Nursing Science Journal of Thailand

Factors Associated with Self-Care Behaviors in Patients with Hypertension

2025-02-17T20:16:13+07:00

Purpose: To explore the characteristics of research and synthesize knowledge regarding factors associated with self-care behaviors in patients with hypertension.

Design: A systematic review and meta-analysis based on PRISMA guideline.

Methods: A search for empirical evidence of quantitative cross-sectional studies published in both Thai and English from January 2014 to August 2024 was conducted in electronic databases including PubMed, Google Scholar, and ThaiJO.

Main findings: The search yielded 22 research studies that met quality assessment criteria under the middle-range theory of self-care in chronic illness. The factors associated with self-care behaviors in patients with hypertension were categorized into three groups: (1) problem-related factors including comorbidities, severity of disease, disease duration, and mental health; (2) personal factors including age, gender, education, self-efficiency, income, occupation, attitude, knowledge, and health/illness perception; and (3) environmental factors including community area, social support, and healthcare system.

Conclusion and recommendations: Problem-related, personal, and environmental factors could affect adherence to self-care guidelines. Healthcare teams can use this information to develop self-care behavior promotion programs with consideration of individual differences and access to healthcare services. In education, instructors can use this evidence to teach students the importance of caring for chronic patients. Regarding research, future studies should focus on long-term self-care behaviors covering all three factors to develop more effective care guidelines

Effects of Placental Delivery with Lower Uterine Compression on Blood Loss in Normal Labor Mothers

2024-11-05T17:04:52+07:00

Purpose: To compare the amount of blood loss 2 hours after delivery between vaginal delivery groups who underwent placental delivery with the Modified Crede' maneuver and 10 minutes of uterine compression and vaginal delivery groups who underwent placental delivery with controlled cord traction and 10 minutes of uterine compression.

Design: Experimental research with post-test only control group design.

Methods: The sample group was women who gave birth in the first two hours after delivery and received services at a delivery room unit, in one hospital at Chiang Rai Province, during May - August 2024. They were randomly assigned using lottery to two groups with 33 subjects each: the experimental group (or women who gave birth vaginally and received the Modified Crede’ maneuver with 10 minutes of lower uterine compression) and the control group (or women who gave birth vaginally and received the controlled cord traction with 10 minutes of lower uterine compression). Data were collected using a maternal blood loss record form. General data were analyzed using descriptive statistics and the mean blood loss was compared using the independent t-test.

Main findings: General characteristics of the experimental and control groups including age, occupation, education level, and information about delivery such as gestational age, number of pregnancies, episiotomy, prenatal oxytocin intake, prenatal red blood cell concentration, birth weight of newborn, and delivery duration were not different. There was no difference in the mean amount of blood loss after placental delivery between two groups.

Conclusion and recommendations: No difference of the amount of blood loss at 2 hours after delivery was found between women with normal delivery who underwent placental delivery with the modified Crede' maneuver and 10 minutes of uterine compression and those who underwent the controlled cord traction and 10 minutes of uterine compression. Thus, the choice of methods for placenta delivery should depend on the skill and expertise of a midwife. In addition, a combination with the compression of the lower uterus immediately after delivery of the placenta for 10 minutes can reduce the amount of blood loss after delivery.

Factors Influencing Transition to Motherhood in the Cesarean Section Mothers

2024-11-05T09:41:14+07:00

Purpose: to determine the influences of age, parity, planned cesarean section, postpartum depression, and social support on the transition to motherhood in the cesarean section mothers.

Design: Predictive correlational design.

Methods: Subjects were 117 mothers who had a cesarean section and followed up in a family planning clinic at a tertiary hospital in Bangkok. The research instruments used to collect data included a personal data questionnaire, the Mother Social Support Questionnaire, the Edinburgh Postnatal Depression Scale, and the Maternal Identity Exploration Scales. Descriptive statistics, Pearson’s product-moment correlation, Spearman rank correlation, point biserial correlation, and multiple linear regression were used to analyze the data.

Main findings: The study findings revealed that age, parity, planned cesarean section, postpartum depression, and social support could together predict 38% of the transition to motherhood in the cesarean section mothers (R² = .38). Parity and social support could statistically significantly predict the transition to motherhood in the cesarean section mothers (β = .21, p = .009 and β = .56, p < .001 respectively).

Conclusion and recommendations: Midwives should encourage husband and family member to facilitate a smooth transition into motherhood in cesarean section mothers, especially the first-time mothers.

Factors Predicting Chemotherapy Induced-Peripheral Neuropathy in Cancer Patients Treated with Taxane and Platinum-Based Chemotherapy

2025-01-10T17:00:00+07:00

Purpose: To study the predictive power of age, BMI change, number of taxane or platinum-based chemotherapy received, cumulative dose, negative emotional states, and physical activity on chemotherapy-induced peripheral neuropathy (CIPN) in cancer patients treated with taxane and platinum-based chemotherapy.

Design: A cross-sectional study with predictive correlational design.

Methods: The sample consisted of 155 patients who were diagnosed with non-hematological cancer and treated with taxane or platinum-based chemotherapy drugs in the last cycle of chemotherapy at the inpatient and outpatient chemotherapy units of a tertiary hospital in Bangkok, Thailand. Data were collected using the demographic data and medical record form questionnaires, the Depression Anxiety Stress Scale-21, the Global Physical Activity Questionnaire, and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Chemotherapy-Induced Peripheral Neuropathy. Descriptive statistics and stepwise multiple regression were used for the data analysis.

