Pub Date : 2024-06-01DOI: 10.60099/prijnr.2024.266861
Papattranan Dangsri, Supreeda Monkong, I. Roopsawang
Surgical site infection is a significant health problem among nosocomial infections, leading to post-operative mortality in surgical older adults. Identifying risk factors is essential in surgical care quality. This retrospective cohort study, conducted at a university hospital in Bangkok, rigorously examined the surgical site infection rate and its predictive factors in older adults undergoing abdominal surgery. The study employed convenience sampling to recruit 300 older adults who underwent abdominal surgery using the code of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) and completion of electronic medical records between January 1 and December 31, 2020. The instruments used included the Demographic Characteristics Form, the Preoperative Clinical Characteristics Form, the Intraoperative Record Form, and the Post-operative Record Form. The data collected were analyzed using descriptive statistics and binary logistic regression analysis, ensuring a comprehensive and robust analysis of the risk factors for surgical site infection in older adults undergoing abdominal surgery. The results of this study revealed that 63.25% of participants were female, with a mean age of 74.5 years. The surgical site infection rate was 12 per 100 patients, varying across anatomical locations and surgical procedures, ranging from 0.33% to 5.66%, with colon surgery being the most common. The study identified significant risk factors predicting surgical site infection, including comorbidities and obesity class 2, while the American Society of Anesthesiologists Physical Status class 2 and 3 were identified as protective factors. These findings provide a powerful tool to screen patients at risk of surgical site infection in nursing practice, particularly with older adults undergoing colon surgery, and to prevent surgical site infection.
{"title":"Factors Predicting Surgical Site Infection in Older Adults Undergoing Abdominal Surgery: A Retrospective Cohort Study","authors":"Papattranan Dangsri, Supreeda Monkong, I. Roopsawang","doi":"10.60099/prijnr.2024.266861","DOIUrl":"https://doi.org/10.60099/prijnr.2024.266861","url":null,"abstract":"Surgical site infection is a significant health problem among nosocomial infections, leading to post-operative mortality in surgical older adults. Identifying risk factors is essential in surgical care quality. This retrospective cohort study, conducted at a university hospital in Bangkok, rigorously examined the surgical site infection rate and its predictive factors in older adults undergoing abdominal surgery. The study employed convenience sampling to recruit 300 older adults who underwent abdominal surgery using the code of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) and completion of electronic medical records between January 1 and December 31, 2020. The instruments used included the Demographic Characteristics Form, the Preoperative Clinical Characteristics Form, the Intraoperative Record Form, and the Post-operative Record Form. The data collected were analyzed using descriptive statistics and binary logistic regression analysis, ensuring a comprehensive and robust analysis of the risk factors for surgical site infection in older adults undergoing abdominal surgery.\u0000The results of this study revealed that 63.25% of participants were female, with a mean age of 74.5 years. The surgical site infection rate was 12 per 100 patients, varying across anatomical locations and surgical procedures, ranging from 0.33% to 5.66%, with colon surgery being the most common. The study identified significant risk factors predicting surgical site infection, including comorbidities and obesity class 2, while the American Society of Anesthesiologists Physical Status class 2 and 3 were identified as protective factors. These findings provide a powerful tool to screen patients at risk of surgical site infection in nursing practice, particularly with older adults undergoing colon surgery, and to prevent surgical site infection.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141400118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.60099/prijnr.2024.267065
C. Ngernthaisong, Y. Aungsuroch, A. Oumtanee
The quality of care in nursing homes is distinctive and vital due to the unique characteristics and individual needs of older adults and dependent residents. This study aimed to describe the quality of care outcomes in nursing homes in Thailand. Qualitative description was applied to interview ten registered nurses working in several private nursing homes using semi-structured questions, observation, and audio recordings. Participants were selected through purposive and snowball sampling. Data analysis was conducted utilizing content analysis, and trustworthiness was ensured through member checking and peer debriefing. The findings revealed six major themes perceived by nurses as indicative of quality care in nursing homes: Physical well-being, Psycho-cognitive status, Social well-being, Nutrition and fluid intake status, Safety and health risks, and Satisfaction. These findings suggest that nursing home nurses must provide care emphasizing the residents’ overall well-being, minimize risks, improve safety measures, and increase satisfaction to achieve quality of care. Among these themes, the status of nutrition, fluid intake, safety, and health risks can cause life-threatening conditions. So, the study provides a guideline for quality improvement in nursing homes. Moreover, future research should describe the outcomes from the perspectives of residents, relatives, or caregivers to extend the phenomenological insight.
