https://he02.tci-thaijo.org/index.php/cmunursing <div id="focusAndScope"> <div id="focusAndScope"> <div id="focusAndScope"> <div id="focusAndScope"> <div id="focusAndScope"> <div id="focusAndScope"> <div id="focusAndScope"> <p><strong>About the Journal</strong></p> <p><strong>Journal Tiltle</strong></p> <p>Thai พยาบาลสาร มหาวิทยาลัยเชียงใหม่<br />English Nursing Journal CMU<br />ISSN 2821-9120 (Print)<br />ISSN 2821-3139 (Online) </p> <p> Nursing Journal CMU (previously “Nursing Journal”) is operated by the Faculty of Nursing, Chiang Mai University. The journal aims at disseminating research and academic articles in nursing and other health-related disciplines. It welcomes articles in Thai and English from professional nurses, scholars, researchers, students, and the general public. Utilizing an online management system, the journal ensures the quality of its articles through a rigorous double-blind review process, involving at least three experts from relevant fields and different institutions. This process maintains the confidentiality of both authors and reviewers.</p> <p><strong>Aims</strong></p> <ol> <li>To disseminate research and academic articles in nursing and other health-related disciplines.</li> <li>To provide a source for researching knowledge in nursing and other health-related disciplines.</li> <li>To establish an academic network that involves professional nurses, scholars, researchers, students, and the general audience.</li> </ol> <p><strong>Scope</strong></p> <p><strong> </strong>The scope of the journal includes studies from nursing and other health-related disciplines such as health sciences, nutrition, and public health, etc.</p> <p><strong>Type of Article</strong></p> <ol> <li>A research article refers to a publication which presents concise research data in a systematic way. Its components include the title, author’s name, abstract, rationale and significance of the problem, objectives, hypothesis (if any), research framework, methodology, findings, discussion, research recommendations, acknowledgment (if any) and references. The article typically ranges between 10-15 pages.</li> <li>An academic article refers to a publication that introduces concepts from an existing body of knowledge through critical analysis and the author’s experience. It may also present new ideas to inspire readers to reflect upon their thoughts and apply the presented ideas for the benefit of society. The article’s components include the title, author’s name, abstract, introduction, content, conclusion, and references. The article typically ranges between 10-15 pages.</li> </ol> <p><strong>Publication Frequency <br /></strong> The journal has 4 issues per year.<br /> Issue 1: January – March<br /> Issue 2: April – June<br /> Issue 3: July – September<br /> Issue 4: October – December<br /> The number of articles published per issue is approximately 20 articles, written in Thai and English.</p> <p><strong>Peer Review Process<br /></strong> Manuscripts submitted for publication in Nursing Journal CMU undergo an initial screening by the editorial board before proceeding to a peer-review process conducted by at least three qualified experts in related fields, who have no conflicts of interest. The review process is double-blind to ensure that neither author’s nor reviewers’ identities will be disclosed.</p> <p><strong>Steps of the review process<br /></strong> All review processes are executed through the electronic journal system of Thai Journal Online (ThaiJO). To ensure that the Nursing Journal CMU will meet international standards, the steps below shall be implemented.</p> <ol> <li>The author submits a manuscript to the electronic system of the Nursing Journal CMU through Thai Journal Online (ThaiJO), URL: <a href="https://www.tci-thaijo.org">https://www.tci-thaijo.org</a>.</li> <li>The editorial team acknowledges the submission.</li> <li>The editorial team performs initial screening to evaluate the content, scope, formatting, references, ethical issues, plagiarism, and theoretical and practical applications.</li> <li>If the manuscript does not pass the initial screening, the editor will notify the author to make revisions within a period of 4 weeks. If the author fails to complete the revision within the specified timeframe, the process will be considered terminated. The editor will then notify the author and remove the article from the system.</li> <li>If the manuscript passes the initial screening, the editorial team will forward the manuscript to experts in related fields for evaluation. This process will be double-blind in which the author’s and reviewers’ names will not be disclosed.</li> <li>Once the manuscript is reviewed by the experts, the editorial team will adhere to the experts’ decision as follows:<br /> 6.1 In case of ‘Accept Submission’, the editorial team will notify the author and forward the manuscript for copyediting, proofreading, and formatting based on the journal’s guidelines before publication. <br /> 6.2 In case of ‘Revision Required’, the editorial team will forward the reviewers’ comments to the author as a guideline for making revisions. In addition, the author will receive a form that contains a tabulated summary of the changes to be made to the manuscript. The author must provide justifications for each reviewer’s comments and resubmit the revised manuscript to the editorial board. The revisions should follow these instructions:<br /> 6.2.1 In case of ‘Minor Revision’, the author shall make necessary revisions according to the reviewers’ comments and submit the revised manuscript to the editorial team within 2 weeks. The revisions will be reviewed by the editorial team prior to publication.<br /> 6.2.2 In case of ‘Major Revision’, the author shall make necessary revisions according to the reviewers’ comments and submit the revised manuscript to the editorial team within 4 weeks. The editorial team will forward the manuscript to the reviewers for a second round of review. If the manuscript requires additional revisions, the editorial team will send it back to the author. Subsequently, the author must implement the essential changes until the manuscript fulfills the criteria for publication. Revisions should be limited to a maximum of three rounds. <br /> If the author fails to make revisions to the manuscript within the specified timeframe without providing valid reasons, the editorial team will remove the manuscript from the system. If the author decides to submit the revised manuscript for publication, they must initiate the process from the beginning. In addition, the author will be required to pay the publication fee once again.<br /> 6.3 In case of ‘Decline Submission’, the editor will inform the author of the final decision and provide reasons through the ThaiJo online journal system. </li> </ol> <p><strong>Article Processing Charges<br /></strong> The journal charges a publication fee for processing charges and compensating reviewers.</p> <p> Articles written in Thai: 4,000 (four thousand baht) per article.