Journal of Boromarajonani College of Nursing, Surin

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.