Journal of Phrapokklao Nursing College, Chanthaburi

On the Way of Cancer Being

อิงบุญ — 2025-06-28

Buddhism Concepts and Caring for Patients with Traumatic Brain Injury

Rungnapha Khiewchaum — 2025-06-28

Patients with traumatic brain injuries result in physical and mental disabilities. These patients are dependent and lack the ability to perform daily activities. Therefore, patients need family caregivers to take care of them in the long term. If family caregivers take care of the patient for a long time, it will affect the relatives physically, such as insomnia or fatigue, affect their psychological problems such as stress, anxiety, or discouragement, and affect their social aspects, such as social isolation. If family caregivers cannot manage or face these problems, it may affect their lives. Therefore, Buddhism concepts will help adjust the perspective on the problems and serve as a mental support for family caregivers who take care of patients with traumatic brain injuries and have to take on the role of caring for the patient in the long term.

Factors Affecting Health Behaviors on 3 Aor 2 Sor 1 Yor among Type 2 Diabetic Patients in Khanu Woraluksaburi District, Kampangphet Province

Jongrak Pengchai — 2025-06-28

This predictive correlational research aimed to study health behaviors on 3 aor 2 sor 1 yor and factors affecting health behaviors on 3 aor 2 sor 1 yor among type 2 diabetic patients. The samples consisted of 400 type 2 diabetic patients in Khanu Woraluksaburi District, Kampangphet Province. The research instruments included a demographic questionnaire, an attitude towards health behavior on 3 aor 2 sor 1 yor assessment form with a reliability of .77, a health literacy assessment form with reliabilities in the range of .71–.79, a social support questionnaire with a reliability of .87, and a health behavior on 3 aor 2 sor 1 yor questionnaire with a reliability of .72. Data were collected from September to December 2022. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and stepwise multiple regression analysis.

The research results revealed that the overall mean score of health behaviors on 3 aor 2 sor 1 yor among type 2 diabetic patients was at a high level (M = 3.77, SD = .48). Gender, age, attitudes towards health behavior on 3 aor 2 sor 1 yor, health literacy, and social support could statistically significantly predict the health behaviors on 3 aor 2 sor 1 yor among type 2 diabetic patients at 21.60% (R² = .216, p < .001). The most predictive factor was health literacy (Beta = .304, p < .001).

This research suggests that healthcare providers should perform various activities enhancing health literacy for type 2 diabetic patients, encourage family participation, and promote attitudes towards health behavior on 3 aor 2 sor 1 yor. This will help the patients increase their health behaviors on 3 aor 2 sor 1 yor.

Effects of the Self-efficacy Enhancement Program via Electronic Media on Breastfeeding among First-time Mothers Undergoing Cesarean Section

Chawala Buahom — 2025-06-28

This quasi-experimental research aimed to determine the effects of the self-efficacy enhancement program via electronic media on breastfeeding among first-time mothers undergoing cesarean section. The participants were 44 first-time mothers undergoing cesarean section admitted into the postpartum ward at Nakhon Phanom Hospital. They were equally divided into an experimental group (n = 22) and a control group (n = 22). The research instruments consisted of the self-efficacy enhancement program via electronic media, the telephone collaboration with LINE application follow-up record form, the Breastfeeding Self-efficacy Scale short-form Thai Version, the personal data record form, and the breastfeeding questionnaire with a reliability of 1. The implementation and data collection were conducted from March to September 2022. Data were analyzed by frequency, percentage, median, interquartile range, Fisher’s exact test, Mann-Whitney U test, and Chi-square test.

The research results revealed that after the experiment, the experimental group had statistically significantly higher exclusive breastfeeding rates than the control group (X² = 9.402, p < .01).

This research suggests that nurse-midwives in postpartum wards should apply this self-efficacy enhancement program via electronic media among first-time mothers undergoing cesarean section. This will help increase the exclusive breastfeeding rates.