{"title":"Nurses’ Perceptions of Outcomes of Quality of Care in Thai Nursing Homes: A Qualitative Study","authors":"C. Ngernthaisong, Y. Aungsuroch, A. Oumtanee","doi":"10.60099/prijnr.2024.267065","DOIUrl":"https://doi.org/10.60099/prijnr.2024.267065","url":null,"abstract":"The quality of care in nursing homes is distinctive and vital due to the unique characteristics and individual needs of older adults and dependent residents. This study aimed to describe the quality of care outcomes in nursing homes in Thailand. Qualitative description was applied to interview ten registered nurses working in several private nursing homes using semi-structured questions, observation, and audio recordings. Participants were selected through purposive and snowball sampling. Data analysis was conducted utilizing content analysis, and trustworthiness was ensured through member checking and peer debriefing. The findings revealed six major themes perceived by nurses as indicative of quality care in nursing homes: Physical well-being, Psycho-cognitive status, Social well-being, Nutrition and fluid intake status, Safety and health risks, and Satisfaction. These findings suggest that nursing home nurses must provide care emphasizing the residents’ overall well-being, minimize risks, improve safety measures, and increase satisfaction to achieve quality of care. Among these themes, the status of nutrition, fluid intake, safety, and health risks can cause life-threatening conditions. So, the study provides a guideline for quality improvement in nursing homes. Moreover, future research should describe the outcomes from the perspectives of residents, relatives, or caregivers to extend the phenomenological insight.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141390606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.60099/prijnr.2024.266967
Thet Phu Zin, K. Abhicharttibutra, Orn-Anong Wichaikum
High-quality healthcare is essential for community well-being and positive health outcomes. Healthcare settings, therefore, should deliver timely, equitable, integrated, efficient, effective, safe, and people-centered service. As in other countries, the COVID-19 pandemic and the nursing shortage crisis have impacted Myanmar’s nursing care quality. A cross-sectional study was conducted to examine the predictability of nurse staffing, educational levels, work experience, nurse work environment, and job satisfaction on the quality of nursing care among 218 registered nurses from five general hospitals in the Republic of the Union of Myanmar during July and September 2022. Data were collected using the Demographic and Nurse Staffing Data Form, the Practice Environment Scale of the Nursing Work Index, the Job Satisfaction Survey, and the Good Nursing Care Scale. The data were examined using descriptive statistics and a stepwise multiple regression analysis. Results revealed that the overall quality of nursing care as perceived by nurses was high. The significant predictors of the quality of nursing care from the highest to the lowest were nurse work environment, nurse staffing, work experience, and job satisfaction, explaining 56% of the variance in the quality of nursing care. This study provides vital evidence for creating strategies to enrich and sustain the quality of nursing care in Myanmar and possibly other countries. Nursing directors should work with the government to produce and recruit more nurses, allocate budgets for care, and create a supportive work environment for nurses to improve healthcare quality.
