Journal of Thai Stroke Society

Stroke News

Napasri Chaisinanunkul — 2025-12-24

Public Relations

Sureerat Suwatcharangkoon — 2025-12-24

Predictive Factors for Timely Treatment in Patients with Ischemic Stroke: A Cross-Sectional Study

Nareerat Samosorn — 2025-12-24

This study aimed to examine the average decision-making time for seeking treatment, and identify the predictive factors for timely treatment among patients with ischemic stroke. The sample comprised 150 patients diagnosed with ischemic stroke who sought treatment at the outpatient department of Langsuan Hospital, Chumphon Province, Thailand, and were selected using simple random sampling. Research instruments included a personal information questionnaire, the Trust in Healthcare Professionals Scale, the Social Support Assessment, the Health Perception Assessment, and the National Institutes of Health Stroke Scale (NIHSS) for assessing stroke severity. Data were analyzed using stepwise multiple regression.

Results revealed that patients took an average of 305.32 minutes (SD = 231.79) after symptom onset to arrive at the hospital. Two factors were found to be statistically significant predictors of timely treatment: health perception (β = .456, p < .001) and stroke severity (β = .415, p < .001). Together, these factors accounted for 53.60% of the variance in timely treatment (R² = .536, p < .001).

Implications: Based on these findings, nurses can utilize the results as a framework for developing targeted interventions or programs to reduce delays in seeking treatment, with a particular focus on enhancing patients’ health perception and awareness of stroke severity.

Factors Predicting Anxiety in Caregivers of Stroke Patients in the Intensive Care Unit

Uayporn Pimarn — 2025-12-24

This descriptive research aimed to examine the level of anxiety and its predictive factors, including social support, perceived health status, and stroke severity, among caregivers of stroke patients admitted to the intensive care unit (ICU). The study sample consisted of 138 direct relatives of stroke patients aged 20 years and above, selected through simple random sampling from Lang Suan Hospital, Chumphon Province. The research instruments included a personal information questionnaire, a perceived health status interview, a social support scale, the National Institutes of Health Stroke Scale (Thai version) (stroke severity), and the State-Trait Anxiety Inventory for caregivers (Anxiety)

The findings revealed that 68% of caregivers experienced moderate levels of anxiety. Multiple regression analysis indicated that significant predictors of caregiver anxiety were stroke severity (β = .299, p < .001), perceived health status (β = –.210, p < .001), and social support (β = –.185, p < .001). Together, these variables explained 64.6% of the variance in caregiver anxiety (R² = .646, p < .001).

Efficacy of humanistic music therapy for healing patients with post-storke depression

Aksorn Tobanleng — 2025-12-24

The purpose of this study is to examine the efficacy of Humanistic Music Therapy to reduce post-stroke depression. The method is a single-case design (ABAB). The participant is diagnosed with post-stroke depression who was admitted to the rehabilitation medicine ward 5 at Phramongkutklao hospital. The study uses the Thai Geriatric Depression Scale (TGDS) to assess and measure the level of depression. Cortisol hormone levels in saliva using High Performance Liquid Chromatography (HPLC). It employs an ABAB design, alternating between baseline (A) and music therapy (B) phases, including music listening, improvisation, song analysis, music for relaxation. Both phrases occur between 3:00 p.m. to 4:00 p.m. over 12 sessions. Depression scores were reported as graph and compared between baseline and music therapy phases.

The study observed a consistent decline in depression scores during the music therapy period, with the average score decreased from 15.33 at the beginning to 9.33 points at the study's end. Cortisol levels in saliva, a stress marker, decreased significantly from 0.165 to 0.131 µg/dL post-therapy. This reduction suggests a decrease in stress and anxiety, correlating with the decline in depression scores.

In summary, Humanistic Music Therapy has demonstrated its potential to reduce depression in stroke patients. The aesthetic qualities of music have a profound influence, stimulating mood and enabling patients to express their emotions and self-reflection. This process motivates individuals to believe in their own potential and, ultimately, leads them towards a state of pleasure and happiness.

Message from President of Thai Stroke Society

chesda Udommongkol — 2025-12-24

Editorial

Napasri Chaisinanunkul — 2025-12-24