Journal of Boromarajonani College of Nursing, Surin

Development of a Community-Based Network of Care Model for Schizophrenia Patients

Prapassara Khemngoen, Sutteeporn Moolsart, Rangsiman Soonthornchaiya — Thu, 18 Dec 2025 00:00:00 +0700

This research and development aims to: 1) develop a community-based network model for schizophrenia care and 2) study the outcomes of this model on schizophrenia symptoms, life skills, and community network partner collaboration. The research was conducted in two phases: Phase 1 involved developing the care network model through focus group discussions and content analysis. The sample was purposively selected and included 16 caregivers of schizophrenia patients and 17 community network partners. Phase 2 examined the outcomes of using the model through a single-group pre- and post-experimental design. The sample included 10 patients and their families and 45 community network partners. Research instruments included semi-structured interviews, mental status assessments, life skills assessments, and participation questionnaires. Content validity was found to be between .90 and 1.00, and Cronbach's alpha coefficient of reliability was between .94 and .99. Data analysis used descriptive statistics, content analysis and paired t-tests.

The research findings indicate that 1) the community-based network model for schizophrenia care has two phases: (1) the emergency phase and (2) the maintenance or stabilization phase. Network partners include family, village head or assistant, police, monks, public health personnel, district officer, local administrative organization, and emergency medical services. The emergency phase assesses problems and refers patients for treatment, while the maintenance or stabilization phase implements the activities developed in the model. 2) After using the network care model, patients with schizophrenia showed fewer psychiatric symptoms, better life skills, and network partners were more involved than before using the model, with statistically significant differences at the .05 level. (t=3.32,
p = 0.009, t =-2.84, p = 0.01, t = -27.69, p = 0.00). Therefore, the community-based network model for schizophrenia care can be scaled up to other areas.

The Relationship and Predictive Power between Health Literacy and Preventive Behaviors Against Unwanted Pregnancy among Adolescent Female

Chutchadaporn Jantarasuk, Kusumon Saenbunma — Sun, 07 Dec 2025 00:00:00 +0700

The descriptive research aims to examine the relationship and predictive power between health literacy and preventive behaviors against adolescent pregnancy among adolescent females. The sample consisted of 98 female adolescents in a suburban community in Surin Province, Thailand, who were selected purposively from those meeting the specified criteria. Data collection tools included a general information questionnaire, a health literacy scale for premature pregnancy prevention for female adolescents (including health understanding, access to health information and services, communication for expertise enhancement, self-management of health conditions, media and information literacy, making correct practical decisions), and premature pregnancy prevention behaviors. The reliability of the tools was 0.89, 0.95, 0.96, 0.85, 0.92, 0.96, and 0.80. Data were analyzed using descriptive statistics, correlation statistics, and stepwise multiple regression analysis.

The research findings indicate that health literacy, communication for expertise enhancement, and self-management of health conditions are positively correlated with early pregnancy prevention behaviors, with statistical significance at the level of p < .001. Access to health information and services, Media and information literacy is positively correlated with early pregnancy prevention behaviors, with statistical significance at the level of p < .01. Health literacy and access to health information and services together can predict 36.1% of early pregnancy prevention behaviors (R² = 0.361, F = 26.820, p = .000). Based on the research results, it is recommended that relevant public health personnel organize activities or programs focusing on promoting health literacy and access to health information and services to prevent early pregnancy.

Health Literacy and Factors Associated with Breast Self-Examination Screening Behavior among Women in Non-Narai District, Surin Province

Arunee Khumthong, Krittiyanee Thammasarn — Sun, 07 Dec 2025 00:00:00 +0700

Breast cancer is common in women and is curable if diagnosed early. This analytical cross-sectional study aimed to examine the level of health literacy and the factors associated with breast self-examination (BSE) behaviors among women. The study population consisted of 5,392 women who had not been diagnosed with breast cancer and had lived in Non Narai District, Surin Province, for at least one year. A total of 836 women aged 30–70 years were selected as the sample. The research instruments included a general information questionnaire, a health literacy questionnaire on breast cancer, and a BSE behavior questionnaire based on breast palpation during the past six months. The index of item–objective congruence ranged from 0.67 to 1.00. The reliability of the health literacy questionnaire, tested using Cronbach’s Alpha coefficient, was 0.96. Data were collected in November 2024 and analyzed using descriptive statistics and multiple logistic regression.

