Nursing Research and Innovation Journal

Development of the Maternal Sense of Control Scale during Childbirth

2024-09-16T20:27:43+07:00

Self-control during childbirth is part of the perception of the birth experience and affects good pregnancy outcomes. However, in Thailand, there is still a lack of instruments that could directly assess the maternal sense of control during childbirth. This study aimed to develop the Maternal Sense of Control Scale during Childbirth and examine its psychometric properties. The instrument’s items were developed from a literature review and created to reflect the meaning of the components extracted from qualitative research. Initially, 40 items were reviewed by five experts for content validity. The sample consisted of 364 normal postpartum mothers over 18 years old who could read, write, and understand Thai. The data were collected by having the sample complete the questionnaire themselves. The validity and construct reliability were analyzed to confirm the components (second-order confirmatory factor analysis) using the LISREL program. The results of the study revealed that from the component extraction, 21 items were obtained, reflecting five components: 1) selfdetermination,2) self-respect and respect for others, 3) attachment, 4) childbirth knowledge, and 5) lack of self-control. It passed the criteria of content validity, construct validity, convergent validity, and discriminant validity at reasonable and acceptable levels and consistent with empirical data. The factor loadings of the components of maternal sense of control during childbirth were statistically significant. Each component had a Cronbach’s alpha coefficient that reflects good internal consistency. The entire scale had a relatively high Cronbach’s alpha coefficient,which was acceptable for a newly constructed scale. The structural reliability of both components and the whole scale was sufficient. This Maternal Sense of Control Scale during Childbirth can be used to research and improve the quality of nursing care for mothers during labor.
Keywords: Childbirth, Maternal sense of control, Scale development

Receptive Language Development in Early Childhood: A Comparative Study between Children Born Preterm and Full Term

2024-05-23T20:33:15+07:00

This comparative descriptive study explored receptive language development in children born preterm and full-term in early childhood. The sample included 96 childrenaged 1 year 6 monthsto 3 years 11months who attended the Pediatric Outpatient Department for check-ups between May 2020 and March 2021. Children who met the eligibility criteria were tested for receptive language understanding using the Peabody Picture Vocabulary Test Form A (Fourth Edition). The data were analyzed using an independent t-test and Mann-Whitney U test. The study revealed that most of the childrenaged 1 year 6 months to 2 years 5 months, bothbornpreterm (91.70%) and full-term (54.20%), had a low level of receptive language scores. When comparing between the groups, it was found that the mean rank of the receptive language scores of the full-term children was significantly better than that of the preterm-born children.However, most of the children aged from 2 years 6 months to 3 years 11 months,born preterm(54.20%) and full-term (58.30%), had a high level of receptive language scores. Their mean scores were not statistically different between the two groups. The findings suggested the monitoring, follow-up,and evaluation of language development in preterm-born children and a training project on the knowledge/information of language development be used to stimulate the language development in children, mainly aged 1 year 6 months to 2 years 5 months to achieve the proper language development.
Keywords: Early childhood, Language development, Preterm infants, Receptive language development

Correlation between Self-care Ability and Quality of Life of Patients with Advanced Cancer

2024-05-23T20:29:10+07:00

This descriptive correlational research aimed to describe the self-care ability and quality of life in patients with advanced-stage cancer and examine the correlation between them. The sample consisted of 222 patients with advanced cancer receiving both inpatient and outpatient services. Participants were selected by purposive sampling.A personal information questionnaire, the Self-care Ability Assessment, and the Thai version of the EORTC QLQ-C30 Quality of Life Questionnaire were used as research tools. Data were collected by patients’ self-administration. Descriptive statistics and Spearman's Rank Correlation were used to analyze the characteristics of the sample and the relationship between self-care ability and quality of life, respectively. The findings showed that overall self-care ability was at a low level, with particularly low knowledge and skills concerning self-care. The global quality of life and functioning in terms of the emotional, role, and social aspects of the patients with advanced cancer were found to be at a good level. However, quality of life regarding cognitive and physical functioning and the symptom aspect was revealed to be below the reference standard. When analyzing the correlation, it was found that the self-care ability of the patients was positively correlated with their physical functioning, while self-care ability was negatively correlated with their symptoms. Therefore, developing a knowledge and supportive system and strengthening appropriate self-care ability would enhance the quality of life for patients with advanced cancer.
Keywords: Advanced cancer, Quality of life, Self-care ability

Factors Related to Lower-Limb Functional Recovery in Persons with Closed Fracture of Femur Undergoing Internal Fixation Surgery

