Thai Journal of Cardio-Thoracic Nursing

Editorial Note

2026-07-22T00:19:01+07:00

Influencing factors on nursing care to prevent antimicrobial resistant infection in patients with ventilator

2025-04-06T10:55:52+07:00

This predictive descriptive research aimed to examine factors influencing nursing practices in preventing antimicrobial-resistant infections in ventilated patients. The study applied the Knowledge, Attitude, and Practice (KAP) model (Bloom, 1956) combined with organizational support factors. The sample included 100 registered nurses working in medical, surgical, and intensive care units of public hospitals in Samut Sakhon Province, selected through simple random sampling. Data were collected from October to December 2024 using questionnaires covering general information, knowledge, attitudes, organizational support, and nursing practices related to infection prevention. Data analysis involved frequency, percentage, and multiple regression analysis.

The results revealed that nurses' knowledge was at a very good level (M = 14.01, SD = 3.10), with 44% of nurses classified in this category. Attitudes were very positive (M = 30.85, SD = 2.87), with 75% demonstrating highly positive attitudes. Organizational support was high (M = 32.99, SD = 3.37), with 75% reporting strong support. The nursing practices were at a very good level (M = 52.92, SD = 3.80), with 90% exhibiting excellent practices. Attitude had the strongest influence on nursing practices (b = 0.29, p = 0.00), followed by knowledge (b = 0.23, p = 0.04), and organizational support (b = 0.20, p = 0.03). Together, these three factors significantly predicted nursing practices, accounting for 31.90% of the variance (Adjusted R²= 0.31, p < 0.05).

These findings can serve as guidelines for improving the quality of care for ventilated patients to reduce the incidence of antimicrobial-resistant infections by promoting nurses' knowledge, positive attitudes, and organizational support, thereby enhancing the effectiveness of nursing practices in preventing such infections.

Relationships between selected factors and sleep quality of persons with history of mild traumatic brain injury

2025-05-22T20:49:24+07:00

Quality of sleep impacts rehabilitation, everyday life activities, and quality of life among persons with a history of mild traumatic brain injury (MTBI). This descriptive research aimed to examine quality of sleep and study relationships between selected factors and quality of sleep among previous MTBI persons. A sample of 80 persons who were diagnosed with mild traumatic brain injury and admitted to a tertiary hospital was recruited. Instruments included the Montreal Cognitive Assessment [MoCA], the personal data questionnaire, the Rivermead Post Concussion Symptoms Questionnaire [RPQ], the Mild Traumatic Brain Injury Risk Score (MTBIR), and the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using descriptive and Spearman’s Rank Correlation.

The results showed that sleep quality was at a low level (M = 6.77, SD = 2.46). Sleep quality was related to male gender at a low level (r = 0.23, p < 0.04) and related to severity of MTBIR at a high level (r = 0.54, p < 0.001), and related to total post-concussion syndrome at a high level (r = 0.72, p < 0.001). As with sub-post-concussion syndrome, the results also revealed that sleep quality was related to physical syndrome (r = 0.67, p < .001) and cognition at a high level (r = 0.67, p < 0.001), while related to behavior and emotion at a moderate level (r = 0.32, p < 0.003).

From research results, recommendations included nurses and the health care team should evaluate and monitor sleep quality for MTBI patients from admission until discharge. Nurses and healthcare team should focus on monitoring sleep quality and developing a program for enhancing sleep quality for MTBI

The relationship between sleep quality and quality of life in the elderly at Elderly University Lam Lukka Subdistrict Municipality, Lam Lukka District Pathum Thani Province

2025-07-31T12:08:11+07:00

The purpose of this descriptive research was to study the relationship between sleep quality and quality of life among the elderly at the Elderly University, Lam Lukka Subdistrict Municipality, Lam Lukka District, Pathum Thani Province. The sample comprised 138 elderly individuals from the Elderly University, selected using simple random sampling. The research instruments consisted of three parts: 1) personal information, 2) the Thai Pittsburgh Sleep Quality Index (T-PSQI), and 3) the Thai version of the WHOQOL-BREF quality of life scale (QoL). Data were analyzed using descriptive statistics and Spearman’s correlation coefficients.

