Journal of health and health management

Metabolic Syndrome: Inflammatory Mechanisms Obesity Insulin Resistance and Depression

Sukanya Kreeinthong — 2025-06-29

Metabolic syndrome (MetS) is a cluster of interrelated metabolic disorders, including central obesity, hypertension, dyslipidemia, and insulin resistance. Its development is influenced by genetic predisposition, lifestyle behaviors, and chronic low-grade inflammation. A key pathological mechanism involves inflammation initiated by adipose tissue, which secretes pro-inflammatory cytokines such as leptin and tumor necrosis factor-alpha (TNF-α), thereby impairing insulin sensitivity and contributing to the progression of MetS. Additionally, MetS is associated with autonomic nervous system dysfunction, which can be evaluated through reduced heart rate variability (HRV). Furthermore, it is linked to depressive symptoms that arise from physiological changes, emotional stress, and negative self-perception, with inflammation identified as a common underlying factor. Current scientific evidence supports that physical activity, when prescribed according to the FITT principle (frequency, intensity, time, and type) particularly aerobic exercises such as brisk walking, running, swimming, and traditional Thai dance (Ram Wong)—is effective in mitigating the risk of MetS, improving autonomic function, and reducing depressive symptoms. Therefore, a holistic health promotion strategy involving the active participation of healthcare professional and individuals, is essential for the effective prevention and long-term management of metabolic syndrome.

Nursing Care for Adult Patients in critical condition from Acute Respiratory Distress Syndrome (ARDS) and Acute Kidney Injury (AKI) receiving Continuous renal replacement therapy (CRRT): Critical Nurse' s Roles and Nephrology Nurse's Roles

Supattra Yodpanya — 2025-06-29

The study of patient care concepts for those with acute respiratory distress syndrome (ARDS) and acute kidney injury (AKI) has shown that placing the patient in a prone position helps improve gas exchange and oxygenation. The use of muscle relaxants allows the patient to breathe in sync with the ventilator, while appropriate ventilator settings help reduce the risk of complications associated with mechanical ventilation.Dialysis treatment with continuous renal replacement therapy (CRRT) plays a crucial role in removing excess fluid and waste from the body, maintaining water and electrolyte balance, and correcting acidosis. Therefore, I have studied case management concepts and outcomes to develop a care approach that facilitates patient recovery from a critical state. This is presented in the form of a case study based on standard professional nursing practice.This approach enhances nurses’ understanding of the roles of both critical care nurses and dialysis nurses, ensuring they have the knowledge and expertise needed to care for patients with ARDS and AKI undergoing CRRT while preventing complications. In the critical care unit, nurses can effectively manage patients with unstable blood pressure during dialysis by closely monitoring vital signs and observing the patient’s condition to ensure safety throughout the critical phase.

Effects of Music Accompanied Home-Based Fall Prevention Exercises on Physical Fitness of Community-Dwelling Older Adult

Nittaya Thongkachorn — 2025-06-29

Falls are common problems in the elderly and have serious consequences such as fractures, cerebral hemorrhage, reduced daily activities, leading to depression and bedridden. This experimental research aimed to study of self-administered fall prevention exercise music on physical fitness of the elderly in the community. The sample consisted of elderly people aged 60 years and over, selected by stratified random sampling. They were divided into two experimental groups: Group one used music for exercise, Group two used basic exercise, and one control group, with 20 subjects in each group, totaling 60 subjects. Data on leg muscle strength and balance ability were collected. The results were measured before and after 12 weeks. The data were analyzed using descriptive statistics and One-way ANOVA and ANCOVA tests. The results of the study found that the Timed-Up-and-Go Test value of the music group with exercise was significantly reduced at p=.05 compared to the other two groups, while the 30s-sit-to-stand value of the exercise music group was significantly increased at p=.005 compared to the control group, but was not different when compared with the basic exercise program group. Therefore, the fall prevention exercise music program, which is both fun and helps to increase leg muscle strength and balance, recommended to use for the elderly in the community

Effects of Health Promotion Program on Body Mass Index, Weight, Waist Circumference, and Food Consumption Behavior Among Overweight or Obese Nursing Students in Chaiyaphum Rajabhat University Chaiyaphum Province