<br /> Articles written in English: 5,000 (five thousand baht) per article.</p> <p> The publication fee will be collected only when the manuscript passes the initial screening from the editor prior to being forwarded to the reviewers for evaluation.</p> <p> Please complete the payment via a bank transfer to Bangkok Bank; Account name: “Nursing Journal CMU”, Account number: 968-0-08702-1. The Nursing Journal CMU reserves the right not to refund publication fees under any circumstances.</p> <p> <strong>Note:</strong> - Faculty members and personnel under the Faculty of Nursing, Chiang Mai University will be exempt from the publication fee.<br /> - The Nursing Journal CMU has no policy to expedite the publication process.</p> <p><strong> </strong><strong>Copyright and Right</strong></p> <p> The Nursing Journal CMU is an open-access journal. All published articles are copyrighted under the Nursing Journal CMU. Interested readers can access and download articles at no cost. However, the journal reserves the rights to its publishing process.<br /> The content of each article in the Nursing Journal CMU is the sole responsibility of the respective author. If any errors are present, the author alone is accountable, not Chiang Mai University or any of its faculty members.</p> <p><strong>Sponsors </strong></p> <p>Faculty of Nursing, Chiang Mai University<br />110/406 Inthawarorot Road, Suthep, Mueang, Chiang Mai <br />Tel: 053-949100<br />Website: https://www.nurse.cmu.ac.th/web/Default.aspx</p> <p><strong>Sources of Support</strong></p> <p><strong> </strong>Faculty of Nursing, Chiang Mai University<strong> </strong></p> <p><strong>Journal History</strong></p> <p>The first journal issue was published under the title “Nursing Newsletter”.</p> <p>1. Assistant Professor Liap Panyawanich, first editor, 1973-1978.</p> <p>2. Assistant Professor Charoonsri Rungsuwan, editor, 1979-1993</p> <p><strong>In 1979</strong>, the journal title changed from “Nursing Newsletter” to “Nursing Newsletter CMU”.</p> <p>3. Assistant Professor Kannika Phongsanit, editor, 1994-1996</p> <p>4. Associate Professor Wilawan Phichian Satian, editor, 1997-1999</p> <p>5. Dr. Ponphon Tanmukhyakul, editor, 1999-2001</p> <p><strong>In 2001</strong>, the journal title changed from “Nursing Newsletter CMU” to “Nursing Journal”.</p> <p>6. Associate Professor Thiamsorn Thongsawat, editor, 2002-2009</p> <p>7. Professor Dr. Areewan Klanklin, editor, 2010-2021</p> <p>8. Associate Professor Dr. Kannika Kantharaksa, editor, 2022-present</p> <p><strong>In 2022</strong>, the journal title changed from “Nursing Journal” to “Nursing Journal CMU”.</p> <p> </p> </div> </div> </div> </div> </div> </div> </div> en-US <p>บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร</p> <p>ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว</p> kannika.k@cmu.ac.th (Associate Professor Dr. Kannika Kantaruksa (รองศาสตราจารย์ ดร.กรรณิการ์ กันธะรักษา)) nittaya.manokam@cmu.ac.th (Miss Nittaya Manokam (นางสาวนิตยา มะโนคำ)) Thu, 13 Mar 2025 17:17:19 +0700 OJS 3.3.0.8 http://blogs.law.harvard.edu/tech/rss 60 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/268254 <p>Quality of work life is essential for attracting and retaining nurses in the healthcare workforce. This cross-sectional correlational study aimed to describe the levels of quality of work life and the relationships between structural empowerment, psychological empower- ment, and quality of work life among nurses in specialty hospitals. Data were collected from 164 nurses at ten specialty hospitals in Myanmar, and stratified random sampling was used to select participants. Self-administered questionnaires, including the Work-Related Quality of Life Scale, the Conditions for Work Effectiveness Questionnaire, and the Psychological Empower- ment Questionnaire, were used to measure the major study variables. Cronbach's alpha coefficient was used to test reliabilities, which were .88, .92, and .81, respectively. Descriptive statistics and Pearson correlation tests were carried out to analyze the data.</p> <p>This study revealed that nurses perceived overall quality of work life at an average level (M = 76.64, SD = 9.01) and overall structural empowerment at a moderate level (M = 14.27, SD = 2.47). The overall mean score for psychological empowerment as perceived by nurses was between 5-10% of the norm among workers in various industries. Moreover, there was a significant positive correlation between structural empowerment and quality of work life at a high level (r = 0.59, p &lt; 0.01), and there was a significant positive correlation between psychological empowerment and quality of work life at a moderate level (r = 0.39, p &lt; 0.01).</p> <p>Nursing and health policymakers should develop strategies and guidelines to boost the quality of work life among nurses at specialty hospitals in Myanmar.</p> Ei May Me Htun, Kulwadee Abhicharttibutra, Orn-Anong Wichaikhum Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/268254 Thu, 13 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/268327 <p>Nursing handover is one of the essential communication processes for transferring patients’ health conditions and information to another group of healthcare professionals. This descriptive correlation study aimed to examine the quality of nursing handover and safety behaviors, and the relationship between nursing handover quality and safety behaviors of nurses in the National Guido Valadares Hospital, Timor-Leste. Two hundred and ten participants were randomly selected from 12 units at the National Guido Valadares Hospital. The research instruments included a demographic data form developed by the researcher, the Handover Evaluation Scale (HES), and the Safety Behavior Scale (SBS), which were translated into the Timor-Leste language by the researcher following Brislin’s guidelines. The Cronbach’s alpha coefficient of the HES and SBS were .80 and .94, respectively. Descriptive statistics and Spearman's rank correlation were used to analyze the data.</p> <p>The results revealed that nurses perceived nursing handover quality at a high level (M = 75.08, SD = 4.35) and perceived safety behaviors at a high level (M = 52.42, SD = 5.86). Nursing handover quality was significantly moderately correlated with safety behaviors (r_s = .36, p &lt; 0.01).</p> <p>The findings of this study could be beneficial for nursing leaders and managers in maintaining nursing handover quality and nurses' safety behaviors in the National Guido Valadares Hospital, Timor-Leste, and protect patients from harm and injuries.