Thai Journal of Nursing

Editor Note

Sunida Preechawong — Sat, 14 Mar 2026 00:00:00 +0700

Editorial Tean

khannika Suwonnakote — Sat, 14 Mar 2026 00:00:00 +0700

Factors related to unpleasant symptoms among postoperative brain tumor persons

Boonsita Thingakrue, Noppamat Pudtong — Sat, 14 Mar 2026 00:00:00 +0700

This study aimed to examine unpleasant symptoms and the factors associated with such symptoms among individuals with brain tumors following surgical intervention. The investigated variables included gender, age, tumor location, comorbidities, physical activity, nutritional status, resilience, and social support. Participants of 120 individuals were recruited through purposive sampling based on predefined inclusion criteria. Research instruments included a personal data form, illness record form, Unpleasant Symptom Assessment Scale, Charlson Comorbidity Index (CCI), International Physical Activity Questionnaire–Short Form (IPAQ-SF), Mini Nutritional Assessment (MNA), Resilience Quotient (RQ-20), and the Social Support Questionnaire (SSQ Part 2). The content validity of all instruments was evaluated by five experts, and reliability coefficients ranged from 0.86 to 0.99. Data analysis was performed using descriptive statistics, Pearson’s correlation, and Eta. The results indicated that the mean overall severity score of unpleasant postoperative symptoms was 2.54 (SD = 1.47), reflecting a mild level of symptom severity. The most commonly reported symptoms were headache, insomnia, and fatigue, respectively. Significant correlations were found between unpleasant symptoms and comorbidities (r = 0.467), nutritional status (r = –0.444), resilience (r = –0.355), and physical activity (r = –0.242), all at the .05 level of significance. However, gender, age, tumor location, and social support were not significantly associated with unpleasant symptoms following brain tumor surgery.

Effectiveness of brain potential development activities based on the health belief model among older adults at a community in Nakhon Pathom Province

Chonticha Chonsawat , Sulee Tongvichean — Sat, 14 Mar 2026 00:00:00 +0700

The purpose of this quasi-experimental research was to evaluate the effectiveness of brain potential development activities based on the health belief model among older adults at a community in Nakhon Pathom Province. A sample of 30 older adults at a community, was purposively selected. Research instruments included: 1) the brain potential development activities based on the health belief model, 2) the health belief assessment, and 3) the knowledge test on dementia. Content validity indices were 0.89, 0.93, and 0.86 respectively. Reliability coefficients of the health belief assessment and the knowledge test on dementia were 0.78 and 0.72 respectively. Data were analyzed using descriptive statistics and t-test. The findings revealed that after participating in the brain potential development activities, all older adults gained knowledge on dementia at a high level. Their health belief in total and the subparts of perceived susceptibility of dementia, perceived severity of dementia, and perceived benefits of prevention, were significantly higher than before participating in the brain potential development activities at p < .001. In contrast, their health belief in the subpart of perceived barriers of practice, was lower than before participating in the brain potential development activities.

Effects of the health literacy enhancement program on stroke prevention knowledge and health literacy among stroke risk-groups in Ubon Ratchathani Province

Sat, 14 Mar 2026 00:00:00 +0700

The quasi-experimental study with two groups pre-posttest design aimed to evaluate effects of the health literacy enhancement program on stroke prevention knowledge and health literacy among stroke risk-groups in Ubon Ratchathani province. A purposive sample of 56 patients with diabetes mellitus, hypertension, or dyslipidemia who had a Thai CV Risk score greater than 10% was selected. They were equally divided into 28 patients in the experimental group and 28 patients in the comparative group. The experimental group received the health literacy enhancement program, while the comparative group received regular nursing care. The research instruments were the stroke prevention knowledge test and the health literacy questionnaire, with content validity indices of 0.95 and 0.85 respectively. The health literacy questionnaire had reliability coefficient of 0.87 and the stroke prevention knowledge test had a KR-20 value of 0.80. Data were analyzed using descriptive statistics and t-test. The results revealed that after participating in the health literacy enhancement program, mean score of stroke prevention knowledge in the experimental group (M = 19.92, SD = 0.26) were significantly higher than before the program (t = -7.517) and the comparative group (t = 11.263). In addition, mean score of health literacy in the experimental group (M = 52.57, SD = 3.57) was significantly higher than before the program (t = -6.884) and that of the comparative group (t = 5.701) at p < .05.

