APHEIT Journal of Nursing and Health

The Smoking Cessation Assistance in Patients undergoing Coronary Artery Bypass Graft through the Supportive Educative Nursing System

นันทาวดี ศิริจันทรา — 2024-12-27

The cessation of smoking is a key factor in preventing the recurrence of coronary artery disease in patients undergoing coronary artery bypass graft. Nurses play a significant role in providing care, health promotion, rehabilitation, and prevention of complications after treatment. Therefore, smoking cessation through the supportive educative nursing systems is essential for assisting patients in achieving sustained and long-term smoking cessation.

This academic article aims to present nursing interventions for smoking cessation using Orem's self-care and self-care agency. The appropriate care system is the supportive educative nursing system, which includes: 1) teaching, 2) guiding, 3) supporting and assisting, and 4) creating an enabling environment. These approaches enhance patients’ self-care abilities, and serves as a guideline for nurses to effectively implement smoking cessation interventions.

Problems and Satisfaction with Healthcare Service among Foreign Clients in a Government Hospital

กันต์วดี สมิธ — 2024-10-08

This descriptive research investigated the problems and satisfaction regarding healthcare service among foreign clients. Purposive sampling selected 30 staffs from a government Hospital’s outpatient department and 90 foreign clients with chronic illnesses. Instruments comprised semi-structure interview questions, healthcare providers’ opinions questionnaire, and client’s satisfaction questionnaire. Data were analyzed using descriptive statistics and content analysis.

The results revealed that healthcare providers strongly agreed with the provision of care for foreign clients (M 3.80, SD 0.96). However, challenges included provider issue—inadequate English skills leading to longer service times and misunderstandings; and negative attitudes toward foreign patients, often seen as demanding and difficult to serve resulting in an avoidance of providing care. Service system issue included complicated processes and long waiting times. Regarding facilities demonstrated insufficient space in the Foreign Healthcare Center, limited parking, and unclean restrooms. In terms of foreign clients, cultural and language differences further communication difficulties. Foreign clients’ satisfaction was at the highest level both in the sum-scale (M 4.62, SD 0.63) and all sub-scales. The Foreign clients needed the development of healthcare service to align with the standard of private hospital, included multilingual interpreters, reduced waiting times, and had English-language signage. Health service providers perceived the hospital’s capacity in providing care for foreign patients at moderate level (M 3.80, SD 0.96). It is recommended a need to develop the English communication skills of the hospital staffs and to establish nursing care standards for the foreign clients.

Factors Affecting Health Behaviors for Cardiovascular Disease Prevention among Support Staff in Rangsit University

ปาริชาติ เทวพิทักษ์ — 2024-11-09

This predictive research aimed to investigate health behaviors for cardiovascular disease (CVD) prevention and their predictive factors among support staff of Rangsit University, using Pender’s health promoting model as a conceptual framework. The 163-support staff who participated in the annual health checkup in 2022 were recruited by simple random sampling. Research instruments comprised a questionnaire with eight parts: personal data record, perceived benefit, perceived barriers, perceived self-efficacy, activity-related affect, social support, situation influences, and health behaviors for CVD prevention. Data were analyzed using descriptive statistics and stepwise multiple regression.

The finding showed that the health behaviors for cardiovascular disease prevention were at a moderate level (M=42.36, SD=6.64). Regarding the 4 aspects of health behaviors, the dietary habits and exercise behaviors were at a moderate level (M=20.60, SD=4.27 and M=5.49, SD=1.28, respectively). In contrast, health responsibility and stress management behaviors were rated at a high level (M=13.12, SD=2.40; M=3.15, SD=0.79, respectively). The highest predictive coefficients for cardiovascular disease prevention behaviors included self-efficacy (β=.471, p < .001) and activity-related affect (β=.218, p< .01). These two factors accounted for 39.5% of the variation in health behaviors for CVD prevention among support staff (R2=.395, p < .001).

Based on the study findings, the university should organize educational activities and skill training to enhance personnel’s self-efficacy in preventing cardiovascular disease. Additionally, it should implement activities that foster positive feelings toward health behaviors, especially dietary habits and exercise behaviors.

