Thai Journal of Nursing

Nurses’ role in caring for patients with Thyroid Eye Disease receiving the Orbital Decompression

Sasiwimon Deekum, Rosathon Prasitchokchai — Fri, 31 Jul 2026 00:00:00 +0700

Thyroid Eye Disease (TED) is a severe ocular complication arising from an autoimmune disorder, directly impacting patients' vision, psychological well-being, and overall quality of life of patients. Orbital decompression surgery serves as a crucial standard treatment to prevent visual impairment. The in-depth nursing practice guidelines for ward nurses by integrating knowledge from pathophysiology, clinical assessment, and psychological impacts. It primarily focuses on evidence-based integrated care combined with a holistic patient care approach. The role of the nurse in caring for TED patients undergoing orbital decompression encompasses the preoperative phase, which emphasizes clinical assessment and pre-anesthetic readiness evaluation. During the postoperative phase, the utmost priority is placed on the vigilant monitoring of critical complications, particularly retrobulbar hemorrhage and cerebrospinal fluid (CSF) leakage alongside psychological nursing care and discharge planning. By applying a transitional care model integrated with the teach-back method, the approach emphasizes a seamless care delivery system, strictly advocates for absolute smoking cessation, and provides psychological support to restore long-term quality of life. The integration of this clinical knowledge enhances nurses' competencies in risk assessment, minimizes complications, and effectively promotes holistic treatment outcomes, ultimately enabling patients to resume a high-quality of life.

Anxiety management and promotion of effective face-down positioning in patients following retinal surgery

Rosathhon Prasitchokchai, Sasiwimol Deekum — Fri, 21 Aug 2026 00:00:00 +0700

Some patients undergoing retinal surgery are required to maintain continuous face-down positioning to ensure that gas tamponade remains in the appropriate position to support the therapeutic outcome.. However, prolonged face-down positioning may cause anxiety, physical discomfort, and limitations in activities of daily living which may subsequently affect patients’ adherence to postoperative self-care. This academic article aims to compile relevant nursing concepts for the management of anxiety and the promotion of effective face-down positioning in patients following retinal surgery. The key contents include anxiety and its effects on patients, the application of Peplau’s Theory of Interpersonal Relations, information provision and therapeutic communication; promotion of health literacy and family involvement; evidence related to face-down positioning; prevention of discomfort and positioning-related complications; and individualized nursing care. Orem’s Self-Care Deficit Nursing Theory is also incorporated to support patients’ self-care during recovery at home. Ophthalmic nurses play an important roles in assessing individual patient needs, reducing anxiety, promoting self-care abilities, and planning continuity of care to support safe recovery and an appropriate quality of life.

ํThe effects of a nutrition promotion program on nutritional status and quality of life in breast cancer patients receiving chemotherapy at Sanpasitthiprasong Hospital

Fri, 31 Jul 2026 00:00:00 +0700

This quasi-experimental research aimed to study the effects of the nutrition promotion program on nutritional status and quality of life in breast cancer patients receiving chemotherapy at Sanpasitthiprasong Hospital. The sample of 58 breast cancer patients receiving chemotherapy at Sanpasitthiprasong Hospital, was purposively selected, and they were equally divided into the experimental group and the comparative group using the simple random method. The research instruments were 1) the nutrition promotion program, 2) the NAFF nutrition assessment, and 3) the quality of life assessment. Data were analyzed using descriptive statistics, t-test and Fisher’s exact test. The results showed that after participating in the nutrition promotion program, there was no difference in nutritional status between patients in the experimental group and the comparative group, but the quality of life in the experimental group was significantly better than the comparative group at p < .05 (t = 5.443).

Effects of the information program of side-effect management on knowledge and anxiety among breast cancer patients receiving initial chemotherapy at Phrae Hospital

Ornin Papinwachiraboon , Suparat Muenhong — Fri, 31 Jul 2026 00:00:00 +0700

This quasi-experimental research aimed to examine the effects of the information program of side-effect management on knowledge and anxiety among breast cancer patients receiving initial chemotherapy at Phrae Hospital. The study was grounded in the Cognitive Social Learning Theory. A purposive sampling method was used to recruit 60 breast cancer patients receiving initial chemotherapy of the AC regimen (Doxorubicin and Cyclophosphamide) at the chemotherapy ward, Phrae Hospital. The participants were equally assigned into either the experimental group or the comparison group. The research instruments were the information program of side-effect management, a demographic questionnaire, the knowledge test on chemotherapy symptom management, and an anxiety assessment scale. Data were analyzed using descriptive statistics, the Mann-Whitney U test, and the Wilcoxon signed-ranks test. The results revealed that after the experiment, patients in the experimental group significantly gained more knowledge than before the experiment (Z = -4.671) and the comparison group (Z = -5.804) at p < .05. Furthermore, the experimental group significantly experienced lower anxiety than before the experiment (Z = -3.472) and the comparison group (Z = -4.657) at p < .05.