The results showed that 69.6% of the elderly participants were female, and the prevalence of poor sleep quality was 56.5%. The average sleep duration was 6.2 hours per day, and the average sleep latency (time taken to fall asleep after going to bed) was 26.2 minutes. The average sleep efficiency was 83.9%. Overall, 58.7% of the elderly had a good quality of life. When considering the four domains of QoL, the psychological domain showed the highest scores, while the social relationship domain had the lowest. Overall, the relationship between sleep quality and QoL was a low-level negative correlation that was statistically significant (r = -0.345, p < .001). Sleep quality also showed low-level negative correlations with all four QoL domains: physical health (r = -0.388, p < .001), psychological health (r = -0.310, p < .001), environmental (r = -0.260, p = .002), and social relationships (r = -0.223, p = .008).

This study suggests that healthcare team should focus on sleep hygiene education and increasing social activities in the community to enhance quality of life and well-being among the elderly.

The effects of a self-care promotion program for preventing infective endocarditis via line application on knowledge and behaviors of caregivers of children with congenital heart disease

2025-09-06T13:45:39+07:00

This quasi-experimental study aimed to examine the effects of a self-care promotion program for the prevention of infective endocarditis, delivered via the LINE application, on the knowledge and behaviors of caregivers of children with congenital heart disease. The sample consisted of 52 caregivers of children aged 3–6 years with congenital heart disease who were receiving treatment at Queen Sirikit National Institute of Child Health. Participants were selected using convenience sampling based on the inclusion criteria and were divided into an experimental group and a control group, with 26 participants in each group. The experimental group received the self-care promotion program for the prevention of infective endocarditis via the LINE application. The program was developed based on Orem’s supportive-educative nursing system framework. The instruments used for data collection consisted of the following questionnaires: (1) a demographic questionnaire, (2) a knowledge questionnaire on the prevention of infective endocarditis, and (3) a behavioral questionnaire on the prevention of infective endocarditis. Data collection was first conducted in the control group and then in the experimental group. Data from the experimental group were collected over seven sessions within a one-month period. Data were analyzed using descriptive statistics, the Mann–Whitney U test, and the Wilcoxon signed-rank test.

The results showed that, after receiving the program, caregivers in the experimental group had significantly higher mean knowledge and behavior scores than those in the control group and than their own pre-program scores (p < .05).

The findings of this study suggest that nurses can utilize the developed self-care promotion program, delivered via the LINE application, to enhance caregivers’ knowledge and promote self-care behaviors for the prevention of infective endocarditis, thereby improving the overall quality of care.

Effects of educative-supportive program using line application on cardiovascular prevention in patients with hypertension

2025-06-21T13:02:33+07:00

The purpose of this quasi-experimental study was to examine the effects of an Educative–Supportive Program using the Line Application on cardiovascular disease prevention among patients with hypertension. The sample consisted of 54 patients with hypertension who received treatment at the medical outpatient department, tertiary hospital. They were matching assigned into two groups experimental and control with 27 patients in each. The experimental group received Educative-Supportive Nursing Program, which was developed based on Orem’s Self-Care Deficit Nursing Theory, using Line Application. The control group received usual nursing care. The research instruments included a self-care behaviors questionnaire and blood pressure measurement. The data were analyzed using descriptive statistics, including comparison statistic such as paired t-test or Wilcoxon signed-rank test, McNemar test, Chi-square and ANCOVA.

The results showed that after the intervention, the experimental group demonstrated significantly higher total and domain-specific self-care behavior scores than both their baseline and the control group (p < 0.001), Within-group effect sizes were large to very large (Cohen’s d = 3.61–7.18; r = 0.85–0.88), except for medication and appointment compliance which did not differ significantly. The proportion of participants with controlled blood pressure did not differ from baseline and did not differ from the control group (p ≥ 0.05).

