursing Science program 2027 according to the stakeholder needs at Southeast Asia University using the Delphi technique. The samples were 22 experts who were stakeholders of Southeast Asia University nurse graduates recruited by purposive sampling method. The research instruments were demographic data questionnaires, and three rounds of questionnaires provided two sections: open-ended and a 5-point rating scale. The data were analyzed using median and interquartile range.
The study found that the desirable characteristics of the Bachelor of Nursing Science program 2027 according to the stakeholder needs. The desirable characteristics consisted of twelve characteristics. They were: 1) Nursing and midwifery knowledge on the basic of professional ethic skills; 2) Integrated the general knowledge in nursing practice and midwifery skills; 3) Collaborating with interdisciplinary team skills ; 4) Management skills; 5) Decision making and problem solving skills; 6) Critical and creative thinking skills; 7) Research or joining together and innovation developmental skills; 8) Communicate in Thai for nursing practice and midwifery skills; 9) Communicate in English for nursing practice and midwifery skills; 10) Good interpersonal relationship with collaborative and clients including personal family and social skills; 11) Digital and information technology skills; and 12) Good citizenship.
The results of this study can be used as basic information to develop nursing science programs in order to improve the nursing science programs as identified by stakeholder needs.

A Network Analysis of Quality of Life Among Older Adults Living in Rural Agricultural Communities: Implications for Community Health

Yodfah Ratmanee — 2026-04-08

Thailand is rapidly transitioning into an aging society, with rural agricultural communities experiencing the greatest demographic impact due to youth outmigration and limited access to healthcare services. Understanding the quality of life (QoL) of older adults in these settings is essential for guiding effective community health strategies. This descriptive cross-sectional study examined the structural relationships among QoL domains using the World Health Organization Quality of Life–Older Adults Module (WHOQOL-OLD, Thai version, which demonstrated content validity and a reliability coefficient of 0.87). A total of 381 older adults who continued to engage in agricultural work in Lan Saka District, Nakhon Si Thammarat Province, were recruited, and the data were analyzed using network analysis with the EBICglasso method.
Results revealed that the strongest partial correlation occurred between autonomy and past–present–future activities (partial r = 0.34). Past–present–future activities demonstrated the highest predictability (R^² = 0.71). Centrality analysis showed that social participation (strength = 1.12) and past–present–future activities (strength = 1.11) were the most influential domains within the QoL network.
These findings suggest that “social participation” and “past–present–future activities,” which reflect a sense of value and life roles, should be prioritized as key directions in area-based community health initiatives aimed at improving the quality of life of older adults in agricultural communities.

Perceived Self-efficacy in Caring for The Elderly with Dementia

Thidarat Kanungpiarn — 2026-04-08

Descriptive research to study self-perceived competence in caring for elderly individuals with dementia and factors affecting self-perceived competence in caring for elderly individuals with dementia. The sample group consisted of primary caregivers of elderly individuals with dementia in Surin Province, totaling 196 people, selected through purposive sampling based on specified criteria. Research instruments. 1) Personal information questionnaire 2) Questionnaire on self-perceived ability to care for elderly individuals with dementia. The quality of the instrument was assessed, yielding a content validity index of 0.96. The Cronbach’s alpha reliability coefficient is 0.92. Analyze the data using descriptive statistics and stepwise multiple regression.
Research findings found that the sample group has a high level of perceived competence in caring for elderly individuals with dementia, with the highest average being as having empathy and assisting families in adapting to the burden of caring for elderly individuals with dementia (mean = 4.17, S.D = 0.73). And it was found that the experience of caregiver training and the age of the caregiver can jointly predict the self-efficacy in caring for the elderly with dementia at a rate of 31.1 (R2 = .311, F = 9.099, p p < .05). In conclusion, the experience of caregiver training is an important factor that affects the self-efficacy in caring for the elderly with dementia.

