Thai Journal of Cardio-Thoracic Nursing

Telenursing care in advanced lung cancer patients after discharge from hospital

2023-10-07T23:10:37+07:00

Lung cancer is the leading cause of death in the world. When lung cancer progresses to an advanced stage. Nurses have an important role in preparing patients and families before discharge from the hospital to home. Telenursing is used for information technology to provide consultation and solve problems for patients and families at home following a multidisciplinary treatment plan. In addition, it reduces the costs of traveling to the hospital. This article aims to collect the relevant knowledge related to the care of patients with advanced lung cancer, including the meaning, causes of the disease, pathophysiology, signs and symptoms, staging, and treatment. Telenursing for patients with advanced lung cancer uses INHOMESSS principles for continuing care consisting of meaning, principles, roles, procedures, and guidelines. Moreover, telenursing provides continuous care that covers physical, mental, and psychosocial aspects, encouraging patients and families to adapt and manage their care appropriately and have a good quality of life.

Editorial Note

2025-01-19T15:38:25+07:00

The effect of belief modification of reducing sodium consumption on blood pressure level among persons with uncontrolled hypertension

2023-06-14T16:18:13+07:00

This quasi-experimental research, a two-group pretest-post-test design. The objective was to examine the effects of belief modification of reducing sodium consumption program on blood pressure levels among persons with uncontrolled hypertension. The samples were 48 uncontrolled hypertension patients who received treatment in Watthana-Nakhon Hospital Sakaeo province. The samples were selected by purposive sampling, with 24 persons divided into the control and experimental groups. The control group received usual care and the experimental group received the belief modification of reducing sodium consumption program, developed from the theory of Health Belief Model. In contrast, the experimental group underwent a four-week. The research instruments consisted of a blood pressure monitor, a knowledge assessment tool regarding the reducing sodium consumption questionnaire, and a behavior questionnaire to reduce sodium. Data were analyzed using descriptive statistics and t-tests.

The results showed that the experimental group had a higher mean knowledge score after the program (mean = 44.29, SD = 2.03), scores in sodium-reduction dietary behaviors after the program (mean = 42.08, SD = 0.97), and the mean blood pressure of persons with uncontrolled hypertension after receiving the health-promoting program was significantly lower than that before receiving program and lower than that in the control group at the significant level a .05

Care needs of persons with advanced-stage heart failure in the new normal era

2023-08-18T10:41:56+07:00

This study aimed to describe the care needs of persons with advanced heart failure in the new normal era using a descriptive phenomenological approach. The informant was a person with advanced heart failure who had been admitted to the cardiac intensive care unit of a university hospital in the southern region more than once in 6 months during the COVID-19 outbreak from 2020 to 2022. The informants were 12 patients who received treatment until their symptoms improved and they could take care of themselves at home. Data were collected between April and August 2022 using semi-structured interviews through video calls. Audiotapes were recorded during the interview. Interview transcriptions were analyzed using Colaizzi’s approach.

The findings showed the care needs of person with advanced-stage heart failure in the new normal era in 4 themes: 1) Need convenience and quick access to hospital services; 2) Need continuous monitoring via a phone or mobile application; 3) Need care and support from the family to live according to the physical conditions; and 4) Need to know the prognosis of the disease from the primary physician.

The results of this study can be empirical data to guide healthcare teams in developing care and services that meet the needs of persons with advanced-stage heart failure, especially the healthcare services in the new normal era.

The effect of health literacy development program on fluid retention prevention behavior in persons with heart failure

2024-04-03T21:31:14+07:00

This pre-post quasi-experimental research aimed to study the effect of health literacy development programs on fluid retention prevention behavior in persons with heart failure. The participants were persons with heart failure, both males and females, aged 18 years and over. They were assigned using a purposive sampling technique and equally divided into control and experimental groups (30 for each group) using a matched pair technique based on age, sex, and education level. The control group received conventional nursing care, while the experimental group participated in the health literacy development program and routine nursing care. The research instruments included behavior questionnaires to prevent fluid retention and assess health literacy regarding heart failure and fluid retention. Dependent t-test and independent t-test statistics were used to analyze the data.

