https://he02.tci-thaijo.org/index.php/ns/issue/feedNursing Science Journal of Thailand2024-12-27T17:55:25+07:00Mr.Thitiwatchara Phueng-ngernnsjt@mahidol.ac.thOpen Journal Systems<p><em>Nursing Science Journal of Thailand [Print ISSN: 0125-8885 / Online ISSN: 2651-1959] is the double-blinded peer-reviewed journal of Faculty of Nursing, Mahidol University. Both authors and at least two reviewers identified are concealed during the review process. The journal is published quarterly (No. 1: January-March / No. 2: April-June / No. 3: July-September / No. 4: October-December) aiming at serving as a forum for disseminating and exchanging ideas, experience, research work, and knowledge relevant to nursing and health care with potential to advance knowledge for practice, education, management or policy. The journal welcomes the submission of original research articles, integrative review articles, systematic review articles, and academic articles related to nursing with either Thai or English as the language of writing.</em></p>https://he02.tci-thaijo.org/index.php/ns/article/view/270598Effects of Evidence-Based Nursing Care for Promoting Peripheral Tissue Perfusion among Critically Ill Patients with Peripheral Artery Disease2024-08-21T15:52:02+07:00Suphanun Taebtamsupatab@kku.ac.thParichat Wonggomparwon@kku.ac.thParichat Tanmitpari.tanmit@gmail.com<p><strong>Purpose:</strong> To study the effects of evidence-based nursing care for promoting peripheral tissue perfusion among critically ill patients with peripheral artery disease.</p> <p><strong>Design:</strong> A single-blinded randomized controlled trial research.</p> <p><strong>Methods:</strong> The participants were critically ill patients with peripheral artery disease after revascularization and were conducted in a surgical intensive care unit. The 30 participants were recruited via purposive sampling with inclusion and exclusion criteria and randomly assigned to the experimental and control groups with 15 each using sequentially numbered, opaque, sealed envelopes. Evidence-based nursing care for promoting peripheral tissue perfusion among critically ill patients with peripheral artery disease was used as the study intervention. Data collection was implemented through case record form, ankle–brachial index measurement, and signs of 6Ps assessment form. Data were analyzed using the chi-square, Fisher’s exact test, Mann-Whitney U test and independent t–test.</p> <p><strong>Main finding:</strong> After receiving the intervention, the mean ankle-brachial index level of the experimental group (<img id="output" src="https://latex.codecogs.com/svg.image?\bar{X}" alt="equation" /> = 0.98, SD = 0.22) was higher than that of the control group (<img id="output" src="https://latex.codecogs.com/svg.image?\bar{X}" alt="equation" /> = 0.76, SD = 0.18) at significance level .05 (p = .006). The incidences of signs of 6Ps, including pain and poikilothermia of the experimental group were significantly different from the control group (p < .05). However, the incidences of signs of 6P including pallor, paraesthesia, paralysis, and pulselessness in both study groups were not significantly different.</p> <p><strong>Conclusion and recommendations:</strong> This evidence-based nursing care is an effective method for promoting peripheral tissue perfusion and decreasing acute limb ischemic signs and symptoms among critically ill patients with peripheral artery disease. Thus, this evidence-based nursing care should be promoted to apply in care for another similar patients.</p>2024-12-27T00:00:00+07:00Copyright (c) 2024 Nursing Science Journal of Thailandhttps://he02.tci-thaijo.org/index.php/ns/article/view/270229Factors Predicting Health-Related Quality of Life in Patients with Post-COVID Condition2024-08-09T11:41:12+07:00Kritsaya Ponghankritsaya7@gmail.comWimolrat Puwarawuttipanitwimolrat.puw@mahidol.ac.thChontira Riangkamchontira.ria@mahidol.ac.thYong RongrungruangYong.ron@mahidol.ac.th<p><strong>Purpose:</strong> To study predictive power of body-mass index, sleep quality, fatigue, and social support on health-related quality of life among patients with post-COVID condition.</p> <p><strong>Design:</strong> Predictive correlational research.</p> <p><strong>Methods:</strong> The sample consisted of 126 patients with post-COVID condition aged 18 years and older, who had been admitted to the outpatient departments of two tertiary hospitals in Bangkok. The research instruments included personal data and illness record questionnaires, Pittsburgh Sleep Quality Index, Functional Assessment of Chronic Illness Therapy-Fatigue Scale, Revised Thai version of the Multidimensional Scale of Perceived Social Support, and EuroQol Group-5 Dimension-5 Levels. Data were analyzed using descriptive statistics and multiple regression.