A Program to Educate Patients undergoing Renal tumors by Robot-Assisted Surgery on Knowledge, Skills, Anxiety, and Pain

Panpilai Tiamtoy — 2026-04-08

This research is a quasi-experimental research design using a one-group pre-posttest model to study the outcomes of an information program for patients undergoing robot-assisted surgery for renal tumors. The program’s effects were assessed on knowledge, skills, anxiety, and pain. The statistical analysis was performed using the SPSS 30 program (Licensed Mahidol University), employing descriptive statistics, the Wilcoxon signed-rank test, the Friedman test, and the Paired t-test. The research findings revealed the following: The mean knowledge score of the sample group was significantly higher after receiving the program (M=21.24,SD=6.14) compared to before the program (M=13.24,SD=5.34). The mean score for wound cleaning skills was lower at the first measurement after the program (M=8.80,SD=1.35) than at the second measurement (M=10.84,SD=0.43). The mean anxiety score before receiving the program (M=6.64,SD=1.52) was significantly higher than the score after receiving the program (M=2.28,SD=1.17).Post-operative pain scores were highest at 24 hours (M=6.16, SD=2.08) and lowest at 72 hours (M=2.16, SD=1.41), with statistical significance at the .01 level. This study demonstrates the effectiveness of the program in increasing knowledge and wound cleaning skills, reducing anxiety, and managing pain.

Development of Clinical Practice Guidelines for Nursing Care of Patients with Pneumonia Receiving High-Flow Oxygen Therapy: A Community Hospital in Ubon Ratchathani Province

Jirachaya Krongyuth — 2026-04-08

This research and development study aimed to develop a clinical nursing practice guideline (CNPG) for patients with pneumonia receiving high-flow oxygen therapy (HFOT) at Khuang Nai Hospital and to evaluate its clinical outcomes. The study sample consisted of 68 hospitalized patients with pneumonia receiving HFOT. Participants were selected using purposive sampling and were equally divided into an experimental group (n = 34) and a control group (n = 34). The research instruments included the HFOT CNPG and a data recording form. Data were analyzed using descriptive statistics, chi-square tests, independent samples t-tests, risk ratio regression, and mean difference regression analysis.
The results showed that the HFOT CNPG had content validity index (CVI) values ranging from 0.80 to 1.00. At 6 hours after HFOT initiation, the experimental group had significantly lower mean heart rate, respiratory rate, and systolic blood pressure, as well as significantly higher mean oxygen saturation, compared with the control group (p < .05). In addition, the experimental group had significantly lower rates of endotracheal intubation and a shorter mean length of hospital stay than the control group (p < .05).

Effectiveness of CBT on Prolonged Grief Disorder and Depression in Children and Adolescents: A Systematic Review

Kumpanad Turpeng — 2026-04-08

This systematic review aimed to evaluate the effectiveness of Cognitive Behavioral Therapy (CBT) in reducing prolonged grief and depression among children and adolescents. A systematic search of randomized controlled trials (RCTs) and quasi-experimental studies was conducted across nine national and international databases (ThaiLIS, ThaiJO, PubMed, Embase, CINAHL, Scopus, ScienceDirect, ProQuest, and Google Scholar) between 2015 and 2025, following the JBI systematic review framework. Out of 619 identified studies, three met the inclusion criteria, consisting of two studies for meta-analysis and one for narrative synthesis. The meta-analysis, using a fixed-effect model, demonstrated that CBT significantly reduced prolonged grief (SMD = -0.75, 95% CI [-1.01, -0.49] ,p < .01) and depression (SMD = -0.57, 95% CI [-0.82 -0.32], p < .01). However, high heterogeneity was observed ( =19.3-27.78, I^² = 95-96%), and the certainty of evidence according to GRADE was very low. Narrative synthesis comparing Trauma-Focused CBT (TF-CBT) and Client-Centered Therapy (CCT) showed that both modalities reduced symptoms, but no significant difference in effectiveness was found between groups.
These findings highlight CBT’s potential effectiveness; however, the high heterogeneity and low certainty of evidence underscore the need for high-quality RCTs to enhance evidence homogeneity and confirm clinical effectiveness before widespread implementation.

