Health Science Journal of Thailand

Effects of a Self-Management Program Enhanced by Telenursing on Self-Management Behaviors and Blood Pressure Levels among Patients with Uncontrolled Hypertension in Yasothon Province

Tippawan Srithum — 2026-06-30

A quasi-experimental two-group pretest–posttest design was conducted to evaluate the effectiveness of a self-management program combined with tele-nursing on self-management behaviors and blood pressure levels among patients with uncontrolled hypertension. The sample consisted of patients with uncontrolled hypertension who were selected using simple random sampling and assigned to either the experimental group (n = 35) or the control group (n = 35). The experimental group received a self-management program combined with tele-nursing, including health education and follow-up via the LINE application, whereas the control group received usual nursing care. The intervention lasted for 12 weeks. Data were collected using a questionnaire with a reliability coefficient of 0.75. Data were analyzed using descriptive statistics, analysis of covariance (ANCOVA), and repeated measures ANCOVA, controlling for age, sex, and baseline self-management behavior scores. Results: After the intervention, the experimental group had significantly higher self-management behavior scores than the control group (F (1,64) = 238.92, p-value = 0.001). Regarding blood pressure outcomes, the experimental group demonstrated significantly greater reductions in both systolic and diastolic blood pressure compared with the control group (F (1,65) = 32.76, p-value = 0.001; F (1,65) = 7.35, p-value = 0.009, respectively). Recommendations: The application of this program should be promoted for patients with uncontrolled hypertension in primary care and community healthcare settings where communication technologies are accessible.

Development of an Integrated Home-Based Continuum of Care System for Stroke Patients in the Phrom Khiri District Health Network, Nakhon Si Thammarat Province

Chaleaw Phajonpai — 2026-06-30

This research and development study aimed to develop and evaluate the effectiveness of an integrated home-based continuum of care system for stroke patients in the Phrom Khiri District Health Network, Nakhon Si Thammarat Province. The study was conducted in four phases: 1) exploring the context and analyzing care-related problems; 2) developing a participatory care model under the PHROM KHIRI Model, based on House’s social support concept; 3) implementing the model using a one-group pretest–posttest quasi-experimental design over 20 weeks among 38 stroke patient–primary caregiver dyads; and 4) evaluating, refining, and expanding the model. Data were collected using interview guides, focus group guides, caregiver care assessment forms, community support assessment forms, quality-of-life assessment forms, and satisfaction questionnaires. Data were analyzed using descriptive statistics, paired t-tests, and content analysis. The results showed that, after implementation, the mean scores for caregiver care, community support, and patients’ quality of life increased significantly, with mean differences of 0.28 points (95% CI: 0.21–0.35), 0.63 points (95% CI: 0.47–0.79), and 0.55 points (95% CI: 0.42–0.68), respectively (p < 0.001). Stakeholders’ overall satisfaction with the developed model was at a very high level (81.43%). In conclusion, the PHROM KHIRI Model strengthened the linkage among health services, families, and communities, resulting in improved caregiver practices, social support, and quality of life among stroke patients.

Situation Analysis and Safety Barriers: Stakeholder Perspectives in the Operational Network of Medical Laboratories in Satun Province

Wiwan Dajeh — 2026-06-30

The complexity of laboratory work contributes to a high level of safety hazards. Therefore, this study aimed to assess the situation and obstacles related to medical laboratory safety in Satun Province. This was a descriptive research using secondary data from the safety assessment results based on the 50-item standard assessment form of the Medical Technology Council, covering 6 issues, from the network of all hospital laboratories in Satun Province (7 laboratories). Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed using content analysis. The results showed that the safety situation in fiscal year 2024, assessed in all laboratories, had an average score of good (85.92%) across all issues. The issue with the highest score was safe practices (98.05%), while the issue with the lowest score was risk management (75.00%). Five items requiring urgent improvement and related obstacles included personnel, work systems and processes, resources and technology. policy and management, environment and structure, and external factors. Conclusion and recommendations: This research reflects the current state of safety and the major obstacles that need to be improved. Collaboration at the network level and policy support will be key mechanisms for enhancing the safety of the healthcare system.

Effects of Core Muscle Exercise on Pain Level and Quality of Life in People with Low Back Pain

Suwicha Jantawongsa — 2026-06-30

Low back pain (LBP) is a common problem among older adults and has a significant impact on mobility and quality of life. Core muscle training combined with education and instructional materials can reduce pain and improve quality of life. This study aimed to investigate the effects of core muscle exercise on pain and quality of life in older adults with LBP. The study included 16 participants aged 60 years and older who met the inclusion criteria. All participants received physical therapy treatment and performed five core muscle exercises three times per week for eight consecutive weeks. Outcomes were assessed using the Numerical Rating Scale (NRS) and the EQ-5D-5L on the first and last days of the program. Data were analyzed using a paired t-test. The results demonstrated that after the intervention, pain levels and quality of life were significantly different from baseline (p-value<0.001). Core muscle exercise is an effective approach for reducing low back pain and enhancing quality of life in older adults with LBP.

Functional Outcomes, Implant Survivorship, and Complications Following Primary Total Hip Arthroplasty in Octogenarians: A Systematic Review and Meta-Analysis

Thaworn Thongpet — 2026-06-30

This study aimed to evaluate functional outcomes, implant survivorship, and complications following primary total hip arthroplasty (THA) in octogenarians. A systematic review and meta-analysis were conducted following PRISMA 2020 guidelines. CINAHL, Embase, MEDLINE, and Scopus databases were searched through March 2025. Ten studies comprising 8,027 patients were included. The pooled mean Harris Hip Score improvement was 38.1 points (95% CI: 33.2-43.1), exceeding the minimal clinically important difference. Implant survivorship reached 96.5% at 5 years and 93.2% at 10 years. Surgical complications included dislocation (2.8%) and surgical site infection (1.2%), while medical complications occurred in 14.5% of patients. Primary THA in octogenarians yields clinically meaningful functional improvement and reliable implant longevity with appropriate patient selection and perioperative management.

Nursing Care for Dengue Patients with Renal Complications: Integrative Literature Review

Panjit Phothong — 2026-06-30

The kidneys are among the organs that may develop complications in patients with dengue fever, ranging from mild and self-limiting conditions such as hematuria and proteinuria to severe and potentially fatal outcomes, including acute kidney injury. These complications result from capillary damage leading to plasma leakage into surrounding tissues, reduced renal perfusion, anemia or dehydration, thrombocytopenia, and inflammatory responses caused by infection. The role of nurses begins upon the patient’s admission to the hospital. Nurses are responsible for assessing symptoms and vital signs, recording fluid intake and output, and monitoring laboratory results. Any abnormal findings must be reported to physicians immediately. Close observation is particularly essential for hospitalized patients with prolonged shock, underlying diseases, obesity, or advanced age, as these conditions increase the risk of complications. Some patients may require renal replacement therapy. In addition, nurses play a crucial role in educating patients and their families about dengue fever and its potential complications to reduce anxiety by providing appropriate information and self-care guidance. Therefore, nurses are integral to establishing effective patient care strategies. Through comprehensive assessment of potential complications, vigilant monitoring, and timely management of emerging conditions, nurses contribute significantly to improved patient outcomes. This article aims to review the mechanisms underlying renal complications in dengue fever and to synthesize evidence-based nursing care guidelines for application in clinical practice.