Journal of Public Health Nursing

Factors influencing adaptation among of caregivers In terminal illness patients

2025-05-04T21:09:03+07:00

This correlational predictive study aimed to examine the adaptation among caregivers in terminal illness patients and the predictive power of caregiving burden, social support, caregiving self-efficacy, duration of caregiving, caregiver stress, coping strategies, and past experiences on caregiver adaptation. The study based on Roy’s adaptation theory as a conceptual framework. The sample consisted of 113 caregivers in terminal illness patients at Nakhon Pathom Hospital, Nakhon Chai Si Hospital, and Phutthamonthon Hospital. Participants were selected by purposive sampling based on inclusion criteria. Data were collected by demographic record forms and seven questionnaires. The data were analyzed by descriptive statistics and multiple regression analysis.

The results indicated that the caregivers had a moderate adaptation (x̄ = 114.95, SD = 14.09). Caregiver coping strategies, caregiving burden, and caregiving self-efficacy could explain 47.4% of the variance in caregiver adaptation (R² = .474, p < .05). The significant predictors were coping strategies (β = .389, p < .001), caregiving burden (β = .327, p < .001) and caregiving self-efficacy (β = .174, p < .05). The finding of this study can be used to enhance caregiver coping strategies by developing intervention programs to promote effective and suitable coping mechanisms. This will ultimately contribute to improved adaptation of caregivers in terminal illness patient

The Effects of a Behavior Modification Program for Gingivitis Prevention Among Grade 7 Students, Si Narong District, Surin Province

2024-09-08T09:53:19+07:00

This quasi-experimental research aimed to investigate the effects of a behavioral modification program for the gingivitis prevention among Grade 7 students in Sri Narong District, Surin Province. The sample consisted of 66 participants, divided into an experimental group (n=33) and a control group (n=33). Data collection was conducted over 12 weeks. The experimental group received a behavioral modification program for gingivitis prevention designed by the researcher, while the comparison group received conventional dental health education. Data were collected through questionnaires and oral condition record forms, and analyzed using descriptive and inferential statistics.

Findings revealed that post-experiment, the experimental group had significantly higher mean scores in knowledge (P < 0.001), self-efficacy (P < 0.05), and attitudes (P < 0.001) towards gingivitis prevention compared to the comparison group. Conversely, the comparison group showed higher mean scores in gingivitis prevention behavior (P < 0.05), with significantly lower plaque levels (P < 0.001) and gingivitis conditions (P < 0.001).

In conclusion, the behavior modification program for gingivitis prevention among Grade 7 students improved their knowledge, self-efficacy, attitudes, and behaviors related to gingivitis prevention. This program also resulted in a reduction in dental plaque and an improvement in gingivitis conditions.

Factors Influencing Mental Health among Older Adults with Chronic Illness

2025-12-06T21:32:36+07:00

Older adults with chronic illnesses are at an elevated risk of developing mental health problems due to the complex and ongoing nature of their conditions. This descriptive, predictive correlational study aimed to examine factors influencing mental health among older adults with chronic illnesses. The sample consisted of 155 older adults receiving services at a chronic disease clinic at Klaeng Hospital, Rayong Province, selected using simple random sampling. Data were collected using self-administered questionnaires that measured self-compassion, resilience, lifestyle medicine behaviors, perceived social support, and mental health. Data were analyzed using descriptive statistics and stepwise multiple regression analysis.

The results revealed that the majority of older adults with chronic illnesses had mental health levels above the general population norm (73.50%), followed by levels comparable to (21.30%) and below (5.20%) the general population. Stepwise multiple regression analysis indicated that resilience (β = 0.38, p < 0.001) and social support (β = 0.23, p < 0.01) were significant predictors, collectively accounting for 27.20% of the variance in mental health (R² = 0.272, adjusted R² = 0.262, F (2, 152) = 28.36, p < 0.001).

These findings suggest that resilience and social support are key factors influencing the mental health of older adults with chronic illnesses. Consequently, these variables may serve as evidence-based targets for designing and implementing mental health promotion programs for this population.

Oral Health Care Model of Village Health Volunteers of The 50th Anniversary Mahavajiralongkorn Hospital Network

2024-11-02T12:37:15+07:00

This action research aimed to study the oral health care model for Village Health Volunteers (VHVs) within the 50th Anniversary Mahavajiralongkorn Hospital network. The sample group for model development consisted of 12 key stakeholders: public health personnel from Yang Lum, Dong Saensuk, and Tamyae Subdistrict Health Promoting Hospitals, community leaders, and VHV presidents. The sample group for data collection consisted of 38 village health volunteers working in the community health center area of the 50th Anniversary Mahavajiralongkorn Hospital. Data were collected using a focus group discussion guide and questionnaires between November 2023 and September 2024. General data were analyzed using descriptive statistics, including frequency distribution, percentage, mean, and standard deviation. The differences in mean scores before and after the intervention were compared using a paired t-test.

