Journal of Phrapokklao Nursing College, Chanthaburi

Nursing Competency in Long-term Care for Older Adults with Dependency

2024-12-29T12:39:40+07:00

The Effects of Active Learning Management on 4Cs Learning Skills among Nursing Students

2024-07-26T14:49:40+07:00

This quasi-experimental research aimed to determine the effects of active learning management on 4Cs learning skills among nursing students. The samples were 143 second-year nursing students studying in Phrapokklao Nursing College, Chanthaburi during the second semester of the academic year 2023. The research instruments included the teaching and learning management plan for Community Health Nursing Courses, the 4Cs learning skills assessment form for nursing students with a reliability of .92, and the reflection worksheet and recommendation regarding active learning management. The implementation and data collection were conducted from October 2023 to February 2024. Data were analyzed using frequency, percentage, mean, standard deviation, paired t-test, and content analysis.

The research results revealed that after the active learning management, nursing students had a statistically significantly higher mean score of 4Cs learning skills than before the active learning management (t = 4.741, p < .001).

This research suggests that educational institutes should conduct this active learning management for course design in order to enhance the 4Cs learning skills among nursing students.

Participation of Community Network Partners to Develop Long-term Care for Patients from Hospital to Home: A Phenomenological Study

2024-07-31T23:58:37+07:00

This qualitative research aimed to study the participation experiences of the network sectors working with the Sathu Sharing Kindness Center for long-term patient care, from hospitals to their homes. The participants were nine people involved in the Sathu Sharing Kindness Center. The research instruments consisted of a personal data record form and semi-structured interview questions. Data were collected through in-depth interviews and observation from July 2023 to May 2024. Data were analyzed by frequency and thematic analysis.

The research results revealed that, according to basic information, theoretical concepts related to caring for chronic patients in the community, and information obtained from participants’ interviews about their experiences of cooperation in caring for long-term patients in the community with the Sharing Kindness Center, there were five themes emerged as follows: having clear common goals among network partners; working in harmony with the heart seamlessly; creating an equipment distribution system; empowering work with pride; and creating sustainable success.

This research suggests that healthcare providers should use the key success factors of this long-term care to perform the appropriate health services to improve quality care results.

Predicting Factors of Caregiving Burden among Caregivers of Persons with Schizophrenia

2024-10-28T16:24:27+07:00

This predictive correlational research aimed to investigate caregiving burden and predicting factors of caregiving burden among caregivers of persons with schizophrenia. The samples were 110 caregivers of persons with schizophrenia who had come to receive services at the psychiatric clinic of the district hospitals in Chiang Mai Province. The research instruments included a caregiver demographic data questionnaire, the Brief Psychiatric Rating Scale (BPRS) with a reliability of .83, a caregiving knowledge test with a reliability of .84, a social support questionnaire with a reliability of .88, a psychiatric family caregiving skills scale with a reliability of .84, and the Zarit Burden Interview (ZBI) with a reliability of .83. Data were collected from June to August 2021. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and stepwise multiple regression analysis.

The research results revealed that most caregivers of persons with schizophrenia perceived no caregiving burden (63.64%). Caregiving knowledge could statistically significantly predict the caregiving burden among caregivers of persons with schizophrenia which accounted for 10.60% (R² = .106, p < .01).

This research suggests that healthcare providers should assess caregiving burden among caregivers of persons with schizophrenia as well as appropriately provide caregiving knowledge in order to decrease the perception of the caregiving burden.

Factors Related to Father Involvement in Caring for Preterm Infants in Neonatal Care Unit

2024-10-13T01:03:56+07:00

This descriptive correlational research aimed to explore father involvement in caring for preterm infants and to study the relationship among the personal data of fathers, father sense of competence, father social support, and father involvement in caring for preterm infants. The participants were 85 fathers of preterm infants admitted to the neonatal care unit at Maharaj Nakorn Chiang Mai Hospital; the Health Promotion Center Region 1, Chiang Mai; Chiang Rai Prachanukroh Hospital; and Nakhon Phanom Hospital. The research instruments consisted of the personal data of fathers and preterm infants record form, the father sense of competence questionnaire with a reliability of .72, the father social support of preterm infants questionnaire with a reliability of .90, and the father involvement of preterm infants care questionnaire with a reliability of .94. Data were collected from July to October 2022. Statistics used for data analysis included frequency, percentage, mean, standard deviation, Eta correlation, and Pearson’s product-moment correlation.