Suwimolrat Robrujen — 2025-06-29

This quasi-experimental study aimed to compare the pretest and posttest of average BMI scores weight and waist circumference, and mean food consumption behavior among overweight or obese nursing students in Chaiyaphum Rajabhat University. based on Pender’s health promotion of Pender and Killer of create motivation theory. The samples consisted of 30 people is he 1 2 3^th year nursing students who were recruited into an experimental, (BMI ≥23 kg/m²), Female and male students have waist circumferences greater than 80 centimeters and 90 centimeters, respectively. The experimental group received a health promotion program through exercise for 8 weeks with knowledge, and actions to lose weight. The research instruments comprised food consumption behavior and BMI, weight and waist circumference. Passed inspection by 3 experts Content validity Index: CVI and reliability (.91 and .89, respectively). Data were analyzed using descriptive, with the average (M) Standard deviation (SD) and Paired Sample- t-test statistics. The research findings revealed that after a health promotion program through exercise the experimental group had a statistically not significantly different (t = .427^NS, .562^NS, 0.967^NS) not decrease in mean body mass index score, weight, and waist circumference (p<.05) and the food consumption behavior before and after joining the health promotion program was significantly different (p< .05)

Effects of a Self-Efficacy Promotion Program Using Infographics on Perceived Self-Efficacy Perception and Language Development Promotion Behaviors for Preschool Children Among Early Childhood Teachers

Anucha Promkanya — 2025-06-29

This quasi-experimental research study utilized pre-test and post-test designs to investigate the effects of a perceived self-efficacy enhancement program that employed infographic media. The sample consisted of 40 early childhood teachers from child development centers in the Mueang District of Chaiyaphum Province, divided into an experimental group of 20 and a control group of 20. The instruments used in the study included a general information questionnaire, a perceived self-efficacy questionnaire, and a language development promotion behavior questionnaire, with content validity ranging from .64 to 1.00 and reliability values of .72 and .80, respectively. Data were analyzed using means, standard deviations, and t-test statistics. The findings indicated that, following the experiment, the experimental group demonstrated higher mean scores for perceived self-efficacy ( = 113.30, SD = 2.33) and language development promotion behavior ( = 105.35, SD = 2.30) in comparison to the control group (perceived self-efficacy: = 101.30, SD = 3.21; language development promotion behavior: = 89.80, SD = 1.70), with a statistically significant difference at p < .05. Additionally, the experimental group’s mean scores for both perceived self-efficacy and language development promotion behavior were significantly higher after the experiment than before (p = .001). This research can serve as a guideline for developing infographic media designed to enhance the perceived self-efficacy of early childhood teachers. Additionally, it can be utilized as a model for creating teacher development resources in other areas that align with the specific contexts and needs of educational institutions.

The Relationship Between Work-life Balance and OrganizationalSupport Towards Happiness at Work of Nurses at the Public Hospitals Located at the Suburb Area of Bangkok

Wannisa Churchinnawong — 2025-06-29

The objective of this descriptive research was to study the level of balance between personal life and work, organizational support and happiness in working of the professional nurses in hospitals around Bangkok’s perimeter in order to find out the relationship between the balance of personal life and work, organizational support and happiness in working of the professional nurses in hospitals around Bangkok’s perimeter. The sample group was professional nurses who had work experience of 1 year or more with the exception of professional nurses who were in executive positions working in these three hospitals around Bangkok’s perimeter namely Samutprakan Hospital, Pathumthani Hospital and Samutsakhon Hospital. G* power program was being applied to find out sample values using multi-stage random sampling, resulting a sample size of 152 people. The research instruments consisted of personal information questionnaire, questionnaire about the balance of personal life and work, questionnaire about organizational support, and work happiness questionnaire. The reliability values were equal to 0.91-0.92 and 0.97 respectively. Data were analyzed by calculating the average, standard deviation and Pearson’s correlation coefficient. The research results were the level of personal life and work balance of professional nurses in hospitals around Bangkok’s perimeter was overall at a high level ( =2.74, SD=.49). The overall level of organizational support of professional nurses in hospitals around Bangkok’s perimeter was high ( =2.94, SD=.50). The level of happiness at work in hospitals around Bangkok’s perimeter was high ( = 3.22, SD=.40). The personal life balance with work and organizational support had a positive relationship with happiness at work of the professional nurses in hospitals around Bangkok’s perimeter with statistical significance at the .01 level (r=.45 and r=.66).