</p> Lolita Maria de Araujo, Thitinut Akkadechanunt, Somjai Sirakamon Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/268327 Thu, 13 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/269089 <p>Effective discharge teaching and readiness for hospital discharge are critical for the postoperative recovery of patients at home after knee replacement surgery. This descriptive correlation study aimed to examine the perceived quality of discharge teaching and the perceived readiness for hospital discharge among patients receiving total knee replacement, and their relationship. The participants were 84 total knee replacement patients from an orthopedic hospital in Zhoukou City, the People’s Republic of China. The research instruments included the Readiness for Hospital Discharge Scale Chinese Version (RHDS-Ch) and the Quality of Discharge Teaching Scale Chinese Version (QDTS-Ch). The RHDS-Ch and QDTS-CH were tested for their reliability and yielded Cronbach’s alphas of .92 and .80, respectively. Descriptive statistics and Spearman’s rank-order correlation were used for data analysis.</p> <p>The results revealed that the quality of discharge teaching as perceived by participants was at a high level (M = 8.73, SD = 0.25). Readiness for hospital discharge as perceived by participants was at a high level (M = 8.33, SD = 0.50). There was a statistically significant positive correlation between quality of discharge teaching and readiness for hospital discharge (r = 0.41, p &lt; 0.01).</p> <p>The study findings highlight the importance of quality discharge teaching in facilitating readiness for hospital discharge among patients after knee replacement surgery.</p> Yu Fang, Suparat Wangsrikhun, Chanchai Yothayai Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/269089 Thu, 13 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/271602 <p>Pediatric cardiac catheterization can be either a diagnostic or therapeutic procedure without surgery. If caregivers have knowledge and proper caring behaviors, it will help children with congenital heart disease undergoing cardiac catheterization to be safe from complications. This experimental research aimed to study the effectiveness of a self-efficacy promoting program on knowledge, self-confidence, and caring behaviors of caregivers of children with congenital heart disease undergoing cardiac catheterization. The sample consisted of 24 primary caregivers of children with congenital heart disease, aged 0-6 years, undergoing cardiac catheterization in the pediatric cardiac ward of a university hospital. They were divided into a control group and an experimental group with 12 caretakers in each. The control group received only routine nursing care, while the experimental group received the self-efficacy promoting program. The research instruments included the following: 1) a self-efficacy promoting program about caring for children undergoing cardiac catheterization, 2) instruments for data collection, which consisted of one each on knowledge, self-confidence, and caregiver caring behaviors. The questionnaires had an item content validity index of 1.00, 1.00, and .98, respectively. The reliability of the knowledge questionnaire was checked and the Kuder-Richardson 20 value was .71, the self-confidence and caregiver caring behaviors questionnaires had Cronbach’s alpha coefficient of .84 each. The data were analyzed using descriptive statistics, paired t-test, independent t-test, and repeated measure ANOVA.</p> <p>Results indicated that the experimental group had: a statistically significant higher average knowledge score after receiving the program than before receiving the program (p &lt; .05); a statistically significant different average knowledge score during the follow-up phase (p &lt; .001); a statistically significant higher average self-confidence score during the follow-up phase than after receiving the program (p &lt; .05); and statistically significant higher self-confidence than the control group (p &lt; .001). As for the mean scores of caring behaviors between the control group and the experimental group, these were not significantly different (p = .667). </p> <p>This research suggests that, despite there being no significant difference in caring behavior scores between the control group and the experimental group, caregivers participating in the program exhibited an increase in knowledge, self-confidence, and caring behaviors. Therefore, nurses can use this program as a guideline for effectively providing knowledge to caregivers of children with congenital heart disease who have undergone cardiac catheterization.</p> Waraphan Wongchan, Porntiwa Sanpawut, Benthima Kanokwuthipreeda, Ankavipar Saprungruang Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/271602 Thu, 13 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/268106 <p>Neonatal jaundice is a major cause of infants being readmitted to the hospital after discharge. The aims of this quasi-experimental study were to compare scores for maternal care behaviors of newborns with jaundice and readmission rates for these newborns between a control and an experimental group on Day 3 and Day 7 after hospital discharge. Purposive sampling resulted in 50 pairs of mothers and their newborn with jaundice who were then randomly divided into the control and experimental groups, with 25 pairs in each group, for a duration of 8 days. The experimental group received the multimedia supportive-educative nursing system program whereas the control group received routine nursing care. Data were collected using a personal data record form and a questionnaire on maternal care behaviors for newborns with jaundice. All instruments underwent content validity and reliability testing. Analysis of data used descriptive statistics and the Mann-Whitney U test.</p> <p>The results showed that the experimental group had statistically significant higher mean scores for maternal care behaviors than those in the control group on Day 3 and Day 7 after hospital discharge (p &lt; .05). There was no statistically significant difference between the newborns in the experimental and the control groups in hospital readmission rates on Day 3 after hospital discharge (p &gt; .05). Newborns in the experimental group had no cases of hospital readmission. On Day 7 after hospital discharge, newborns in both groups had no cases of readmission.</p> <p>Findings of this study showed that the multimedia supportive-educative nursing system program was able to enhance maternal care behaviors for newborns with jaundice after hospital discharge with no cases of readmission. Related healthcare settings may use the program during routine care for mothers of newborns with jaundice.