Thai Red Cross Nursing Journal

Developing a Nursing Program Using Motivational Interviewing to Improve Clinical Outcomes in Adolescent Patients with Attention-Deficit Hyperactivity Disorder

Aree Chusak — 2025-08-30

This study aimed to develop and study the effects of a nursing program using motivational interviewing to improve clinical outcomes in adolescents with attention-deficit/hyperactivity disorder (ADHD). The program was developed following the five-step framework of Maijel et al., including: (1) problem identification; (2) needs assessment for program content and activities; (3) experimental program design; (4) content validation, feasibility, and acceptability assessment; and (5) outcome evaluation. The participants included 62 adolescents diagnosed with ADHD and their caregivers, who were randomly assigned to an experimental group or a control group, with 31 participants in each. Research instruments included: the Nursing Program for Motivational Interviewing (Content Validity Index, CVI = 0.84), the Medication Adherence Assessment Scale, and the ADHD Behavior Assessment Scale (reliability = 0.76, 0.82 respectively). Data were collected before and after the participants entered the intervention and analyzed using the Wilcoxon Signed Ranks Test and the Mann-Whitney U-test.

The study found that (1) the nursing program was developed based on problem assessment and literature review and consisted of 7 activities. (2) After receiving the intervention, the experimental group showed a statistically significant improvement in medication adherence and a significant reduction in ADHD behaviors (p < .001 (3). Comparison of post-test scores between the experimental and control groups using the Mann–Whitney U-test revealed no statistically significant differences in either variable (p>.05).

Conclusion: The nursing program utilizing motivational interviewing was effective in improving medication adherence and reducing ADHD behaviors in adolescents with ADHD at the individual level. However, no significant difference was observed between the experimental and control groups. Further studies with larger sample sizes and longer follow-up periods are recommended to confirm the effectiveness of outcomes in adolescents with ADHD.

The Relationship between Knowledge, Perceived Self-efficacy, and Pediatric First aid and Basic Life Support Skills among Childcare Teachers

Sasithorn Kummee — 2025-08-30

This descriptive and correlational research aimed to investigate knowledge, perceived self-efficacy, and pediatric first aid and basic life support (FA & BLS) skills among childcare teachers, and to examine the relationship between knowledge and perceived self-efficacy with pediatric FA & BLS in childcare teachers. The participants included 85 childcare teachers at the Child Development Center of Mueang Lampang district, Lampang province, who were selected using multi-stage sampling. All research instruments were validated by six experts. The research instruments consisted of questionnaires about knowledge. The content validity index of the instruments was 0.8. The reliability KR-20 was 0.79 regarding perceived self-efficacy for the pediatric FA & BLS questionnaire and the skill observation checklist for pediatric FA & BLS. The content validity index for the instruments was 1.0, and 1.0, respectively. The reliability, using Cronbach’s alpha coefficients, showed values of 0.90, and 0.83, respectively. Data were analyzed using descriptive statistics and Spearman’s Rank correlation coefficient.

The results of this study revealed that: 1) The participants' knowledge score of pediatric first aid and basic life support was at a low level (𝑥̅ = 4.71, S.D. = 1.65), the perceived self-efficacy scores for pediatric first aid and basic life support were low (𝑥̅ = 15.07, S.D. = 9.18), and the skill of pediatric FA & BLS scores were low (𝑥̅ = 7.24, S.D. = 3.28).
2) Knowledge and perceived self-efficacy had a significant positive relationship with pediatric first aid and basic life support skills (r_s = .23, p < .05; r_s = .49, p < .001). The results of this study can serve as baseline data to promote child care teacher’s knowledge, self-efficacy, and skills in pediatric first aid and basic life support.

Factors Associated with Social Anxiety Related to Social Media Usage among Nursing Students

Phairat Phongphaew — 2025-08-30

This descriptive correlational research aimed to investigate social anxiety related to social media usage among nursing students and to examine the associations between social media usage behavior, social comparison, and social media addiction with social anxiety related to social media usage among nursing students

The participants consisted of 190 undergraduate nursing students aged between 18 and 37 years from Suan Dusit University. Research instruments included a personal information questionnaire, a social media usage behavior questionnaire, a social comparison questionnaire, a social media addiction test, and a social anxiety test related to social media usage. The reliability of the instruments, assessed using Cronbach’s alpha coefficient, ranged from .80 to .97. Data were analyzed using descriptive statistics and simple correlation analysis.

The findings revealed that the overall score for social anxiety related to social media usage among nursing students at Suan Dusit University was found to be at a moderate level (Mean=2.79, (S.D. = 1.10). Meanwhile social network usage behavior, social comparison, and social media addiction were all positively correlated with social anxiety related to social media usage at a statistically significant level (r = .35, .49, and .67 respectively; p < .01). These findings suggested that the aforementioned factors could serve as indicators for mental health risk screening for social anxiety related to social media usage among nursing students. In particular, assessments of social media usage behavior, social comparison, and tendencies toward social media addiction can provide foundational data for developing mental health promotion strategies tailored to the context of professional health education.