Main findings: Significant predictors of CIPN among cancer patients treated with taxane and platinum-based chemotherapy included negative emotional states (β = .38, p < .001) and the number of taxane or platinum-based chemotherapy received (β = .21, p = .004). Two variables could account for 18% of the variances explained in CIPN among cancer patients treated with taxane and platinum-based chemotherapy (Adjust R²= .18).

Conclusion and recommendations: Nurses and healthcare providers should closely assess factors influencing CIPN symptoms in cancer patients receiving taxane and platinum chemotherapy, including the number of taxane or platinum-based chemotherapy received and negative emotional states. Additionally, they should develop effective interventions to prevent and reduce negative emotional states to promptly manage CIPN symptoms and enhance patients’ quality of life.

The Effectiveness of a Digital Platform Home Monitoring Program on Enhancing the Quality of Life of Older Adults in Bangkok Communities: Randomized Controlled Trial

2025-02-06T11:25:21+07:00

Purpose: To evaluate the effectiveness of a digital platform home monitoring program on enhancing the quality of life of older adults in the communities of Bangkok.

Design: Randomized controlled trial research with a two-group pre- and post-test design.

Methods: The sample consisted of older adults aged 60-75 years living in Bangkok communities, who were randomly assigned to either the experimental or control group (39 subjects per group). The control group received standard care, while the experimental group received the digital platform home monitoring program. The program included health education through the Senior Happiness Hub website, home visits, and communication via the official Line application, alongside standard care, for a period of 6 weeks. Data collection tools included a personal information and health status questionnaire, and the World Health Organization Quality of Life (WHOQOL-BREF) assessment. Quality of life was evaluated both before and after the program. An independent t-test was used to compare the mean quality of life scores between the two groups, while a paired t-test was used to assess the difference in quality of life scores within the experimental group.

Main findings: The findings revealed that the elderly participants in the experimental group had a significantly higher quality of life post-program compared to pre-program, and higher than the control group (p < .001).

Conclusion and recommendations: The digital platform home monitoring program could enhance quality of life of older adults. Community nurse practitioners should implement this program in nursing to enhance the older adults’ quality of life in other communities. However, there may be challenges for older adults who are unable to access digital platforms.

Factors Predicting Quality of Life in Patients Receiving Continuous Ambulatory Peritoneal Dialysis

2025-02-16T22:31:00+07:00

Purpose: To examine the predictive power of sex, diabetes comorbidity, hematocrit level, adherence to treatment, and satisfaction with healthcare services on quality of life in patients receiving continuous ambulatory peritoneal dialysis.

Design: Secondary data analysis.

Methods: Data for this study were obtained from 169 patients undergoing continuous ambulatory peritoneal dialysis who were enrolled in the control group of a primary research about telehealth service using randomized controlled trial. Baseline information on sample characteristics, treatment adherence, satisfaction with healthcare services, and quality of life scores was extracted from the trial. Data were analyzed using descriptive statistics and multiple linear regression analysis.

Main findings: The participants reported their total quality of life with a mean score of 62.12 (SD = 17.03). Results from the multiple regression analysis revealed that all independent variables could together explain 24% (R² = .24) of the variance in the quality of life of patients receiving continuous ambulatory peritoneal dialysis. Patients with good adherence to treatment (β = - .45, p < .001) and without comorbid diabetes mellitus (β = - .17, p = .027) demonstrated better quality of life.

Conclusion and recommendations: Patients undergoing continuous ambulatory peritoneal dialysis should be encouraged to adhere to treatment regimens. Additionally, patients with comorbid diabetes mellitus should be assessed for quality of life on a regular basis and given support to improve the quality of life.

The Development of a Question-Embedded Movie Clips Learning Program for Therapeutic Use of Self and Communication in Nursing Students

2025-01-23T00:49:29+07:00

Purpose: The advance in technology and software has revolutionized the way nurses acquire knowledge and skills. The primary aim of this study was to systematically develop an innovative learning program “Heart Talk” for nursing students using question-embedded short movie clips. The secondary aim was to assess the effectiveness of the learning program.

Design: The development of the learning program was guided by Gagne's instructional design model. This model outlines the 9-step plan of educational events that instructors need to consider to achieve effective learning outcomes. To evaluate the program's efficiency, a quasi-experimental study with a one-group-posttest-only design was used to examine students' learning outcomes and study experiences.

Methods: A convenient sample of 15 fourth-year nursing students was interviewed to get input information for the program development, and was invited to participate again for the initial test of the program's usability. After refining the program, another group of 30 fourth-year nursing students were purposively selected to participate in the test of program's efficiency.

Main findings: The effectiveness of the program was shown by the item-objective congruence (IOC) of 0.85 and an index of process and output efficiency (E1/E2) of 85.00/82.60. The student satisfaction level was strongly satisfied ( = 4.39, SD = 0.77) with most students reporting positive experiences and an optimistic attitude toward the program. The students' report suggests that the learning program facilitate the integration of theoretical knowledge into clinical practice by simultaneously stimulating cognitive, affective, and psycho-motor learning domains.

Conclusion and recommendations: The Heart Talk was shown to be effective for instructing students to accomplish the desired learning outcomes. Nurse educators should use this learning program that increase accessibility and appeal to young nursing students to help them transfer what they learned in classrooms into clinical practice.