Effect of the Integrated Safety Promotion Program on Safety Work Practices of Waste Collectors

Natnicha Wareesamarn — 2025-06-28

This quasi-experimental research aimed to examine the effect of the integrated safety promotion program on safety work practices of waste collectors. The participants consisted of 54 waste collectors working in Muang and Su-ngai Kolok Districts, Narathiwat Province. They were equally divided into an experimental group (n = 27) and a control group (n = 27). The research instruments included an integrated safety promotion program, a personal information questionnaire, and a safety work practices questionnaire with a reliability of .92. The implementation and data collection were conducted from August to November 2021. Data were analyzed using frequency, percentage, mean, standard deviation, Chi-square test, Fisher’s exact test, paired t-test, and independent t-test.

The research results revealed that 1) after the experiment, the experimental group had statistically significantly higher mean score of safety work practices than before the experiment (t = 52.305, p < .001); and 2) after the experiment, the experimental group had statistically significantly higher mean score of safety work practices than the control group (t = 4.554, p < .001).

This research suggests that related agencies should implement an integrated safety promotion program to develop knowledge and safety work practices of waste collectors to reduce work-related illnesses and injuries.

The Needs of Care for the Elderly and Their Caregivers in the Community

Cuttaliya Vasuthada — 2025-06-28

This qualitative research aimed to study the situation, understanding, and needs of care for the elderly and their caregivers in the community. The participants consisted of 15 representatives, including members of the Village Health Volunteer Committee, members of the Sub-district Administrative Organization, public health officers from district health offices, community hospitals, sub-district health promoting hospitals, religious leaders, village committee representatives, representatives of the elderly club, and family members of the elderly. They were in Ko Proet Sub-district, Laem Sing District, Chanthaburi Province. The research instruments consisted of the researchers and the semi-structured interview questions. Data were collected through in-depth interviews and observation from December 2023 to February 2024. Data were analyzed using content analysis.

The research results revealed that data collected through in-depth interviews were categorized into two main themes: 1) The need for holistic care, encompassing four aspects: physical, mental/emotional and behavioral, social and environmental, and emergency response and situation management; 2) Community involvement in care, comprising two aspects: existing community care systems and community policies related to elderly care.

This research suggests that agencies related to elderly care should use the findings to serve as a guideline for developing various programs, such as a three-generation family care program for the elderly through community participation.

Effect of the Empowerment Enhancement Program for Caregivers on Positive Discipline among Preschool Children

Suwanna Moojun — 2025-06-28

This quasi-experimental research aimed to investigate the effect of the empowerment enhancement program for caregivers on positive discipline among preschool children. The participants consisted of 38 caregivers for preschool children who lived in Ontai Sub-district, San Kamphaeng District, Chiang Mai Province. They were equally divided into an experimental group (n = 19) and a control group (n = 19). The research instruments included an empowerment enhancement program for caregivers on positive discipline among preschool children, a personal information record form, and a positive discipline assessment form with a reliability of .89. The implementation and data collection were conducted from April to June 2022. Data were analyzed by frequency, percentage, mean, standard deviation, Chi-square test, Fisher’s exact test, paired t-test, and independent t-test.

The research results revealed that 1) after the experiment, the experimental group had a statistically significantly higher mean score of positive discipline among preschool children than before the experiment (t = 31.807, p < .001); and 2) after the experiment, the experimental group had a statistically significantly higher mean score of positive discipline among preschool children than the control group (t = 27.452, p < .001).

This research suggests that preschool teachers should adopt this empowerment enhancement program for caregivers of preschool children in child development centers. This will help the caregivers perform effective positive discipline among preschool children.