</p> Nuntiporn Bussathip, Jutamas Chotibang, Nethong Namprom Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/268106 Wed, 26 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/271033 <p>Premature labor has a direct impact on mothers and infants as the infant is immediately separated from the mother and admitted to the neonatal intensive care unit. Sudden changes in circumstances can be stressful for mothers while also requiring knowledge. This quasi-experimental research aimed to study the effects of providing concrete objective information prior to premature infants’ first visit to a Neonatal Intensive Care Unit (NICU) on mothers’ knowledge and stress. The sample consisted of 47 mothers, divided into 23 in the control group and 24 in the experimental group. The instruments consisted of a questionnaire on the demographic information of mothers and their infants, a questionnaire on maternal knowledge and stress levels, and a video on concrete objective information. Instrument quality was tested based on the recommendations of five experts. The questionnaires had a content validity index (CVI) of .91. The reliability of mothers’ knowledge yielded a Kuder-Richardson 20 (KR-20) value of .79 while that of stress level, tested by Cronbach's alpha coefficient, was .95. The data were analyzed by using descriptive statistics and t-test. </p> <p>The results revealed that mothers who were provided with the concrete objective information prior to their infant’s visit had significantly higher mean knowledge scores (M = 29.58, SD = 3.35) than before receiving the information (M = 25.29, SD = 4.45), and significantly lower mean stress scores (M = 52.33, SD = 19.81) than before receiving the information (M = 64.46, SD = 20.65) (t = 5.682, p &lt; 0.001 and t = 3.593, p &lt; 0.001, respectively). The experimental group had a mean score for knowledge (M = 29.58, SD = 3.35) statistically significantly higher than that of the control group (M = 26.35, SD = 2.62, t = 3.678, p &lt; .001). Also, the experimental group had a mean score of stress (M = 52.33, SD = 19.81) which was statistically significantly lower than that of the control group (M = 74.30, SD = 9.11, t = 4.848, p &lt; .001).</p> <p>The results of this study show that providing concrete objective information to mothers prior to their premature infant’s first visit will improve knowledge and reduce stress, allowing them to care for their child more effectively.</p> Daruyaluk Saiwaew, Atchariya Wonginchan Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/271033 Wed, 26 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/268464 <p>Toddler is an important stage of child growth and development. Natural factors (nature) and environmental factors (nurture) affect child development. This descriptive correlational research aimed to study toddler development and identify relationships between nutritional status, mothers' knowledge of toddler development, and toddler development. The participants consisted of 107 pairs of mothers and toddlers seeking service from the Children's Hospital of the Lao People's Democratic Republic. Research instruments included a general information questionnaire, a toddler nutritional assessment form, a maternal knowledge of toddler development assessment form, and an early childhood development surveillance and promotion record form. All instruments underwent content validity and reliability testing. Descriptive statistics, Fisher's exact test, and Spearman’s rank correlation coefficient were used to analyze data.</p> <p>Findings showed 52.34% of toddlers having appropriate development. Toddlers with suspected developmental delay covered one, two, and three domains. Toddlers with one domain of suspected developmental delay constituted 64.70% of which the highest percentage (48.48%) belonged to receptive language. There was significant correlation between toddler nutrition status and toddler development (p &lt; 0.05). Maternal knowledge of toddler development showed a statistically significant positive relationship with toddler development (r = 0.193, P &lt; 0.05).</p> <p>The results of this study provide preliminary data on toddler development and its related factors. Healthcare professionals may utilize this data to plan for promotion or encouragement of toddler development among mothers in the Lao People's Democratic Republic.</p> Phetsamone Souvannavong, Pimpaporn Klunklin, Jutamas Chotibang Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/268464 Wed, 26 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/268471 <p>The extra-uterine environment leads to a great deal of adaptation for premature infants and affects their physiological changes. Maternal voice is one environmental factor that stabilizes infant physiology. This quasi-experimental study aimed to compare the average range of heart rate, breathing rate, and blood oxygen saturation levels in preterm infants before and after listening to their mother’s voice, and to compare the number of preterm infants whose heart rate, breathing rate, and blood oxygen saturation levels returned to the normal range between the control and experimental groups. Based on predefined purposive criteria, 32 preterm infants between 32-36⁺⁶ weeks of gestational age who had been admitted to the NICU of a tertiary-level hospital were chosen for this study. Sixteen of the infants were assigned to the control group whereas the other 16 were assigned to the experimental group. Research tools included: 1) a personal data record form, 2) a physiological changes record form, and 3) an audio tape of mother’s storytelling voice via MP3. All instruments underwent content validity and reliability testing. Data was analyzed using descriptive statistics, one-way repeated measures analysis of variance, and Fisher's exact test.</p> <p>Research results showed that the infants’ mean heart rates were significantly lower immediately after listening to their mother’s storytelling voice and five minutes after listening (p &lt; .05), while the number of preterm infants with normal heart rates after listening to their mother’s storytelling voice for five minutes was significantly higher than that of infants who received usual nursing care (p &lt; .05).</p> <p>Recordings of the mother’s storytelling voice have been shown to be beneficial for stimulating the sensory systems of preterm infants. Therefore, nurses should encourage mothers of 32- 36⁺⁶ week gestational age infants to provide a storytelling recorder to enhance the physiological stability of their preterm infants during hospitalization.</p> Ajchara Somrat, Jutamas Chotibang, Nethong Namprom Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/268471 Wed, 26 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/270753 <p>Medication adherence is a crucial factor in improving treatment outcomes for patients with pulmonary arterial hypertension<strong> (</strong>PAH<strong>) </strong>and chronic thromboembolic pulmonary hypertension <strong>(</strong>CTEPH<strong>)</strong>. This correlational descriptive study aimed to investigate medication adherence and associated factors among patients with PAH and CTEPH, utilizing the World Health Organization framework. Data was collected from a questionnaire administered to 106 patients receiving treatment at a university hospital. Research instruments included questionnaires on demographic information, and disease and treatment; the Brief Illness Perception Questionnaire (Brief IPQ); the Beliefs about Medicines Questionnaire-Specific scale (BMQ-S); and the Medication Adherence Scale for Thais (MAST). All instruments underwent content validity and reliability testing prior to use. Data was analyzed using descriptive statistics and logistic regression.