This study sugestes that the program should be use as a guideline of nursing practice in patients with hypertension to promote self-care behaviors to control them blood pressure levels, and to prevent cardiovascular disease. Continuous follow-up is recommended to assess long-term physiological blood pressure outcomes.

Effects of a case management program for cardiac surgery patients on professional nurses' perception of case management role practices in the cardiac surgery department of a tertiary hospital

2025-06-21T13:13:10+07:00

This quasi-experimental study employed a two-group pretest–posttest design to compare professional nurses’ perceptions of case management role performance between nurses who participated in a cardiac surgery patient case management program and those who received routine practice. The sample consisted of 50 professional nurses working in a cardiac surgery ward, assigned to an experimental group (n = 25) and a control group (n = 25). The research instruments included a cardiac surgery patient case management program developed based on case management concepts and a questionnaire measuring nurses’ perceptions of case management role performance. Data were analyzed using descriptive statistics, paired t-tests, and independent t-tests.

The research findings revealed that after participating in the case management program, the experimental group had a high mean score of perceived case manager role performance (M = 4.42, SD = 0.40), which was higher than that of the control group whose mean score was at a low level (M = 2.45, SD = 0.12). The independent t-test indicated a statistically significant difference between the two groups (t = -23.63, p < .05).

The findings suggest that nursing administrators should implement case management concepts or programs for cardiac surgery patients to enhance understanding through role-appropriate task assignment for critical or semi-critical patients, thereby improving patient safety management.

Evaluation of the Nursing Service System for Assisting Outpatients in Using Portable Cardiac Event Recorders at a University Hospital

2025-11-12T09:33:13+07:00

Patients with cardiac arrhythmias often visit physicians after symptoms have subsided. Therefore, the diagnosis of arrhythmias requires specialized testing, typically using a portable cardiac event recorder, to capture abnormal heart rhythms during symptomatic episodes in daily life. Therefore, diagnosis frequently requires specialized testing using a cardiac event recorder. This descriptive research aimed to evaluate the effectiveness of the nursing service system in assisting patients with the use of a portable cardiac event recorder, based on the CIPP evaluation model by Stufflebeam. The sample consisted of 84 patients suspected of having arrhythmias. Data collection tools included a personal information questionnaire, a self-efficacy questionnaire regarding device usage, a social support questionnaire for family assistance, and an outcome evaluation form for device usage. Data were analyzed using descriptive statistics.

The results showed that the nursing service system, which included structural and procedural adjustments, promoted nurses’ knowledge in patient education and involved follow-up every 7 days for one month. This approach was found to be an appropriate model for nursing services. Patients’ outcomes revealed that the majority of participants were female with a mean age of 53.26 years. Approximately 74.80% had never used the device before, and 47.60% required assistance from family members. Moreover, 74.10% perceived themselves as capable of using the device. Common operational problems included pressing the recording button multiple times 23.80% and forgetting the usage steps 17.90%. The success rate of ECG transmission improved from 87.00% in the first week to 96.00% by the fourth week.

This study demonstrates that a nursing service system integrating patient education, consistent follow-up, and interdisciplinary collaboration can effectively support patients in using portable cardiac event recorders both efficiently and safely.

The effects of an interactive electronic book on peripheral intravenous fluid administration on knowledge, skills, and satisfaction among nursing students

2026-02-05T14:02:43+07:00

This quasi-experimental study aimed to compare knowledge and skills related to peripheral intravenous fluid administration between nursing students in the experimental and control groups and to assess the experimental group’s satisfaction with learning through an interactive e-book. The sample consisted of 72 second-year nursing students who were randomly assigned to the experimental and control groups, with 36 students in each group. The research instruments included an interactive e-book, a knowledge test, a skills assessment form, and a satisfaction questionnaire. Data were analyzed using descriptive statistics and the Mann–Whitney U test.

