Journal of Health Research and Innovation

The Effectiveness of Strict Behavioral Modification Combined with Health Volunteers Buddies in Patients with Uncontrolled Hypertension at the Surat Thani Provincial Administrative Organization Urban Community Health Center

๊Udomsin Kaewklum — 2025-11-28

This quasi-experimental research, employing a two-group pretest-posttest design to investigate the effectiveness of an intensive behavior modification program, implemented with Health Volunteers Buddies, among patients with uncontrolled hypertension. The study was conducted at the Urban Community Health Center under the Surat Thani Provincial Administrative Organization. The sample consisted of 54 patients diagnosed by doctors with hypertension (blood pressure exceeding 140/90 mmHg for at least 6 months). The sample size was calculated using the Two Independent Means formula via the N4 studies application. Participants were selected by purposive sampling and assigned to an experimental group (n=27) and a control group (n=27). Research instruments included: an intensive behavior modification program (based on the 3E. 2S. principles), a knowledge and self-care behavior questionnaire. Content validity was verified by three experts (IOC = 1.00). The reliability of the knowledge questionnaire yielded a coefficient of 0.80. The self-care behavior questionnaire yielded Cronbach’s alpha coefficients of .82, respectively. Data were analyzed using descriptive statistics, Paired t-test, and independent t-test.

The results revealed that after the intervention, the experimental group showed significantly higher mean scores for knowledge and self-care behaviors, and significantly lower mean systolic and diastolic blood pressure levels compared to the pre-intervention phase (p< .001). When comparing between the groups, the experimental group demonstrated significantly better knowledge, self-care practices, and blood pressure control than the control group (p< .001).

The findings of this study suggest that this intensive behavior modification program can serve as a guideline for health care personnel at all levels of non-communicable disease (NCD) services. It can be adapted into care activities to enhance patients' knowledge, understanding, and ability to self-manage their disease correctly.

Factors Influencing the Cultural Competency of Professional NursesIn Surin Hospital

punika mormai — 2025-12-01

This descriptive research aimed to investigate: 1) the level of cultural competence among professional nurses at Surin Hospital, and 2) the factors influencing the cultural competence of professional nurses at Surin Hospital.

The sample consisted of 93 professional nurses working at Surin Hospital. The data collection instrument was a four-part questionnaire. 1) personal information, 2) values toward different cultures, 3) perceived organizational support, and 4) cultural competence of professional nurses.The content validity was verified by five experts. The Content Validity Index (CVI) for parts 2-4 of the questionnaire were 0.84, 0.82, and 0.86, respectively. Cronbach's Alpha coefficients for these sections were 0.84, 0.84, and 0.95, respectively. Data were analyzed using percentage, mean, standard deviation, and stepwise multiple regression analysis.

The research findings revealed that: 1) the overall cultural competence of professional nurses at Surin Hospital was at a high level (M=4.08, SD.= .56). The dimension of cultural humility scored the highest (M=4.47, SD.= .60), followed by cultural awareness (M=4.13, SD.= .60) and cultural desire (M=4.25, SD.= .67). 2) The factors that significantly influenced cultural competence were values toward different cultures (Beta=0.36) and perceived organizational support (Beta = 0.40) (p<.05). These factors explained 40.8% of the variance in cultural competence.

The suggestions for enhancing cultural competence, enabling professional nurses to effectively care for culturally diverse service recipients and increase their satisfaction, are that nursing administrators can provide organizational support and promote professional nurses' positive values toward different cultures.

Effects of a Self-Efficacy Enhancement Program on Knowledge and Decision-Making Skills in Preventing Unintentional Injury and First Aid for Kindergarten Teachers

Yapat Niyomsat — 2025-12-01

This quasi-experimental study with two-group pretest-posttest design, was aimed to examine the effects of a self-efficacy enhancement program on knowledge and decision-making skills regarding unintentional injury prevention and first aid among kindergarten teachers. The sample consisted of 60 kindergarten teachers in Nakhon Ratchasima Province, selected through multi-stage random sampling and simple random sampling assigned equally to experimental and comparison groups (30 participants each). The research instruments included: 1) The self-efficacy enhancement program for unintentional injury prevention and first aid delivered via the Line official account, 2) A knowledge questionnaire, and 3) A decision-making skills scale. The reliability coefficients (KR-20) of instruments part 2 and 3 were 0.85 and 0.80, respectively. Data were analyzed using descriptive statistics, the Wilcoxon Signed-Rank Test, and the Mann-Whitney U Test.

The results revealed that the experimental group demonstrated significantly higher knowledge related to unintentional injury prevention and first aid after the program was delivered (p< .001). Furthermore, their decision-making skills also improved significantly compared to the pre-test (p< .01). When comparing between groups: 1) the mean score of knowledge among experimental group (Mean=20.63, SD.=1.54) was significantly higher than that of the comparison group (Mean=19.03, SD.=1.13) at the .001 level, and 2) the mean score of decision-making skills among the experimental group (Mean=11.67, SD.= .55) was also significantly higher than that of the comparison group (Mean=10.73, SD.=1.14) at the .001 level.

Therefore, the self-efficacy enhancement program was effective in enhancing knowledge and decision-making skills regarding unintentional injury prevention and first aid among early childhood caregivers. It is recommended that the program should be disseminated and applied among other stakeholders involved in early childhood care.

