Journal of Prachomklao College of Nursing, Phetchaburi Province

Healthcare Provider Support Contributing to Resilience among Caregivers of Advanced Cancer Patients: A Phenomenological Study

Sarawut Sritan — 2025-11-21

This qualitative study, employing a phenomenological approach, aimed to explore the experiences of health care professionals’ support and its influence on the psychological resilience of caregivers of advanced cancer patients. Twenty caregivers of advanced cancer patients were purposively selected according to the inclusion criteria. Data were collected through in-depth interviews and behavioral observations and analyzed using the thematic analysis method.

The results revealed that caregivers articulated profound experiences of supportive interactions with health care professionals that enhanced their resilience. Four overarching themes emerged: 1) providing care to relieve suffering; 2) offering information and communication to facilitate caregivers’ decision-making; 3) supporting caregivers’ learning and capacity development through professional guidance; and 4) providing resources and service systems that ensure continuity of care.

These findings underscore the proactive roles of professional nurses and other health care providers in fostering the psychological resilience of caregivers of advanced cancer patients. Emotional and informational support were provided to empower caregivers, while structural and system-level support promoted continuity and comprehensiveness of care. The insights derived from this study can contribute to the development of holistic, evidence-based guidelines for end-of-life cancer care.

The Effect of an Applied Fon Jerng Exercise Program on Physical Balance, Muscle Strength, and Activities of Daily Living (ADLs) among the Social Bound Elderly in Lampang Province

Pensri Phongprapapan — 2025-11-21

This quasi-experimental study, employing a two-group pretest–posttest design, aimed to compare mean balance time, lower-extremity muscle strength, and activities of daily living (ADL) ability among socially engaged older adults in Lampang Province. Sixty-six participants were recruited using simple random sampling and allocated to either the control group (n = 33) or the experimental group (n = 33). Research instruments included the adapted Fon Joeng exercise program, a general information form, the Time Up and Go Test, the Five Times Sit-to-Stand Test, and the Basic Activities of Daily Living Assessment. Data were analyzed using descriptive statistics, the Wilcoxon signed-rank test, and the Mann–Whitney U test.

The results indicated that after participating in the program, older adults in the experimental group demonstrated statistically significant reductions in mean balance time and muscle strength time (Z = 5.13, 3.27; p < .01, respectively). These values were also significantly lower than those of the control group at level of .05 (Z = 3.46, 3.46; p < .01, respectively). However, no significant differences were observed in mean ADLs scores from baseline or when compared with the control group (Z = 0.58, p = .56; Z = 1.02, p = .30, respectively).

These findings suggest that nurses and public health personnel should incorporate this exercise program into community health promotion initiatives to enhance balance and muscle strength among community-dwelling older adults.

A Needs Assessment of Positive Parenting Skills among Parents of Primary School Students in Private Schools: Comprehensive Needs Assessment Research

Kasidis Kruthangka — 2025-11-21

This survey research aimed to identify, analyze, and propose solutions to address the needs related to positive parenting skills among parents of elementary school students in private schools. The research was conducted in three phases. In the first phase, needs identification, 217 parents of private elementary school students completed a positive parenting skills questionnaire with a Cronbach’s alpha coefficient of .98. Data were analyzed using descriptive statistics and the PNI_Modified index to identify and prioritize needs. In the second phase, needs analysis, semi-structured interviews with six key informants, including parents and experts in parent education. Data were analyzed using fault tree analysis (FTA) to determine the contributing factors to insufficient positive parenting skills. In the third phase, needs solutions, the multi-attribute utility technique (MAUT) was applied to prioritize the proposed intervention strategies. The results revealed that.

1. Parents demonstrated a very high overall level of need for developing positive parenting skills (M = 4.73, SD = .55), with self-care of parents identified as the most urgent area (PNI_Modified = .24).

2. The main causes of these needs were parental unpreparedness and problems from family conditions.

3. The key utility attributes for solutions included activity content, delivery formats, and available resources. The top three recommended interventions were practical training workshops, school-based parental development programs, and small-group or single-family activities.

The findings provide essential empirical evidence for designing and implementing contextually appropriate parenting development programs for families in private school settings.

The Effects of a Behavioral Modification Program on Attention Deficit Hyperactivity Disorder Behaviors in Children Aged 6–12 Years through Teacher and Parent Participation in Makham District, Chanthaburi Province

Supreeya Srithong — 2025-12-08

This quasi-experimental study utilized a one-group pretest-posttest design to examine the effects of a behavior modification program on attention-deficit behaviors in children aged 6–12 years in Makham District, Chanthaburi Province, Thailand. The participants included 26 children diagnosed with attention deficit hyperactivity disorder (ADHD), 9 homeroom teachers, and 26 parents. The 10-week intervention program was developed based on principles of behavior therapy, Skinner’s operant conditioning theory, and Bandura’s observational learning theory. Data were collected using a behavior assessment tool of inattention, hyperactivity, impulsivity, and oppositional defiant disorder. Statistical analysis was conducted using descriptive statistics and paired t-tests.

The findings revealed that, after participating in the Attention Deficit Hyperactivity Behavior Modification Program, children aged 6–12 years demonstrated a statistically significant reduction in ADHD-related behaviors at the .05 level, as assessed by both parents and classroom teachers. Significant improvements were observed in inattentive behavior (t = 3.21, 2.31; p = .002, .021), hyperactive or impulsive behaviors (t = 3.60, 3.77; p < .001), and oppositional behaviors (t = 2.84, 2.31; p = .005, .001).