The results showed that overall health literacy regarding breast cancer is at a good level or higher, at 75.7%. 84.45% of participants had performed BSE within the past six months. Factors significantly associated with BSE behavior (p< 0.05) included age, regular exercise, annual health check-ups, prior clinical breast examinations by healthcare professionals, access to breast cancer information from multiple sources, and overall health literacy, particularly in accessing health information and understanding breast cancer prevention. Recommendations, public health agencies should promote health literacy, support exercise, and provide health checkups to encourage women to engage in more
self-breast examinations.

Effects of Enhanced Comfort Program on Pain and Abdominal Distention for Postpartum Mothers with Cesarean Section

Anutrthida Srisaknok, Umaporn Kuasit, Kochaporn Singhala — Sun, 07 Dec 2025 00:00:00 +0700

This study is quasi-experimental with a posttest control group design. The research aimed at investigating the effects of a comfort program on pain and abdominal distention in postpartum mothers who underwent cesarean section. The sample was purposive selected from individuals meeting the specified criteria, comprising 118 mothers who had cesarean sections. They were divided into a control group of 59 and an experimental group of 59. The research intervention was the postpartum cesarean section comfort program divided into 2 parts: 1) before cesarean, build relationships and provide advice to promote well-being, and 2) after cesarean, plan to promote physical, spiritual, social, and environmental comfort, as well as a manual to promote comfort after cesarean section. Data collection tools included 1) a personal information questionnaire, 2) a pain record form, and 3) an abdominal distention assessment form. Content validity was assessed and yielded values of 0.84, 0.80, and 0.92. The reliability of the data collection tool was examined by calculating Cronbach's alpha for the abdominal distention assessment form, which yielded a value of 0.87. Test-retest reliability of the pain score record form was 0.80. General data were analyzed using descriptive statistics, and pain between the experimental and control groups was compared using independent
t-tests.

The study results showed that the experimental group had significantly lower average pain scores and average abdominal distention scores at 24 and 48 hours compared to the control group (p < .001). Recommendations, nurses in the postpartum ward should implement the program in the care of mothers after cesarean section to help reduce postoperative complications and serve as a guideline for improving the efficiency of nursing care.

Effectiveness of a Health Behavior Modification Combined with Oral Health Care Program among Type 2 Diabetes Patients in Naengmut Sub district, Kap Choeng District, Surin Province

Chuchai Chuenban — Mon, 08 Dec 2025 00:00:00 +0700

This two-group pretest–posttest design quasi-experimental research, aims to investigate the effectiveness of a health behavior modification program combined with oral health care in patients with type 2 diabetes in Naeng Mut Subdistrict, Kap Choeng District, Surin Province. The sample size is 60 participants, divided into an experimental group and a control group, with 30 people in each group. The research tools are divided into 1) intervention tools, including the health behavior modification program, and 2) data collection tools, including questionnaires on health and dental care behaviors. The content validity of the program and the questionnaire was assessed, yielding values of 0.92 and 0.86, respectively. The reliability of the questionnaire was assessed by calculating Cronbach's alpha coefficient, which was found to be 0.76. Data collection will be conducted from December 1, 2024, to March 31, 2025, and data will be analyzed using descriptive and inferential statistics.

The research findings indicate that scores for health and oral care behaviors were significantly higher than before the intervention and compared to the control group (p< 0.001). Plaque index and gingival index values, as well as average blood sugar levels (HbA1C), were significantly lower than before the intervention (p< 0.001). Average blood sugar levels (HbA1C) in the intervention group were significantly lower than in the control group (p< 0.05). This study indicates that a health behavior modification program combined with oral health care is effective in promoting blood sugar control and improving oral health in patients with type 2 diabetes. Therefore, such programs should be integrated into primary healthcare services, with long-term follow-up to assess the sustainability of patients' health behaviors.