</p> <p>The results revealed that the medication adherence rate was good (88.7%). Factors significantly associated with medication adherence included female gender (OR 4.45, 95% CI 1.23-16.14, p = .023), regular follow-up visits (OR 9.2, 95% CI 1.17-72.6, p = .035), and experiencing drug side effects (OR 0.05, 95% CI 0.01-0.23, p &lt; .001). Multivariate analysis demonstrated that drug side effects were a significant predictor of medication adherence (Adj OR = 0.042, 95% CI 0.006-0.297, p = 0.001), with a prediction coefficient of 0.408.</p> <p>This research has shown the significance of educating patients about potential drug side effects and how to manage them. It is crucial to identify support systems that encourage patients, especially males, to maintain good medication adherence.</p> Nongluk Sahinkong, Wasana Ruaisungnoen, Burabha Pussadhamma, Parinyaporn Singsangtam Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/270753 Wed, 26 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/268574 <p>Deep vein thrombosis in critically ill surgical patients is a harmful complication. Nurses have an important role to improve venous circulation in femoral veins to reduce the risk of this condition. This experimental pretest-posttest control group and convergent parallel design study aimed to examine the effect of a deep vein thrombosis prevention program on venous blood flow velocity and deep vein thrombosis ratio among critically ill surgical patients. Data was collected from critically ill surgical patients who had Autar deep vein thrombosis risk assessment scores ≥ 11. Simple random sampling was used to assign 25 participants to each group. The research instrument was composed of 1) the deep vein thrombosis prevention program for critically ill surgical patients, and 2) the outcomes instrument, composed of a venous blood flow velocity record form and a deep vein thrombosis record form. Content validity and reliability of the research instrument were approved. Descriptive statistics and repeated measurement analysis of variance were used for data analysis.</p> <p>The results revealed that the mean of femoral venous blood flow velocity in the control group was not different (p = 1.00) over three days of measurement, but there was a statistically significant difference for the experimental group comparing between day 1 and day 6 (p = .001) and between day 3 and day 6 (p = .004). The mean of femoral venous blood flow velocity between the control and experimental groups were statistically significantly different (p = .001) on all three days of measurement. There was no deep vein thrombosis incidence in either group.</p> <p>The study results show that implementation of this program can increase femoral venous blood flow velocity, which can be used to prevent deep vein thrombosis among critically ill surgical patients.</p> Nilubon Saranyapat, Mayulee Somrarnyart, Kaweesak Chittawatanarat, Chanchai Yothayai Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/268574 Mon, 31 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/271934 <p>Chronic obstructive pulmonary disease (COPD) is a major public health issue worldwide which affects health, bodily function, and lung capacity, leading to illness and mortality of the population. This systematic review evaluates the effectiveness of self-management programs in reducing dyspnea severity in COPD patients. Following the systematic review guidelines of the Joanna Briggs Institute, a comprehensive search was conducted for randomized controlled trials and quasi-experimental primary studies from 2018 to 2024. Data were analyzed using meta-analysis, with narrative summary applied to studies with insufficient statistics.</p> <p>The results of this systematic literature review indicated that six studies met the inclusion criteria. The self-management programs primarily focused on symptom assessment and management, promotion of physical activity, treatment guidelines, diet and nutrition, and smoking behavior control with continuous follow-up via home visits or phone calls over an 8-week period. The results demonstrated a reduction in the severity of dyspnea in COPD patients (MD -0.62; 95% CI: -0.79, -0.45; P &lt; 0.00001).</p> <p>These findings provide valuable insights for developing patient care programs aimed at reducing dyspnea severity in COPD patients. Future primary studies examining different dyspnea severity levels are recommended to further enhance the evidence base and inform clinical practice guidelines.</p> Siraphop Changpean, Benyaluk Muddee Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/271934 Mon, 31 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/270303 <p>Hypertension is harmful to patients’ vital organs, so implementing effective nursing practice guidelines with them at their first admission to an emergency department may help reduce disability or death. This implementation research aimed to develop nursing practice guidelines for the care of hypertensive patients at an emergency department. The participants consisted of 3 groups: 1) the guideline developers, including 10 nurses, 5 doctors, 2 pharmacists, and 2 laboratory staff; 2) 19 nurses using the guideline; and 3) 33 hypertensive patients receiving treatment at the emergency department in a medical centre. The research tool consisted of a personal record form, an implementation assessment form (CVI = .75), meeting questions, the Appraisal of Guidelines for Research and Evaluation II (AGREEII), and an evidence extraction form. Data collection followed the steps in the CURN Model. Data were analyzed using descriptive statistics.</p> <p>The research results provided the guidelines, consisting of five sections. Section 1 included protection of patient rights and ethics; Section 2 was about managing high blood pressure; Section 3 concerned discharge or transfer and follow-up after discharge; Section 4 covered educating patients to control their blood pressure; and Section 5 involved the continuous monitoring of practice and improvement of the quality of the guidelines. The quality of the guideline was assessed using AGREEII, resulting in a total score of 85.02%. After using the guidelines, 17 of the 33 patients (51.52%) experienced a blood pressure level decrease over two hours. All nurses reported that this guideline was easy for screening, giving medicine to decrease blood pressure, referring patients to another hospital, and providing information to patients and relatives. However, some participants (31.58%) found it difficult to send patients to the intensive care unit because of the limited number of beds in the hospital at the research site.</p> <p>The results of this research included systematically developed nursing guidelines which are suitable for practical application. Further research should study the effectiveness of the guideline implementation and evaluate clinical and procedural outcomes.