Effects of an Unsafe Motorcycle Riding Behavior Modification Program by Applying Transtheoretical Model among Adolescents in a High School in Phitsanulok Province

Khorokot Onkum — 2025-06-28

This quasi-experimental research aimed to study the effects of an unsafe motorcycle riding behavior modification program by applying transtheoretical model. The participants included 116 adolescents in a high school in Phitsanulok Province. They were divided into an experimental group (n = 56) and a control group (n = 60). The research instruments consisted of an unsafe motorcycle riding behavior modification program, a stage of readiness for change behavior questionnaire, a personal information questionnaire, a perceived self-efficacy in riding behavior questionnaire with a reliability of .84, a decisional balance in modification of riding behavior questionnaire with a reliability of .77, and a riding behavior questionnaire with a reliability of .84. The implementation and data collection were conducted from December 2022 to March 2023. Data were analyzed using frequency, percentage, mean, standard deviation, repeated measures ANOVA (multiple comparisons by the Bonferroni method), and independent t-test.

The research results revealed that 1) at the 9-week post-test and the 12-week follow-up periods, the experimental group had statistically significantly higher mean scores of perceived self-efficacy in riding behavior, decisional balance in modification of riding behavior, and riding behavior than the
pre-test period (p < .001); 2) at the 9-week post-test and the 12-week follow-up periods, the experimental group had statistically significantly higher mean scores of perceived self-efficacy in riding behavior, decisional balance in modification of riding behavior, and riding behavior than the control group
(p < .001).

This research suggests that educational executives should apply this unsafe motorcycle riding behavior modification program to adolescent students. This will help adolescent students increase their safe motorcycle riding behavior.

The Development of a Pediatric Endotracheal Suction Training Model Innovation on Self-confidence and Suction Skills of Nursing Students

Supa Khammarit — 2025-06-28

This research and development aimed to develop a pediatric endotracheal suction training model innovation. There were five phases of study, including 1) identifying problems and needs; 2) developing a pediatric endotracheal suction training model innovation; 3) testing the feasibility of the model innovation with 10 second-year nursing students; 4) improving the model innovation; and 5) evaluating the model innovation with 60 second-year nursing students, who were equally divided into an experimental group (n = 30) and a control group (n = 30). The research instruments included a focus group interview guide, a pediatric endotracheal suction training model innovation, a general information questionnaire, a self-confidence in pediatric endotracheal suction questionnaire with a reliability of .89, and a pediatric endotracheal suction skill assessment form with a reliability of .82. The implementation and data collection were conducted from November 2023 to April 2024. Data were analyzed using frequency, percentage, mean, standard deviation, paired t-test, independent t-test, and summation method.

The research results revealed that 1) a pediatric endotracheal suction training model innovation could be used for practicing pediatric endotracheal suction skill; 2) after using the model innovation, the experimental group had a statistically significantly higher mean score of self-confidence in pediatric endotracheal suction than before using the model innovation (t = 12.038, p < .001); and 3) after the experiment, the experimental group had a statistically significantly higher mean score of suction skill on technique dimension than the control group (t = 2.693, p < .01).

This research suggests that nursing instructors should utilize a pediatric endotracheal suction training model innovation for practicing pediatric endotracheal suction skills to prepare the readiness of nursing students before pediatric clinical practice.

The Experiences of Symptom Management and Health Service Seeking among Pregnant Women Infected with COVID-19 in Home Isolation

Paweena Tivasiripong — 2025-06-28

This qualitative research aimed to explore the experiences of symptom management and health service seeking among pregnant women infected with COVID-19 in home isolation. The participants were 15 pregnant women infected with COVID-19 in home isolation under the support of the weSAFE@Home. The research instruments consisted of the researchers, a personal data record form, an interview guideline, and a field observation record form. Data were collected through in-depth interviews from March to April 2023. Data were analyzed by frequency, mean, standard deviation, content analysis, and thematic analysis.