Effectiveness of Promoting Self- Care Ability Program on Self-Care Behavior, Functional Ability, and Readmission in Patients with Heart Failure

นันท์ชฉัตร โชติตันติไพศาล — 2024-12-25

This Quasi-experimental two group pretest posttest research design aimed to study the effectiveness of promoting self-care ability program on self-care behavior, functional ability, and readmission in patients with heart failure. Sixty patients were divided equally into an experimental group received the program to promote self-care ability, while a control group received the usual care. Data were collected by personal information and medical record form, self-care behavior of patients with heart failure questionnaires, functional ability assessment, and readmission record form. Data were analyzed by descriptive statistics—frequency distribution, percentage, mean, and standard deviation and inferential statistics including Chi–square test, paired t-test, independent t-test, Wilcoxon sign rank test, Mann-Whitney U test, and Fisher’s exact test.

The results found that after the experiment, the experimental group had significantly higher self-care behavior scores and functional ability compared to the control group (p<.001). In addition, no one in the experimental group was readmitted, while 3 patients (10%) in the control group were readmitted. It revealed no significant difference in readmission rate between the experimental and control groups. The findings suggest promoting self-care ability among patients with heart failure. The sustainability of self-care behavior, functional ability, and other outcomes of the patients should be follow-up.

Mental Health, Challenges, the Needs, and Mental Health Promoting Approaches for the Older Adults

สนธยา มณีรัตน์ — 2024-12-29

This survey research, part of a community-based mental health promotion model development for older adults, Bang Nam Priao district, Chachoengsao Province (phase 1), investigated the mental health status, problems, needs, and approaches for promoting mental health among the elderly. Both quantitative and qualitative data were collected. Quantitative data were collected from 413 elderly participants via multi-stage random sampling, using a personal information questionnaire and Thai Geriatric Mental Health Assessment Tool, analyzed using descriptive statistics. Qualitative data were gathered from stakeholders involved in elderly health promotion—40 in-depth interviewees and 45 focus group participants, analyzed using content analysis.

The findings revealed that 57.62% of the elderly had better mental health than the general population. Challenges in promoting mental health included individual issues such as being homebound, lack of community interaction, health problems, insufficient family support, and limited coverage of activities or community leaders across all areas. The needs and approaches for promoting mental health among the elderly were categorized into three levels: individual, family, and community. Essential needs included personalized care, home-based health screening and care, and fostering participation from all stakeholders. Activities were emphasized at both the family and community levels. Approaches for mental health promotion included enhancing physical and mental well-being at the individual level, fostering understanding, attention, self-worth, and shared activities within families, and organizing community-level activities or creating age-friendly environments. These findings provide insights for developing appropriate mental health promotion models in communities, aiming to enhance the quality of life for the elderly in all dimensions.

Comparison of Intentions and Related Factor in Exclusive Breastfeeding During the First Six Months Among Thai and Foreign Postpartum Mothers at Nopparat Rajathanee Hospital

วนิดา ชวเจริญพันธ์ — 2025-01-02

This descriptive comparative study aimed to compare the intention and factors associated with exclusive breastfeeding during the first six months among Thai and foreign postpartum mothers at Nopparat Rajathanee Hospital. The sample included 220 Thai and 150 foreign postpartum mothers admitted between March and June 2023. Participants were selected based on inclusion criteria: postpartum mothers with normal labor or cesarean deliveries, admitted to the postpartum ward, could communicate effectively in Thai, and consented to participate. The instruments included questionnaires on demographic characteristics, perceived benefits, barriers, self-efficacy, social support, and breastfeeding intentions. Data were analyzed using descriptive statistics, Chi-square, and Mann-Whitney U-test. The study found that 100% of foreign postpartum mothers and 95.91% of Thai postpartum mothers intended to exclusively breastfeed for the first six months. Foreign mothers showed significantly higher intentions to breastfeed exclusively compared to Thai mothers (χ² 6.089, p .012), while Thai mothers reported significantly greater perceived benefits and social support for exclusive breastfeeding compared to foreign postpartum mothers (Z -4.293, p .000 and Z -6.705, p .000, respectively). No significant differences were observed between the groups regarding perceived barriers and self-efficacy for exclusive breastfeeding.

The findings provide healthcare professionals valuable insights into differences in breastfeeding benefits and social support perceptions between Thai and foreign postpartum mothers, which be useful for planning and developing tailored care models for each group to promote exclusive breastfeeding intentions.