</p> Arissara Sukwatjanee, Petcharat Rujipong, Wimonwan Lertwongpaopun Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/270303 Mon, 31 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/270773 <p>Hypertension and diabetes are major risk factors for cerebrovascular disease and can be prevented or controlled if patients have appropriate health behaviors. This predictive research aimed to study factors that influence preventive stroke behaviors among stroke patients at risk. The participants were 127 patients with hypertension and/or diabetes who had a moderate to high risk for stroke. They were selected for study participation using simple random sampling at the Community Medical Center, Buriram Hospital. Questionnaires used for data collection were 1) perception of health belief with four dimensions: perceived risk of stroke, perceived severity of stroke, perceived benefits of stroke prevention, and perceived barriers to stroke prevention with reliability of .87, .90, .91, and .90, respectively; 2) cue to action in stroke prevention; 3) perceived self-efficacy in stroke prevention; and 4) stroke prevention behaviors. The reliability coefficients of the questionnaires in parts 2, 3, and 4 were .92, .78, and .90, respectively. Data analysis included descriptive statistics and stepwise multiple regression analysis. </p> <p>The results of the study indicated that perceived severity of stroke (β = .163, p &lt; .05) perception of cues to action for stroke prevention (β = .203, p &lt; .05), and perceived self-efficacy in stroke prevention (β = .637, p &lt; .05) jointly predicted prevention stroke behaviors by 73.80% (R² = .738, p &lt; .05).</p> <p>According to the study's findings, healthcare providers should create guidelines for stroke prevention in stroke-risk patients. This can be done by educating patients about stroke and stroke prevention using videos, posters, and applications, as well as involving families and communities in promoting healthy behaviors. This will help patients perceive the seriousness of stroke and feel confident in their practice of appropriate behaviors to prevent stroke.</p> Yasinee Thongmee, Apinya Wongpiriyayothar, Thawaree Saengngam, Sukanya Burawong, Pinyada Charoensuk Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/270773 Mon, 31 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/268284 <p>Hypertension is a chronic disease that cannot be cured. However, it can be controlled if there is awareness in practicing to control hypertension, and health literacy is an important skill. This quasi-experimental study aimed to examine the effects of a health literacy program through the MJU health application on health literacy among older persons with hypertension. The participants were older persons with hypertension who received treatment at the Subdistrict Health Promoting Hospital in San Sai district, Chiang Mai. Seventy participants were purposively selected and assigned to either a control or an experimental group, with 35 in each group. The participants in the control group received routine care while those in the experimental group attended the program. The research instruments consisted of 1) a health literacy enhancing program through the MJU health application and 2) a handbook for health literacy among elders with hypertension, which was checked for content validity by three experts. The instruments used for data collection consisted of 1) the health literacy for older persons with hypertension questionnaire, with a content validity index of .81, and 2) the satisfaction on application use among older persons with hypertension questionnaire which was assessed using Cronbach's alpha coefficient, producing a reliability value of .86. Data were analyzed by descriptive statistics and t-test.</p> <p>The results of this study revealed that:<br /><span style="font-size: 0.875rem;">1. The health literacy mean score for the experimental group after attending the program (M = 62.69, SD = 5.76) was significantly higher than beforehand (M = 00, SD = 9.29, t = -5.48, p &lt; .05).<br /></span><span style="font-size: 0.875rem;">2. The health literacy mean score for the experimental group who attended the program (M = 62.69, SD = 5.76) was significantly higher than that of the control group (M = 55.20, SD = 8.73, t = -4.23, p &lt; .05).<br /></span><span style="font-size: 0.875rem;">3. The sample group was satisfied with using the MJU Health application with a mean score of 3.67.</span></p> <p>This study indicated that the health literacy enhancing program through the MJU health application can improve the health literacy levels of older persons with hypertension.</p> Benchamat Thatsaeng, Non Pinngern, Malee Launkeaw, Plernchit Kamsen Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/268284 Mon, 31 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/268519 <p>Quality nursing care results in safe nursing outcomes and is an important indicator of nursing services, while work ethic is an essential element for promoting good job performance. This descriptive correlational study aimed to examine work ethic, job performance, and the relationship between work ethic and job performance among nurses in Northern Regional Hospitals. The sample included 166 nurses who were selected using the multi-stage sampling method. Research tools included Greenslade and Jimmieson’s Job Performance Scale and Sharma and Rai’s Work Ethic Questionnaire, back-translated by Mahamaya et al. The Cronbach's alpha coefficients for the Job Performance Scale were .95 (task performance) and .92 (contextual performance), while that of the Work Ethic Questionnaire was .92. Data were analyzed using descriptive statistics and Pearson’s correlation.</p> <p>The results revealed that:<br /><span style="font-size: 0.875rem;">1. The work ethic (M = 21.52, SD = 4.45), task performance (M = 61.08, SD = 10.54), and contextual performance (M = 73.06, SD = 11.95) of nurses were at a high level.<br /></span><span style="font-size: 0.875rem;">2. The work ethic of nurses had a positive relationship with task performance (r = 0.300, p &lt; 0.001) and contextual performance (r = 0.392, p &lt; 0.001) at a moderate level. </span></p> <p>The results of this study can be used as basic information for research on work ethic and job performance, and further studies on other factors that influence nurses' job performance. In addition, nursing administrators can use the results of this study as basic information to find ways to encourage nurses in northern regional hospitals to maintain work ethic and job performance.