The Effects of Learning Module for Smoking Cessation and Development of Self-Efficacy to Smoking Behavior and Smoke-Free Family of Nursing Students

Orathai Rungvachira, Peeraya Suteerangkul — Mon, 08 Dec 2025 00:00:00 +0700

A one-group pre- and post-experimental study aimed to investigate the effects of a smoking cessation learning package and self-efficacy development on smoking behavior and smoke-free families among nursing students. The sample was selected by simple random sampling using a lottery, consisting of 52 nursing students and 52 family members who smoke. The research tools were divided into 1) research implementation tools, including a smoking cessation learning package using the 5A, 5R, and 5D principles for smoking cessation, and data collection tools, including a smoking behavior assessment form and a self-efficacy belief questionnaire. Content validity was assessed, with a content validity index ranging from .67 to 1.00. The reliability of the self-efficacy belief questionnaire was .94, and the reliability of the smoking behavior assessment form using the standard Fagerstrom test for Nicotine Dependence was .94. Data were analyzed using descriptive statistics and paired t-tests.

The research findings showed that after the intervention, all families had a no-smoking rule and displayed a smoke-free family symbol, representing 100%. 9.6% of participants successfully quit smoking. Family smokers had a significantly lower average nicotine dependence score after the intervention (p < 0.05). Nursing students had a significantly higher average self-efficacy score after the intervention (p < 0.05). In conclusion, the learning package designed to help quit smoking, utilizing the 5A, 5R, and 5D principles, and aimed at developing self-efficacy beliefs in nursing students, resulted in a decrease in smoking behavior and an increase in smoke-free families.

The Relationships between the Ethical Climate in the Workplace, the Ethical Leadership of Head Nurses, and the Ethical Behaviors of Professional Nurses in Southern Tertiary Hospitals

Suwida Chotsuwan, Sasithorn Laimek, Pratyanan Thiangchanya — Sat, 13 Dec 2025 00:00:00 +0700

This correlational research aimed to examine the relationships between the ethical climate in the workplace, the ethical leadership of head nurses, and the ethical behaviors of professional nurses in southern tertiary hospitals. The sample group consisted of 120 professional nurses from a tertiary hospital in Southern Thailand, selected through multi-stage sampling. Data collection took place between September and November 2024. The research instruments used were a general information questionnaire, an ethical behavior scale, an ethical climate scale, and an ethical leadership scale. Content validity was assessed, yielding values of 0.91, 1.00, and 0.98, respectively. The reliability of the questionnaires was assessed, yielding values of 0.95, 0.96, and 0.98, respectively. Data were analyzed using descriptive statistics and Pearson correlation coefficients.

The findings revealed that the ethical behaviors of the nurses were at a good level (M = 4.13, SD = 0.25), with the highest score in honesty (M = 4.20, SD = 0.43). The workplace ethical climate was at a high level (M = 4.07, SD = 0.28), and the ethical leadership of the head nurses was at a high level (M = 4.11, SD = 0.23). The workplace ethical climate had a very low positive relationship but was not statistically significant with ethical behaviors (r=.10, p=.23), while the ethical leadership of the head nurses showed a very low positive relationship with ethical behavior (r=.18, p=.04). The findings of this study can be used to develop policies that encourage nurse managers to serve as ethical role models in leadership and team collaboration. Additionally, it highlights the importance of supporting ethics training programs to enhance skills and foster a sustainable organizational culture.

The Relationships among Gender, Age, Depression, Perceived Stigma, and Family Relationship with Suicide Risk in Psychiatric Patients

Ampai Pokum, Malatee Rungruangsiripan, Sopin Sangon — Fri, 12 Dec 2025 00:00:00 +0700

This descriptive correlational study examined relationships among gender, age, depression, perceived stigma, and family relationship with suicide risk in patients with psychiatric problems. The participants were 212 patients who visited the psychiatric outpatient unit of a psychiatric hospital in Northeast Thailand and met the inclusion criteria. Data were collected by interview using five questionnaires, including socio-demographic questionnaires, Family Relationships Questionnaire, Thai Depression Inventory, The Perceived Stigma Questionnaire. The reliability of questionnaires measured by Cronbach's alpha statistics values of .95, .94, and .73, respectively. And Mini International Neuropsychiatric Interview Module C. Suicidality using the split-half coefficient yielding values of .70. Descriptive statistics, Point-biserial correlation, and Spearman's rank-order correlation were used for data analysis.