The research results revealed that 58.80% of fathers perform overall father involvement in caring for preterm infants at a moderate level. Education level, income, and father social support were positively statistically significantly related to father involvement in caring for preterm infants (η = .726, p < .01; η = .757, p < .05; and r = .407, p < .001, respectively).

This research suggests that nurses in neonatal care unit should appropriately encourage father involvement in caring for preterm infants and father social support.

Factors Related to Practices in Transmission Prevention among Pulmonary Tuberculosis Patients in the Thai-Myanmar Border Area

2024-11-17T19:18:15+07:00

This descriptive correlational research aimed to examine practices in transmission prevention and the relationship of personal factors, perceived benefits of practice, perceived barriers of practice, knowledge on transmission prevention, and practices in transmission prevention among pulmonary tuberculosis patients. The samples were 99 pulmonary tuberculosis patients who attended a tuberculosis clinic of a general hospital in the Thai-Myanmar border area. The research instruments included a personal information questionnaire, a perceived benefit of practice questionnaire with reliabilities in Thai and Myanmar of .84 and .80, a perceived barrier of practice questionnaire with reliabilities in Thai and Myanmar of .80 and .81, a knowledge on transmission prevention test with reliabilities in Thai and Myanmar of .73 and .81, and a practice in transmission prevention questionnaire with reliabilities in Thai and Myanmar of .80 and .81. Data were collected from August to October 2021. Statistics used for data analysis included frequency, percentage, mean, standard deviation, Eta correlation, Pearson’s product-moment correlation, and Spearman rank correlation.

The research results revealed that most pulmonary tuberculosis patients perform overall practices in transmission prevention at a high level (86.90%). Perceived benefits of practice and knowledge on transmission prevention were positively statistically significantly related to practices in transmission prevention among pulmonary tuberculosis patients (r_s = .231, p < .05 and r_s = .425, p < .001, respectively). Perceived barriers of practice was negatively statistically significantly related to practices in transmission prevention among pulmonary tuberculosis patients (r_s = -.318, p < .01).

This research suggests that healthcare providers should reduce the perceived barriers of practice for pulmonary tuberculosis patients, provide knowledge on transmission prevention during the follow-up, and periodically assess the practices in transmission prevention.

Factors Predicting Fear of Childbirth among Adolescent Pregnant Women

2024-12-04T12:50:32+07:00

This predictive correlational research aimed to explore the fear of childbirth and the predicting factors among adolescent pregnant women including self-esteem, social support, and planned pregnancy. The samples were 105 adolescent pregnant women who attended the antenatal clinic at Health Promotion Center Region 1, Chiang Mai, Nakornping Hospital, Chiang Mai Province, Lampang Hospital, and Lamphun Hospital. The research instruments included a personal data questionnaire, the Rosenberg Self-Esteem Scale (RSE) with a reliability of .83, a social support questionnaire with a reliability of .93, and the Wijma Delivery Expectancy/Experience Questionnaire (W-DQE) Version A with a reliability of .92. Data were collected from November 2021 to June 2022. Statistics used for data analysis included frequency, percentage, mean, standard deviation, median, interquartile range, and stepwise multiple regression analysis.

The research results revealed that adolescent pregnant women had fear of childbirth at high and very high levels, 36.19% and 32.38%, respectively, and the mean score was 75.05 (SD = 17.53). Self-esteem and high social support could statistically significantly predict the fear of childbirth among adolescent pregnant women at 15.40% (R² = .154, p < .001).

