Journal of Prachomklao College of Nursing, Phetchaburi Province

Development and Effectiveness Evaluation of a Spiritual Dimension Nursing Model on Anxiety and Quality of Life in Cancer Patients Receiving Chemotherapy at Nakornping Hospital

2025-11-02T15:57:04+07:00

This research and development study aimed to develop and evaluate a spiritual nursing care model for cancer patients receiving chemotherapy. The study was conducted in three phases: 1) exploration of the current situation and problems in spiritual nursing care, 2) development of a spiritual nursing care model, and 3) evaluation of the model’s effectiveness. The sample consisted of 64 cancer patients undergoing chemotherapy, assigned to an experimental group (n = 32) and a control group (n = 32). Data were collected using the State–Trait Anxiety Inventory and the Functional Assessment of Cancer Therapy questionnaire, with Cronbach’s alpha coefficients of .92 and .87, respectively. Data were analyzed using descriptive statistics and t-tests. The findings revealed that

1. Major problems and barriers to spiritual nursing care include excessive workload and limited time, lack of clear practice guidelines, non-conducive care environments, and difficulties in communicating about spiritual issues. The developed spiritual nursing care model comprises five components: compassion and understanding, listening and perceptual skills, spiritual knowledge and experience, holistic care, and integration of spirituality into nursing practice. Model implementation involved four processes: spiritual needs assessment, individualized care planning, implementation of the care plan, and continuous evaluation and follow-up.

2. The experimental group demonstrated significantly lower anxiety scores compared with pretest (t = 3.50, p < .001) and the control group (t = 2.09, p < .05). In addition, quality of life scores in the experimental group are significantly higher than at pretest (t = 3.02, p < .01) and compare with the control group (t = 4.55, p < .01).

It is recommended that nursing administrators support training programs to enhance nurses’ spiritual care competencies, allocate adequate time and resources, and establish systematic policies to integrate spiritual care into routine nursing practice.

The Effectiveness of a Capacity-Building Program for Formal Caregivers in Caring for Dependent Older Adults in Nong Bua Lamphu Province

2025-12-26T16:21:47+07:00

This quasi-experimental study employed a two-group pretest–posttest design to examine the effects of a capacity-building program for formal caregivers of dependent older adults on caregivers’ knowledge, caregiving ability, role satisfaction, and older adults’ satisfaction with the care received. The participants consisted of formal caregivers who completed a 420-hour caregiver training program and dependent older adults residing in Nong Bua Lamphu Province. The sample was divided into an experimental group and a comparison group, with 32 caregiver–older adult dyads in each group. The intervention was a capacity-building program for formal caregivers developed based on Kolb’s Experiential Learning Theory. Data were collected using questionnaires administered to formal caregivers and older adults. The caregiver questionnaires demonstrated good reliability, with a KR-20 coefficient of .91 and Cronbach’s alpha coefficients of .98 for caregiving ability and caregiver role satisfaction. The older adults’ satisfaction questionnaire showed a Cronbach’s alpha coefficient of .90. Data were analyzed using descriptive statistics and independent and paired t-tests.

The results revealed that, after participating in the program, formal caregivers in the experimental group demonstrated significantly higher levels of knowledge, caregiving ability, and caregiver role satisfaction compared with their pretest scores (t = 8.97, 22.99, 27.70; p < .001). Additionally, these outcomes were significantly higher than those of the comparison group (t = 9.05, 22.57, 26.64, p < .001). Furthermore, older adults in the experimental group reported significantly higher satisfaction with the care received than those in the comparison group (t = 23.35, p < .001).

The findings suggest that the capacity-building program is effective in enhancing caregiving outcomes and satisfaction and may be applied in other areas with similar contexts, particularly among older adults with chronic conditions.

The Effectiveness of a Lifestyle Modification Program Leading to Diabetes Remission for Patients with Type 2 Diabetes in Samutsakhon Province

2025-10-30T17:05:25+07:00

The quasi-experimental study with a two-group pretest-posttest design involved a sample of type 2 diabetes patients with a BMI of 25 kg/m² or more, residing in Samut Sakhon Province. The samples were randomly assigned to an experimental group and a comparison group, each consisting of 30 individuals. The research instruments included: 1) a lifestyle modification program leading to diabetes remission for type 2 diabetes patients, which applied Pender's Health Promotion Model sessions over a period of 12 weeks; 2) a diabetes management lifestyle modification manual; 3) a questionnaire of self-efficacy and lifestyle in diabetes management with Cronbach's alpha coefficients were .95 and .93, respectively; and 4) blood sugar levels and BMI record form. Data were analyzed using descriptive statistics and t-test.

The research findings indicated that after participating in the program, the experimental group had significantly better self-efficacy in managing diabetes compared to before joining the program (t = 24.09, 30.68; p < .05) and the comparison group (t = 11.34, 14.11; p < .05), at a statistical significance level of .05. Their blood sugar levels and BMI were lower than before joining the program (t = 7.61, 2.78; p < .05) and the comparison group (t = 2.89, 2.16; p < .05), at a statistical significance level of .05.

Therefore, nurses and related healthcare teams can apply this program to support patients with type 2 diabetes in achieving remission and adapt it to suit the local context.