The results showed that the experimental group had significantly higher post-test knowledge scores than the control group (p = .002). Although the experimental group had higher skill scores than the control group, the difference was not statistically significant (p = .093). Overall satisfaction with learning through the interactive e-book was at the highest level (Mean = 4.66, SD = 0.41).

This study suggests that the interactive e-book should be used to enhance nursing students’ knowledge and serve as a supplementary learning resource for lesson reviews and preclinical preparation.

The effect of a self-efficacy promotion program with a mobile application on coronary artery stenosis preventive behaviors among patients undergoing percutaneous coronary intervention

2026-03-07T16:16:09+07:00

This quasi-experimental design aimed to examine the effect of a self-efficacy promotion program with a mobile application on coronary artery stenosis preventive behaviors among patients undergoing their first percutaneous coronary intervention (PCI). The sample consisted of 59 patients admitted to a tertiary hospital in Pathum Thani Province. Participants were selected using purposive sampling according to the inclusion criteria and randomly assigned to either an experimental group (n = 30), which received usual nursing care plus the self-efficacy promotion program with a mobile application, or a control group (n = 29), which received usual care. Data collection instruments included: 1) a demographic and clinical characteristics questionnaire, and 2) a preventive behavior for coronary artery stenosis questionnaire. The intervention consisted of a 12-week self-efficacy promotion program delivered through a mobile application. Self-efficacy was also measured as a process indicator using a validated self-efficacy scale for patients with coronary artery disease. Data were analyzed using descriptive statistics and two-way repeated measures analysis of variance to compare mean differences in behavior scores across time and between groups

The results showed that the experimental group demonstrated a significant increase in mean preventive behavior scores for coronary artery stenosis at both 4 weeks and 12 weeks compared to baseline (F(1.55, 88.25) = 135.33, p < .001). Furthermore, the experimental group demonstrated significantly higher mean scores than the control group at both 4 weeks and 12 weeks (p < .001, p < .001).

These findings indicate that integrating a mobile application into a self-efficacy promotion program can effectively improve self-efficacy and promote sustained preventive behaviors for coronary artery stenosis after PCI. Nurses and healthcare providers may apply this approach to develop continuous care models that enhance long-term adherence to health-promoting behaviors in patients with coronary artery disease.

The development of cardiac rehabilitation in elderly patients after revascularization

2025-08-28T10:45:22+07:00

Cardiovascular disease is a leading cause of mortality among older adults. Although cardiac rehabilitation is essential after percutaneous coronary intervention (PCI), continuity of care following hospital discharge remains limited. This study aimed to: (1) explore the problems and situations related to cardiac rehabilitation among older patients after PCI, (2) develop a cardiac rehabilitation model, and (3) evaluate the effectiveness of the developed model. This research and development (R&D) study initially explored the existing situation through interviews with five healthcare professionals and five older patients who had undergone PCI. The findings were used to develop a cardiac rehabilitation model integrated with tele-nursing for a period of four weeks. The sample consisted of an experimental group and a control group, with 25 participants in each group. Data collection instruments included: (1) a demographic data form, (2) a self-care confidence assessment scale, and (3) a self-care behavior questionnaire. Data were analyzed using content analysis and descriptive statistics (frequency, percentage, mean, and standard deviation), as well as inferential statistics including the Chi-square test of independence and independent samples t-test.

The content analysis revealed three major themes: (1) insufficient self-care knowledge and confidence following hospital discharge, (2) gaps in continuity of care during home recovery, and (3) the need for supportive systems to promote self-care. Based on these findings, a cardiac rehabilitation model with telenursing was developed for older adults who underwent percutaneous coronary intervention (PCI). Results showed that participants in the intervention group demonstrated significantly higher self-care behavior and self-care confidence scores after the intervention compared with their baseline and the control group (t = 9.40, p < 0.05 and t = 4.49, p < 0.05, respectively).

This study recommends implementing telenursing-based cardiac rehabilitation to enhance self-care and quality of life among older adults post-PCI. Future studies should also incorporate physical functioning outcomes.