Factors Related to Prevention and Control Behavior of Dengue Fever Among Village Health Volunteers in Ao Luek District, Krabi Province

Phatthanan Kongmak — 2026-04-08

This descriptive research aimed to examine the relationship between health belief model factors, social support, and self-care behaviors in the prevention and control of dengue fever among village health volunteers in Ao Luek District, Krabi Province. The sample consisted of 268 village health volunteers in Ao Luek District, Krabi Province selected through random sampling. Data were collected using a structured questionnaire with a reliability coefficient of 0.95. The data were analyzed using frequency distribution, percentage, mean, standard deviation, maximum, minimum, and Pearson’s correlation coefficient, with a significance level set at .01.
The study found that the majority of the sample group scored at a high level on the Health Belief Model (M = 4.11), the Social Support (M = 4.29), and dengue prevention and control behaviors among village health volunteers (M = 4.21). Furthermore, both the Health Belief Model and the Social Support were found to be positively correlated with dengue prevention and control behaviors among village health volunteers in Ao Luek District, Krabi Province, at a very high level, with statistical significance (r = .744**, P < .01).
Therefore, continuous promotion of dengue prevention and control measures should be encouraged to build confidence and proper practices among village health volunteers.

Guideline to Best Practice of E-Learning Management System in Bachelor of Nursing Science Program of Private Institution

Wanphen Sangsanguan — 2026-04-08

This research was aimed to establish a guideline for best practice of e-learning management by exploring a mixed-method approach through a sequential explanatory design based on the PIE Model. The unit of analysis consisted of six private nursing institutions accredited with the highest level of institutional management by the Thailand Nursing and Midwifery Council for five years. All participants were selected using purposive sampling. The research instruments included the questionnaire on the implementation of e-learning management based on the PIE Model, comprising seven factors: 1) e-learning management system, 2) technology and infrastructure, 3) course design, 4) instructors, 5) learners, 6) instruction, and 7) evaluation. And a content validity of 0.95 and a reliability coefficient of 0.98, while the interview had a content validity of 0.95. Quantitative data were collected via an online questionnaire and analyzed with descriptive statistics, whereas qualitative data were gathered through interviews and analyzed using content analysis. The results revealed that 1) The current state of e-learning management was high ( = 4.34, SD = 0.58). 2) The administrators needed to select the guideline at every step of the e-learning management system through the PIE Model, wherever applicable from the analyses for planning, implementation, and evaluation for improvement. 3) The proposed guidelines were certified by nine experts at the highest level, with interquartile ranges for every item and component ≤ 1.50. Therefore, the developed best practice guidelines were accepted. Consequently, nursing education institutions are advised to integrate all seven components with PIE Model to elevate e-learning management in the digital era.

The Effects of a Stress Management Program on the Psychological Well – Being of Patients with Hemodialysis

Waraporn Phuca — 2026-04-08

This study was a quasi-experimental research using the pretest-posttest control group design. The sample comprised of 60 patients who were treat with hemodialysis at the unit in Veterans General Hospital. The sample was divided into experimental and control group by using simple random sampling. The experimental group received Stress Management Program, whereas, the control group received usual care. The research instruments consisted of demographic questionnaire, Ryff’ Scale of Psychological Well-Being (SPWB),and Suanprung Stress Test (SPST-20). Data were analyzed using descriptive statistics including frequency, mean, percentage and comparing mean score of psychological well-being using t-test
Result from Repeated ANOVA revealed that at the post - test and 2 week follow - up , the mean score of the psychological well-being of patients with hemodialysis in the experimental group was statistically significant higher than that of the control group at the 0.05 level (f=5.45, p < .05). In addition, results from t-test revealed mean score of psychological well-being of the experimental group at was statistically significant higher than those before receiving the program at .05

Development of Clinical Nursing Practice Guidelines for Pregnant Women with Preterm Labor Receiving Tocolytic Therapy in the Labor Unit, Nakhon Phanom Hospital