2024-06-22T21:55:43+07:00

This descriptive study aimed to describe lower-limb functional recovery and examine the relationship between the type of internal fixation, illness perception,rehabilitation behavior, and social support with lower-limb functional recovery in persons with closed fracture of femur after undergoing internal fixation surgery for three months. Sampling technique was determined by the period of time based on the inclusion criteria was used to recruit a sample of 90 persons with closed fractures of the femur undergoing internal fixation surgery for three months who visited the orthopedic outpatient department of the hospital under the Ministry of Public Health from August 2021 to October 2022. Research instruments included the Demographic Questionnaire, the Brief Illness Perception Questionnaire, the Rehabilitation Behavior Questionnaire, the Social Support Questionnaire,and the Modified Lower Extremity Functional Scale. Descriptive statistics, independent t-test, and Pearson’s product moment correlation were employed for data analyses. The results showed that 40.20% of the sample had lower-limb functional recovery. The mean lower-limb functional recovery score was at a moderate level.Statistical analysis revealed that illness perception and social support were significantly negatively correlated with lower-limb functional recovery. Rehabilitation behavior in patients was significantly positively correlated with lower-limb functional recovery. In addition, lower-limb functional recovery in patients who received internal fixation surgery with plate and nailing was not significantly different. The results of the study suggest that illness perception should be assessed. Continuous education and training in rehabilitation skills for patients after internal fixation surgery are needed to achieve bone recovery. Moreover,providing knowledge to relatives in caring for and encouraging patients to have appropriate and effective rehabilitation behavior is also needed to accomplish full bone recovery.
Keywords: Illness perception, Lower-limb functional recovery, Rehabilitation behaviors,Social support, Type of internal fixation

Factors Related to Insomnia in Persons with Type 2 Diabetes

2024-06-09T09:19:33+07:00

This descriptive correlational research aimed to examine insomnia in persons with type 2 diabetes and study the relationships between depression, body mass index,glycated hemoglobin (HbA1c), dysfunctional beliefs and attitudes about sleep, sleep hygiene, and insomnia. A stratified random sampling method was used to recruit 141 persons with type 2 diabetes from the diabetes outpatient departments in four secondary and tertiary hospitals in Chanthaburi Province. All participants responded to a set of five questionnaires: the demographic characteristics questionnaire, the Center for Epidemiological Studies Depression Scale, the Dysfunctional Beliefs and Attitudes about Sleep, the Sleep Hygiene Practice Scale, and the Insomnia Severity Index. Descriptive statistics and Pearson’s correlation were used in data analysis. The results revealed that 64.53% of the participants were female, with a mean age of 49.09 years, and the mean duration of diabetes was 6.86 years. The mean score for the Insomnia Severity Index among the participants was at a sub-threshold level of insomnia. Depression, body mass index, glycated hemoglobin (HbA1C), dysfunctional beliefs and attitudes about sleep,and inadequate sleep hygiene were significantly positively correlated with insomnia in persons with type 2 diabetes. This study suggests that health services in preventing insomnia among persons with type 2 diabetes should emphasize decreasing depression,controlling glycated hemoglobin (HbA1C), maintaining an optimal body mass index,promoting sleep hygiene, and changing dysfunctional beliefs and attitudes about sleep.
Keywords: Beliefs and attitudes, Insomnia, Type 2 Diabetes

Factors Related to Health Promoting Behaviors in Persons with Hematologic Malignancies after Stem Cell Transplantation

2024-05-05T11:29:59+07:00

This study aimed to examine the relationship between gender, age, education level,depression, perceived benefits of action, perceived self-efficacy, social support, and health-promoting behaviors in persons with hematologic malignancies after stem cell transplantation. Pender’s Health Promotion Model was used as a conceptual framework. The sample consisted of 105 individuals who had undergone hematopoietic stem cell transplantation within the past year. These individuals received follow-up treatment at the outpatient departments of state-affiliated hospitals with blood stem cell transplantation centers located in the Bangkok metropolitan area. Data were collected between September 2023 and November 2023 using six sets of questionnaires. The questionnaires elicited personal information, depression, perceived benefits, perceived self-efficacy, social support, and health-promoting behaviors. Data analysis was conducted using descriptive statistics, including percentages, means, standard deviations, Eta correlation, Spearman rank correlation, and Pearson’s product-moment correlation coefficient. The results indicated that the overall health-promoting behaviors in persons with hematologic malignancies after stem cell transplantation were at a high level. Perceived self-efficacy, perceived benefits of action, social support, and female gender were positively associated with health-promoting behaviors at a significant level. Depression had a statistically significant negative correlation with health-promoting behaviors. Age and education level were not significantly associated with health-promoting behaviors. The results highlight the importance of health-promoting behaviors in persons with hematologic malignancies after stem cell transplantation and the factors that support or hinder these behaviors. Therefore, nurses should provide healthpromoting activities that align with the related factors and health-promoting experiences of individuals with hematologic malignancies after stem cell transplantation to maintain continuous health-promoting behaviors and well-being.
Keywords: Health-promoting behaviors, Hematologic malignancies, Stem cell transplantation