Relationships Among Future Skills Competency of Palliative Care Nurse and Perception of Quality in Palliative Care Services

Chatchadaporn Phutthasawat — 2025-06-29

This descriptive research was to study the relationship between future skills and the competency of palliative nursing professionals towards perceptions of the quality of palliative care. The sample group consisted of palliative nurses who had provided care in the palliative care unit and a multidisciplinary team (nurses, doctors) that take care of palliative care patients at the government’s hospitals in Nakorn Nayok Province. The sample size calculation using G* power 3.12 program resulting in a sample size of 130. The sample was selected by simple random sampling among palliative nurses and multidisciplinary team. The research instruments consisted of two sets of instruments namely assessment form for palliative nurses and assessment form for multidisciplinary teams.Both sets of tools were divided into 4 parts 1) Personal information 2). Future skills assessment form 3). Palliative nursing assessment form.4). Assessment of perception of quality of care form which had liability values sorted by set = 0.89 and 0.90 respectively. The data were analyzed using mean (), Standard Deviation (SD), and Spearman’s correlation coefficient (r). The results of this research had found that the future skills of palliative nurses were at the highest level ( = 4.36, SD = 0.47), the competency of palliative nurses were at the highest level ( = 3.31, SD = 0.52), the palliative nurses’ perception of the quality of palliative care was at the highest level ( = 4.46, SD = 0.67) and the future skills of palliative nursing professionals on the perception of the quality of palliative care had a positive relationship with statistical significance at the .01 level (r = 0.77, p<.01), and the palliative nursing professional competency towards the perception of quality in palliative care has a positive relationship with statistical significance at the .01 level (r = 0.85, p<.01)

The Effects of Nursing Supervision Using the GROW Model on the Competency of Professional Nurses in High-Alert Medication Administration in Neurosurgical Intensive Care Unit

Lapathrada Sangsae — 2025-06-29

The objective of this quasi-experimental research with one group measuring before and after the experiment was to compare the competency, knowledge, practice and attitude of the professional nurses in the administration of high-risk drugs before and after nursing supervision using the GROW Model Concept. The sample group was 24 professional nurses working in the Neurosurgical Intensive Care Unit. Research instrument used for conducting research and collect data was the nursing supervision model manual for the administration of high-risk drugs in the Neurosurgical Intensive Care Unit based upon GROW Model. Data collection tools included Personal Information Form, Competency test for knowledge questionnaire, Competency questionnaire practical aspect, and attitude competency questionnaire. The Content Validity Index (CIV) values were 0.82, 0.88, 0.92, and 0.90 respectively and the Index of Item Objective Congruence (IOC) values were 0.82, 0.88, 0.92, and 0.88 respectively. Data were analyzed by finding frequency, percentage, mean, standard deviation and paired t-test by setting the statistical significance level at the 0.01 level. The results of the research found that the competency of professional nurses in administering high-risk drugs after nursing supervision using the GROW Model Concept statistically significantly higher than before nursing supervision using GROW Model Concept (p<0.01) in all three areas that were knowledge, practice and attitude. The results of this study show that the nursing supervision approach using the GROW Model Concept can be applied to develop the competency of professional nurses in the area of effective management of high-risk drugs in nursing units by helping to promote nurses’ knowledge, practical skills and decision-making for managing high-risk drugs.

The Effects of a Brain Capacity Development Program on Cognitive Function in Elderly with Mild Cognitive Impairment

Arisya Wichaidit — 2025-06-29

The study was quasi-experimental research aimed at examining the effects of a brain capacity development program on cognitive function in the elderly with mild cognitive impairment. The sample consisted of 40 elderly individuals with mild cognitive impairment. Data were collected at the Women’s Homeless Shelter in Thanyaburi over a period of six weeks. The instruments used consisted of (1) The Thai Mental State Examination (TMSE) form for screening mental state. (2) The personal data questionnaire and the Montreal Cognitive Assessment (MoCA) for assessing personal information and dementia and (3) The Brain Capacity development program. The data were analyzed using descriptive statistics, chi-square statistics, Non-parametric Wilcoxon statistics, and the Mann-Whitney U test, with a significance level of .05. The results were found that the mean cognition score of the experimental group after participating in the brain capacity development program were significantly higher than before the intervention at a statistical significance level of .05, Additionally, the mean cognitive score of the experimental group were significance higher than the control group, who received standard care, at the same statistical significance level.