Effects of Self-Regulation Program on Self-Efficacy Toward Aggressive Behavior Control of Schizophrenia Patients

Salini Phumphuang — 2025-12-02

This quasi-experimental research employed a two-group pretest-posttest design with a one-month follow-up period. The study aimed to compare self-efficacy scores in controlling aggressive behavior among patients with schizophrenia between the group receiving a self-regulation program and the group receiving standard nursing care. The sample consisted of 60 inpatients diagnosed with schizophrenia according to ICD-10 criteria (F20.0–F20.9) at Suansaranrom Hospital, purposively selected based on specified inclusion criteria. The study was conducted from January to April 2025. The research instruments included a demographic data questionnaire, the Self-Efficacy in Controlling Aggressive Behavior Scale for patients with schizophrenia, and a self-regulation program. All instruments were validated by three experts, with the Self-Efficacy Scale demonstrating a Cronbach's alpha coefficient of .84 and Content validity indices (IOC) were .93. Data were analyzed using descriptive statistics (percentage, mean, and standard deviation) and inferential statistics (independent t-test and repeated measures ANOVA)

The findings revealed that the mean self-efficacy scores in controlling aggressive behavior among patients with schizophrenia who received the self-regulation program showed statistically significant differences at the .05 level across three time points: pre-intervention, post-intervention, and one-month follow-up. Additionally, the mean self-efficacy scores at post-intervention and one-month follow-up were significantly higher in the experimental group compared to the control group receiving standard care (p < .05).

The study concluded that the self-regulation program effectively enables patients with schizophrenia to maintain their ability to control aggressive behavior continuously, even after returning to their families and communities, resulting in improved overall quality of life. Therefore, systematic implementation of this self-regulation program should be expanded across mental health and psychiatric service units. The program should be adapted to align with the social and cultural contexts of families and communities and integrated with home-based continuing care to ensure sustainable patient management.

The Study of relationship between Cyber Bullying and Depression among Junior High School students, Secondary Educational Service Area Office 1, Surat Thani Province

Darunee Suansan — 2025-11-21

This descriptive study aimed to 1) examine the Cyber Bullying and depression in Junior High School students, Secondary Educational Service Area Office 1, Surat Thani Province, 2) examine the relationship between cyber bullying and depression in Junior High School students, Secondary Educational Service Area Office 1, Surat Thani Province. The population consisted of 354 sample, Junior High school students. In the Office of the Secondary Education Service Area 1, Surat Thani Province, in the academic year 2024, were selected by multi-stage sample sampling. The research instruments used in this study were the Cyber bullying Questionnaire with a tool reliability of 0.97 and the Children's Depression Inventory (CDI) with a tool reliability of 0.84. Data were analyzed using descriptive statistics, frequency distribution, percentage, mean, standard deviation, and Pearson's correlation coefficient to analyze the relationship.

The research results showed that 1) 354 samples, or 100 percent, had been Cyber Bullying (Mean=29.86, SD.=13.58) and 233 samples, or 65.82 percent, had depression (Mean=18.38, SD.=7.88).2) Cyberbullying was significantly related to depression at the .01 level (r_s=.218, p<.01). The results of this research can help individuals and related agencies to pay attention to the problem of Cyber bullying to prevent violence and reducing the incidence of depression or other mental health conditions.

The Effects of Pain Management Program on Pain among Surgical Critically Ill Patients undergoing Abdominal Surgery, Surgical Intensive Care Unit, Surat Thani Hospital

Waraphon Rueangsawat — 2025-12-01

This quasi-experimental research aimed to compare mean pain scores at 72 hours post-abdominal surgery between critically ill surgical patients receiving a structured pain management program (experimental group) and those receiving routine nursing care (control group). A secondary objective was to evaluate nurses' satisfaction with the program's implementation. The sample consisted of 44 critically ill surgical patients admitted to the Surgical Intensive Care Unit (SICU) at Surat Thani Hospital, divided equally into an experimental group (n=22) and a control group (n=22). The research instrument was a pain management program developed based on the acute postoperative pain guidelines from the Royal College of Anesthesiologists of Thailand and the Thai Association for the Study of Pain. The program included systematic pain assessment, management based on pain severity, concurrent nursing care, and post-intervention reassessment (IOC .90). Other tools included a pain management record form and a nurse satisfaction questionnaire, with Cronbach's alpha reliability coefficients of .86 and .87, respectively. Data were analyzed using descriptive statistics and the Mann-Whitney U Test.

The results revealed that the mean pain score at 72 hours post-abdominal surgery was significantly lower in the experimental group than in the control group (P-value= .031). Nurses' overall satisfaction with the program was high (Mean=4.33, SD.= .39). The highest-rated aspects were that the program helped manage postoperative pain (Mean=4.80, SD.= .41) and effectively relieved pain (Mean=4.73, SD.= .46). The lowest-rated aspect was the convenience and speed of the equipment used for pain assessment (Mean=3.86, SD.= .35).

These findings indicate that the structured pain management program is effective in reducing postoperative abdominal pain in critically ill surgical patients and was met with a high level of satisfaction by the implementing nurses.