This research suggests that healthcare providers should assess fear of childbirth among adolescent pregnant women as well as appropriately promote self-esteem and social support during pregnancy. This will help reduce the fear of childbirth among adolescent pregnant women.

Effects of Behavioral Change Program for Dental Services among Hmong Pregnant Women in Khaokho District, Phetchabun Province

2024-12-14T23:48:09+07:00

This quasi-experimental research aimed to study the effects of a behavioral change program for dental services among Hmong pregnant women. The participants consisted of 62 Hmong pregnant women who attended the antenatal clinic at Khaokho Hospital and Lomkao Crown Prince Hospital, Phetchabun Province. They were equally divided into an experimental group (n = 31) and a control group (n = 31). The research instruments included the behavioral change program for dental services among Hmong pregnant women, the equipment for running the program, a general information questionnaire, a perceived severity of periodontitis questionnaire with a reliability of .86, a perceived susceptibility of periodontitis questionnaire with a reliability of .82, a response efficacy of preventing periodontitis questionnaire with a reliability of .94, a self-efficacy expectation of preventing periodontitis questionnaire with a reliability of .92, and a dental service record form. The implementation and data collection were conducted from August to November 2020. Data were analyzed using frequency, percentage, mean, standard deviation, paired t-test, independent t-test, Chi-square test, and crude odds ratio.

The research results revealed that 1) after the experiment, the experimental group had statistically significantly higher mean scores of perceived severity of periodontitis, perceived susceptibility of periodontitis, response efficacy of preventing periodontitis, and self-efficacy expectation of preventing periodontitis than before the experiment (t = 7.344, p < .001; t = 6.461, p < .001; t = 7.408, p < .001; and t = 7.040, p < .001, respectively); 2) after the experiment, the experimental group had statistically significantly higher mean scores of perceived severity of periodontitis, perceived susceptibility of periodontitis, response efficacy of preventing periodontitis, and self-efficacy expectation of preventing periodontitis than the control group (t = 6.190, p < .001; t = 7.850, p < .001; t = 7.142, p < .001; and t = 5.405, p < .001, respectively); and 3) after the experiment, the experimental group had 3.39 times more likely to dental services than the control group (COR = 3.39, 95% CI = 1.18–9.71, p < .05).

This research suggests that healthcare providers should implement the behavioral change program for dental services among Hmong pregnant women for all targeted groups and appropriately apply it in other areas.

Factors Related to Infection Prevention Practices among Patients Undergoing Continuous Ambulatory Peritoneal Dialysis

2024-10-15T18:02:21+07:00

This descriptive correlational research aimed to study personal factors, knowledge, attitudes, family support, and practices in prevention of continuous ambulatory peritoneal dialysis (CAPD)-related infection and to examine the correlation among personal factors, knowledge, attitudes, family support, and practices in prevention of CAPD-related infection among patients undergoing CAPD. The samples were 247 patients undergoing CAPD from the CAPD clinics at two hospitals in Sakon Nakhon Province. The research instruments included a personal factor questionnaire, a knowledge test with a reliability of .72, an attitude questionnaire with a reliability of .77, a family support questionnaire with a reliability of .98, and a practice in prevention of CAPD-related infection questionnaire with a reliability of .80. Data were collected from September to December 2021. Statistics used for data analysis included frequency, percentage, mean, standard deviation, median, and Spearman rank correlation.

The research results revealed that the patients undergoing CAPD had knowledge, attitudes, family support, and practices in prevention of CAPD-related infection at a high level (63.97%, 79.76%, 84.21, and 97.98, respectively). Knowledge and attitudes were positively statistically significantly related to practices in prevention of CAPD-related infection among patients undergoing CAPD (r_s = .341, p < .001 and r_s = .214, p < .05, respectively).

This research suggests that healthcare providers should periodically promote knowledge in prevention of CAPD-related infection as well as enhance positive attitudes toward prevention of CAPD-related infection among patients undergoing CAPD. This will help reduce the incidence of CAPD-related infection.

