Journal of Health and Nursing Research (Journal of Boromarajonani College of Nursing, Bangkok)

Factors Associated with Successful Resuscitation in Out-of-Hospital Cardiac Arrest Patients within 30 Minutes

Supattra Laksanajan — 2025-12-10

Introduction: The survival rates of out-of-hospital cardiac arrest (OHCA) depend not only on rapid access to emergency medical services (EMS) but also critically on the ability and actions of bystanders.

Research objectives: This study aimed to examine factors associated with the return of spontaneous circulation (ROSC) in patients experiencing OHCA within 30 minutes prior to hospital arrival.

Research methodology: This retrospective study used data from medical records identified by the ICD-10 code for OHCA. The data came from a community hospital that provided outpatient and emergency services 24 hours a day. There were 90 cases included in the analysis. The research instrument was a structured data collection form for OHCA patients. It consisted of two parts: 1) general patient information and 2) variables derived from the conceptual framework. Content validity was assessed using the Index of Item-Objective Congruence. Values ranged from 0.60 to 1.00 for all items. Descriptive statistics, Chi-square tests,
and independent t-tests were used for statistical analysis.

Results: Age and comorbidities did not differ significantly between ROSC and non-ROSC groups (p > .05). In contrast, the suspected cause of cardiac arrest was the only covariate with a statistically significant difference between groups (p < .05). These three variables were analyzed for survival outcomes without covariate adjustment. EMS transport was significantly associated with ROSC (p < .05). No significant associations were found between the presence of a witness and ROSC, or between bystander CPR before hospital arrival and ROSC (p > .05).

Conclusions: The time from the emergency call to hospital arrival via EMS does not affect survival rates. Chest compressions performed by bystanders before EMS arrival do not significantly increase survival chances.

Implications: Efforts should focus on enhancing the quality of CPR delivered by community bystanders and optimizing EMS performance. Furthermore, the deployment of advanced life support teams is essential to provide timely and effective resuscitation.

Effects of Motivation Enhancing Program on Females’ Screening Cervical Cancer of Ban Lan Laem Health Promoting Hospital in Nakhon Pathom Province

Yupin Junmoon — 2025-12-10

Introduction: Cervical cancer remains a significant health challenge for Thai women. Cervical cancer screening and HPV vaccination are essential to lower the incidence of this disease.

Research objectives: This study aimed to evaluate the effects of motivational enhancement program on cervical cancer screening participation among sexually active women in the target area.

Research methodology: This study applied a quasi-experimental design with a two-group pretest-posttest design. The sample consisted of 80 women aged 30 – 60 years, divided into experimental and control groups. The experimental group (n = 40) was selected from Ban Lan Laem Health Center’s service area, and the control group (n = 40) from Bang Phra Health Center. There were no significant differences in baseline characteristics between groups. The experimental group received a motivational enhancement program based on Rogers’ Protection Motivation Theory, including educational sessions, media aids, group discussions, and other activities to enhance motivation. Data were collected from using service records and Motivation in Cervical Cancer Screening Participation Questionnaire. Data were analyzed using paired t-tests and independent t-tests.

Results: The experimental group demonstrated significantly higher motivation and perception for cervical cancer screening participation compared with the control group (p < .05). The number of women in the experimental group who underwent cervical cancer screening increased following participation in the motivational enhancement program compared with the pre-intervention period.

Conclusions: The motivational enhancement program effectively improves health behaviors among sexually active women by increasing their perception of the severity of disease and encouraging proactive protection against cervical cancer.

Implications: The motivational enhancement program should beimplemented in clinical practice to encourage women to adoptpreventive behaviors against cervical cancer and to participate regularly and consistently in cervical cancer screening.

Incidence and Associated Factors of Postoperative Nausea and Vomiting (PONV) after Anesthesia at Pakthongchai Hospital in Nakhonratchasima Province: A Retrorespective Descriptive Study

Surasak Kabmuangpak — 2025-12-10

Introduction: Postoperative nausea and vomiting (PONV) following cesarean delivery is a common health issue in postpartum mothers. The incidence rate can be as high as 30 - 50%, affecting comfort, recovery, and the ability to care for the newborn. The causes of these symptoms may stem from various factors, such as anesthetics, analgesics, or post-surgical stress.

Research objectives: This research aimed to determine the incidence of postoperative nausea and vomiting (PONV) and to identify its associated factors among patients who underwent a spinal block for cesarean section at Pakthongchai Hospital in Nakhon Ratchasima province.