Factors Predicting of Health Promoting Behaviors Among Undergraduate Students in Rangsit University

Suparat Panpoklang — 2025-06-29

The purpose of this research were to investigate health promotion behaviors and factors predicting health promotion behaviors among undergraduate students in Rangsit University. The sample consisted of 438 students’ year 1-4 for the 2022 academic year. The Instruments utilized by the data collection consisted of 1) general information questionnaire 2) health promoting behaviors and 3) questionnaires on perceived benefit, perceived barrier, perceived self- efficacy, interpersonal influence, situational influences. General data were analyzed by using descriptive statistics. Pearson’s product moment correlation coefficient and multiple regressions were used to analyze the relations and the predictive power. The results of this study as follows: 1) The total mean score for health promoting behaviors was 2.37 (SD = .33), and had scores at a moderated level, while sexual risk behavior, smoking and alcohol consumption behaviors were low level 2) perceived benefits of health promoting behavior, perceived barriers of health promoting behaviors, perceived self-efficacy in health promoting behaviors, and interpersonal influence were significantly positive correlated at low to moderate level with health promoting behaviors (p<.05; r =.157, .231, 148, .401) but gender, faculty enrolled were significantly negative correlated at low level with health promoting behaviors (p<.05; r = -.193, -.130) 3) significantly predictors health promoting behaviors of Undergraduate Students in Rangsit University were gender, faculty enrolled, perceived benefits of health promoting behavior, perceived barriers of health promoting behavior, and perceived self-efficacy in health promoting behaviors (p<.05). The predictive power was 24.8% of the variance (Adjusted R2 = 0.248, p<.05). The results of this study suggested that it is vital and the administrators of Rangsit University should concern and integrate teaching or health promotion activities for improving health promoting behaviors among undergraduate students and provide a health promotion policy for undergraduate students to healthy.

The Effects of a Dietary Promotion Program on Nutritional Status, Knowledge, Albumin Levels, and Total Iron-Binding Capacity in Hemodialysis Patients

Rattanaporn Saelim — 2025-06-29

This study is a quasi-experimental research design employing a one-group pretest-posttest approach. The aim of the study was to evaluate the level of knowledge, nutritional status, albumin levels, and iron-binding capacity before and after the implementation of knowledge promotion and dietary selection guidelines. A sample of 30 participants was Chronic kidney disease patients receiving hemodialysis who received hemodialysis services at the Tropical Medicine Hospital, Bangkok, between October 2022 and March 2023 and selected using purposive sampling based on predetermined criteria. The research instruments included: 1) a personal information questionnaire, 2) a knowledge questionnaire, 3) a nutritional status assessment tool, and 4) a knowledge promotion and dietary guidelines plan. Data analysis was performed using descriptive statistics, including percentages, means, standard deviations, and paired t-tests for comparison.The results indicated that, following the knowledge promotion and dietary selection guidelines: 1) the sample group exhibited a statistically significant increase in knowledge regarding nutrition for patients with chronic kidney disease undergoing hemodialysis (p < .001), 2) the sample group showed a statistically significant improvement in nutritional status (p < .001), 3) the sample group showed a statistically significant increase in blood albumin levels (p < .001). However, there was no statistically significant difference observed in the iron-binding capacity. The findings of this study suggest that promoting knowledge and providing dietary guidelines can significantly improve knowledge, nutritional status, and albumin levels in patients with chronic kidney disease undergoing hemodialysis. However, this intervention did not show an effect on the iron-binding capacity.

Effect of A3E.2S Health Literacy Development Program with The Digital 4.0 Era on The Abdominal Obesity Prevention Behavior of Working People in the Workplace

