Journal of Health Sciences Scholarship

Factors Associated with Burnout Syndromes among Community Public Health of Sub-district Health Promoting Hospitals in Khon Kaen Provincial Administration Organization

Tue, 04 Nov 2025 00:00:00 +0700

This study aimed to investigate factors associated with burnout among community public health professionals in Sub-district Health Promoting Hospitals under the Khon Kaen Provincial Administrative Organization. Using a cross-sectional analytical research design, the study included 183 community public health professionals as participants. Data were collected through questionnaires covering socioeconomic factors, social support from supervisors and colleagues, stress factors, and quality of work life. The research instrument was validated by three experts; the content validation process yielded a Content Validity Index of 1.0 for all items and an overall reliability of 0.92. Data collection occurred between November 10 and December 10, 2024. Data analysis employed descriptive statistics and inferential statistics using Multiple Logistic Regression. Results are presented with AOR, 95% CI at a significance level of 0.05.
The results revealed that 56 community public health professionals (30.60%, 95% CI:0.24-0.37) experienced high levels of burnout. Factors significantly associated with burnout included quality of work life dimensions: specifically, those with low to moderate opportunities for developing personal capabilities (AOR = 7.07, 95% CI: 2.99-16.72, p-value < 0.001) and those with low to moderate work-life balance (AOR = 2.89, 95% CI: 1.07-7.77, p-value < 0.001). Therefore, providing support to community public health professionals, specifically concerning personal capability development and work-life balance, is crucial for preventing occupational burnout.

Factors Affecting Academic Achievement of Nursing Students in Bachelor of Nursing Science Program (2.5 years), School of Nursing, Panyapiwat Institute of Management

Nitima Suparee, Onchira Vadtanapong — Fri, 21 Nov 2025 00:00:00 +0700

This descriptive correlational research aimed to examine factors affecting the academic achievement of nursing students, focusing on personal factors, learning strategies, and educational facilities. The sample consisted of 23 first-year nursing students in the Bachelor of Nursing Science Program (2.5 years) at the School of Nursing, Panyapiwat Institute of Management. The research instruments included data record forms and questionnaires assessing personal learning motivation, learners’ satisfaction with learning strategies, and learners’ satisfaction with educational facilities. The Cronbach’s Alpha Coefficients for the instruments were .82, .81, and .80 respectively. Data were analyzed using frequency, percentage, mean, and standard deviation. Pearson’s correlation and Chi-square were used to test the relationships between variables. The findings indicate that the majority of the sample group had a high level of learning motivation and a moderate level of satisfaction with learning management, but only a low level of satisfaction with learning strategy and the educational facilities in the institution. Furthermore, the study revealed a moderate correlation (r=.547, p=.007) between participants’ previous bachelor degree’s GPAX and their GPAX of the first year in bachelor of nursing science program of study, which was statistically with statistical significance (p<.01).
Based on the findings, it is recommended that broader criteria for recruiting new students to the Bachelor of Nursing Science program could provide greater opportunity for numerous students in Thailand. Expanding the eligibility criteria for admission to the Bachelor of Nursing Science program creates greater educational opportunities by considering applicants with a cumulative undergraduate GPA of 3.00 or higher. This criterion helps identify students who demonstrate strong potential for high-level learning achievement, while supporting the program’s commitment to continuously enhancing the quality of teaching and learning

Effects of a Self-Management Program on Health Behaviors, Waist Circumference, Body Mass Index, Body Fat Percentage, and Blood Pressure Levels among Hypertension Risk Groups in the Outpatient Department of Pa Daet Hospital, Chiang Rai Province