Phattaraporn Thongsing — 2026-04-08

This research and development study aimed to develop and evaluate the effectiveness of Clinical Nursing Practice Guidelines (CNPG) for pregnant women with preterm labor receiving tocolytic therapy at the Labor Unit, Nakhon Phanom Hospital.The study was conducted in two phases: 1) development of the guidelines through the synthesis of seven research studies based on JBI criteria, and 2) pilot implementation with a purposively selected sample of 12 professional nurses and 30 pregnant women. The research instruments consisted of the CNPG, integrated with nursing process, and a five-part evaluation tool comprising: 1) general information, 2) nursing activity adherence, 3) quality of the guidelines, 4) user satisfaction, and 5) feasibility of implementation. The instruments were validated by three experts (CVI = 0.93) with a reliability coefficient (KR- 20) of 0.75. Data were analyzed using descriptive statistics. The findings revealed that professional nurses achieved a high adherence rate of over 93.33% during the initial and critical phases. Regarding clinical outcomes, none of the pregnant women experienced tocolytic related complications, and 83.33% successfully delayed labor for at least 48 hours. Furthermore, 100% of the nurses rated the guidelines as high quality and beneficial. The developed nursing practice guidelines are appropriate and should be implemented in labor units to enhance the quality of care for pregnant women with preterm labor receiving tocolytic therapy.

Factors Associated with Happiness in Life among Elderly in Phra Nakhon Si Ayutthaya Province

Natnapa Sasang — 2026-04-08

This cross-sectional analytical study aimed to examine the factors influencing the happiness of the elderly in Phra Nakhon Si Ayutthaya Province. The sample consisted of 225 elderly persons aged 60 years and above, selected through multi-stage random sampling. The research instrument was a questionnaire comprising sections on personal information, social and community factors, spiritual and religious factors, economic factors, as well as activities and learning. The content validity was confirmed with an IOC index ranging from 0.80 to 1.00, and the reliability of the instrument demonstrated acceptable internal consistency with Cronbach’s alpha coefficients between 0.76 and 0.86 and The Oxford Happiness Questionnaire (OHQ). Data were analyzed using descriptive statistics, Pearson’s correlation, and multiple regression analysis.
The results revealed that the majority of elderly participants reported a high level of happiness (84.9%). The regression model was statistically significant (F=31.282, p=.000). Spiritual-religious factors, economic factors, and social-community factors were significant positive predictors of happiness, whereas income showed a significant negative association.The findings suggest that the happiness of older adults arises from the synergistic influence of spirituality, social relationships, and economic stability, forming a crucial foundation for developing a happiness enhancement model in the subsequent phase of this research.

Quality and Learning Outcome Evaluation for the Development of a Bachelor of Nursing Science Program for Non-Nursing Bachelor’s Degree

Kanyaphat Pongchangyou — 2026-04-08

This study evaluated the quality and learning outcomes of the Bachelor of Nursing Science Program for graduates from non-nursing disciplines using the CIPP evaluation model as a framework for curriculum development. Data were collected from 144 participants across five stakeholder groups through a 5-point Likertscale questionnaire with established content validity (CVI = 0.95) and reliability (Cronbach’s α = 0.80), together with focus group discussions. Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed using thematic content analysis. The findings showed that overall curriculum quality was high. Among the four dimensions, the product dimension received the highest score (M = 4.50, SD = 0.66). The context (M = 4.34), input (M = 4.27), and process (M = 4.00) dimensions were also rated highly. Qualitative data highlight the curriculum’s strengths in both outcomes and alignment with the context, leading to recommendations for improvement. The focus is on creating diverse learning experiences and developing learners’ competencies in alignment with the program learning outcomes, alongside clearly defining graduate identity, and enhancing systems for measurement, assessment, and lifelong learning.

The effectiveness of the Self-Efficacy Enhancement Program on Resilience for Prevention Substance Abuse Among Early Adolescents