Results showed that female was positively and significantly related to suicide risk (r_pb = .14, p < .05). Depression and perceived stigma had a positively significant relationship to suicide risk (r_s = .57, p < .05; r_s= .34, p < .05, respectively). Age and family relationship had a negatively significant relationship to suicide risk (r_s = -.34, p< .05; r_s= -.40, p < .05, respectively). The results of this study can be used as a basic information for the development of planning prevention and protocols for helping psychiatric patients with suicidal problems.

Digital Competencies Among Nursing Administrators in a Tertiary Hospital

Tue, 16 Dec 2025 00:00:00 +0700

This cross-sectional descriptive survey research aimed to study digital competencies among nursing administrators in four dimensions: digital literacy, digital skills, problem-solving with digital tools, and adaptive digital transformation. The sample consisted of 66 nursing administrators, including nursing department heads, division heads, and ward head nurses with at least one year of administrative experience at Buriram Hospital. The research instrument was a digital competency questionnaire with a reliability coefficient of 0.85. Data were analyzed using descriptive statistics.

The results revealed that the overall digital competency of nursing administrators was at a high level (M = 3.71, SD = 0.78). When considering each dimension, digital literacy had the highest mean score (M = 3.93, SD = 0.79), followed by adaptive digital transformation (M = 3.69, SD = 0.69), problem-solving with digital tools (M = 3.61, SD = 0.84), and digital nursing skills (M = 3.59, SD = 0.79), respectively. Interestingly, it was found that the groups with higher digital competencies than others were the 40-45 year old age group (M = 3.80, SD = 0.71), the nursing division heads (M = 3.80, SD = 0.67), and the group with 1-2 years of administrative experience (M = 3.74, SD = 0.63). These findings provide foundational insights for designing compentcy development programs and enchnaing the integration of digital technologies in nursing leadership.

The Effect of a Low-Sodium Dietary Promotion Program Using Social Support on Knowledge, Sodium Intake Behaviors, and Blood Pressure Levels among Patients with Uncontrolled Hypertension

Wannaporn Boonpleng, Darin Phokaew, Charinrat Sirithawee — Tue, 16 Dec 2025 00:00:00 +0700

This one-group pre- and post-experimental study aimed to investigate the effects of a low-sodium dietary promotion program using social support on knowledge, sodium consumption behavior, and blood pressure levels in patients with uncontrolled hypertension. The sample consisted of 25 participants selected through purposive sampling. The research instruments were divided into 1) experimental instruments, including the low-sodium dietary promotion program using social support, and 2) data collection instruments, including a knowledge questionnaire about sodium consumption, a sodium consumption behavior questionnaire, and blood pressure level assessment. The content validity of the knowledge questionnaire was evaluated, and all items demonstrated IOC values greater than 0.50, and the CVI for the sodium consumption behavior questionnaire was 0.80. The reliability values were 0.87 and 0.70, respectively. Data were analyzed using descriptive statistics, the Wilcoxon signed-rank test, and the paired t-test.

The research findings indicate that after the intervention, the average knowledge scores of hypertensive patients significantly increased compared to before the program (p = 0.01). Most sodium consumption behaviors were at a moderate level (68%), and after participating in the program, it was found that hypertensive patients with uncontrolled blood pressure had significantly lower average blood pressure values than before the program (systolic blood pressure t = -4.43, p < 0.01; diastolic blood pressure t = -2.15, p = 0.04). In conclusion, the low-sodium food consumption promotion program using social support is effective in increasing knowledge about low-sodium consumption and controlling blood pressure levels in uncontrolled hypertensive patients.