</p> <p><strong>Main findings:</strong> The utility score of patients with post-COVID condition ranged from -1 to 1, with a mean of .83 (SD = .10). Multiple regression analysis revealed that all of the independent variables could account for 68% (R<sup>2</sup> = .68) of the variance explained in health-related quality of life. The strongest predictor was fatigue (β = .67, p < .001), followed by social support (β = .21, p < .001) and sleep quality (β = - .13, p = 033). </p> <p><strong>Conclusion and recommendations:</strong> Nurses and health care providers should assess health-related quality of life and its determinant factors, namely fatigue, sleep quality, and social support. Moreover, nursing programs should be created to relieve fatigue or promote sleep quality and social support in patients with post-COVID condition to achieve a good health-related quality of life in the future.</p>2024-12-27T00:00:00+07:00Copyright (c) 2024 Nursing Science Journal of Thailandhttps://he02.tci-thaijo.org/index.php/ns/article/view/269869Predictive Power of Health Literacy on COVID-19 Preventive Behaviors of Nursing Students2024-07-15T16:01:12+07:00Yupares Payapromyupares@bcnc.ac.thPornpun Manasatchakunpornpun@bcnc.ac.thSarinyaporn Chandeekaewsakoonsarinyaporn@bcnc.ac.th<p><strong>Purpose: </strong>This research aimed to study the level of health literacy, COVID-19 preventive behaviors, and to examine the predictive power of health literacy on COVID-19 preventive behaviors among nursing students.</p> <p><strong>Design:</strong> A cross-sectional descriptive study.</p> <p><strong>Methods:</strong> The study was conducted among 742 nursing students enrolling in the Nursing Program for the academic year 2022. Data were collected via online survey platform (Google Form) using demographic information questionnaire, health literacy assessment form, and preventive behaviors on COVID-19 questionnaire. Descriptive statistics and multiple regression were carried out to analyze the data.</p> <p><strong>Main findings:</strong> The results revealed that average scores of the overall health literacy and COVID-19 preventive behaviors among nursing students were at a sufficient level (<img id="output" src="https://latex.codecogs.com/svg.image?\bar{X}" alt="equation" /> = 105.30, SD = 13.61), and a high level (<img id="output" src="https://latex.codecogs.com/svg.image?\bar{X}" alt="equation" /> = 48.61, SD = 7.77), respectively. Statistically significant relationships between five dimensions of health literacy and COVID-19 preventive behaviors were found. Only two dimensions of health literacy including asking questions (β = .23, p < .001) and accessing health information (β = .21, p < .001) could significantly predict COVID-19 preventive behaviors.</p> <p><strong>Conclusions and recommendations:</strong> COVID-19 preventive behaviors of nursing students can be predicted by health literacy. Therefore, nursing institutions should promote health literacy among their nursing students to serve as a role model for engaging in COVID-19 preventive behaviors. This promotion will also enable them to effectively communicate information about the COVID-19 disease and its prevention to their patients.</p>2024-12-27T00:00:00+07:00Copyright (c) 2024 Nursing Science Journal of Thailandhttps://he02.tci-thaijo.org/index.php/ns/article/view/271135Effect of a Program for Reducing Pre-Operative Anxiety in Patients Undergoing Total Knee Replacement Surgery Based upon Peplau’s Interpersonal Relations Theory2024-09-19T10:12:49+07:00Tanyarat Chatchawarnpantanyarat.chat@gmail.comWimolnun Pudtivarnichapongwannapa.sut@mahidol.ac.thNopporn Vongsirimasnopporn.von@mahidol.eduPhuangphet Kaesornsamutpaungpet.kas@mahhidol.edu<p><strong>Purpose: </strong>To study the effect of the program based upon Peplau’s Interpersonal Relations Theory framework in reducing pre-operative anxiety among patients waiting to undergo total knee replacement surgery.</p> <p><strong>Design: </strong>Quasi-experimental research, one group pretest-posttest design.</p> <p><strong>Methods: </strong>The sample consisted of 27 patients with osteoarthritis awaiting knee replacement surgery. They were given a program to reduce anxiety before surgery based upon Peplau's theoretical framework, consisting of 3 phases: orientation phase, working phase, and termination phase. The researcher played a role as a counsellor, an educator, resource person, and therapist. The State-Trait Anxiety Inventory (STAI) form Y-1 was used to assess anxiety before and after receiving the program.</p> <p><strong>Main findings: </strong>The findings showed that a mean score of anxiety prior to receiving the program was 64.3 points (SD = 3.23) and a mean score of anxiety immediately after attending the program was 27.7 points (SD = 2.81). The analysis revealed the statistically significant decrease of anxiety (Z = -4.55, p < .001).