The results indicated that the oral health care model for VHVs within the 50th Anniversary Mahavajiralongkorn Hospital network enhanced village health volunteer’s knowledge levels, fostered positive attitudes, and improved oral health practices. It also significantly contributed to the development of the volunteers' overall knowledge and abilities. Post-intervention, mean scores for oral health knowledge and attitudes toward dental health were significantly higher than pre-intervention scores (p < 0.05). These findings confirm the effectiveness of the developed A4C model in achieving its intended objectives. Accordingly, the developed A4C model is recommended for application and scaling up in other areas with similar contextual conditions.

Symptom Perception, Interference with Daily Life, and Symptom Management Strategies among Women with Ovarian Cancer

2026-02-18T13:34:26+07:00

Chemotherapy induces symptoms that interfere with the daily lives of women with ovarian cancer. Effective symptom management can reduce symptom severity and improve quality of life. This descriptive study aimed to examine symptom perception, symptom severity, interference with daily life, symptom management strategies, and their effectiveness, based on the Symptom Management Model proposed by Dodd et al. (2001). The participants consisted of 192 women with ovarian cancer receiving chemotherapy from three tertiary hospitals. They were selected using systematic random sampling. Data were collected using questionnaires, including the Symptom Perception Questionnaire, the Daily Life Interference Questionnaire, and the Symptom Management Strategies Questionnaire. The content validity of these instruments was 0.93, 1.00, and 0.95, respectively. Cronbach’s alpha coefficients for the Symptom Perception Questionnaire (symptom severity), the Daily Life Interference Questionnaire, the Symptom Management Strategies and the Effectiveness) were .80, .90, .86, and .85, respectively. The Kuder–Richardson-21 reliability coefficient for the Symptom Perception Questionnaire was .85. Data were analyzed using descriptive statistics.

The results showed that the five most commonly reported symptoms were hair loss, fatigue, numbness of the hands and feet, insomnia, and loss of appetite. Hair loss was reported as the most severe symptom, whereas numbness of the hands and feet, insomnia, constipation, and frequent urination were reported at a moderate level of severity. Interference with daily life resulting from chemotherapy was at a low level. Symptom management strategies that were easy to implement tended to be used consistently and were reported to be highly effective, including cutting hair short and shaving the hair. In contrast, strategies requiring ongoing adherence were used inconsistently despite being highly effective, including wearing a hat, wig, or headscarf; seeking medical consultation; taking medications such as laxatives or sleeping pills; avoiding caffeinated beverages; and talking with people around them to express their feelings. These findings indicate that nurses and healthcare professionals can apply this information to develop guidelines for symptom assessment, promote symptom management among women with ovarian cancer receiving chemotherapy on a continuous basis, thereby reducing the impact on daily life and enhancing patients’ quality of life.

Factors Associated with Lifelong Learning Characteristics among Nursing Students

2024-07-23T12:30:12+07:00

This study employed a mixed-methods research design using a sequential explanatory approach to examine the level of lifelong learner characteristics, analyze factors associated with these characteristics, and identify factors that promote lifelong learner characteristics among nursing students. The sample consisted of nursing students in Years 1–4 at Boromarajonani College of Nursing, Sawanpracharak, Nakhon Sawan. Quantitative data were collected prior to qualitative data collection. The quantitative research instruments included general information questionnaire, lifelong learner characteristics, achievement motivation, and attitudes towards learning. The qualitative instrument was a structured interview guide. Quantitative data were analyzed using frequency, percentage, mean, standard deviation, and Pearson’s product–moment correlation coefficient. Qualitative data were analyzed using content analysis to explain and provide deeper insights into the factors associated with lifelong learner characteristics identified from the quantitative findings.

The results revealed that the overall level of lifelong learner characteristics was high (Mean = 3.08). Achievement motivation and attitudes towards learning were positively and significantly correlated with lifelong learner characteristics at the .01 level (r = .458 and r = .255, respectively). In contrast, academic achievement was not significantly associated with lifelong learner characteristics (r = .150). The qualitative findings indicated that key factors promoting lifelong learner characteristics included teaching and learning approaches, instructional methods, learning support resources, extracurricular activities, essential learning skills, and learning motivation. These findings can be used as a guideline to enhance lifelong learner characteristics among nursing students across multiple dimensions.

Factors Influencing the Functional Outcome after Total Hip Replacement (THR) in Elderly Patients: A Literature Review

2024-04-08T12:17:12+07:00

The prevalence of hip fractures among the elderly continues to present significant health challenges, impacting mobility, independence, and healthcare resources. Total hip replacement (THR) is a critical surgical intervention to alleviate pain and enhance functional mobility in elderly patients. This literature review aimed to identify factors influencing post-THR recovery, focusing on success determinants, limitations, and commonly used assessment tools. The findings highlight that early mobilization, structured rehabilitation, patient self-efficacy, and family involvement are essential to successful outcomes. Dual mobility prostheses were noted to reduce dislocation rates, enhancing recovery in high-risk patients. However, challenges such as comorbidities, psychological constraints, and limited access to comprehensive rehabilitation persist. Measurement tools such as the Oxford Hip Score (OHS) and the Timed Up and Go (TUG) test were commonly employed to assess patient progress. Addressing these challenges through multidisciplinary care, patient-specific strategies, and further research is essential for improving long-term recovery and functional outcomes. These insights provide healthcare professionals with practical guidance for supporting recovery and enhancing the quality of life in elderly patients post-THR.