Thai Journal of Cardio-Thoracic Nursing

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

Ampapan Sonthiwong, Sakul Changmai, Patcharaporn Aree — Fri, 15 May 2026 00:00:00 +0700

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

Ittipon Nakanut, Aporn Deenan, Rachanee Namjuntra — Fri, 15 May 2026 00:00:00 +0700

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

Chadaporn Kongpetch, Napaporn Petsorn — Fri, 15 May 2026 00:00:00 +0700

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

Narissara Chitthreethai, Arunrat Srichantaranit, Somsiri Rungamornrat — Fri, 15 May 2026 00:00:00 +0700

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

Supranee Intakoon, Nipa Kimsungnoen — Fri, 15 May 2026 00:00:00 +0700

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.