The results revealed that the behavior score of preventing fluid retention in persons with heart failure in the experimental group after participating in the health literacy development program was significantly higher than that before participating in the program (p < .05). In addition, the behavior score of preventing fluid retention in persons with heart failure in the experimental group after participating the health literacy development program was significantly higher than that of the control group (p < .05).

This study suggests nurses can use the health literacy development program to improve fluid retention behavior in persons with heart failure.

Symptom experiences and symptom management in patients with COVID 19

2023-09-29T08:42:37+07:00

This cross-sectional descriptive research aimed 1) to survey the symptom perception: frequency, severity, suffering, or daily life disturbance of symptoms of each stage of illness and 2) to survey the COVID-19 patients’ strategies to cope with the symptoms and the result of the strategies. The representative sample was 30 post-COVID-19 patients who got treatment, recovered from COVID-19 not more than 3 months ago, and lived in a district of Ubon Ratchathani from October 2022 to March 2023. The number of the sample was proportional to the population. The representative sample was questioned through phone calls using a structured interview. The data was analyzed using descriptive statistics and content analysis.

The result of the research revealed that the first symptom perception of abnormalities would mostly worsen in the first week. The severity would decrease in the second week and gradually recover in the consecutive weeks as follows: Coughing was the most common in the first week, with the highest frequency (M = 3.60, SD = 1.50). The severity of symptoms was moderate (M = 6.40, SD = 3.21). And the daily life disturbance was highest (M = 3.72, SD = 1.51). Coughing was the most common in the second week, while the frequency of the olfactory loss was the highest. The severity of symptoms was moderate (M = 5.69 SD = 2.89). In addition, the daily life disturbance was the highest (M=3.12 SD=1.73). In 14 days after the treatment, coughing, and fatigue were the most common, and the frequency of coughing was the highest. However, the severity was low (M= 3.69, SD = 2.59). It was found that dyspnea disturbed daily life the most (M = 2.67, SD = 1.63). Three strategies to cope with the symptoms were: Self-monitoring and letting the symptoms naturally disappear, Self-care, and Hospitalization. The result of the symptom management showed that almost all of the symptoms disappeared. However, some symptoms, especially fatigue, persisted.

The results of this survey can support nurses appropriately and efficiently planning nursing care for patients with each stage of illness. Nurses should encourage patients to self-care and do proper symptom management.

Factors predicting fear of illness progression among patients with acute myocardial infarction

2024-02-06T14:49:06+07:00

The objective of this predictive correlational research was to identify factors predicting fear of illness progression among patients with acute myocardial infarction. A purposive sampling was used to recruit 214 persons diagnosed with AMI from outpatient departments from 2 tertiary hospitals in the Bangkok Metropolitan Region. Data was collected using 9 questionnaires including: 1) Demographic data form 2) Coronary Artery Disease Education Questionnaire short version 3) Perceived chest pain questionnaire 4) Brief illness perception questionnaire 5) Fear of illness progression questionnaire - Short Form 6) Cardiac Anxiety 7) Uncertainty in illness 8) Social support questionnaire and 9) Self - efficacy questionnaire. Data were analyzed using multiple regression statistics.

The results were as follows: 1) Patients with acute myocardial infarction had a moderate fear of illness progression. (Mean = 36.92, SD = 9.89) 2) significant predictors of fear of illness progression among patients with acute myocardial infarction including illness perception (β = 0.12, p value = 0.013), anxiety (β = 0.37, p value < 0.001), uncertainty in illness (β = 0.28, p value < 0.001) and self-efficacy (β = -0.31, p value < 0.001). They could explain 69.6 of the fear of illness progression among patients with acute myocardial infarction. (Adjusted R² = 0.696, p-value < 0.05).

This study suggests that nurses can assess anxiety and develop a self-efficacy promotion program to reduce fear of illness progression in patients with acute myocardial infarction so that patients can adhere to the treatment plan and can change their behavior to reduce or delay the progression of the disease.