{"title":"Factors Predicting Quality of Nursing Care Among Registered Nurses in Myanmar: A Cross-sectional Study","authors":"Thet Phu Zin, K. Abhicharttibutra, Orn-Anong Wichaikum","doi":"10.60099/prijnr.2024.266967","DOIUrl":"https://doi.org/10.60099/prijnr.2024.266967","url":null,"abstract":" High-quality healthcare is essential for community well-being and positive health outcomes. Healthcare settings, therefore, should deliver timely, equitable, integrated, efficient, effective, safe, and people-centered service. As in other countries, the COVID-19 pandemic and the nursing shortage crisis have impacted Myanmar’s nursing care quality. A cross-sectional study was conducted to examine the predictability of nurse staffing, educational levels, work experience, nurse work environment, and job satisfaction on the quality of nursing care among 218 registered nurses from five general hospitals in the Republic of the Union of Myanmar during July and September 2022. Data were collected using the Demographic and Nurse Staffing Data Form, the Practice Environment Scale of the Nursing Work Index, the Job Satisfaction Survey, and the Good Nursing Care Scale. The data were examined using descriptive statistics and a stepwise multiple regression analysis.\u0000Results revealed that the overall quality of nursing care as perceived by nurses was high. The significant predictors of the quality of nursing care from the highest to the lowest were nurse work environment, nurse staffing, work experience, and job satisfaction, explaining 56% of the variance in the quality of nursing care. This study provides vital evidence for creating strategies to enrich and sustain the quality of nursing care in Myanmar and possibly other countries. Nursing directors should work with the government to produce and recruit more nurses, allocate budgets for care, and create a supportive work environment for nurses to improve healthcare quality.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141409024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-23DOI: 10.60099/prijnr.2024.266774
Lan Duong Thi Ngoc, An Le Van, Thảo Hoàng Thị Phương, Sue Turale
Knowledge about insulin pen storage significantly and directly affects treatment efficacy and quality for people with type 2 diabetes mellitus. Accurate and complete understanding and practice are vital for properly managing this chronic condition. However, studies on insulin pen use and storage have not been well-researched in Vietnam. This descriptive cross-sectional study aimed to assess the knowledge of people with type 2 diabetes regarding insulin pen use and storage. Data were collected through convenience sampling from 132 people with diabetes at a provincial hospital in Vietnam from September 2022 to May 2023. We developed the Vietnamese Insulin Pen Storage Knowledge Questionnaire (VIPSKQ) based on guidelines, Addendum 1: Forum for Injection Technique and Therapy Expert Recommendations, India 2021. Data were analyzed using descriptive statistics, the Chi-square test, and binary logistic regression. Results indicated that only 35.6% of participants had good knowledge of insulin pen storage, whereas 64.4% did not. Four factors that affected the participants’ understanding of insulin-pen storage were age, education level, duration of diagnosis, and years of treatment for diabetes mellitus. Nurses need to educate people with diabetes to increase their knowledge and skills of insulin pen use and proper storage using various strategies, such as using videos, phone applications, and monitoring their practice regularly. Nurses must also keep abreast of the latest information on insulin treatment modalities and pen storage guidelines. Our questionnaire shows promise for use in practice but needs further testing in different settings with larger groups of individuals with type 2 diabetes.
{"title":"Cross-sectional Study of Insulin Pen Storage Knowledge and Related Factors in Vietnamese People with Diabetes","authors":"Lan Duong Thi Ngoc, An Le Van, Thảo Hoàng Thị Phương, Sue Turale","doi":"10.60099/prijnr.2024.266774","DOIUrl":"https://doi.org/10.60099/prijnr.2024.266774","url":null,"abstract":"Knowledge about insulin pen storage significantly and directly affects treatment efficacy and quality for people with type 2 diabetes mellitus. Accurate and complete understanding and practice are vital for properly managing this chronic condition. However, studies on insulin pen use and storage have not been well-researched in Vietnam. This descriptive cross-sectional study aimed to assess the knowledge of people with type 2 diabetes regarding insulin pen use and storage. Data were collected through convenience sampling from 132 people with diabetes at a provincial hospital in Vietnam from September 2022 to May 2023. We developed the Vietnamese Insulin Pen Storage Knowledge Questionnaire (VIPSKQ) based on guidelines, Addendum 1: Forum for Injection Technique and Therapy Expert Recommendations, India 2021. Data were analyzed using descriptive statistics, the Chi-square test, and binary logistic regression.\u0000Results indicated that only 35.6% of participants had good knowledge of insulin pen storage, whereas 64.4% did not. Four factors that affected the participants’ understanding of insulin-pen storage were age, education level, duration of diagnosis, and years of treatment for diabetes mellitus. Nurses need to educate people with diabetes to increase their knowledge and skills of insulin pen use and proper storage using various strategies, such as using videos, phone applications, and monitoring their practice regularly. Nurses must also keep abreast of the latest information on insulin treatment modalities and pen storage guidelines. Our questionnaire shows promise for use in practice but needs further testing in different settings with larger groups of individuals with type 2 diabetes.