The Effectiveness of Motivation Enhancing Program for Disease Prevention among Elderly People with Risk of Stroke in Sukhothai Province

2024-12-16T23:59:10+07:00

This quasi-experimental research aimed to investigate the effectiveness of a motivation enhancing program for disease prevention among elderly people with risk of stroke. The participants consisted of 52 elderly people with risk of stroke in Sukhothai Province who were equally divided into an experimental group (n = 26) and a control group (n = 26). The research instruments included a motivation enhancing program for disease prevention among elderly people with risk of stroke, a heart disease and stroke risk screening form, a general information questionnaire, a perception and expectation of stroke prevention questionnaire with a reliability of .80, a stroke prevention behavior questionnaire with a reliability of .83, and the equipment for health assessment. The implementation and data collection were conducted from March to June 2020. Data were analyzed using frequency, percentage, Chi-square test, Fisher’s exact test, Wilcoxon signed-rank test, and Mann-Whitney U test.

The research results revealed that 1) after the experiment, the experimental group had statistically significantly higher mean scores of perceived severity of stroke, perceived susceptibility of stroke, self-efficacy expectation of stroke prevention behavior, expectation of good outcomes of stroke prevention behavior, and stroke prevention behavior than before the experiment (Z = -4.463, p < .001; Z = -4.464, p < .001; Z = -4.463, p < .001; Z = -4.400, p < .001; and Z = -4.307, p < .001, respectively); and 2) after the experiment, the experimental group had statistically significantly higher mean scores of perceived severity of stroke, perceived susceptibility of stroke, self-efficacy expectation of stroke prevention behavior, expectation of good outcomes of stroke prevention behavior, and stroke prevention behavior than the control group (Z = -4.612, p < .001; Z = -4.978, p < .001; Z = -4.856, p < .001; Z = -4.121, p < .001; and Z = -4.629, p < .001, respectively).

This research suggests that healthcare providers should implement this motivation enhancing program for disease prevention for elderly people with risk of stroke in other settings according to the contexts. This will help the elderly people with risk of stroke enhance their stroke prevention behavior.

Development of a Video Media on Cleaning and Disinfection of Hospital Environment for Housekeepers

2024-11-29T19:07:52+07:00

This developmental research aimed to develop and evaluate the efficiency of a video media on cleaning and disinfection of hospital environment for housekeepers. The samples consisted of 41 housekeepers who worked in a tertiary care hospital in the Southern region. The research instruments included a video media storyboard, an opinion towards the developed video media questionnaire, a demographic data questionnaire, a knowledge on cleaning and disinfection of hospital environment test with a reliability of .76, and a satisfaction towards the video media questionnaire. The implementation and data collection were conducted from May to July 2021. Data were analyzed using frequency, percentage, mean, standard deviation, and paired t-test. The efficiency of the video media was tested according to Meguigans’ standard criteria.

The research results revealed that 1) the video media length was 25 minutes 8 seconds, and the content consisted of general knowledge and guidelines for cleaning and disinfection of hospital environment; 2) the efficiency of the video media was 1.37; 3) after watching the video media, housekeepers had statistically significantly higher mean score of knowledge on cleaning and disinfection of hospital environment than before watching the video media (t = 14.578, p < .001); and 4) the mean score of satisfaction towards the video media for overall and each domain among housekeepers was at the highest level.

This research suggests that nurse executives should distribute this video media to housekeepers across various hospital departments to enhance their knowledge and practices on cleaning and disinfection of hospital environment.