</p> Kanchana Rangton, Somjai Sirakamon, Kulwadee Abhicharttibutra Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/268519 Mon, 31 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/267425 <p>Nurses’ work ethic and perceived organizational support are important and influence proactive work behavior which helps encourage staff to perform their work creatively and effectively, leading to achievement of organizational goals. This descriptive correlational research study aimed to examine work ethic, perceived organizational support, and proactive work behavior, and the relationship between work ethic, perceived organizational support, and proactive work behavior of nurses in health promotion hospitals under the Department of Health. Using multi-stage sampling, the participants consisted of 162 nurses from four health promotion hospitals. Research instruments included four parts: 1) a demographic data form, 2) a questionnaire on work ethic, 3) a questionnaire on perceived organizational support, and 4) a questionnaire on proactive work behavior. The Cronbach’s alpha coefficients of the three questionnaires were .86, .96, and .91, respectively. Data were analyzed using descriptive statistics, Spearman’s rank-order correlation, and Pearson’s product-moment correlation coefficient.</p> <p>The results of the study revealed that:<br /><span style="font-size: 0.875rem;">1. The overall work ethic of nurses was at a high level (M = 22.75, SD = 4.38) while perceived organizational support (M = 3.99, SD = 1.01) and proactive work behavior (M = 3.52, SD = 0.67) were at a moderate level.<br /></span><span style="font-size: 0.875rem;">2. Work ethic and perceived organizational support had a positive significant correlation with proactive work behavior (r</span>_s<span style="font-size: 0.875rem;"> = 0.383, p &lt; 0.001; r = 0.302, p &lt; 0.01, respectively).</span></p> <p>The results of this study can be used as information for nursing administrators to realize the importance of maintaining good work ethic for nurses and seeking strategies to promote nurses' perception of organizational support, which will promote proactive work behavior among nurses in health promotion hospitals.</p> Sujitra Chaiwatthanakorn, Somjai Sirakamon, Chayapha Sanluang Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/267425 Mon, 31 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/270826 <p>Discharge planning for emergency department patients is an important nursing activity that helps patients manage their health at home with confidence and safety after being discharged from the emergency department. This qualitative study aimed to analyze the structure, process, and outcomes of discharge planning in the emergency department based on Donabedian’s Quality Assessment framework and Lynn et al.’s discharge planning process. The data were collected from 18 informants, including head nurses and emergency department nurses, through semi-structured interviews and focus group discussions, and were analyzed using content analysis.</p> <p>The research showed:<br /><span style="font-size: 0.875rem;">1. Structure: the study found that the hospital has a policy to promote discharge planning, but the head nurse of the emergency department’s communication of the policy was unclear and not widespread. As a result, some nurses are not aware of the discharge planning principles and, therefore, are not able to implement them comprehensively. Nurses use nursing records as tools to communicate patient care information, along with verbal communication. Health knowledge pamphlets are provided to patients and caregivers for their further study at home. Due to varying levels of experience among nurses, this results in varied approaches to discharge planning and a lack of consistency in the provision of information, knowledge, and recommendations.<br /></span><span style="font-size: 0.875rem;">2. Process: the study found that nurses begin discharge planning when a doctor orders the patient to be discharged. Nurses assess the patient's problems and care needs in some cases, and plan the discharge with the patient and caregiver. Nurses provide consultations, and teach, demonstrate, and train the patients and caregivers in the necessary skills, but the completeness of the content varies depending on the nurse’s knowledge and experience. The evaluation is conducted through return demonstrations or verbal explanations, but there is no clear guideline, leaving it up to the nurse's discretion.<br /></span><span style="font-size: 0.875rem;">3. Outcome: the study found that no quality indicators related to discharge planning have been established. While revisit data is collected, no data analysis has been conducted yet.</span></p> <p>The results of this study can be used by nursing administrators as a basis for improving discharge planning in the emergency department and for developing an appropriate discharge planning model for emergency department use in the future.</p> Atchara Prommoon, Pratyanan Thiangchanya, Shutiwan Purinthrapibal Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/270826 Mon, 31 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/270790 <p>The overcrowding of prisoners in Thai prisons increases the incidence of pulmonary tuberculosis. Therefore, protective behavior becomes significant. This predictive research aimed to study factors predicting behavior to prevent pulmonary tuberculosis infection among 161 male prisoners in a provincial prison in the South. Questionnaires on personal information, perception based on the Health Belief Model, and tuberculosis preventive behaviors were used for data collection. All instruments underwent content validity and reliability testing. Data were analyzed via descriptive statistics and stepwise multiple regression analysis.</p> <p>The research results revealed that the participants had mean scores of pulmonary tuberculosis preventive behaviors at a good level (M = 4.04, SD =.546). Factors that could explain the variation in pulmonary tuberculosis prevention behavior include perceived self-efficacy of pulmonary tuberculosis preventive behaviors (ß =.487, p.001) and perceived benefits of pulmonary tuberculosis preventive behaviors (ß =.172, p =.018). These two variables together explained 33.1% of the variance in pulmonary tuberculosis prevention behaviors among male prisoners (Adjusted R² = 0.331, p &lt; .001).</p> <p>The study outcome enables the authority to understand tuberculosis prevention behaviors among male prisoners and could be used to develop effective programs that emphasize enhancing self-efficacy and perceived benefits of pulmonary TB prevention behaviors so as to prevent them from pulmonary TB infection.