Journal of Research in Nursing-Midwifery and Health Sciences

Risk Factors of Peritonitis in Patients Receiving Peritoneal Dialysis, Vachira Phuket Hospital

Phencha Iedsai — 2026-03-25

Objectives: To investigate the cumulative incidence, clinical characteristics, risk factors for peritonitis, and treatment outcomes of peritonitis in patients undergoing peritoneal dialysis. Method: A retrospective descriptive study was conducted on peritoneal dialysis patients at Vachira Phuket Hospital during the fiscal years 2021-2023. The data collection tools were examined for validity and reliability. Data were analyzed using chi-square statistics and point biserial correlation coefficient and for selecting the variables to be included in the prediction model using binary logistic regression. Results: The cumulative number of peritoneal dialysis patients during fiscal years 2021–2023 was 481. Peritonitis occurred in 191 patients (39.70%), with the number of infectious episodes ranging from 1 to 5, averaging 1.54 times per person. The factors associated with peritonitis were serum albumin levels, daily urine output, daily house cleaning, having pets in the house, handwashing, wearing masks, adherence to peritoneal dialysis procedures, and the location of dialysis fluid exchange. The analysis of predictive factors revealed that handwashing and wearing masks were significant factors in preventing peritonitis. (2021 Odds ratio (OR) = 0.073, 95%CI = 0.019, 0.284; 2022 OR = 0.061, 95%CI = 0.020, 0.183; 2023 OR = 0.046, 95%CI = 0.013, 0.155). The variables in the prediction model jointly explained 49.6% to 52.9% of the occurrence of peritonitis. The median treatment cost for peritonitis ranged from 17,619.27 to 43,660 baht. Conclusion: Peritonitis can be prevented by improving handwashing and wearing masks with close monitoring of adherence to dialysis procedures and home visits with the involvement of community networks to ensure correct practice. This approach will enhance patient safety and quality of life.

Factors Related to Resilience among Upper Secondary Students at a Rajaprajanugroh School in Thailand’s Three Southern Border Provinces

Preenapa Choorat — 2026-03-26

Objectives: This study aimed to investigate (1) the overall and specific levels of life resilience, including the dimensions of “I Have,” “I Am,” and “I Can”; (2) perceived social support from family, school, and peers; (3) differences in resilience based on gender, grade level, and academic achievement; and (4) the relationship between perceived social support and resilience among upper secondary students at Rajaprajanugroh School in Thailand’s three southern border provinces. Methods: This study employed a quantitative, cross-sectional design with a descriptive correlational approach. The sample consisted of 104 upper secondary school students selected through two-stage sampling, including proportionate stratified sampling followed by simple random sampling. The research instrument was a questionnaire that demonstrated a very high level of content validity, and had an overall reliability coefficient of 0.95. Data were analyzed using descriptive statistics, t-test, One-way ANOVA, and Pearson’s correlation coefficient. Results: Students exhibited a high level of resilience, with the “I Am” dimension having the highest mean score, while the “I Can” dimension was at a moderate level. Family was reported as the highest source of perceived social support. No significant differences in resilience were found across personal demographic factors. A statistically non-significant moderate positive correlation was found between perceived social support and resilience Conclusion: Social support plays a vital role in promoting students’ resilience. The study’s findings can be used as a guideline for developing guidance or life skills activities that align with the context of the three southern border provinces.

Priority Needs and Approaches Toward Nursing Competency Development Among Registered Nurses Caring for Surgical Critical Cardiovascular and Thoracic Patients in Southern Thailand

Araya Rakrawee — 2026-03-26

Abstract

Objective: This research aimed to explore the needs of nursing competency development among registered nurses caring for surgical critical patients in cardiovascular thoracic areas (CVT) in Southern Thailand and the development approaches. Methods: This descriptive research consisted of 127 samples of registered nurses who caring for CVT surgical critical patients from hospitals in Southern Thailand. The research instrument was a questionnaire divided into three parts: 1) personal information, 2) needs for competency development, and The questionnaire verified by 3 experts, presenting CVIs of 1.0 and 0.97, respectively. Part 1 had reliability values related to competency perception regarding actual performance and expectation, with Cronbach’s Alpha Coefficient of 0.99. Part 2 demonstrated a reliability value of Pearson Product Moment Correlation Coefficient at 0.87. Data were analyzed using mean, standard deviation, frequency, percentage, paired-samples t-test, and the Modified Priority Needs Index (PNImodified). Results: The overall competency perception related to actual performance presented a mean score at a high level. The overall competency perception regarding expectation revealed a mean score at the highest level, All mean scores of competency perception regarding expectation were significantly higher than these of the competency perception related to actual performance (p < .01). The first ranking of nursing competency needs was the quality improvement and research domain, the second ranking was the domain of assisting physicians conduct procedures and the third ranking was the medication management domain The most-preferred approaches of nursing competency development were learning from experienced colleagues and in-house training , respectively. Conclusion: Registered nurses caring for critically ill patients with CVT surgery in Southern Thailand revealed competency development in the domains of quality improvement and research, nursing care related to assisting physicians conduct procedures, and medication management. Most nurses preferred competency development through experiential learning and in-service training within their institutions.

Sociodemographic Factors Related to Physical Activity and Sedentary Behavior Among Pregnant Women with Overweight and Obese Before Pregnancy

Mingkamon Uttasuradee — 2026-03-30

Abstract

Objectives: This study aimed to examine physical activity and sedentary behavior and the association between sociodemographic factors and both physical activity and sedentary behavior among pregnant women who were overweight or obese before pregnancy. Methods: A descriptive research design was conducted.
A total of 150 pregnant women who were overweight or obese before pregnancy were selected using purposive sampling based on demographic characteristics. Data were collected using three instruments: personal information questionnaires, pregnancy physical activity questionnaires, and sedentary behavior questionnaires between January and August 2021. Descriptive statistics were used to analyze the general characteristics, including frequency and percentage. The chi-square test was applied to analyze the relationships between sociodemographic factors and both physical activity and sedentary behavior. Results: The majority (90%) of pregnant women who were overweight or obese before pregnancy maintained adequate levels of physical activity, primarily through routine daily tasks and job-related activities. Furthermore, 81.3% of the participants reported high sedentary behavior, largely due to extended periods of sitting for work and computer use. The analysis identified significant associations between sedentary behavior and factors such as educational attainment, occupation, income sufficiency, and the number of pregnancies. No sociodemographic factors were significantly associated with physical activity. Conclusion: Pregnant women who are overweight or obese before pregnancy should be encouraged to increase physical activity and reduce sedentary behaviors to promote appropriate physical activity, particularly lesure-time or exercise-related activities, to enhance maternal health outcomes.