The research results revealed that pregnant women infected with COVID-19 experienced symptoms such as fever, headache, cough, sore throat, runny nose, nasal congestion, difficulty breathing, body pain, loss of smell, and altered taste perception. The participants employed various strategies for symptom management, including adapting self-care behaviors, utilizing medications prescribed by hospitals, and employing traditional remedies. For health service seeking, there were two main approaches: relying on seeking care from modern medical systems, either independently or in combination with traditional remedies.

This research suggests that antenatal nurses should assess symptom management and health service seeking among pregnant women during the outbreak of various infectious diseases. This will help plan health services that are consistent with the needs of pregnant women, as well as increase effective access to health services.

Factors Affecting the Use of Electronic Cigarettes among College Students in One Province in the Lower Northern Thailand

Nungrudee Nimnuch — 2025-06-28

This cross-sectional survey research aimed to investigate the prevalence of the use of electronic cigarettes (e-cigarettes) and factors affecting the use of e-cigarettes among college students. The samples were 839 college students in one province in the lower northern Thailand. The research instruments included a personal data questionnaire, a knowledge regarding e-cigarette test with a reliability of .78, a perceived susceptibility to disease associated with e-cigarette questionnaire with a reliability of .96, a perceived severity of disease associated with e-cigarette questionnaire with a reliability of .73, a stress assessment form, a perception of law regarding e-cigarette questionnaire with a reliability of .80, an enabling factor questionnaire, a reinforcing factor questionnaire, and a use of e-cigarette questionnaire. Data were collected from January to March 2023. Statistics used for data analysis included frequency, percentage, mean, standard deviation, Chi-square test, and multiple logistic regression analysis (enter method).

The research results revealed that 1) the prevalence of the use of e-cigarettes among college students was 10.73%; and 2) the factors that statistically significantly affected the use of e-cigarettes among college students were composed of gender (AOR = 3.95, 95% CI = 1.49–10.45, p < .01), perceived susceptibility to disease associated with e-cigarettes (AOR = 2.92, 95% CI = 1.44–5.92, p < .01), exposure to e-cigarette advertising on the internet (AOR = 54.60, 95% CI = 20.50–145.41, p < .01), exposure to e-cigarette use in public (AOR = 4.09, 95% CI = 2.04–8.18, p < .01), and influence of friends (AOR = 32.70, 95% CI = 11.32–94.45, p < .01).

This research suggests that related agencies should provide activities that enhance perceived susceptibility to disease associated with e-cigarettes and decrease the influence of friends. This will help prevent the use of e-cigarettes among youths.

Personal Factors and Elderly Leadership Competencies Predicting Well-being and Self-reliance Promotion for the Elderly and Their Families in the Community

Vanida Durongrittichai — 2025-06-28

This cross-sectional survey research aimed to study the levels of well-being and self-reliance promotion and predicting power of personal factors and elderly leadership competencies to promote well-being and self-reliance for the elderly and their families. The participants consisted of 369 elderly leaders in Mueang Phetchaburi District, Phetchaburi Province. The research instrument was a four-part questionnaire including 1) personal characteristics; 2) the elderly leadership competency with a reliability of .98; 3) well-being promotion for the elderly and their families in the community with a reliability of .97; and 4) self-reliance promotion for the elderly and their families in the community with a reliability of .97. Data were collected from November 2022 to February 2023. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and stepwise multiple regression analysis.

The research results revealed that 1) the elderly leaders had the overall mean scores of well-being and self-reliance promotion for the elderly and their families at a high and a moderate level (M = 3.54, SD = .58 and M = 3.47, SD = .62, respectively); 2) income, health level, and the elderly leadership competency could statistically significantly co-predict the well-being promotion for the elderly and their families at 76.90% (R² = .769, p < .01); and 3) the elderly leadership competency could statistically significantly predict the self-reliance promotion for the elderly and their families at 65.60% (R² = .656, p < .001).

This research suggests that healthcare agencies should provide projects or activities that develop elderly leadership competencies while also considering the health level. This will help achieve the goal of well-being and self-reliance promotion for the elderly and their families.

