https://he02.tci-thaijo.org/index.php/jnphr <p>The Journal of Nursing and Public Health Research (JNPHR) is owned by Boromarajonani College of Nursing, Chiang Mai. JNPHR is published in three issues a year (1st issue: January-April, 2nd issue: May-August, and 3rd issue: September-December). Authors are welcomed to submit to JNPHR, which welcomes excellent original articles and academic articles relevant to clinical nursing, community nursing, nursing education, health sciences, medicine, public health, and related fields.</p> <p> </p> Boromarajonani College of Nursing, Chiang Mai en-US Journal of Nursing and Public Health Research 2985-0916 <p>1. บทความหรือข้อคิดเห็นใด ๆ ที่ปรากฏในวารสารวิจัยการพยาบาลและการสาธารณสุข ที่เป็นวรรณกรรมของผู้เขียน บรรณาธิการไม่จำเป็นต้องเห็นด้วย</p> <p>2. บทความที่ได้รับการตีพิมพ์ถือเป็นลิขสิทธิ์ของ วารสารวิจัยการพยาบาลและการสาธารณสุข</p> https://he02.tci-thaijo.org/index.php/jnphr/article/view/277273 <p>This quasi-experimental study with a two-group pretest–posttest design aimed to: 1) compare medication adherence scores and blood pressure levels among patients with uncontrolled hypertension before and after participation in a case management medication adherence promotion program; 2) compare medication adherence scores and blood pressure control outcomes between the experimental and control groups after the intervention; 3) compare adaptation scores based on Roy’s Adaptation Theory between the experimental and control groups after the intervention; and 4) examine patient satisfaction with the program. The sample consisted of 60 patients with uncontrolled hypertension and low medication adherence scores, divided equally into an experimental group and a control group (30 participants each) using matching and random assignment. The experimental group received a case management medication adherence promotion program developed based on Roy’s Adaptation Theory integrated with the World Health Organization’s five-dimensional adherence framework for a period of 6 weeks, with continuous support through the Line application throughout the study. The control group received standard care. Research instruments included the 8-item Morisky Medication Adherence Scale (MMAS-8), the Roy Adaptation Assessment Questionnaire, and a satisfaction questionnaire. Data were analyzed using independent and paired t-tests.</p> <p>The findings revealed that, after completion of the program, the experimental group demonstrated a statistically significant increase in medication adherence scores from 3.80 to 6.40 points (<em>p-value </em>&lt; 0.001), which was significantly higher than that of the control group (<em>p-value </em>&lt; 0.001). The experimental group also achieved a mean reduction in systolic blood pressure of 19.70 mmHg, and 70% of participants achieved the treatment target of &lt;130/80 mmHg compared with 30% in the control group (<em>p-value</em> = 0.001; RR = 2.33; NNT = 2.50). In addition, the experimental group had significantly higher adaptation scores across all four modes of Roy’s Adaptation Theory compared with the control group (<em>p-value</em> &lt; 0.001). Participants also reported a very high level of satisfaction with the program (Mean = 4.60, S.D. = 0.40). Therefore, the case management medication adherence promotion program based on Roy’s Adaptation Theory combined with digital support through the Line application was effective in improving medication adherence, reducing blood pressure, and enhancing holistic adaptation among patients with uncontrolled hypertension. The program should be applied in primary healthcare services and extended to the management of other chronic diseases.</p> Siriwan Turongruang Sasiwan Ngamjamrat Copyright (c) 2026 Journal of Nursing and Public Health Research https://creativecommons.org/licenses/by-nc-nd/4.0 2026-06-16 2026-06-16 6 2 e277273 e277273 https://he02.tci-thaijo.org/index.php/jnphr/article/view/278760 <p>This article proposes strategies to prevent compassion fatigue among nurses. Currently, nurses are continuously exposed to work-related stress, which leads to both mental and physical health problems. Compassion fatigue is one of the outcomes of working under pressure and continuous exposure to patients’ suffering. It has been found that nurses experience compassion fatigue at prevalence rates exceeding 50%, with levels ranging from low to high. This condition not only affects attitudes toward the profession and quality of work life but also increases turnover intention and impacts patient safety and quality of care. Studies indicate that compassion fatigue is associated with long working hours, heavy workloads, lack of organizational support, job characteristics, and insufficient coping skills. Therefore, managing this issue requires systematic implementation at both the individual and organizational levels. Furthermore, promoting compassion satisfaction, a positive feeling derived from helping others. The implementation of these strategies is expected to reduce compassion fatigue, increase job satisfaction, enhance professional commitment, and support nurse retention, ultimately contributing to the long-term sustainability of the healthcare system.</p> Watcharin Chaithong Natthawat Wongchan Sasicha Rodpet Copyright (c) 2026 Journal of Nursing and Public Health Research https://creativecommons.org/licenses/by-nc-nd/4.0 2026-05-20 2026-05-20 6 2 e278760 e278760