Onnitcha Janyo, Threeraphan Janpeng — Fri, 14 Nov 2025 00:00:00 +0700

This quasi-experimental study aimed to examine the effects of a self-management program on health behaviors, waist circumference, BMI, body fat percentage, and blood pressure in individuals predisposed to hypertension. The sample comprised 52 people at risk of hypertension who were admitted to the outpatient department of Pa Daet Hospital in Chiang Rai province. Both the control and experimental groups comprised 26 persons each. The research instruments utilized included 1) a self-management program developed by the researchers; 2) a health behavior questionnaire for individuals at risk of hypertension, demonstrating a content validity index of .96 and a reliability of .71, as assessed by Cronbach’s alpha coefficient; 3) a digital sphygmomanometer; and 4) an automatic scale and height measurement apparatus. Data were analyzed using descriptive statistics, paired t-tests, independent t-tests, and Mann-Whitney U tests.
The results demonstrated that the cohort engaged in the self-management program had significantly higher average health behavior scores (mean = 71.62, S.D. = 7.80) in comparison to their pre-program scores (mean = 68.23, S.D. = 6.11) and above the control group receiving conventional care. Post-program participation resulted in a reduction in the average waist circumference, body mass index, body fat percentage, and systolic blood pressure of the participants relative to their pre-program values. Furthermore, the systolic blood pressure was significantly lower than that of the control group (p < .05). However, the waist circumference, body mass index, body fat percentage, and diastolic blood pressure levels showed no significant differences between the experimental and control groups. The self-management program substantially assists the hypertensive risk group in embracing enhanced health practices and reducing hypertension risk.

Effects of a Basic Life Support Learning Program on Knowledge, Skills, and Confidence Among Upper Primary School Students in Uttaradit Province

Seubtrakul Tantalanukul, Pornkamon Wiswisut — Tue, 09 Dec 2025 00:00:00 +0700

Out-of-hospital cardiac arrest in Thailand has a low survival rate of only 2.00–8.00%, whereas bystander cardiopulmonary resuscitation (CPR) can increase the chance of survival by two to three times. This one-group repeated-measures quasi-experimental study aimed to examine the effects of a compression-only basic life support learning program on knowledge, skills, confidence, and the retention of knowledge, skills, and confidence among upper primary school students in Uttaradit Province. A total of 60 participants joined the 90–120-minute program, which consisted of lectures, demonstrations, and small-group practice. Outcomes were assessed at four time points: before training (T0), immediately after training (T1), one month (T2), and three months after training (T3). Data were analyzed using a Linear Mixed-Effects Model.
The results showed that knowledge scores increased significantly (from 5.80 ± 2.10 to 12.40 ± 1.80, p < 0.001), with retention rates of 87.90% at one month and 74.20% at three months. Chest compression skills improved across all indicators: correct depth increased from 12.30% to 68.50%, correct rate from 22.50% to 76.80%, and full chest recoil from 35.20% to 82.30% (p < 0.001). Retention at one month was 76.50%, 83.70%, and 86.90% respectively. At three months, correct compression depth declined to 60.10%. Confidence increased from 18.30 ± 5.20 to 39.70 ± 4.60 (p < 0.001), with retention rates of 91.20% at one month and 81.90% at three months. In conclusion, the program was effective in improving knowledge, skills, and confidence, as well as maintaining good retention. Regular refresher training every three months is recommended to sustain the quality of chest compressions.

Targeted Immunotherapy

Thu, 20 Nov 2025 00:00:00 +0700

Targeted immunotherapy represents a major advancement in cancer treatment by enhancing the immune system’s ability to specifically recognize and eliminate tumor cells while minimizing damage to normal tissues. This article reviews over 100 relevant studies and synthesizes essential knowledge for explaining mechanisms of action, clinical applications across various cancer types, therapeutic outcomes, limitations, challenges, and future perspectives. Current evidence indicates that targeted immunotherapy can significantly improve survival outcomes and quality of life in patients. However, challenges remain, including tumor immune evasion, immune-related adverse events, and the lack of reliable predictive biomarkers. With ongoing advances in genomics, artificial intelligence, and personalized neoantigen vaccines, targeted immunotherapy has the potential to become a cornerstone of precision oncology in the near future.