Anyamanee Inmae — 2026-04-08

This quasi-experimental research design with a control group and pre-posttest studied the effect of a self-efficacy enhancement program on resiliently preventing substance abuse among early adolescents. The sample comprised 68 secondary school students at the Matthayom 2 level aged 13 to 14 in Phetchaburi Province. They were randomly assigned to experimental and control groups of 34 participants each. The experimental group experienced the self-efficacy enhancement program against substance abuse for 8 weeks, 120-150 minutes per session, once weekly without interruption. The control group received routine care and continued their regular school schedule. The mean score of resolve against substance abuse was compared between the experimental and control groups by the dependent t-test. The difference in mean resilience scores pre- and post- implementation of the program was compared to an independent t-test.
Results were that 1) the mean score of resilience in preventing substance abuse scores after participating in the program (M=236.05, SD=10.06) was higher than before the intervention (M=196.17, SD=10.06) at a statistical significance of .001 (t=13.36, p < .05) 2) The difference in mean scores of resilience in preventing substance abuse between the experimental group (D1= 39.88, SD=17.39), which received the program, and the control group (D1= 1.23, SD=37.66), which received routine care and continued their regular school schedule, was significant (t=5.43, p < .05)
These findings suggest that the self-efficacy enhancement program increases resilience in preventing substance abuse among early adolescents.

The Effect of Family Strenght Enhancing Program on Caregiving Burden in Family Caregivers of Schizophrenic Patients

Pornpavee Yangpaksee — 2026-04-08

The purpose of this quasi-experimental research was to study the effect of a Family Strength Enhancing Program on caregiving burden in family caregivers of schizophrenic patient. The sample was family caregivers of schizophrenic patient of 38 people were selected through purposive sampling based on specified eligibility criteria. The experimental group received the Family Strength Enhancing Program, while the control group received routine nursing care. The research instruments included: 1) the Family Strength Enhancing Program, 2) a personal information questionnaire, 3) the Caregiving Burden Scale, and 4) the Family Strength Scale. All instruments were validated for content validity by 5 professional experts, with instruments 3^rdand 4^th CVI of 1 and .97 respectively, The Cronbach’s alpha coefficient reliability of .73 and .85, respectively. Data were analyzed by descriptive statistics and t-test. The conclusions of this research were as follows: After attending the Family Strength Enhancing program, Caregiving burden in family caregivers of schizophrenic patient of the experimental group were significantly lower than before attending the program, as well as these results were lower than the control group at the .05 level. The findings can be applied to develop family nursing programs that enhance family strength and reduce caregiving burden for schizophrenic patients.

The Effect of Perioperative Service Program by Lean Concept and Mobile Application on Satisfaction of Cataract Surgery Patients at the Ophthalmology Clinic, Phramongkutklao Hospital

Sataporn Chaichana — 2026-04-08

This quasi-experimental study aims to evaluate the effect of a perioperative service program using lean principles combined with a mobile application. Furthermore, the study compares the satisfaction level between patients who received perioperative service program based on lean principles combined with a mobile application and those who received routine cataract surgery services at the Ophthalmology Clinic of Phramongkutklao Hospital. A total of 40 patients diagnosed with cataracts were selected and separated into 2 groups: an experimental group or a control group, with 20 participants in each. The research instruments consisted of 1) The perioperative service program based on lean principles combined with a mobile application 2) A nursing service satisfaction assessment form. The validity was 0.86 and reliability was 0.98. The study results found that 1) The general information of both sample groups was similar, The majority were female (55%), over 60 years old (95%; average 74 years old), and had a bachelor’s degree education level (35%) and 2) The satisfaction of patients who received perioperative service program based on lean principles combined with a mobile application had significantly higher satisfaction levels compared to those who received routine cataract surgery services. (p<.05). The findings support improving nursing services and care quality for cataract surgery patients. It is recommended that nursing administrators apply the Lean concept with a mobile application to other outpatient clinics, with ongoing patient monitoring and participation from nurses and multidisciplinary teams to ensure effective and sustainable services

Predicting Factors on Incontinence Associated Dermatitis in Hospitalized Older Persons

Puttiporn Pitanthananukul — 2026-04-08

This predictive correlational study aimed to examine the prevalence and predictive factors of incontinence-associated dermatitis (IAD) among hospitalized older persons. The sample consisted of 190 participants. Research instruments included: 1) The researcher-developed data recording form for factors associated with IAD in older persons had a content validity index of 0.87, 2) Barthel ADL Index, 3) Nutrition Alert Form, 4) Perineal Assessment Tool, and 5) Prevalence record using Incontinence Associated Dermatitis Intervention Tool. Data were analyzed using descriptive statistics, Chi-square tests, and binary logistic regression.
The results showed that the prevalence of IAD among hospitalized older persons was 5.3%. Statistically significant predictive factors for IAD were frequency of absorbent pad changes, oxygen therapy, sensory perception, physical mobility, capacity in daily living and nutritional status. The findings can be applied to the development of prevention and care guidelines for hospitalized older persons at risk of IAD.