Factors Predicting Severity of Postoperative Complications among Colorectal Cancer Surgery Patients

Oraya Srinarod — 2025-08-30

This study aimed to examine the severity and predictive factors of postoperative complications within 30 days among colorectal cancer patients who met specific selection criteria. A total of 143 colorectal cancer patients attended postoperative appointments at a university hospital outpatient clinic. Data were collected through interviews using a questionnaire package that included personal data, nutritional status, perceived person-centered care, health literacy, and the severity of postoperative complications. The reliability of the perceived person-centered care and health literacy assessments was confirmed with Cronbach’s alpha coefficients of 0.92 and 0.95, respectively, and inter-rater reliability using the intraclass correlation coefficient of 0.94. Descriptive statistics, Pearson’s product-moment correlation coefficient, point-biserial correlation coefficient, and multiple regression analysis were used for data analysis.

The findings indicated that the average severity of postoperative complications was low (Mean = 17.82, S.D. = 7.56). Nutritional status, perceived person-centered care, and health literacy significantly predicted complication severity, accounting for 28% of the variance (Adjusted R² = 28, F _{(4, 138)}= 14.60, p <.05). Nutritional status (β = -.28, p <.001) and perceived person-centered care (β =-.28, p<.001) were the strongest predictors, followed by health literacy (β = -.24, p <.05).

The findings of this study provide a foundational framework for developing evidence-based guidelines to enhance preoperative nutritional status, implement person-centered care, and improve health literacy among surgical patients. These efforts aim to mitigate the severity of postoperative complications within the first 30 days following surgery.

Factors Predicting Holistic Wellness among Older Adult COVID-19 Survivors

Puttaporn Onkhamsee — 2025-08-30

This study aimed to investigate the predictive ability of holistic wellness among older adult COVID-19 survivors in Mueang District, Nakhon Pathom Province, focusing on their health literacy, health behaviors, and social support.The study used simple random sampling to select 375 participants.The research instruments for measuring holistic wellness, health literacy, health behaviors, and social support demonstrated excellent validity and reliability, with a content validity index (CVI) of 1.0 for all assessments, indicating comprehensive expert agreement, and strong internal consistency scores via Cronbach's alpha coefficients (0.85, 0.95, 0.93, and 0.84, respectively).Data were analyzed using descriptive statistics and multiple regression analysis.

The results showed that the older adult COVID-19 survivors reported a high level of holistic wellness (Mean = 3.74, S.D. = 0.35), excellent health literacy (Mean = 4.41, S.D. = 0.54), good health behaviors (Mean = 3.81, S.D. = .49), and the highest level of social support (Mean = 4.43, S.D. = .47). The predictive value of health literacy, health behaviors, and social support on holistic wellness was 45.20%.The multiple regression coefficients revealed that social support was the strongest predictor of holistic wellness (beta = .37), followed by health literacy (beta = .31) and health behaviors (beta = .23), respectively.

In conclusion, it is recommended that a program be designed to integrate health literacy, health behaviors, and social support for promoting the holistic wellness of elderly COVID-19 survivors.

Nurses in University Health Services and their Roles in Sexually Transmitted Infection Prevention, Care, and Education: A Literature Review

Rachanon Sakol — 2025-08-30

Background: The prevalence of sexually transmitted infections (STIs) is increasing globally, with a particularly alarming rise in Thailand, especially among young people. This trend poses significant repercussions for their health, academic performance, and overall quality of life. This integrative literature review endeavors to elucidate the multifaceted roles of university nurses in the realms of prevention, care, and education pertaining to sexual health, tailored to the distinct needs of students. Methods: A comprehensive systematic search was executed across PubMed, CINAHL, Scopus, and ThaiJO for scholarly publications spanning from 2015 and 2025, using the PICO framework. Studies were included if they concentrated on university health services focusing on prevention, care, and sexual health education for the student population. A total of 13 studies met the inclusion criteria and were analyzed. Results: Three major roles of university nurses were identified: (1) prevention strategies that increased service utilization, though male students were less engaged; (2) educational interventions that improved knowledge, attitudes, condom negotiation skills, and testing practices; and (3) supportive health services that reduced stigma and enhanced accessibility, especially when integrated with mental health and sexual violence care. Conclusion: This literature review underscores the efficacy of a nurse-led, student-centered paradigm within university health services. Fundamental components encompass screening, sexual education, provision of condoms, peer support, an inclusive clinic environment, and comprehensive follow-up care. Future research should explore the long-term ramifications, systemic capacity, and cost-effectiveness of these interventions.