Journal of Nursing and Public Health Research

Health Literacy, 3E 2S Health Behaviors, and Quality of Life among People in Chanthaburi Province

Phakwarin Phattharasirisomboon — 2025-08-20

This cross-sectional study aimed to examine health literacy, 3E 2S health behaviors, quality of life, and factors associated with quality of life among people in Chanthaburi Province. The sample consisted of 400 individuals aged 18 years and older, selected through multistage sampling. Data were collected between August and December 2024. Research instruments included the Health Literacy Questionnaire, the 3E 2S Health Behavior Assessment, and the Thai version of the WHOQOL-BREF questionnaire, with Cronbach’s alpha coefficients of .801, .714, and .862, respectively. The reliability of the health literacy knowledge section was verified using KR-20, yielding a value of 0.76. Data were analyzed using descriptive statistics and stepwise multiple regression analysis.

The study revealed that the average health literacy score was at a good level (Mean = 47.81, S.D. = 6.84). The average score for 3E 2S health behaviors was also at a good level (Mean = 22.52, S.D. = 3.67), while the average quality of life score was at a moderate level (Mean = 92.01, S.D. = 12.80). The factors of health literacy (ß = 0.23), 3E 2S health behaviors (ß = 0.16), and age (ß = –0.16) were found to be significant predictors of quality of life among people in Chanthaburi Province, accounting for 12.2% of the variance (R²= 0.12, p-value < 0.05). Therefore, it is recommended that systematic and continuous programs be developed to promote health literacy and 3E 2S health behaviors from an early age in order to improve the quality of life of the population in Chanthaburi Province.

Effect of the Fall Prevention Literacy Enhancement Program on Fall Prevention Behaviors Among Older Adults

Sarayut Khamkhat — 2025-08-21

This quasi-experimental study with a two-group pretest-posttest design aimed to compare fall prevention behavior scores among older adults before and after participating in the program, as well as between the experimental and control groups. The sample consisted of 54 older adults aged 60 years and above who were at risk of falling, divided equally into an experimental group and a control group (27 participants each). Research instruments included: 1) screening tools, such as the Activities of Daily Living (ADL) assessment, Mini-Cog cognitive assessment, a health literacy questionnaire on fall prevention in older adults, and a fall risk assessment tool; 2) the intervention tool, which was a fall prevention health literacy promotion program; and 3) data collection tools, including a general information questionnaire and a fall prevention behavior questionnaire for older adults. Data were analyzed using descriptive statistics to describe the general characteristics of the participants. Paired t-tests were used to compare fall prevention behavior scores before and after the intervention within each group, and independent t-tests were used to compare the scores between the experimental and control groups after the intervention.

The results revealed that the fall prevention behavior scores of older adults in the experimental group after participating in the program were significantly higher than before the intervention (p-value < 0.001), and also significantly higher than those of the control group (p-value < 0.001). These findings suggest that healthcare professionals can utilize this program as a guideline for effective fall prevention, potentially reducing fall incidents and their associated consequences.

Social Support and Caregiver Burden among Caregivers of Older Adults with Chronic Kidney Failure Receiving Continuous Ambulatory Peritoneal Dialysis

Sirikaan Karanwattanakull — 2025-08-21

This descriptive correlational study aimed to examine the relationship between social support and caregiver burden among caregivers of older adults with chronic kidney failure receiving continuous ambulatory peritoneal dialysis (CAPD). The sample consisted of 123 primary caregivers of older adults with chronic kidney failure undergoing CAPD, who were registered at San Sai Hospital, Chiang Mai Province. The sample was selected using purposive sampling. The research instruments included a personal and general health information questionnaire for caregivers, a caregiver burden scale, and a social support scale for caregivers of older adults with chronic kidney failure receiving CAPD. Data were analyzed using descriptive statistics and Pearson’s correlation coefficient.

The findings revealed that the participants had a mean age of 54.57 years (S.D. = 6.99), with the majority being female (81.31%). Most caregivers were either the children or daughters-in-law of the older adults (60.17%). The caregivers reported moderate levels of social support and perceived caregiver burden (Mean = 3.88, S.D. = 0.75; Mean = 51.97, S.D. = 7.63, respectively). Social support was found to have a moderate negative correlation with perceived caregiver burden among caregivers of older adults with chronic kidney failure receiving continuous ambulatory peritoneal dialysis (r = -0.60, p-value < 0.001). These findings may serve as a foundation for healthcare professionals to develop interventions aimed at reducing caregiver burden in this population.

The Effects of a Problem-Solving Therapy Program on Stress in Women Newly Diagnosed with Breast Cancer

Oakkharawat Jityen — 2025-08-22

This quasi-experimental study with a two-group pretest–posttest design aimed to compare the mean stress scores before and after participation in a problem-solving therapy program among newly diagnosed breast cancer women. The sample consisted of 58 participants, including newly diagnosed breast cancer women in the experimental group and a control group receiving routine nursing care, with 29 participants in each group. Participants were selected using multi-stage random sampling. Data collection instruments included a general information record form, a stress assessment scale, and a problem-solving measurement scale. The intervention tool was a problem-solving therapy program designed to reduce stress in newly diagnosed breast cancer women. Descriptive statistics were used to analyze general information. The mean stress scores before and after the program within the experimental group were analyzed using the Wilcoxon signed-rank test, while differences in mean stress scores between the experimental and control groups were analyzed using the Mann–Whitney U test.

The results showed that the mean stress score of the experimental group before participation in the program was significantly higher than after participation (p-value < 0.05). Moreover, the mean stress score of the experimental group was significantly lower than that of the control group (p-value < 0.05). These findings indicate that the problem-solving therapy program effectively reduces stress in newly diagnosed breast cancer women. Therefore, it should be implemented as an intervention to alleviate stress in this population.