Factors Affecting Herbal Medicine Use Behavior to Relieve Musculoskeletal Pain of Personnel in a Hospital

2024-11-15T14:18:42+07:00

This predictive correlational research aimed to examine herbal medicine use behavior to relieve musculoskeletal pain and factors affecting herbal medicine use behavior to relieve musculoskeletal pain of personnel. The samples were 330 personnel in Sawanpracharak Hospital, Nakhon Sawan Province. The research instruments included a demographic questionnaire, a knowledge on herbal medicine use to relieve musculoskeletal pain test with a reliability of .90, an attitude towards herbal medicine use to relieve musculoskeletal pain questionnaire with a reliability of .83, a perceived benefit of herbal medicine use to relieve musculoskeletal pain questionnaire with a reliability of .78, an enabling factor of herbal medicine use to relieve musculoskeletal pain questionnaire (2 dimensions) with the reliabilities of .83 and .81, a reinforcing factor of herbal medicine use to relieve musculoskeletal pain questionnaire (2 parts) with the reliabilities of .83 and .87, and a herbal medicine use behavior to relieve musculoskeletal pain questionnaire with a reliability of .88. Data were collected from January to March 2023. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and stepwise multiple regression analysis.

The research results revealed that the mean score of herbal medicine use behavior to relieve musculoskeletal pain of personnel was at a low level (M = 10.96, SD = 1.10). Elementary education level, Thai traditional medicine occupation, employment as a government employee, employment as a Ministry of Public Health employee, employment as a temporary employee, no underlying disease, and perceived benefit of herbal medicine use could statistically significantly predict the herbal medicine use behavior to relieve musculoskeletal pain of personnel at 13.60% (adj. R² = .136, p < .05). The most predictive factor was Thai traditional medicine occupation (Beta = .252, p < .001).

This research suggests that the agency should campaign for personnel to use herbal medicines to alleviate musculoskeletal pain, and there should be a policy to prescribe herbal medicines as a first-line drug for patients with musculoskeletal pain. This will stimulate the use of herbal medicines and reduce the cost of importing modern medicines.

Substance Use and Prevention Approaches from the Perspectives of University Students’ Parents in Eastern Thailand: A Qualitative Study

2024-10-02T23:57:34+07:00

This qualitative descriptive research aimed to explore the perspectives of university students’ parents in the Eastern Thailand regarding substance use and its prevention approaches. The participants included 10 parents of university students from this region. The research instruments comprised a personal information recording form and an in-depth interview guide. The data were collected through in-depth interviews from January to April 2024. The data were analyzed using frequency and thematic analysis.

The research results revealed that parental perspectives on preventing substance use among university-level youth encompassed three main themes: 1) Drugs as obstacles to goals, 2) Parental hopes, and 3) Preventing substance use through mental and social fortification. The mental and social fortification for substance prevention theme included eight subthemes including learning through experience, fostering constructive communication, caring from a distance, maintaining bonds to avoid drugs, understanding to move forward, having freedom to shape the future, promoting joyful and creative activities, and teaching youth to choose supportive friends.

This research suggests that health professionals involved in youth care apply the parental perspectives identified in this research to effectively prevent substance use among university students.

Factors Influencing Loneliness among Karen Elderly People with Diabetes and Hypertension Disease in Tha Song Yang District, Tak Province

2024-11-27T23:26:28+07:00

This predictive correlational research aimed to study loneliness and factors influencing loneliness among Karen elderly people with diabetes and hypertension disease. The samples were 465 Karen elderly people with diabetes and hypertension disease in Tha Song Yang District, Tak Province. The research instruments included a demographic questionnaire, a self-esteem questionnaire with a reliability of .85, a health service questionnaire with a reliability of .84, a social support questionnaire with a reliability of .91, and a loneliness questionnaire with a reliability of .83. Data were collected from October to November 2022. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and stepwise multiple regression analysis.

The research results revealed that most Karen elderly people with diabetes and hypertension disease present loneliness at a moderate level (71.18%). Self-esteem, health service in accessibility, health service in adequacy, health service in affordability, emotional support, and stuff support could statistically significantly predict loneliness among Karen elderly people with diabetes and hypertension disease at 45.80% (adj. R² = .458, p < .001). The most predicting factor was self-esteem (Beta = .437, p < .001).

This research suggests that healthcare workers should provide a health service system that emphasizes the convenience of Karen elderly people with diabetes and hypertension disease. This will help the elderly people receive the empathy and reduce loneliness.