These outcomes underscore the effectiveness of an integrative, school-family collaborative approach in enhancing children’s self-regulation and adaptive behavioral functioning. It is recommended that the health and education sectors collaborate to promote the implementation of such programs in primary schools through collaboration with mental health clinics and child psychiatry teams. Furthermore, the development of training curricula for teachers and parents is encouraged to enhance their knowledge, understanding, and skills in providing effective long-term care for children with ADHD.

The Predictive Factors of 3E2S Health Behaviors among Health Science Students at Ubon Ratchathani University

Phinkaew Bunyu — 2025-12-15

This descriptive study aimed to examine 3E2S health behaviors and their predictive factors among health science students at Ubon Ratchathani University. The sample comprised 169 undergraduate students selected through quota sampling proportional to each health science discipline. Research instruments included questionnaires on personal information, predisposing factors, enabling factors, reinforcing factors, and 3E2S health behaviors, with Cronbach’s alpha coefficients of .95, .84, .93, and .89, respectively. Data were analyzed using descriptive statistics and multiple linear regression.

The results showed that students’ 3E2S health behaviors were at a high level (M = 3.98, SD = .68). Significant predictors included health responsibility (Beta = .331, p < .01), social support (Beta = .328, p < .01), health literacy (Beta = .037, p < .05), and access to health information and resources (Beta = –.185, p < .05). Together, these variables explained 53.20% of the variance in 3E2S health behaviors (R²_adj = .532, p < .05).

These findings suggest that educational administrators should prioritize enhancing health literacy, promoting personal health responsibility, and fostering a supportive learning environment to encourage appropriate and sustainable health behaviors among health science students.

Incidence and Risk Factors of Postoperative Delirium in Patients Undergoing Non-Emergency Surgery

Naphatthorn Prueksaanantakal — 2025-12-15

This prospective cohort study aimed to examine the incidence and risk factors of postoperative delirium in patients undergoing non-emergency surgery. The sample consisted of 676 patients admitted to the internal surgical wards of Vajira Hospital, Faculty of Medicine. Eligible participants were recruited through purposive sampling between February 2021 and September 2022. The research instruments included: 1) personal information and medical history, and 2) the Thai version of the short-form Confusion Assessment Method (CAM), which showed inter-rater reliability (Cohen’s kappa) at 1.00. Data were analyzed using descriptive statistics and binomial generalized linear regression analysis.

The results revealed that the incidence of postoperative delirium in patients with elective surgery was 2.67%. Statistically significant risk factors for delirium (p < .05) included ASA classification III–IV (RR_adj.= 9.41, 95% CI = 2.02–43.93, p = .004), hearing impairment (RR_adj.= 9.05, 95% CI = 2.59–31.70, p = .001), pulmonary disease (RR_adj.= 8.68, 95% CI = 1.14–66.15, p = .037), visual impairment (RR_adj.= 4.64, 95% CI = 1.32–16.31, p = .017), and hypertension (RR_adj.= 3.40, 95% CI = 1.37–8.43, p = .008).

These findings emphasize that surgical nurses should prioritize assessing comorbid conditions, sensory impairments (hearing and vision), and surgical risk levels to prevent postoperative delirium in patients undergoing non-emergency surgery.

Effectiveness of Self-modifying Program on Pesticide Prevention Behavior among Agricultural Chemicals of Older Farmers in Nakhon Pathom Province

Panittanan Sealim — 2025-12-15

This quasi-experimental study with a two-group repeated-measures design aimed to examine the effectiveness of a behavioral modification program in enhancing self-protective behaviors against agricultural chemical exposure among older farmers. The program was developed based on the Health Belief Model. The sample consisted of 60 older farmers aged 60 years and above in Nakhon Pathom Province, selected through simple random sampling and purposive sampling, and assigned to an experimental group (n = 30) and a comparison group (n = 30). Data were collected using a self-protective behavior assessment questionnaire for agricultural chemical use, which demonstrated a Cronbach’s alpha coefficient of .89. Data were analyzed using descriptive statistics, independent t-tests, and repeated-measures analysis of variance.

The results revealed that older farmers in the experimental group had significantly higher mean scores of self-protective behaviors after participating in the behavioral modification program and at the 8-week follow-up compared with their pre-intervention scores and those of the comparison group (p < .05).

These findings indicate that the behavioral modification program was effective in improving self-protective behaviors among older farmers exposed to agricultural chemicals. Therefore, the program should be implemented among older farmers in other areas to reduce chemical-related occupational health risks.

Effects of a Communication Program Based on the SMCR Model via the LINE Application on the Quality of Referral Communication among Nurses in a Private Hospital

Yupaporn Muensawang — 2025-12-18

This quasi-experimental research, a two-group pretest–posttest design aimed to compare the mean perceived quality scores of patient referral communication between an experimental group that received the intervention program and a control group that adhered to conventional practice. The purposive sample consisted of 70 professional nurses responsible for patient referral duties at a private hospital. The research instruments included: 1) a communication program based on the SMCR Model delivered via the LINE application, and 2) a perceived quality of referral communication questionnaire, which demonstrated a Cronbach’s alpha coefficient of .98. Data were analyzed using descriptive statistics and t-tests.

The results indicated that, after the intervention, the experimental group had a significantly higher mean overall perceived quality score for referral communication compared with both their pre-intervention scores and those of the control group at the .05 level of significance (t = 33.64, 11.37; p < .001).

The SMCR Model–based communication program was found to be effective in enhancing the quality of nurses’ referral communication by ensuring that information was correct, complete, clear, and concise. This improvement contributes to enhancing patient referral safety, developing nurses’ information technology skills, and improving the overall quality of nursing services.