Testing of validity and reliability of the Medication Adherence Report Scale (MARS) in post-kidney transplantation patients

Wichada Yaisomboon , Pachanat Nunthaitaweekul, Rob Horne — Sat, 14 Mar 2026 00:00:00 +0700

This cross-sectional study aimed to assess the validity and reliability of the Medication Adherence Report Scale (MARS) in post kidney transplantation patients. The Thai version of the MARS was developed through forward-backward translation techniques. The scale was then reviewed by five experts for content validity. A total of 100 post kidney transplantation patients after 6 months, aged 18 years or above were recruited. Data analysis was conducted using descriptive statistics and exploratory factor analysis was used to examine its construct validity. Results showed that content validity index of the Thai version of the MARS was 0.80. Exploratory factor analysis revealed that communalities were between 0.52 and 0.95. Factor loading of items were between 0.72 and 0.97. The Cronbach’s alpha coefficient was 0.772, which was acceptable.

Relationships between health literacy and clinical outcomes among non-communicable diseases patients with early stage chronic kidney disease at Municipal Health Service Centers, Surat Thani City Municipality

Atthiya Nuannu — Sat, 14 Mar 2026 00:00:00 +0700

The purposes of this descriptive research were to 1) examine health literacy among non-communicable diseases patients with early stage chronic kidney disease at Municipal Health Service Centers, Surat Thani City Municipality, and 2) investigate the relationships between health literacy and clinical outcomes. A sample of 369 patients was purposively selected. The research instruments included a demographic and health status questionnaire, the health literacy questionnaire based on Nutbeam’s concept, with a Cronbach’s alpha coefficient of 0.98. Data were analyzed using descriptive statistics and Pearson’s correlation. The findings revealed that the patients had the mean score of overall health literacy at a high level (M = 232.40, SD = 27.27). The subpart of health literacy on cognitive skills had the highest mean score. Furthermore, cognitive and self-management skills showed a statistically significant positive relationship at a low level with the glomerular filtration rate (r = 0.122 and 0.104 respectively, p < .05). Conversely, cognitive skills was negatively correlated with diastolic blood pressure (r = -0.123) at p < .05. However, no statistical correlations were observed between health literacy and blood glucose levels and systolic blood pressure.

Caring behavior in nursing practice of the first batch nurse graduates, Princess Agrarajakumari Faculty of Nursing, Chulabhorn Royal Academy as perceived by nurse graduates, supervisors, and colleagues

Krongkaew Meenual, Boonsong Supradit, Kacharat Prechon — Sat, 14 Mar 2026 00:00:00 +0700

This descriptive research aimed to 1) examine the caring behaviors in nursing practice among the first batch nurse graduates from Princess Agrarajakumari Faculty of Nursing, Chulabhorn Royal Academy, as perceived by the nurse graduates, supervisors, and colleagues and 2) compare perceived caring behavior among these three groups. The sample consisted of 37 graduated nurses, 16 supervisors, and 37 colleagues. The research instrument was a questionnaire on caring behaviors in nursing practice, developed based on Watson’s Theory of Human Caring, encompassing all ten Carative factors. Content validity was assessed by three experts, yielding a content validity index (CVI) of 1.00. The questionnaire demonstrated high internal consistency, with a Cronbach’s alpha coefficient of 0.96. Data were analyzed using descriptive statistics, one-way Analysis of Variance (ANOVA), and post hoc test using the Bonferroni method. The findings revealed that the mean score of perceived caring behaviors in nursing practice from nurse graduates, supervisors, and colleagues were all at a high level (M= 2.64, SD = 0.29; M= 2.53, SD = 0.27; and M= 2.38, SD = 0.34, respectively). Furthermore, the nurse graduates' perception of their own caring behaviors was significantly higher than the supervisors' perception at p < .05.

Happiness in life of registered nurses at a private hospital in Nonthaburi Province

Kansama Krobmuk, Anan Thamchalai, Sanit Sirivisitkul — Sat, 14 Mar 2026 00:00:00 +0700

This descriptive study aimed to 1) study the level of happiness in life among professional nurses at a private hospital in Nonthaburi Province, and 2) compare the happiness in life of professional nurses at a private hospital in Nonthaburi Province according to their differences in personal factors. The sample of 173 professional nurses, was selected using volunteer method. Research tool was the questionnaire on happiness in life. Data were collected using the questionnaire on happiness in life, and analyzed using descriptive statistics, t-test, and one-way analysis of variance (ANOVA). The study findings revealed that 1) professional nurses‘ happiness in life was at the high level ( M = 3.82, SD = 0.324). and 2) professional nurses working in different departments demonstrated statistically significant difference in happiness in life at p < .01, but those who were different in gender, age, education level, marital status, work duration, current position, and average monthly income, did not show any significant differences in their overall happiness in life.