</p> <p><strong>Conclusion and recommendations: </strong>Preoperative anxiety reduction program can reduce anxiety in patients waiting for knee replacement surgery. Therefore, all preoperative patients should have their anxiety assessed and participate in an anxiety reduction program. Further studies should be conducted with a larger sample from hospitals of various levels and various regions so that the study result could well generalize to the population. In addition, a comparison between experimental and control groups should be designed for a further study to confirm the program's effectiveness.</p>2024-12-27T00:00:00+07:00Copyright (c) 2024 Nursing Science Journal of Thailandhttps://he02.tci-thaijo.org/index.php/ns/article/view/270896Social Determinants of Health in Predicting Quality of Life in Patients with Chronic Obstructive Pulmonary Disease2024-09-23T13:58:10+07:00Kannika Thapthimklangiamkannikaa@gmail.comWarunee Phligbuawarunee.phl@mahidol.ac.thDoungrut Wattanakitkrileartdoungrut.wat@mahidol.ac.th<p><strong>Purpose: </strong>This study aimed to study the predictive power of Social Determinants of Health (SDH) in predicting quality of life in patients with chronic obstructive pulmonary disease (COPD). </p> <p><strong>Design:</strong> A cross-sectional research design.</p> <p><strong>Methods:</strong> The sample included 126 patients with COPD who had follow-up visits at the outpatient department of a tertiary hospital in Saraburi province. Data were collected using a Demographic Data Questionnaire, the Short Version of the European Health Literacy Survey, the Risky Environment Induces Acute Exacerbations in COPD Questionnaire, the Global Physical Activity Questionnaire, the COPD Anxiety Questionnaire, the Barriers to Receiving Care Questionnaire, and the COPD Assessment Test. Descriptive statistics and stepwise multiple regression were used for the data analysis.</p> <p><strong>Main findings: </strong>Good overall quality of life was found 69.8% in patients with COPD. Significant predictors of quality of life in COPD patients included anxiety regarding COPD (β = .43, p < .001), health literacy (β = - .21, p < .01), and physical activity (β = .19, p = .013) respectively. All three variables could account for 36.3% of the variance explained in quality of life among COPD patients (adjusted R<sup>2</sup> = .36).</p> <p><strong>Conclusion and recommendations: </strong>Anxiety regarding COPD, health literacy, and physical activity can predict quality of life in patients with COPD. The findings recommend that nurses encourage patients to obtain health information from reliable sources specific to their conditions, engage in regular exercise, and reduce anxiety by providing information on exacerbation prevention and management in cases of exacerbation to improve the quality of life in patients with COPD.</p>2024-12-27T00:00:00+07:00Copyright (c) 2024 Nursing Science Journal of Thailandhttps://he02.tci-thaijo.org/index.php/ns/article/view/270418Influence of Age, Parity, Dietary Intake, Physical Activity, Corona Virus 2019 Infection, and Depression on Gestational Weight Gain in Overweight and Obese Pregnant Women2024-07-30T21:21:44+07:00Minticha Kraisitminticha.kra@student.mahidol.ac.thNanthana Thananowannanthana.tha@mahidol.ac.thPiyanun Limruangrongpiyanun.lim@mahidol.ac.th<p><strong>Purpose</strong><strong>: </strong>To investigate predictive powers of age, parity, dietary intake, physical activity, Corona virus 2019 infection, and depression on gestational weight gain in overweight and obese pregnant women.</p> <p><strong>Design:</strong> Predictive correlational design.</p> <p><strong>Methods: </strong>The sample consisted of 138 overweight and obese pregnant women who had antenatal care at a hospital in Chonburi province. Data were collected by using the Personal Data Questionnaire, the Pregnancy and Birth Record Forms, the Thai Edinburgh Postnatal Depression Scale, the Eating Behavior Measurement, and the Physical Activity Questionnaire for Pregnant and Lactating Women, respectively. Data were analyzed by using descriptive statistics, chi-square tests, Fisher’s exact tests, and multiple logistic regression analysis.</p> <p><strong>Main findings: </strong>Age, parity, dietary intake, physical activity, Corona virus 2019 infection, and depression could together predict 27% (R<sup>2 </sup>= .27) of gestational weight gain in overweight and obese pregnant women and had prediction accuracy of 75.4% (Overall Percentage = 75.4). Physical activity was the strongest predictive factor for gestational weight gain (OR = 5.08, 95%CI [1.56, 16.52]); followed by dietary intakes (OR = 3.05, 95%CI [1.26, 7.38]) and age (OR = 2.69, 95%CI [1.08, 6.70]), respectively.</p> <p><strong>Conclusion and recommendations: </strong>Age, dietary intake, and physical activity affected gestational weight gain in overweight and obese pregnant women. Therefore, midwives should assess those risk factors and develop nursing guidelines with providing education on dietary intake along with physical activity for preventing excessive gestational weight gain in overweight and obese pregnant women.