Enhancing Psychological Flexibility and Inhibitory Control in Chronic Kidney Disease Patients with Acceptance and Commitment Program

Wirachaya Kosaena — 2026-04-08

The objective of this research is to study the effects of the acceptance and commitment program on psychological flexibility and inhibitory control. The participants were 24 patients diagnosed with stage 3 chronic kidney disease. Participants were randomly assigned to experimental group (n = 12) participated in the acceptance and commitment program for chronic kidney disease, consisted of 8 sessions (50 minutes each) and control group (n = 12) was provided with the hospital’s standard treatment. Assessed by the psychological flexibility scale, CKD Go/No-Go task and In-depth interviews. Assessments were conducted at pre-test, post-test, and follow-up in 2 weeks. Statistical analyses were performed using repeated-measures analysis of variance with one between-subjects variable and one within-subjects variable. The Bonferroni method was applied for multiple comparisons.
The results showed that the experimental group had a significantly higher psychological flexibility than control group in post-test and follow-up (p < .05). And, in the experimental group, the post-test and follow-up had a significantly higher inhibitory control than pre-test (p < .05).
In conclusion, the acceptance and commitment program was effective in improving both psychological flexibility and inhibitory control. This program may be applied to promote behavioral modification as a guideline for delaying kidney failure and as a model for other patient groups.

Predicting Factors for Decision Making of Amniocentesis in High Risky Pregnant Women

Jaruwan Kownaklai — 2026-04-08

This research aims to study the predictive factors of amniocentesis decision-making in high-risk pregnant women who had undergone screening with increased the Quadruple test (QT) and received amniocentesis 118 women at the antenatal care clinic. Data was collected through personal interviews and questionnaires on decision-making regarding amniocentesis.
The questionnaire’s reliability was assessed using Cronbach’s alpha coefficient (0.87), indicated high internal consistency and assessed content validity by three experts. Statistical analysis including correlation analysis and stepwise multiple regression analysis, was conducted to identify predictive factors. The study was found that the intention to conceive and family characteristics were a statistically significant relationship to amniocentesis decision-making in high-risk pregnant women (p<.05). Furthermore, both the intention to conceive and family characteristics were able to predict amniocentesis decision-making with an accuracy of 7.5% (p < .05). Based on the research finding, nurses or midwives should provide counseling and educational programs for pregnant women with high-risk pregnancies and their families for amniocentesis regarding taking into consideration their intention to conceive and family characteristics. This will provide to case by case counselling to ensure appropriated and effective care for the accurate diagnosis of fetal abnormalities.

The Effects of Positive Mental Health Promotion Program on The Mental Health Self-Care Behavior of Older Adults

Arapa Boonyoo — 2026-04-10

This quasi-experimental research studied the effect of a positive mental health promotion program on the mental health self-care behavior of older adults. The sample comprised 60 geriatric residents, randomly assigned to experimental and control groups, with 30 participants in each. The experimental group received a positive mental health promotion program, including eight weekly sessions, while the control group received regular care. dependent t-test
A compared the mean mental health self-care behavior scores pre- and post-experimentally, and an independent t-test compared the mean difference in mental health self-care behavior for the experimental and control groups.
Results were that the experimental group samples had a higher mean score of self-care behavior. Post-experimental mental health (M=204.66, SD.=11.16) was significantly higher than pre-experimental health (M=177.63, SD.=18.90). The difference in mean scores of self-care behaviors in mental health between pre- and post-experimental samples (₁=27.03, SD.=13.07) was significantly higher than the control group (₂=2.13, SD.=14.06)at a statistically significant level (t=4.64, p <.001).These findings suggest that a positive mental health promotion program may increase self-care behavior among geriatric patients if used by health management personnel to promote mental health.