Effect of Preparation for Discharge Readiness Program on Readiness for Hospital Discharge among Older Patients Undergoing Orthopedic Surgery

Chaowalit Kudwongkaew — 2025-06-28

This quasi-experimental research aimed to investigate the effect of preparation for discharge readiness program on readiness for hospital discharge among older patients undergoing orthopedic surgery. The samples were 30 older patients undergoing orthopedic surgery admitted to Srinagarind Hospital. They were equally divided into an experimental group (n = 15) and a control group (n = 15). The research instruments consisted of the preparation for discharge readiness program among older patients undergoing orthopedic surgery, the Mini-cog, the 2 screening questions (2Q), the general information interview form, and the Readiness for Hospital Discharge Scale (RHDS)-Adult Form with a reliability of .79. The implementation and data collection were conducted from January to April 2023. Data were analyzed by frequency, percentage, mean, standard deviation, and independent t-test.

The research results revealed that after the experiment, the experimental group had statistically significantly higher mean score of readiness for hospital discharge than the control group (t = 18.763, p < .001).

This research suggests that nurses should adopt this preparation for discharge readiness program among older patients undergoing orthopedic surgery. This will help increase readiness for hospital discharge.

Factors Related to COVID-19 Prevention Practices of Merchants in Fresh Food Markets

Niraporn Sripromma — 2025-06-28

This descriptive correlational research aimed to study COVID-19 prevention practices and the relationships among predisposing factors, enabling factors, and reinforcing factors with COVID-19 prevention practices of merchants in fresh food markets. The participants were 409 merchants in fresh food markets in Mueang Nakhon Pathom District, Nakhon Pathom Province. The research instruments included a demographic questionnaire, a knowledge on COVID-19 prevention test with a reliability of .86, an attitude toward COVID-19 prevention questionnaire with a reliability of .97, a perception of information on COVID-19 prevention questionnaire with a reliability of .97, a social support on COVID-19 prevention questionnaire with a reliability of .92, a measure regarding COVID-19 prevention questionnaire with a reliability of .91, and a COVID-19 prevention practice questionnaire with a reliability of .90. Data were collected from September to October 2022. Statistics used for data analysis included frequency, percentage, mean, standard deviation, median, point-biserial correlation, and Spearman’s rank correlation.

The research results revealed that most merchants in fresh food markets had overall COVID-19 prevention practices at a high level (71.64%). Gender was statistically significantly related to COVID-19 prevention practices of merchants in fresh food markets (r_pb = .145, p < .01). Attitudes toward COVID-19 prevention, perception of information on COVID-19 prevention, and measures regarding COVID-19 prevention were positively statistically significantly related to COVID-19 prevention practices of merchants in fresh food markets (r_s = .196, p < .001; r_s = .299, p < .001; and r_s = .185, p < .001, respectively).

This research suggests that personnel in related agencies should enhance positive attitudes toward COVID-19 prevention, provide simple access to information about COVID-19 prevention, and promote practices according to the measures regarding COVID-19 prevention. This will help increase the effectiveness of COVID-19 prevention practices of merchants in fresh food markets.

Pain Catastrophizing and Pain Intensity in Breast Cancer Patients Receiving Taxol Chemotherapy

Sukanya Khanwiset — 2025-06-28

This cross-sectional descriptive research aimed to compare pain catastrophizing after receiving the 1st, 2nd, and 3rd cycles of Taxol chemotherapy, and to examine the relationship between pain catastrophizing and pain intensity in breast cancer patients. The participants were 28 breast cancer patients receiving Taxol chemotherapy at the outpatient department of Phrapokklao Hospital, Chanthaburi Province. The research instruments included a demographic questionnaire, the Pain Catastrophizing Questionnaire with a reliability of .93, and a numeric rating scale for pain intensity. Data were collected from February 2021 to January 2022. Statistics used for data analysis included frequency, percentage, median, interquartile range, Friedman test, Wilcoxon signed-rank test, and Spearman’s rank correlation.