The Effect of Aloe Vera Gel on Peripheral Parenteral Nutrition Induced Phlebitis*

2024-07-07T18:03:04+07:00

This quasi-experimental research aimed to investigate the effects of aloe vera gel on the incidence of phlebitis in patients receiving peripheral parenteral nutrition. The sample consisted of 64 patients who were receiving peripheral parenteral nutrition treated in the surgical units at a tertiary hospital. They were selected by purposive sampling based on the inclusion criteria. The patients were divided into two groups: the control group and the experimental group, with 32 participants in each group. The aloe vera gel was applied every eight hours until the cessation of peripheral parenteral nutrition in the experimental group, while the control group received usual care. A phlebitis scale developed by the Infusion Nurse Network Association was used to assess phlebitis every eight hours. Data were analyzed using descriptive statistics, chi-square and independent t-test. Results showed that while the incidence of phlebitis was not significantly different between the two groups, the onset of phlebitis in the aloe vera gel group was significantly longer than in the usual care group. No adverse events were reported from applying the aloe vera gel. Therefore, applying aloe vera gel is beneficial in delaying the onset of phlebitis in patients receiving peripheral parenteral nutrition.
Keywords: Aloe vera gel, Peripheral parenteral nutrition, Phlebitis

The Effects of Perceived Self-Efficacy Enhancement Program Using Line Official Account Application on Beliefs and Behaviors of Caregivers to Perform Nasal Irrigation for Preschool Children with Retained Nasal Secretion

2024-09-16T20:21:41+07:00

This quasi-experimental study with a two-group repeated measures design aimed to examine the effects of the Perceived Self-Efficacy Enhancement Program using Line Official Account application on beliefs and behaviors of caregivers to perform nasal irrigation for preschool children with retained nasal secretion. The participants were 32 caregivers with non-experience in nasal irrigation and providing care to pediatric patients who visited the pediatric outpatient department at a tertiary hospital selected by purposive sampling. They were divided into the control group (n = 16)and the experimental group (n = 16). The control group received only usual care, and the experimental group received the Self-Efficacy Enhancement Program using the Line Official Account application.The instruments for data collection were the Personal Information Questionnaire, the Caregiver Beliefs Questionnaire, and the Caregiver Behavioral Observation Form. Descriptive statistics were used to analyze the general characteristics of the sample. A comparison of the mean beliefs and behaviors scores of caregivers to perform nasal irrigation for preschool children was conducted between the experimental group and the control group in three phases: before participating in the program, on day 1 of the program, and on day 5 of the program. The two-way repeated measures ANOVA was used to analyze the data. The results of the study revealed that in the pre-intervention phase, the beliefs and behaviors scores of caregivers between the control and experimental groups had no significant differences; on day 1 of the program and on day 5 of the program, the experimental group had significantly higher beliefs scores and more appropriate nasal irrigation behaviors than the control group. Therefore, nurses can use the Self-Efficacy Enhancement Program using Line Official Account application to increase caregivers' ability to effectively perform nasal irrigation for preschool children with retained nasal secretion.
Keywords: Line Official Account, Nasal Irrigation, Preschool Children, Self-Efficacy

Preparing and Caring for Patients with Epilepsy for a Sleep Study

2024-03-10T19:49:21+07:00

Nursing care for patients with epilepsy is important because seizure symptoms can spontaneously develop anytime. Some cases with epilepsy may also have neurological dysfunctions, which are significant risks for falls, and affect patients’ cooperation during the procedure. Thus, patient preparation before performing a sleep study with polysomnography is necessary, including medical reviewing for both sleep problems and epilepsy, planning to install sleep testing equipment that is appropriate for the patient’s condition, and assessing the risk of severe seizures during the examination.When the patient is examined, the sleep testing nurse should assess the patient’s cooperation and risks for seizure and falls and then use preventive plans to reduce such risks. During the sleep study, if abnormalities in the patient’s electroencephalography or behavior are presented during sleep, the data should be recorded for review and analysis with the sleep specialist who interprets the results later. If the patient has a generalized tonic-clonic seizure, the sleep nurse should turn a patient gently onto one side, loosen any tight clothing, check the vital signs, and urgently call an emergency medical service team to manage care. When the sleep test is complete, the nurse should advise about self-care and make the next appointment date for a patient and coordinate with the sleep physician for the analysis of the sleep test.
Keywords: Antiepileptics, Epilepsy, Polysomnography, Sleep test

Editorial Note

2024-12-20T10:41:35+07:00

สวัสดีค่ะ วารสารวิจัยและนวัตกรรมทากงารพยาบาล ฉบับที่ 3 ปี พ.ศ. 2567