Pranpriya Sintao — 2025-06-29

The purpose of this study was to compare the differences in the average score of obesity prevention behavior of late working people in the experimental group. Before and after receiving the Health Literacy Development Program a 3E.2S. Digital 4.0 and to compare the difference in the average score of obesity prevention behavior of late working people. Between the experimental group that received a 3E.2S. Health Literacy Development Program and the control group that did not receive the program. The sample group is late working age people aged 45-59 years, both men and women. Have worked in a medium-sized establishment in Bangkok for at least 1 year and have been in good physical and mental health. The sample was selected by multi-step randomization and simple sampling. There were 71 people, divided into 34 experimental groups and 37 control groups. The experimental group was given an 8-week program to collect data using a general questionnaire. Questionnaire on Obesity Prevention Behavior and Health Literacy and Health Behavior Assessment Form according to 3E2S. Content validity of .9, (IOC) of 1.0 and reliability of .86 and .90. Data analysis using descriptive statistics. The data were analyzed using descriptive statistics such as percentage, mean, standard deviation, and descriptive statistics such as Paired t-test and Independent t-test. The results showed that the mean scores for obesity prevention behaviors after receiving the program ( = 78.35, SD = 5.88) were higher than before receiving the program ( = 70.70, SD = 4.58), and that the experimental working age group had a mean score of obesity prevention behavior ( = 78.35, SD = 5.88) , which had a higher mean score than the control group ( = 66.48, SD =5.26) , with a statistically significant difference of .05.

The Outcomes of Diabetic Foot Ulcer Care Patients at Diabetic Foot Clinic in Hatyai Hospital

Surapa Hangsaphruek — 2025-06-29

Complications from diabetic foot ulcers are a major cause of limb loss among patients. This study aimed to evaluate the outcomes of diabetic foot ulcer care in the diabetic foot clinic and to identify factors associated with wound healing at the Diabetic Foot Clinic, Hatyai Hospital. This descriptive study included 75 diabetic foot ulcer patients who received care from October 1, 2022, to September 30, 2023. Medical records were reviewed, and data were analyzed using retrospective descriptive study, Pearson Chi-square, and Fisher’s exact test to identify factors associated with wound healing. The results showed that the sample consisted of 38 male patients (50.7%) with a mean age of 57.33 ± 12.39 years. Most patients had ulcers for less than one month (62.6%), and the majority of ulcers were located on the toes (56%). All patients had peripheral neuropathy. Among those who received at least six months of treatment, 89.3% had favorable outcomes without complications or limb amputation. The incidence of new ulcers was 5.3%, and 2.7% underwent additional toe amputations. Statistically significant factors associated with wound healing included wound depth (p=.005), foot deformity (p=.028), and the duration of the wound before treatment (p=.013). It is recommended to develop an active screening system and focus on the care of deep ulcers, foot deformities, or chronic wounds, with a multidisciplinary approach to prevent complications in diabetic patients.

The Effects of Health Literacy Development Program among Alcohol Drinkers in Urban Communities on Health Literacy for Prevention and Resolution of Alcohol-related to Problems Alcohol Drinking Behaviors and Liver Enzyme Test

Napaphen Jantacumma — 2025-06-29

This one-group repeated measures quasi-experimental research aimed to compare health literacy for prevention and resolution of alcohol drinking problems, alcohol drinking behavior, and liver enzyme value of the sample group. They were measured as following: before the program started, immediately after the program ends and later 4 weeks thereafter among 54 adult alcohol drinkers in Pak Kret District. The research instrument consisted of (1) a 12-week health literacy development program, (2) the health literacy assessment, (3) an alcohol drinking behavior assessment and (4) liver enzyme test. The content validity of instrument 1,2 and 3 were .95, .91, and .90, respectively. The Cronbach alpha coefficients of instrument 2 and 3 were .90 and .86, respectively. Data were analyzed by using One-way repeated measuring ANOVA. The results of the study found that health literacy, alcohol drinking behavior, and liver enzyme values were differed. Health literacy immediately after the program was higher than before the program (M = 72.65, M = 55.67). The post-program measurements at 4 weeks were significantly higher than those measured immediately after the program (M = 75.13, M = 72.65). Alcohol drinking behavior and liver enzyme values immediately after the program were significantly lower than before the program (M = 10.48, M = 12.61) (M = 21.04, M = 25.37), respectively. While the measurement of post-program 4 weeks taken were not significantly different from those taken immediately post- program.

