Nursing Science Journal of Thailand

The Effect of Digital Information and Psychological Support Program on Anxiety of Mothers with Critically Ill Preterm Infants

Chutimon Nualsri — 2025-07-06

Purpose: To study the effects of digital information and psychological support programs on the anxiety of mothers with critically ill preterm infants.

Design: Two-group pre-test and post-test quasi-experimental study.

Methods: The study sample comprised 56 mothers of critically ill preterm infants admitted at the neonatal intensive care unit at Nopparat Rajathanee Hospital, Bangkok. The sample was selected by convenience sampling based on the inclusion criteria, and divided into the experimental and the control groups with 28 equally of each group. The control group received routine nursing care, while the experimental group received the information and psychological support program through video, LINE application, and LINE video calls. Data were collected using demographic data record forms and the State-Trait Anxiety Inventory (STAI). Data was analyzed using descriptive statistics, Mann-Whitney U test, and Wilcoxon signed - ranks test.

Main findings: The results revealed that after completing the program the mothers in the experimental group had decreased anxiety score significantly (Z = - 4.60, p < .001), and had a significantly lower anxiety score than those in the control group (Z = -5.90, p < .001).

Conclusion and recommendations: Providing information and psychological support through digital media could decrease the anxiety of mothers with critically ill preterm infants. Therefore, the program should be implemented for the mothers to further improve quality of care.

Factors related to Nutritional Status in School-Age Children with Stunting and Thinness and Those with Normal Height

Nattaya Duangbupha — 2025-07-06

Purpose: This study aimed to compare children’s consumption behaviors, physical activity behaviors, sleep duration, and household second-hand smoke exposure of children; and parent’s food preparation behaviors between school-age children with stunting and thinness; and those with normal height.

Design: Descriptive comparative study.

Methods: The sample consisted of parents and school-age children aged 9-12 years, enrolled in grades 4-6, at 11 primary schools in Chiang Rai Province. A total of 144 children and parents were included, divided into two groups: 48 pairs of parents and children with stunting and thinness, and 96 pairs of parents and children with normal height. Data were collected using questionnaires and analyzed using descriptive statistics, independent t-test, and Mann-Whitney U test.

Main findings: The results showed significant differences between children with stunting and thinness and those with normal height in terms of consumption behaviors (t = 10.88, p < .001), physical activity behaviors (z = 8.95, p < .001), sleep duration (t = 3.46, p < .001) and short and long-term duration of household second-hand smoke exposure (z = 5.38, p < .001; z = 5.41, p < .001, respectively). Parent’s food preparation behaviors between both groups were significantly different (t = 6.34, p < .001).

Conclusion and recommendations: Healthcare personnel should cooperate with school staff to implement programs aimed at preventing undernutrition in school-aged children. School policies addressing this issue should be developed. Health promotion programs should be integrated into the school curriculum, and nutritional improvement initiatives for parents of undernourished children should be tailored to the specific nutritional needs of their children and related factors.

Factorial Structure Analysis of the Childhood Trauma Questionnaire among Thai Psychiatric Patients

Bungorn Uttachart — 2025-07-06

Purpose: To examine the factorial structure of the Thai version of the Childhood Trauma Questionnaire by an Exploratory Factor Analysis among Thai psychiatric patients.

Design: A methodological research design.

Method: The sample consisted of 182 psychiatric inpatients aged 18–59 years who were diagnosed with psychiatric disorders according to the ICD-10 criteria. All participants exhibited violent behavior as a chief complaint requiring emergency psychiatric services and were admitted for inpatient treatment for at least two weeks. Data were collected using a demographic questionnaire and the Thai version of the Childhood Trauma Questionnaire. Descriptive statistics were used for data analysis, along with assessments of content validity, internal consistency (Cronbach’s alpha), and construct validity via exploratory factor analysis.

Main findings: The scale-level content validity index was .93, and Cronbach’s alpha for the 25-items Thai CTQ was .92. EFA using varimax rotation yielded a Kaiser-Meyer-Olkin (KMO) measure of .87 and a statistically significant Bartlett’s test of sphericity (p < .001). Five factors were extracted, explaining 70.3% of the total variance, with factor loadings ranging from .45 to .89.

Conclusion and recommendations: The Thai version of the Childhood Trauma Questionnaire demonstrates acceptable validity and reliability. It is appropriate for use in assessing childhood trauma experiences among Thai psychiatric patients.

Effects of Transitional Care Program on the Anxiety Level and Rehospitalization among Patients on the Waiting List for Heart Valve Surgery

Premika Thongyot — 2025-07-06

Purpose: To examine effects of Transitional Care Program on anxiety level and number of rehospitalizations among patients awaiting elective valvular heart surgery.

Design: Experimental research with a two-group pretest-posttest design.

Methods: The samples who were diagnosis heart valve disease (N = 64) were selected using convenience sampling. Participants were randomly assigned to the study groups with 32 each. The control group received usual care while the intervention group received the Transitional Care Program plus usual care. The instruments included mini-cognitive assessment instrument, demographic data questionnaire, anxiety measurement questionnaire and hospitalization data record form. Data were analyzed by using descriptive statistics, Chi-square test, Fisher’s exact test, Mann-Whitney U test and t-test.