The research results revealed that the participants who received weekly Taxol chemotherapy and the overall group demonstrated significantly different levels of pain catastrophizing across at least one pair among the three time points (after the 1st, 2nd, and 3rd doses of Taxol chemotherapy). In contrast, participants who received Taxol chemotherapy every three weeks showed no significant differences in pain catastrophizing scores across the three sessions. Post hoc comparisons indicated that the weekly chemotherapy group and the overall sample had statistically significant differences in pain catastrophizing between the first and third doses (Z = 2.598, p < .01 and Z = 3.059, p < .01, respectively). Furthermore, pain catastrophizing was found to have a statistically significant positive correlation with pain intensity in breast cancer patients following Taxol chemotherapy (r_s = .650, p < .001).

This research suggests that nurses should assess pain catastrophizing, particularly in breast cancer patients receiving Taxol chemotherapy every three weeks. Furthermore, appropriate education regarding the mechanisms of pain induced by Taxol chemotherapy should be provided.

The Effect of the Acceptance and Commitment Group Therapy Program on Intention to Substance Abstinence among Youths with Substance Abuse in the Substance Rehabilitation Center

Pakinee Detchaiyot — 2025-06-28

This quasi-experimental research aimed to investigate the effect of the acceptance and commitment group therapy program on intention to substance abstinence among youths with substance abuse. The participants consisted of 100 youths with substance abuse in the substance rehabilitation centers. They were equally divided into an experimental group (n = 50) and a control group (n = 50). The research instruments included the acceptance and commitment group therapy program, a personal data questionnaire, and an intention to substance abstinence questionnaire with a reliability of .82. The implementation and data collection were conducted from February to July 2021. Data were analyzed using frequency, percentage, mean, standard deviation, Chi-square test, Fisher’s exact test, independent t-test, and two-way repeated measures ANOVA.

The research results revealed that 1) the experimental group had a higher mean score of intention to substance abstinence than the control group in both the after-experiment period (experimental group: M = 42.20, SD = 5.95; control group: M = 39.18, SD = 5.68) and the 1-month follow-up period (experimental group: M = 40.78, SD = 3.43; control group: M = 37.82, SD = 5.10); and 2) in the before-experiment, the after-experiment, and the 1-month follow-up periods, the experimental group had no difference in the mean score of intention to substance abstinence.

This research suggests that nurses should apply the acceptance and commitment group therapy program in nursing practice to increase the intention to substance abstinence and to prevent relapse among youths with substance abuse.

The Effect of Applying Guidelines of Writing Clinical Nursing Diagnosis and Nursing Care Plan on 4Cs Learning and Innovative Skills in Writing Clinical Nursing Diagnosis and Nursing Care Plan among Nursing Students

Rungnapha Khiewchaum — 2025-06-28

This quasi-experimental research aimed to determine the effect of applying guidelines of writing clinical nursing diagnosis and nursing care plan on 4Cs learning and innovative skills in writing clinical nursing diagnosis and nursing care plan among nursing students. The participants consisted of 73 third-year nursing students studying at Phrapokklao Nursing College, Chanthaburi. The research instruments included the guidelines of writing clinical nursing diagnosis and nursing care plan, a questionnaire of personal data, an assessment form of 4Cs learning and innovative skills in writing clinical nursing diagnosis and nursing care plan with a reliability of .88, and an assessment form of perception on feasibility, appropriateness, and usefulness of the guidelines. The implementation and data collection were conducted from March to April 2025. Data were analyzed using frequency, percentage, mean, standard deviation, paired t-test, and one-sample t-test.