Effects of Information provision using video media on knowledge about warfarin therapy and anxiety in patients with Atrial fibrillation

2023-12-11T21:08:11+07:00

This study aimed to compare knowledge and anxiety-related warfarin use in patients with atrial fibrillation before and after informed provision by using video media. This study was a quasi-experimental design with a one-group pretest-posttest design. The sample of this study was 30 patients with atrial fibrillation receiving first-time oral warfarin therapy. The instruments of this study included video media about warfarin use. The data was collected using a demographic questionnaire, the questionnaire for taking anticoagulant drugs knowledge, and the State-Trait Anxiety Inventory (STAI). The data was analyzed using descriptive and paired t-tests.

The study results revealed that after joining the program, the patients with atrial fibrillation had a mean score of knowledge about warfarin therapy higher than before receiving the program (p< 0.05). After receiving the program, they had a mean score of anxiety-related warfarin use lower than before receiving the program (p<0.05).

The results of the study indicate that public health personnel educated patients via video, media can increase knowledge and decrease anxiety in patients with atrial fibrillation who are initiating oral warfarin medication for the first time.

The effect of medication adherence promoting program and medication taking knowledge application on medication adherence behavior among hypertensive patients

2024-05-22T20:27:41+07:00

This quasi-experimental study aimed to investigate the effects of a medication adherence promotion program coupled with a medication-taking knowledge mobile application on the consistent medication intake behaviors of patients with hypertension. The study included 52 hypertensive patients receiving treatment through the intake of antihypertensive medication within the responsibility zone of the Health Promotion Hospital. The sample was selected using purposive sampling and divided into two groups: an experimental group (n=26) receiving the medication adherence promotion program based on the theory of Planned behavior with the mobile application, and a control group (n=26) receiving standard nursing care. Collecting data before and after the experiment in both groups. Instruments used in the research were personal information questionnaires, medication-taking behavior questionnaires, the medication adherence promotion program, a medication-taking knowledge mobile application, medication-taking behavior logs, and guidelines for using the Line application. Statistics were analyzed using Chi-square, Independent t-test, Wilcoxon signed-rank test, and Mann-Whitney U test.

The results indicated that the experimental group demonstrated a statistically significant increase in the scores of medication adherence behaviors compared to their pre-intervention scores (p < .001) and compared to the control group (p < .001).

The findings of this study suggest that the medication adherence promotion program and the medication-taking knowledge mobile application contribute to enhancing medication adherence behaviors among hypertensive patients.

Leadership style and innovation culture in nursing organization: a systematic review

2024-08-07T14:12:41+07:00

This systematic review aimed to summarize the utilization of concepts and theories examining leadership style and innovation culture. The databases searched encompassed research articles published from January 2013 to December 2023, in both English and Thai, sourced from various platforms such as CINAHL, ScienceDirect, Emerald Insight, PubMed, Google Scholar, ResearchGate, Thai Journals Online (ThaiJO), and Thai digital collection (ThaiLIS). The quality of the articles was assessed using the Kmet Lee and Cook Quality Rating Scale and the contingency coefficient Kendall's tau-b to test the agreement between the research report and the inter-rater.

The research findings: 1) Most articles studied abroad do not address nursing management in Thailand. All studied sample groups in business organizations (n = 10) were the largest among employees (n = 7), with a maximum sample size of 3,125 individuals. All descriptive statistics were used. 2) Research articles predominantly utilize Bass & Avolio's theory of transformational leadership (n = 9). While there were a variety of cultural innovation concepts, clarity regarding their application is lacking. Only two research reports utilize O'Reilly's innovation culture concept. The results of studies indicated a direct correlation between transformational leadership styles and innovation culture.

This research indicates the absence of studies on the correlation between leadership styles and cultural innovation in Thailand, particularly within healthcare organizations. Moreover, the lack of clarity regarding cultural innovation variables necessitates. Thus, the knowledge in this area should be extended to foster ongoing development in nursing management practices.