Main findings: Most of participants in both groups were male with average age of 59.8 years (SD = 11). Slightly more than half of the participants were diagnosed with mitral valve disease (53.3%). The anxiety level of the intervention group who received TCP ( = 5.10, SD = 1.63) was lower than that of the control group who received usual care ( = 8.53, SD = 0.94) with statistically significant (p < .05). The number of hospitalizations in the intervention group (n = 2) was lower than the control group (n = 5), however, there was not statistically significant difference (p.05).

Conclusion and recommendations: Transitional Care Program plus usual care could significantly reduce anxiety in patient awaiting elective heart valve surgery. Therefore, nurses should apply the Transitional Care Program in their routine practice for this group of patients.

Predictive Factors of Fertility Quality of Life among Infertile Women

Sasipa Hemprapha — 2025-07-06

Purpose: To study the level of fertility quality of life and predictive power of education level, family income, duration of infertility, resilience, infertility-related stress, and social support on fertility quality of life among women with infertility.

Design: Predictive correlational study design.

Methods: The sample consisted of 123 women with primary infertility attending the infertile clinic at Siriraj Hospital. The data were collected via the Fertility Quality of Life Questionnaire, Resilience Scale 10, Infertility-related Stress Questionnaire, and the Multidimensional Scale of Perceived Social Support Questionnaire. Data were analyzed using descriptive statistics and multiple linear regression.

Main findings: The findings revealed that education level, family income, duration of infertility, resilience, infertility-related stress, and social support together accounted for 62.5% of the variance explained in the fertility quality of life among infertile women (R² = .63, F = 32.21, p < .001). Nevertheless, the significant predictors included infertility-related stress (β = - .55, p < .001), resilience (β = .26, p < .001), social support (β = .19, p < .001), and education level (β = .15, p = .015).

Conclusion and recommendations: Infertility-related stress, resilience, social support, and education level affected fertility quality of life among infertile women. Therefore, nurses at an infertility clinic should screen the following predictive factors including infertility-related stress, resilience, social support, and level of education for planning the promotion of the fertility quality of life among infertile women.

Factors Predicting Early Complications within 48 Hours in Patients with Acute Coronary Syndrome

Apinya Sriprasert — 2025-07-06

Purpose: To determine the factors predicting early complications within 48 hours in patients with acute coronary syndrome.

Design: Predictive correlational design.

Methods: The sample comprised 153 patients diagnosed of acute coronary syndrome admitted at Siriraj Hospital. Data were collected using personal and clinical data questionnaire, Richards Campbell Sleep Questionnaire, and early complications within 48 hours record. Data were analyzed by using descriptive statistics and binary logistic regression analysis.

Main findings: The results revealed that 55.6% of patients with acute coronary syndrome had early complications within 48 hours, including acute heart failure (50.3%), acute kidney injury (15.7%), cardiogenic shock (12.4%), and malignant ventricular arrhythmia (8.5%). The patients with low high-density lipoprotein (HDL) level were 2.30 times more likely to have early complications within 48 hours than those with high HDL level (OR = 2.30; 95%CI [1.08, 4.91], p < .05). The patients with blood sugar levels more than 140 mg% were 2.23 times more likely to develop complications within 48 hours than those with blood sugar level less than 140 mg% (OR = 2.23; 95%CI [1.06, 4.70], p < .05). In addition, one point increased in sleep quality score would decrease 3% chance of early complications within 48 hours (OR = .97; 95%CI [0.950, 0.995], p < .05). BMI and triglyceride level could not predict early complications within 48 hours.

Conclusion and recommendations: HDL level, hyperglycemia and sleep quality significantly predict early complications within 48 hours in patients with acute coronary syndrome. Nurses and health care teams should closely monitor patients who have low HDL level and hyperglycemia on admission to early manage the complications within 48 hours. They also should enhance sleep quality in order to reduce early complications occurrence.

Association Between Social Determinants of Health and Disease Awareness among Patients with Chronic Kidney Disease in Banten, Indonesia

Endah Dwi Kurniawati — 2025-07-06

Purpose: To assess awareness of chronic kidney disease and examine the association between social determinants of health and disease awareness among patients with chronic kidney disease in Banten Province, Indonesia.

Design: Predictive correlational study.

Methods: Convenience sampling was used to recruit 137 patients with chronic kidney disease in stage 2 and 3 who had received regular treatment at the general hospital in Banten, Indonesia. The data were collected by questionnaires including personal information form, Indonesia’s Health Literacy Short-Form Survey Questionnaire, and Communication Assessment Tool. Descriptive statistics, Chi-square test, and binary logistic regression were performed for statistical analysis.

Main findings: Results indicated that 67.9% of the participants were unaware of their kidney disease. In binary logistic regression analysis, individuals with a high school (OR = 5.26, 95%CI [1.06, 25.90]), or higher education (OR = 16.49, 95%CI [2.77, 97.96]), sufficient health literacy (OR = 4.97, 95%CI [1.42, 17.37]), and more than six healthcare visits in the past 12 months (OR = 3.31, 95%CI [1.13, 9.67]) demonstrated higher awareness than the reference group.

Conclusion and recommendations: Based on the study results, nurses and healthcare professionals should pay greater attention to patients with low education, limited health literacy, and infrequent healthcare visits. Effective health-literacy-based interventions should be provided to ensure that the patients recognize their disease status, understand health information, and manage the disease properly to slow kidney disease progression. In addition, future research should be done in other settings, and other social determinants of health should be explored.