Predicting factors of sexually transmitted infection preventive behavior among adolescent in the era of Coronavirus 2019 pandemic

Patcharawan KhruangKaew — 2025-06-29

A cross-sectional study was conducted to examine preventive behaviors against sexually transmitted infections (STIs), predisposing factors, reinforcing factors, enabling factors among adolescents during the COVID-19 pandemic and to identify predictive factors. The sample consisted of 428 students in grades 10-12 from a province in the upper northern region of Thailand, selected through multi-stage random sampling. The research instruments included three sets of questionnaires include: 1. A data on personal information 2. A questionnaire assessing enabling, predisposing, and reinforcing factors, 3. A questionnaire assessed STI prevention behaviors. All instruments were validated for content validity by a panel of three experts, with a reliability coefficient of STI prevention behaviors = .80, the knowledge regarding new lifestyle related to sexually =.72, the attitude score towards the prevention of sexually activity =.76, the sexually arousing media =.80, the accessibility of sexual health services = .87, the familial relationship =.86, and the parenting behavior =.74. Data were analyzed using descriptive statistics and multiple regression analysis with the enter method. The findings revealed that the prevention behaviors for STIs during the COVID-19 were at a moderate level. Accessibility to sexual health services and familial relationships predicted these prevention behaviors at a rate of 78.4%. This is recommended that nurses should develop health planning program to preventing sexually transmitted infections among high school students.

The Effects of Ten Rules for Improve Health Literacy Program to Health Behaviors According to The National Health Recommendation in Elementary School Students in Bangkok Metropolis

Pacharawan Chotipun — 2025-06-29

The objectives of this study were to compare the differences in mean posttest scores for health behaviors according to the 10 rules between an experimental group receiving a health literacy development program according to the 10 rules and a control group not receiving the program, and to compare differences in the pre-and posttest mean health behavior scores of the experimental group before and after receiving the health literacy development program according to the 10 rules. The sample was 62 upper primary school students enrolled in the 2024 academic year at two schools under the Bangkok Metropolitan Administration. The researcher calculated the sample size by using the G*power program, which yielded a sample of 62 students obtained with multi-stage sampling then divided into experimental and control groups of 31 each. The research instruments consisted of 1) a health literacy development program according to the 10 rules created by the researcher by applying Nutbeam’s Theory of Health Literacy (Nutbeam, 2008); 2) a questionnaire on health behavior following the 10 National Health Recommendations. The instruments were checked with Cronbach’s alpha coefficient, which was 0.83. The activities in the study took 8 weeks, with 60-minute weekly sessions. The data obtained were analyzed with mean, percentage, standard deviation, independent sample t-test and paired sample t-test. The results showed that the experimental group receiving the health literacy development program according to the 10 rules had a statistically significant higher mean score for health behavior ( = 74.16, SD = 8.92) than the control group ( = 68.45, SD = 6.95) at .01 (p-value<.01). Furthermore, the experimental group receiving the health literacy development program according to the 10 National Health Recommendations had a higher mean posttest score for health behaviors ( = 69.77, SD = 10.83) than the mean pretest score ( = 74.16, SD = 8.92) with statistical significance at .01 (p-value<.01). Thus, nurses or personnel in educational institutions can apply the health literacy development program according to the 10 National Health Recommendations as a guide in promoting health behaviors according to the 10 National Health Recommendations.

The Effects of E-cigarette Smoking, Cigarette Smoking, and Non-smoking on Lung Function, Respiratory Muscle Strength, and Short-term Memory in Undergraduate Student Aged 18-35 Years

Rattanaporn Sonpeayung — 2025-06-29

This research was a cross-sectional study aimed to comparison the effects of e-cigarette smoking, cigarette smoking, and non-smoking on lung function, respiratory muscle strength, and short-term memory among undergraduate students aged 18-35 years. A purposive sampling method was employed, with participants divided into three groups: e-cigarette smokers, cigarette smokers, and non-smokers, each consisting of 20 individuals. The participants were assessed for lung function parameters, including forced vital capacity (FVC), forced expiratory volume in one second (FEV1), the FEV1/FVC ratio, and peak expiratory flow rate (PEFR), respiratory muscle strength, assessed by maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP), and short-term memory. Differences between groups were analyzed using one-way ANOVA followed by Bonferroni post hoc analysis, with statistical significance was set at a p-value < .05. The results indicated statistically significant differences in lung function (FEV1, FVC, and PEFR), respiratory muscle strength (MIP and MEP), and short-term memory scores among the three groups (p < .05). Specifically, the e-cigarette and cigarette smoking groups exhibited significantly lower values in FEV1, FVC, PEFR, MIP, MEP, and short-term memory compared to the non-smoking group (p < .05). These findings provide important evidence for the development of strategies aimed at promoting prevention and awareness campaigns regarding the use of e-cigarettes and cigarettes, highlighting the potential long-term health implications of their use.