Research methodology: This research employed a retrospective descriptive study design. Data were collected from medical records at Pakthongchai Hospital, Nakhon Ratchasima from January 2021 to December 2023. A total of 429 patients who underwent a spinal block for cesarean section were selected using purposive sampling. The data were analyzed using descriptive statistics and the Chi-square test.

Results: Forty point eight percent (40.80%) of patients experienced PONV within 24 hours of surgery. Age was a significant factor, with patients aged 15 - 44 years having a significantly higher likelihood of nausea compared to other age groups (p < .05). Furthermore, the administration of preventive drugs significantly reduced the incidence of nausea and vomiting (p < .05).

Conclusions: Patients undergoing spinal block for cesarean section are likely to experience PONV.

Implications: Close monitoring and observation may help manage and reduce the incidence of PONV in these patients, ensuring patient comfort, preventing complications, and promoting continuous quality improvement in anesthesia practices.

The Development of a Home-Based Continuous Nursing Care Model for Stroke Patients with Family Participation in Udon Thani Province

Darawan Torrapeesing — 2025-12-10

Introduction: Stroke is a leading cause of disability and dependency worldwide. Effective home-based continuous care is essential to prevent complications, enhance recovery, and improve quality of life for stroke survivors.

Research objectives: 1) To study the situation and problems of caring for stroke patients at home 2) To develop and evaluate the effectiveness of the continuous care model for stroke patients at home with family involvement in Udon Thani.

Research methodology: This action research was conducted in 3 phases: 1) assessing current conditions, 2) developing a continuous care model for stroke patients, and 3) monitoring and evaluating outcomes using the Health Belief Model (HBM) and family participation as a conceptual framework. Participants included 60 stroke patients, 60 primary caregivers, and 25 multidisciplinary personnel, purposively selected from five network hospitals. Research instruments comprised questionnaires on knowledge, beliefs, attitudes, and caregiving behaviors; an ADL assessment form; interview guidelines; and a satisfaction survey. Content validity was verified using the Index of Item Objective Congruence (0.67 - 1.00). The reliability was .79 (Cronbach's Alpha), and the knowledge test reliability was .80 (KR-20). Quantitative data were analyzed using descriptive statistics and paired t-tests, while qualitative data was analyzed using content analysis.

Results: The continuous nursing care model for stroke patients at home, implemented with family participation through activities that enhanced self-efficacy and reflection via a nursing care diary, significantly improved primary caregivers’ knowledge, understanding, health perceptions, and caregiving behaviors (p < .001).

Conclusions: The model strengthened caregiver capacity based on the Health Belief Model (HBM) and family participation concepts by enhancing perceived benefits and self-efficacy, while reducing perceived barriers to care. As a result, patients tended to achieve greater independence in performing daily activities.

Implications: The model should be expanded to other healthcare settings with contextual adaptations and supported by ongoing practical training for caregivers in the community.

A Synthesis of Studies on Palliative Care for Cancer Patients Integrating The Wisdom of Thai Traditional Medicine

Somporn Jitruttanaporn — 2025-12-10

Introduction: Palliative care for cancer patients, incorporating Thai traditional medicine, aims to improve their quality of life. Understanding the integration of Thai traditional wisdom in this care is critical.

Research objectives: To review the characteristics of research and the body of knowledge on palliative care for cancer patients using Thai traditional medicine and to evaluate the outcomes of its application.

Research methodology: This descriptive research employed a research synthesis approach. Relevant literature was identified using the keywords: palliative care, cancer patients, and Thai traditional medicine. Reviewing 20 studies that met the quality criteria.

Results: Most of the studies were quantitative, 13 studies and seven were qualitative. The findings were synthesized into three categories: care models, procedures, and methods. Outcomes were classified as physical (Kayanamaya), mental (Cittanamaya), and social and environmental well-being (Jivitanamaya). Patients experienced enhanced quality of life, increased security, and alleviated suffering, facilitating a more peaceful end-of-life.

Conclusions: Thai traditional medicine-based palliative care significantly improves the holistic quality of life of patients with cancer.

Implications: Holistic integrative palliative care, which incorporates Thai traditional wisdom and is supported by multidisciplinary as well as community-based approaches, should be promoted to ensure dignified end-of-life care.

Effectiveness of Debriefing for Meaningful Learning in High-fidelity Simulation-Based Learning on Clinical Reasoning and Clinical Decision Making of Nursing Students: A Mixed-Methods Research

Somchit Sinthuchai — 2025-12-10

Introduction: Debriefing for meaningful learning is a reflective model that helps nursing students develop clinical reasoning and learn to think like nurses.