</p> Khawina Patimin, Winthanyou Bunthan , Kamontip Khungtumneam Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/270790 Mon, 31 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/267586 <p>Nurses’ use of face masks during the COVID-19 pandemic has had adverse effects on nurses' health. This descriptive correlational research aims to determine the relationship between using face masks and the adverse health effects of using face masks among nurses during COVID-19. The participants were 421 nurses working in tertiary hospitals under the Ministry of Public Health in northern Thailand who were selected using multi-stage random sampling. The research instrument was a questionnaire, developed from the literature review, with a content validity index (CVI) of 1.0 and reliability level of .81. The data were analyzed using descriptive statistics and chi-square. </p> <p>The results show that the types of face masks used among nurses included surgical face masks (97.62%) and N95 face masks (73.89%). Participants who wore N95 face masks and surgical face masks experienced adverse physical health effects at 92.93% and 81.02%, respectively. The most adverse physical health effects of both types were pressure injuries (90.35% and 71.29%, respectively). Participants who wore N95 face masks and surgical face masks experienced adverse mental health effects at 57.56% and 41.12%, respectively. The most common adverse mental health effects for both types were uncomfortable feelings (56.59% and 39.90%, respectively). The age, length of nursing service, and the number of working hours per day had a statistically significant relationship with adverse physical health effects (p &lt; .05), and the number of working hours per day and the frequency of changing face masks had a statistically significant relationship with adverse mental health effects (p &lt; .05).</p> <p>The study's findings suggest that occupational health nurses and other pertinent staff should give priority to following guidelines in order to prevent the negative health effects of face mask use. This can be achieved by ensuring that nurses have the right number of working hours and quantity of face masks, which will enhance their quality of work.</p> Suphakit Ketchan, Wanpen Songkham, Weerapon Suthakorn Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/267586 Mon, 31 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/266014 <p>Postnatal mothers experience physical and psychological changes in addition to taking on the role of motherhood. These factors can significantly affect sleep quality. This predictive correlational research aimed to study sleep quality and the predictive power of fatigue, anxiety, and social support on sleep quality in first-time postnatal mothers. The participants consisted of 106 first-time postnatal mothers aged 20 years and over who received postpartum check-up services at Maharaj Nakorn Chiang Mai Hospital and Regional Health Promotion Center 1 in Chiang Mai. The participants were selected by inclusion criteria. The research instruments included the Personal Information Questionnaire; the Pittsburgh Sleep Quality Index (PSQI), Thai version by Sitasuwan et al.; the Fatigue Symptoms Checklist, Thai version by Theerakulchai; the State Anxiety Inventory (STAI) FormY1, Thai version by Thapinta et al.; and the Mother Social Support Questionnaire form by Sittibunma et al. All instruments underwent reliability testing. Data were analyzed by using descriptive statistics, Spearman’s rank correlation coefficient, and binary logistic regression analysis.</p> <p>The findings revealed that<br /><span style="font-size: 0.875rem;">1. The participants had a median sleep quality score of 9.00 (IQR = 4.00) which was classified as poor sleep quality.<br /></span><span style="font-size: 0.875rem;">2. Fatigue could predict sleep quality in first-time postnatal mothers at 7.9% (p &lt; .001); anxiety and social support were unable to predict sleep quality in this group.</span></p> <p>The findings of this study could provide a basis for developing a nursing care plan to provide effective nursing care and reduce physical discomfort of first-time postnatal mothers in order to promote good sleep quality in this group.</p> Ummaravadee Inkaew, Punpilai Sriarporn, Piyaporn Prasitwattanasaree Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/266014 Mon, 31 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/271326 <p>Anemia in patients with chronic kidney disease is a significant complication, with its prevalence increasing as the estimated glomerular filtration rate (eGFR) declines to below 60 mL/min. The primary cause is a reduction in erythropoietin production, which stimulates the bone marrow to generate red blood cells. As a result, anemic patients with chronic renal failure require erythropoiesis-stimulating agents and iron supplements for treatment. In some cases, patients need blood transfusions, which must be administered cautiously due to potential complications. Patients with chronic renal failure, as the disease progresses to end-stage renal disease, often require renal replacement therapy, including hemodialysis, peritoneal dialysis, or kidney transplantation. In hemodialysis patients, dialysis nurses play a crucial role in assessing, monitoring, and caring for patients. They provide care across three stages: pre-dialysis, where they assess the cause of anemia and plan for dialysis; during dialysis, where they monitor for complications; and post-dialysis, where they offer guidance on home care practices to stabilize or increase red blood cell counts.</p> <p>This article aims to review the current knowledge on anemia in chronic renal failure patients undergoing hemodialysis. It covers the incidence, definition, diagnostic methods, causes, symptoms, treatments for anemia, iron deficiency, blood transfusions, and nursing care specific to anemic chronic renal failure patients on hemodialysis. Nursing interventions vary across different stages but share the common goal of preventing severe anemia, reducing the rate of hospitalization and mortality, and improving patients’ quality of life, enabling them to live as similarly as possible to healthy individuals.</p> Arissara Takham, Rungrudee Srisook Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/271326 Mon, 31 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/267443 <p>Gestational diabetes is a common complication; it can lead to severe complications for both the mother and the child, such as miscarriage, fetal anomalies or demise, dystocia, postpartum hemorrhage, eclampsia, and maternal infection. In addition, there may be long-term effects on maternal and child health, such as diabetes mellitus, chronic hypertension, or cardiovascular disease. The focus of reducing complications for both the mother and child due to gestational diabetes is on controlling the maternal blood sugar levels throughout pregnancy. This is achieved through education combined with adjustments to health behaviors.</p> <p>The purpose of this article is to present the pathology, the risk factors associated with GDM, and the impacts of gestational diabetes, as well as the screening and diagnostic methods, the management guidelines, and the role of nurses in caring for women with gestational diabetes. The aim is to help pregnant women control their blood sugar levels, and prevent or reduce the risks of complications by applying evidence-based knowledge while fostering collaboration within the healthcare team in providing care for pregnant women.</p> Sureepron Sripoun, Rungtawin Samphan, Ruangsri Srisuanjik Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/267443 Mon, 31 Mar 2025 00:00:00 +0700 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/274563 Kannika Kantaruksa Copyright (c) 2025 Nursing Journal CMU https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/cmunursing/article/view/274563 Mon, 31 Mar 2025 00:00:00 +0700