Factors Influencing Behaviors for Delaying Progression of Kidney Impairment Among Patients with Uncontrolled Type 2 Diabetes Mellitus

Suchada Poowilai — 2025-06-29

This study investigated the behaviors and factors of preservation of kidney function among patients with uncontrolled type 2 diabetes mellitus. The sample consisted of 124 patients with uncontrolled type 2 diabetes mellitus who were visiting a non-communicable chronic disease clinic (NCD) and were chosen through simple random sampling. The research instruments utilized in the study were general information questionnaires, perceived susceptibility, perceived benefits, perceived barriers, perceived self-efficacy, cues to action, and kidney function preservation behaviors. The instruments were reliable with Cronbach’s alpha coefficients of .83, .94, .89, .88, .85, and .73, respectively. Data was analyzed using descriptive statistics and multiple regression analysis. The results indicated that the overall score of kidney function preservation behaviors was moderate (M = 3.23, SD = 0.61). Cues to action, especially support from health personnel, and perceived self-efficacy in performing kidney function preservation behaviors significantly predicted 32.6% of the variance in kidney function preservation behaviors (R² = 0.326, p < .001). Based on these findings, nurses should develop programs to promote kidney function preservation behaviors, emphasizing cues to action, particularly healthcare personnel support, and enhancing perceived self-efficacy.

Comparison of the Effects of Treadmill and Overground Running on Respiratory and Leg Muscles Strength, and Dyspnea Level in in Individuals with Low Physical Activity Levels

Umpira Promsri — 2025-06-29

The objectives of this study were to compare the effects of treadmill and overground running on respiratory and leg muscles strength, and as well as the level of dyspnea score in sedentary persons. The participants were individuals with a sedentary lifestyle, aged 20-35 years, and with a body mass index (BMI) 18.5-22.9 kilograms per square meter. Each of the two groups consisted of twenty-five participants. The first group received treadmill running training, while the second group received overground running training. The running protocol involved exercising at 75-85% of maximum heart rate for 30 minutes, warm up 5 minutes, and cool down 5 minutes per day, 3 days per week, over a period of 6 weeks. The outcome measurements included respiratory and leg muscle strength, and dyspnea level assessed at baseline, and after 3 and 6 weeks of training. The results of this study showed that after 6 weeks of training, there were statistically significant difference between groups in maximum expiratory pressure (p = 0.001) and dyspnea level (p = 0.04). In conclusion, treadmill and overground running can improve respiratory and leg muscle strength, and dyspnea level after more than 3 weeks training. Moreover, overground running can improve expiratory muscle strength more effectively than treadmill running, while treadmill running reduce dyspnea more effectively than overground running after 6 weeks of training.

Effects of Kinesio Taping on Dynamic Knee Valgus Angle and Single Leg Hop in Badminton Players with Dynamic Knee Valgus

Usa Karukunchit — 2025-06-29

Dynamic knee valgus is an abnormal lower extremities movement during landing that may lead to knee injuries caused by insufficiency of core stability muscle. Kinesiotape can facilitate the core stability muscle. The objective of the study was to compare the effects of kinesiotaping muscle facilitation technique with 50% tension and the paper off with 10% tension group on rectus abdominis and erector spinae muscle on dynamic knee valgus and single leg jump in badminton players with dynamic knee valgus. A randomized controlled trial, double-blind was conducted on 34 badminton players with dynamic knee valgus aged between 18 and 25 years and weakness core muscles. Dynamic knee valgus angle and side hop test were collected at baseline and after taping. The two-way measures ANOVA was employed to analyze the data. The result demonstrated a statistically significant interaction effect between the taping tension groups and the time of taping on the knee valgus angle during movement (p < .05). However, no significant interaction effect was observed between the taping tension groups and the time of taping on the single-leg jump distance (p > .05). A comparison between the 50% and 10% kinesiotaping tension groups demonstrated statistically significant differences in dynamic knee valgus angle and single leg hop distance (p < .05). Kinesiotaping with 50% tension using a muscle facilitate technique reduces dynamic knee valgus angle and improves single-leg hop distance after being applied immediately and after 72 hours of taping in badminton players.