</p>2024-12-27T00:00:00+07:00Copyright (c) 2024 Nursing Science Journal of Thailandhttps://he02.tci-thaijo.org/index.php/ns/article/view/270875The Effects of Attitude and Perceived Behavioral Control Program towards the Intention of Vaginal Delivery for Primigravida Women2024-09-09T09:37:15+07:00Pimchanok Klincha-empimchanok.kli@student.mahidol.ac.thAmeporn Ratinthornameporn.rat@mahidol.ac.thNanthana Thananowan nanthana.tha@mahidol.ac.thSasitara Nuampasasitara.nua@mahidol.edu<p><strong>Purpose:</strong> To examine the effect of attitude and perceived behavioral control program towards the intention of vaginal delivery for primigravida women.</p> <p><strong>Design: </strong>Two-group pre-test and post-test quasi-experimental study.</p> <p><strong>Methods: </strong>The participants consisted of forty-six primigravida women receiving antenatal care at Somdech Phra Pinklao Hospital divided equally into control and experimental groups with 23 each. The control group received standard nursing care, while the experimental group received the attitude and perceived behavioral control program toward the vaginal delivery. Data were collected using demographic characteristics and vaginal delivery intention questionnaires. Data was analyzed using descriptive statistics, Chi-square test, Fisher’s exact test, Mann-Whitney test, and Wilcoxon signed ranks test.</p> <p><strong>Main findings:</strong> The results showed that participants in the experimental group had a significantly higher vaginal birth intention score after completing the program than before starting it (Z = 3.53, p < .001). Additionally, participants in the experimental group had a significantly higher vaginal birth intention score than those in the control group (Z = 2.31, p = .021).</p> <p><strong>Conclusion and recommendations:</strong> The attitude and perceived behavioral control program increased their intention to choose vaginal delivery option. The results suggest that nurses should implement this program to promote vaginal birth by incorporating attitude change education, coping skills assessment, pain relief training, spousal support, and electronic manuals as learning aids.</p>2024-12-27T00:00:00+07:00Copyright (c) 2024 Nursing Science Journal of Thailandhttps://he02.tci-thaijo.org/index.php/ns/article/view/271192Factors Influencing Postpartum Follow-Up for Diabetes Screening in Mothers with a History of Gestational Diabetes Mellitus2024-10-17T20:34:01+07:00Rewadee Meewongmw.rewadee@gmail.comPiyanun Limruangrongpiyanun.lim@mahidol.ac.thWanna Phahuwatanakornwanna.pha@mahidol.ac.thDittakarn Boriboonhirunsarndittakarn.bor@mahidol.ac.th<p><strong>Purpose:</strong> To examine the influence of parity, attitude towards gestational diabetes, classification of gestational diabetes, social support, service satisfaction, and health insurance on returning for postpartum diabetes screening among mothers with a history of gestational diabetes mellitus.</p> <p><strong>Design:</strong> Predictive research design.</p> <p><strong>Methods:</strong> The study subjects included postpartum mothers diagnosed with gestational diabetes who was admitted after delivery at the postpartum ward in a university hospital, Bangkok. Data were collected using the demographic information questionnaire, the attitude toward gestational diabetes questionnaire, the social support questionnaire, and the satisfaction toward services questionnaire. Descriptive statistics, chi-square test, and binary logistic regression were used to analyze data.</p> <p><strong>Main findings:</strong> The study found that the parity, attitude toward gestational diabetes, classification of gestational diabetes, social support, service satisfaction, and health insurance could together account for 37.3 % (R<sup>2</sup> = .37) of the variance explained in the postpartum follow-up screening for diabetes in mothers with gestational diabetes mellitus. The attitude toward gestational diabetes mellitus (OR = 15.67, 95%CI [3.42, 71.86]) and Civil Servant Medical Benefit Scheme (OR = 8.69, 95%CI [1.38, 54.66]) could significantly predict postpartum follow-up screening for diabetes in the mothers (p < .05).</p> <p><strong>Conclusion and recommendations:</strong> The attitude towards gestational diabetes mellitus and Civil Servant Medical Benefit Scheme could predict postpartum follow-up for diabetes screening in mothers with gestational diabetes mellitus. Therefore, positive attitude toward gestational diabetes mellitus should be established among the mothers and promote policies regarding accessibility to health insurance that covers postpartum diabetes screening.</p>2024-12-27T00:00:00+07:00Copyright (c) 2024 Nursing Science Journal of Thailand