Predictive factors of cervical cancer screening via HPV self-sampling among Thai women with Gynecological problems

Ganna Papaanutthanun, Bualuang Sumdaengrit, Porawan Witwaranukool — Fri, 31 Jul 2026 00:00:00 +0700

This descriptive cross-sectional design aimed to examine knowledge, attitudes, practices, and predictive factors of cervical cancer screening via HPV self-sampling among Thai women with Gynecological problems. A total of 304 Thai women with gynecological problems were recruited using purposive sampling. They were attending gynecology clinics at tertiary hospitals in Bangkok. The research instruments included questionnaires assessing knowledge, attitudes, practice and gynecological health factors. Data were analyzed using descriptive statistics and multiple regression analysis. The results showed that the mean knowledge score was 14.41 (SD = 3.76), indicating some limitations in understanding detailed aspects of HPV infection and screening methods. The mean attitude score was 25.62 (SD = 3.39), with concerns identified regarding confidence in self-sampling procedures, accuracy of test results, and potential contamination. The mean practice score was 6.01 (SD = 3.75). Only 8.88% of participants had previously performed HPV self-sampling, while 63.49% expressed intention to do so in the future. The predictors of HPV self-sampling behavior were knowledge (Beta = .354), history of HPV infection (Beta = .127), attitudes (Beta = .119), and history of cervical cancer screening (Beta = .118), collectively explaining 27% of the variance (p < .001).

Effects of a diabetes remission care program on blood glucose level, health behavior, and health literacy among patients with type 2 Diabetes Mellitus at Sanpasitthiprasong Hospital

Fri, 31 Jul 2026 00:00:00 +0700

This quasi-experimental research aimed to examine the effects of a diabetes remission care program on blood glucose levels, health behavior, and health literacy among patients with type 2 Diabetes Mellitus at Sanpasitthiprasong hospital. Fifty patients with type 2 diabetes mellitus were purposively selected, and randomly allocated into experimental and comparative groups, with 25 participants in each group. The experimental group received a 12-week diabetes remission care program, while the comparative group received usual care. The research instruments included the diabetes remission care program, health behavior questionnaire, and health literacy questionnaire. The index of item-objective congruence (IOC) of the questionnaires were 0.92 and 0.94 and reliability coefficients were 0.88 and 0.91 respectively. Data were analyzed using descriptive statistics, and t-test. The results showed that after the experiment, patients in the experimental group had significantly better health behavior and more health literacy than the comparative group at p < .001, and had significantly lower blood glucose levels than the comparative group at p < .05.

Effectiveness of nurse-led smoking prevention program among adolescents: A systematic review and meta-analysis

Fri, 21 Aug 2026 00:00:00 +0700

This systematic review and meta-analysis study was conducted to examine the effectiveness of nurse-led smoking prevention program among adolescents. Relevant studies published between 2007 and 2023, were retrieved from databases of PubMed, Scopus, ScienceDirect, CINAHL, ThaiJO, and ThaiLIS/TDC. Experimental and quasi-experimental studies with control groups reporting quantitative outcomes were included. A total of 13 studies met the inclusion criteria. Quality of included studies was assessed using the JBI Critical Appraisal Tool. Data were analyzed using a random-effects model, and effect sizes were calculated as standardized mean differences (MD). The findings demonstrated that nurse-led smoking prevention program significantly improved knowledge (MD = 4.04; 95% CI: 2.29–5.79), attitude (MD = 10.91; 95% CI: 4.57–17.24), self-efficacy (MD = 2.08; 95% CI: 1.11–3.05), intention to avoid smoking (MD = 4.28; 95% CI: 3.01–5.55), and smoking prevention behavior (MD = 7.13; 95% CI: 2.13–12.13) at p < .001.