Effects of Preterm Infants Skin Care Guidelines Implementation on Nurses’ Practices and the Skin Condition of Preterm Infants

2024-11-08T16:41:31+07:00

This comparative research aimed to investigate the effects of preterm infants skin care guidelines implementation on nurses’ practices and the skin condition of preterm infants. The samples consisted of 13 nurses and 16 preterm infants in the neonatal intensive care unit 1, Maharaj Nakorn Chiang Mai Hospital. The research instruments included the preterm infants skin care guidelines, a self-learning module, a lesson plan, a demographic data questionnaire, an observation form on nurses’ skin care practices for preterm infants with a correlation coefficient of 1, and a preterm infants’ skin condition assessment form with a reliability of 1. The implementation and data collection were conducted from October 2020 to October 2021. Data were analyzed using frequency, percentage, mean, standard deviation, Chi-square test, Fisher’s exact test, and paired t-test.

The research results revealed that 1) after promoting the guidelines implementation, nurses had a statistically significantly higher mean score of preterm infants skin care practices than before promoting the guidelines implementation (t = 2.400, p < .05); and 2) the number of preterm infants with normal skin condition in the group receiving the guidelines was statistically significantly higher than the group receiving regular nursing care (X² = 6.349, p < .05).

This research suggests that the head nurse of the neonatal intensive care unit should adopt the guideline implementation concepts together with the preterm infants skin care guidelines to promote nurses’ practices. This will help preterm infants maintain their normal skin condition.

Effects of Promoting Mother’s Self-management Breastfeeding Program on Breastfeeding Self-management Skills and Breastfeeding Intention among Adolescent Mothers

2024-11-06T16:06:06+07:00

This quasi-experimental research aimed to examine the effects of promoting mother’s self-management breastfeeding program on breastfeeding self-management skills and breastfeeding intention among adolescent mothers. The samples were 40 pregnant adolescents attending an antenatal clinic and delivering at Phrapokklao Hospital, Chanthaburi Province, and were equally divided into an experimental group (n = 20) and a control group (n = 20). The research instruments included the promoting mother’s self-management breastfeeding program, a breastfeeding handbook: self-management, a personal information questionnaire, a breastfeeding self-management skill assessment form with a reliability of .85, and a breastfeeding intention assessment form. The implementation and data collection were conducted from February to October 2023. Data were analyzed using frequency, percentage, mean, standard deviation, independent t-test, and two-way repeated measures ANOVA with multiple comparisons by the Bonferroni method.

The research results revealed that 1) at the 3-month and the 6-month post-test periods, the experimental group had statistically significantly higher mean scores of breastfeeding self-management skills and breastfeeding intention than the control group (p < .001); and 2) at the 3-month and the 6-month post-test periods, the experimental group had statistically significantly higher mean scores of breastfeeding self-management skills and breastfeeding intention than the pre-test period (p < .05).

This research suggests that healthcare providers should apply this promoting mother’s self-management breastfeeding program to enhance breastfeeding for adolescent mothers according to the family contexts. This will help adolescent mothers maintain their breastfeeding.

Factors Predicting Behavior in Promoting Early Childhood Development among Karen Guardians in Mae Sot District, Tak Province

2024-11-14T14:58:46+07:00

This predictive correlational research aimed to investigate behavior in promoting early childhood development and factors predicting behavior in promoting early childhood development among Karen guardians. The samples were 210 Karen guardians who lived in Mae Sot District, Tak Province. The research instruments consisted of a demographic questionnaire, a knowledge on promoting early childhood development test with a reliability of .88, a perceived benefit of promoting early childhood development questionnaire with a reliability of .83, a self-efficacy on promoting early childhood development assessment form with a reliability of .89, a social support questionnaire with a reliability of .87, and a behavior in promoting early childhood development questionnaire with a reliability of .89. Data were collected from January to April 2021. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and stepwise multiple regression analysis.