The research results revealed that 1) after applying the guidelines, nursing students had a statistically significantly higher mean score of 4Cs learning and innovative skills in writing clinical nursing diagnosis and nursing care plan than before applying the guidelines (t = 7.360, p < .001); and 2) the scores of feasibility, appropriateness, and usefulness of the guidelines according to the students’ perception were statistically significantly higher than the standard score (p < .001).

This research suggests that nursing instructors should utilize the guidelines for teaching management of various practicum subjects. This will help nursing students improve their abilities in writing clinical nursing diagnosis and nursing care plan.

Effects of a Nursing Bundle of Oral Care on Thirst and Dry Mouth among Mechanically Ventilated Patients

Supachai Mongpraneet — 2025-06-28

This crossover design aimed to examine the effects of a nursing bundle of oral care on thirst and dry mouth among mechanically ventilated patients. The samples were 14 mechanically ventilated patients in Phranangklao Hospital, Nonthaburi Province. The research instruments consisted of a nursing bundle of oral care, the Thirst Intensity (TI) with a reliability of .86, the Clinical Oral Dryness Scale (CODS) with a reliability of .96, the Richmond Agitation Sedation Scale (RASS), and a personal data record form. The implementation and data collection were conducted from November 2022 to March 2023. Data were analyzed by frequency, percentage, mean, standard deviation, and paired t-test.

The research results revealed that 1) after receiving a nursing bundle of oral care, the mechanically ventilated patients had statistically significantly lower mean scores of thirst and dry mouth than before receiving a nursing bundle of oral care (t = 13.882, p < .001 and t = 16.695, p < .001, respectively); and 2) the mechanically ventilated patients receiving a nursing bundle of oral care had statistically significantly higher mean different scores of thirst and dry mouth than those receiving routine nursing care (t = 11.806, p < .001 and t = 13.524, p < .001, respectively).

This research suggests that nurses in wards should utilize a nursing bundle of oral care to care for the mechanically ventilated patients. This will help reduce thirst and dry mouth among the patients.

The Effectiveness of a Health Empowerment and Environmental Health Literacy Program on the Caring Participatory Behavior and Well-being of Caregivers of Bedridden Patients

Chuanchom Peachpunpisal — 2025-06-28

This quasi-experimental research aimed to examine the effectiveness of a health empowerment and environmental health literacy program on the caring participatory behavior and well-being of caregivers of bedridden patients. The samples consisted of 60 caregivers of bedridden patients in Mueang Chanthaburi District, Chanthaburi Province. They were equally divided into an experimental group (n = 30) and a control group (n = 30). The research instruments included a health empowerment and environmental health literacy program, a general data questionnaire, a caring participatory behavior assessment form with a reliability of .86, and a well-being assessment form with a reliability of .89. The implementation and data collection were conducted from June to September 2021. Data were analyzed using frequency, percentage, mean, standard deviation, and two-way repeated measures MANOVA.

The research results revealed that 1) at the after-experiment and 2-month follow-up periods, the experimental group had a higher mean score of caring participatory behavior than the before-experiment period and the control group; and 2) at the after-experiment and 2-month follow-up periods, the experimental group had a higher mean score of well-being than the before-experiment period and the control group.

This research suggests that the agencies related to care for bedridden patients should utilize this health empowerment and environmental health literacy program with caregivers in order to enhance their caring participatory behavior and well-being.

The Effectiveness of Implementing a Cognitive Behavioral Therapy Multi-Channel Program among Persons with Depression Receiving Services at Bantalad Thambon Health Promoting Hospital, Chiang Mai Province

Tanaporn Sangsuriyakart — 2025-06-28

This operational research aimed to study the effectiveness of implementing a Cognitive Behavioral Therapy Multi-Channel Program among persons with depression. The participants consisted of 20 persons with depression receiving services at Bantalad Thambon Health Promoting Hospital, San Kamphaeng District, Chiang Mai Province, and five professional nurses. The research instruments included a Cognitive Behavioral Therapy Multi-Channel Program, the Thai version of the 9-question Depression Assessment Form (Thai PHQ-9) with a reliability of .83, a personal data of person with depression record form, a personal data of professional nurse record form, a patient satisfaction after program implementation questionnaire, and a healthcare worker opinion on program implementation assessment form. The implementation and data collection were conducted from May to July 2021. Data were analyzed by frequency, percentage, mean, and standard deviation.