Research objectives: To determine the effect of debriefing for meaningful learning in high-fidelity simulation-based learning on clinical reasoning and clinical decision making of nursing students

Research methodology: Mixed-methods research was conducted among 75 third-year nursing students at Boromarajonani College of Nursing, Saraburi. The control and experimental groups were selected using simple random sampling with 38 and 37 participants, respectively. The research instrument had two parts: 1) The Nurse Clinical Reasoning Scale and 2) the clinical decision-making ability tests, with reliability indices of .81 and .82, respectively. Quantitative data were analyzed using descriptive statistics and independent t-tests. Qualitative data were analyzed using content analysis.

Results: 1) the mean scores of clinical reasoning and clinical decision making in the experimental group were significantly higher after the intervention than before the intervention (p < .001) and were significantly higher than those of the control group after the intervention (p < .05 and p < .001) respectively, and 2) focus group analysis showed four major themes: 1) recognition through visual cues, 2) the value of clinical reasoning, 3) confidence in decision-making, and 4) learning from errors.

Conclusions: Debriefing for meaningful learning is an effective strategy for enhancing nursing students’ clinical reasoning and decision-making skills.

Implications: The concept of debriefing for meaningful learning should be effectively integrated into simulation-based learning.

Self-care in Individuals with Noncommunicable Diseases and Its Associated with E-health Factors

Nantiwa Nantagonpitak — 2025-12-10

Introduction: Currently, healthcare systems are using eHealth to improve service efficiency and patient outcomes. Studying factors related to eHealth will provide information to promote self-care among individuals with noncommunicable diseases.

Research objectives: This study aimed to examine the relationships between eHealth literacy, attitudes towards eHealth use, social support for eHealth use, and self-care among individuals with noncommunicable diseases.

Research methodology: This research adopted a descriptive correlational research design. A purposive sampling was employed to recruit 135 participants with noncommunicable diseases from a medical outpatient department at a tertiary hospital in Bangkok. Data were collected using the personal information questionnaire, the eHealth literacy questionnaire, the attitudes towards eHealth use questionnaire, the social support in eHealth use questionnaire, and the Self-Care of Chronic Illness Inventory. Data were analyzed using descriptive statistics and Spearman's rank correlation coefficient.

Results: The results showed that eHealth literacy (r = .36, p < .001) and attitudes toward eHealth use (r = .38, p < .001) had a significantly low positive correlation with self-care, while social support in eHealth use had a significantly very low positive correlation with self-care (r = .18, p < .05).

Conclusions: eHealth literacy, attitudes toward eHealth use, and social support in eHealth use are positively associated with self-care among individuals with noncommunicable diseases.

Implications: Healthcare providers should recommend the use of eHealth and facilitate patients' access to reliable and accurate online health information.

The Effect of Online Health Education for Anemia Prevention on Knowledges and Food & Drugs Consuming Behaviors among Pregnant Women in Antenatal Care Clinic at Songdao Hospital

Chanthida Nimitkul — 2025-12-10

Introduction: Anemia during pregnancy is a significant public health concem that affects both mothers and fetuses. The primary factors contributing to anemia include poor dietary habits and inadequate intake of iron supplements, which may result from a lack of understanding about their importance.

Research objectives: This study aimed to evaluate the effects of an online health education program on the knowledge, dietary habits and supplement intake behaviors among pregnant women.

Research methodology: A quasi-experimental study was conducted at the antenatal care clinic of Songdao Hospital. Thirty-four pregnant women who met the inclusion criteria were consecutively sampled and equally assigned to an experimental group (n = 17) and a control group (n = 17). The intervention, developed based on Bandura's Theory, was delivered via the LINE application in addition to routine nursing care, while the control group received only routine care. Data were collected using a knowledge assessment on anemia (Cronbach's alpha .70, Content Validity Index 1) and a behavior questionnaire on dietary and supplement intake (Cronbach's alpha .92, Content Validity Index 1). Data were analyzed using descriptive statistics, paired t-test, Wilcoxon matched-pair signed-rank test, McNemar Chi-square, and Chi-square tests.

Results: The experimental group had significantly higher knowledge scores and improved dietary and supplement intake behaviors compared to their pre-test scores and the control group (p < .05).

Conclusions: The online health education program is effective in enhancing knowledge and promoting healthier dietary and supplement intake behaviors among pregnant women.

Implications: Integrating online health education programs into antenatal care services can enhance maternal health promotion.