The research results revealed that most Karen guardians perform a behavior in promoting early childhood development at a high level (61.90%). Receiving knowledge media on promoting early childhood development, social support in information, and social support in evaluation could statistically significantly predict the behavior in promoting early childhood development among Karen guardians at 18.30% (R² = .183, p < .001). The most predictive factor was social support in information (Beta = -.208, p < .05).

This research suggests that healthcare workers should provide the proper knowledge media on promoting early childhood development for Karen guardians as well as give clear information and feedback. This will help guardians enhance the behavior in promoting early childhood development.

Factors Associated with Mental Health among Older Adults in Bangnampriao District, Chachoengsao Province

2024-11-05T00:36:12+07:00

This descriptive correlational research aimed to explore mental health and to examine the relationship among personal factors, community participation, family support, and mental health among older adults. The participants were 413 older adults living in Bangnampriao District, Chachoengsao Province. The research instruments consisted of the personal factor questionnaire, the community participation assessment form with a reliability of .81, the family support assessment form with a reliability of .83, and the Thai Geriatric Mental Health Assessment Tool (T-GMHA-15) with a reliability of .89. Data were collected from March to May 2024. Statistics used for data analysis included frequency, percentage, mean, standard deviation, Chi-square test, and Pearson’s product-moment correlation.

The research results revealed that 1) 57.62% of older adults had mental health scores better than average; 2) gender, age, education level, occupation, and underlying disease were statistically significantly related to mental health among older adults (X² = 11.171, p < .01; X² = 25.761, p < .001; X² = 22.462, p < .05; X² = 22.470, p < .05; and X² = 14.494, p < .01, respectively); and 3) community participation and family support were positively statistically significantly related to mental health among older adults (r = .344, p < .001 and r = .356, p < .001, respectively).

This research suggests that healthcare providers should arrange an elderly mental health-enhancing program that emphasizes community participation and family support. This will help older adults achieve good mental health.

Causes and Perspectives on Repeat Pregnancy in Adolescent Pregnant Women: A Qualitative Systematic Review within the Context of Thailand

2024-12-14T08:24:50+07:00

This research is a systematic review aimed at investigating the causes and perspectives on repeat pregnancy in adolescent pregnant women. The data were sourced from CINAHL, EBSCOhost, PubMed, ScienceDirect, international theses from the University of Hull, ThaiLIS, the Digital Research Information Center, and ThaiJO. The samples were eight qualitative research regarding causes and perspectives on repeat pregnancy in adolescent pregnant women within the context of Thailand. These researches were published between 2013 and 2023 in Thai or English journals. The research instruments consisted of the JBI Critical Appraisal Checklist for Qualitative Research and the JBI Qualitative data extraction tool. The data collection was conducted through the systematic review methodology outlined by the Joanna Briggs Institute (JBI) from June to October 2024. Data were analyzed using frequency and content analysis.

The research results revealed that a total of thirty studies were identified based on the search criteria, of which eight met the inclusion and quality assessment criteria. The causes of repeat pregnancies consisted of 1) lack of awareness: adolescent pregnant women and their spouses lacked awareness about the likelihood of repeat pregnancies; 2) limited knowledge: inadequate understanding of various contraceptive methods in adolescent pregnant women and their spouses; 3) incomplete contraceptive counseling, particularly on methods suitable for adolescents, and did not tailor contraceptive advice to individual needs; 4) not receiving contraceptive services before being discharged from the hospital; 5) adolescent pregnant women experienced side effects from contraceptive methods, leading them to discontinue their use; 6) adolescent pregnant women and their families were unaware of the consequences of repeat pregnancies; 7) it was influenced by the desires of the husband and family; and 8) traditions, culture, and beliefs of adolescent pregnant women and their families. In addition, the perspectives on repeat pregnancies in these adolescent pregnant women included: 1) adolescent pregnant women viewed themselves as too young; 2) adolescent pregnant women who worked outside the home perceived that they could not fulfill their maternal roles; 3) perceived repeat pregnancy as a source of joy; and 4) repeat pregnancies or having more children was considered normal.