The research results revealed that 1) after receiving the program, 90% of persons with depression reported a decrease in their depression score from mild to moderate depression to no depression, and after receiving the program for two weeks, all of them reported no depression; 2) persons with depression had satisfaction after program implementation at the high to the highest level; and 3) all healthcare workers agreed that the program benefited patient care, could be combined with prior knowledge of patient care, easy to implement, provided clearly visible results, and had a concrete implementation process.

This research suggests that healthcare workers should adopt this Cognitive Behavioral Therapy Multi-Channel Program for the care of persons with depression. This will help reduce depression among those who are living with depression.

Effectiveness of the Ventilator-associated Pneumonia Prevention Program among Medical Intensive Care Unit Nurses

Thitima Kessimma — 2025-06-28

This quasi-experimental research aimed to determine the effectiveness of the ventilator-associated pneumonia (VAP) prevention program among medical intensive care unit nurses. The samples consisted of 23 medical intensive care unit nurses at Nakhon Phanom Hospital. The research instruments included the VAP prevention program, a demographic questionnaire, a knowledge in VAP prevention test with a reliability of .94, a practice in VAP prevention observation record form with a reliability of 1, and an incidence of VAP record form. The implementation and data collection were conducted from October to December 2022. Data were analyzed using frequency, percentage, mean, standard deviation, median, Wilcoxon signed-rank test, Chi-square test, and calculating incidence.

The research results revealed that 1) after implementing the program, medical intensive care unit nurses had a statistically significantly higher median score of knowledge in VAP prevention than before implementing the program (Z = -4.054, p < .001); 2) after implementing the program, medical intensive care unit nurses had a statistically significantly higher proportion of correct practice in VAP prevention than before implementing the program (χ2 = 498.830, p < .001); and 3) after implementing the program, a medical intensive care unit had a lower incidence of VAP than before implementing the program.

This research suggests that nurse executives should adopt the VAP prevention program for intensive care unit nurses to enhance knowledge and practice in VAP prevention as well as reduce the incidence of VAP.

Factors Associated with Mental Health and Stress among Healthcare Personnel Responsible for COVID-19 in Lampang Province

Watcharaporn Pitspingkum — 2025-06-28

This cross-sectional research aimed to explore mental health and stress and to investigate the factors associated with mental health and stress among healthcare personnel. The samples consisted of 384 healthcare personnel responsible for COVID-19 in Lampang Province. The research instruments included a personal factor and performance characteristic questionnaire, the General Health Questionnaire (Thai GHQ–30) with a reliability of .84, and a stress assessment form with a reliability of .93. Data were collected from June to July 2022. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and Chi-square test.

The research results revealed that 1) 57.55% of healthcare personnel had no mental health problem and 77.86% of them had stress score at a normal level; 2) the factors that statistically significantly associated with mental health among healthcare personnel were composted of age (p < .01), marital status (p < .001), working age (p < .05), workplace (p < .001), adequacy of income (p < .05), underlying diseases (p < .001), housing characteristics (p < .05), average working hours per day (p < .001), and major roles (p < .001); and 3) the factors that statistically significantly associated with stress among healthcare personnel were composted of age (p < .001), marital status (p < .001), working age (p < .001), current job position (p < .05), workplace (p < .001), monthly income (p < .001), adequacy of income (p < .001), housing characteristics (p < .001), average working hours per day (p < .001), and major roles (p < .01).

This research suggests that executives or supervisors should utilize the findings to plan for promoting, preventing, and reducing mental health problems among healthcare personnel responsible for public health emergency situations.