This research suggests that healthcare personnel should provide individualized contraceptive counseling to adolescent pregnant women and their families. Additionally, contraceptive services should be offered to postpartum adolescents before their discharge from the hospital. Furthermore, home visits by community network partners should be implemented to collaborate in preventing and addressing the issue of repeat pregnancies among adolescents.

Factors Affecting Service Receiving among Hypertensive Patients in Phichai District, Uttaradit Province

2024-11-19T17:03:26+07:00

This cross-sectional analytic research aimed to investigate service receiving and factors affecting service receiving among hypertensive patients. The samples were 388 hypertensive patients in Phichai District, Uttaradit Province. The research instruments included a predisposing factor questionnaire, a need factor questionnaire with reliabilities in the range of .76–.88, an enabling factor questionnaire with reliabilities in the range of .71–.90, and a service receiving questionnaire. Data were collected from June to August 2022. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and binary logistic regression analysis.

The research results revealed that 78.87% of hypertensive patients had met the index of services. The factors that statistically significantly affected service receiving among hypertensive patients were composed of age (AOR = 3.80, 95% CI = 1.56–9.27, p < .01), sick period (AOR = 1.12, 95% CI = 1.51–2.42, p < .05), having complications (AOR = .28, 95% CI = 1.13–2.62, p < .01), perceived violence (AOR = 1.87, 95% CI = 1.83–4.23, p < .05), types of health service offices (AOR = 2.19, 95% CI = 1.95–5.07, p < .01), receiving information by oneself (AOR = 3.11, 95% CI = 1.47–6.59, p < .01), receiving advice from health officials (AOR = 3.89, 95% CI = 1.34–11.27, p < .05), ability to access the service (AOR = 7.55, 95% CI = 1.46–38.98, p < .05), receiving social support (AOR = 3.10, 95% CI = 1.17–8.20, p < .05), service confidence (AOR = 3.24, 95% CI = 2.73–14.41, p < .01), and equality in access to services (AOR = 3.89, 95% CI = 3.88–17.13, p < .05).

This research suggests that healthcare workers should promote perceived violence, provide clear advice, and enhance the ability to access the service, service confidence, and equality in access to services among hypertensive patients. This will help the patients meet the index of services.

Promoting Digital Competency for Nurses

2024-08-25T00:21:16+07:00

Promoting digital competence for nurses involves integrating skills, knowledge, attitudes, and the ability to apply them effectively in real-world situations, adapted to diverse contexts. This enables nurses to confidently navigate technological changes and the complexities of their professional responsibilities, including challenges related to data security and patient privacy. Therefore, fostering digital competence is essential for both the present and future of nursing practice. Key strategies include developing and updating training curricula to encompass relevant digital technologies, conducting hands-on workshops focused on the application of new technologies in nursing, and establishing online communities or learning platforms where nurses can exchange knowledge and experiences in the digital domain. Additionally, creating easily accessible online resources and supporting workshops where nurses can share their experiences with technology will further enhance their digital capabilities. It is imperative for management to implement continuous training strategies and allocate resources or budgets to ensure the ongoing promotion of digital competence among nurses.

Family Quality of Life of Preschool Children with Acute Lymphoblastic Leukemia

2024-11-26T10:53:19+07:00

Acute lymphoblastic leukemia (ALL) in children is a life-threatening condition. With current effective treatments, many pediatric patients are achieving remission, and survival rates post-diagnosis have significantly increased. The preschool years are a critical period for growth and development. However, during this time, the effective treatments often bring about short-term and long-term side effects from the disease and its treatment, affecting the well-being and quality of life of everyone in the family. It is therefore essential to raise awareness about the factors influencing the quality of life of these families as well as how families enhance quality of life that can promote the well-being of families facing the impacts of childhood ALL. The goal is to provide valuable insights for nurses and related health professionals to assist in creating holistic care strategies that prioritize the health and happiness of the entire family.