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140210938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adolescents with depression often experience negative automatic thoughts, which contribute to the development of suicidal ideation. Internet-based cognitive behavioral therapy has now become a treatment to address negative automatic thoughts to prevent suicide. This quasi-experimental study aimed to assess the effects of an Internet-based Cognitive Behavioral Therapy Program on the depression of Thai adolescents. The participants consisted of 60 adolescent students with a deviation from their usual mood who were enrolled in public high schools in a province adjacent to Bangkok. The participants were conveniently selected, paired based on gender and grade point average, and randomly assigned into two groups. The experimental group received the program, while the control group received usual care (n = 30 each). Data collection instruments included a personal data form and the Healthrelated Self-report Scale. One-way repeated measures ANCOVA was used to compare the mean depression scores between the two groups while controlling for baseline depression scores. The results indicate that the participants’ depression scores decreased over time in both groups. However, a significant group effect suggests that being in the experimental group was associated with a greater decrease in depression scores both immediately after the intervention and at the two-week follow-up compared to the control group. These findings shed light on the potential benefits of implementing this Internet-based Cognitive Behavioral Therapy Program by school nurses, teachers, or primary care nurses to prevent extreme depression and suicidal ideation among adolescents. Further investigation with longer follow-up is recommended.
{"title":"The Effects of an Internet-based Cognitive Behavioral Therapy Program on Depression in Thai High School Students: A Quasiexperimental Study","authors":"Pisit Rungrojwatanasiri, Angkana Jirarode, Wongchan Petpichetchian","doi":"10.60099/prijnr.2024.262983","DOIUrl":"https://doi.org/10.60099/prijnr.2024.262983","url":null,"abstract":"Adolescents with depression often experience negative automatic thoughts, which contribute to the development of suicidal ideation. Internet-based cognitive behavioral therapy has now become a treatment to address negative automatic thoughts to prevent suicide. This quasi-experimental study aimed to assess the effects of an Internet-based Cognitive Behavioral Therapy Program on the depression of Thai adolescents. The participants consisted of 60 adolescent students with a deviation from their usual mood who were enrolled in public high schools in a province adjacent to Bangkok. The participants were conveniently selected, paired based on gender and grade point average, and randomly assigned into two groups. The experimental group received the program, while the control group received usual care (n = 30 each). Data collection instruments included a personal data form and the Healthrelated Self-report Scale. One-way repeated measures ANCOVA was used to compare the mean depression scores between the two groups while controlling for baseline depression scores.\u0000The results indicate that the participants’ depression scores decreased over time in both groups. However, a significant group effect suggests that being in the experimental group was associated with a greater decrease in depression scores both immediately after the intervention and at the two-week follow-up compared to the control group. These findings shed light on the potential benefits of implementing this Internet-based Cognitive Behavioral Therapy Program by school nurses, teachers, or primary care nurses to prevent extreme depression and suicidal ideation among adolescents. Further investigation with longer follow-up is recommended.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140211319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-23DOI: 10.60099/prijnr.2024.266890
Loura Caroline Korengkeng, Elisa Anderson, Ailine Yoan Sanger, D. Ruku
Several interventions using resistance training have been attempted for people with heart failure. Still, the overall effectiveness of resistance training in improving muscle strength and peak oxygen uptake based on age remains inconclusive. This study aimed to investigate the efficacy of resistance training on muscle strength and VO2 peak in patients with heart failure based on age. A search was conducted using English articles from 2000 to 2023 to find information on resistance training from Embase, CINAHL, MEDLINE, Cochrane, PEDro, and Google Scholar. Standardized mean difference and 95% confidence intervals were calculated, and publication biases were presented by funnel plots and Egger’s test. The Critical Appraisal Skills Programme was used to examine the quality of the studies. Results showed that 23 randomized control trial articles fulfilled the inclusion criteria, comprising 830 respondents, with 422 in the intervention and 408 in the control group. In the middle-aged subgroup, resistance training had a significant effect on increasing muscle strength in the upper limb and lower limb. Similarly, a significant effect was observed in the older subgroup for the upper limb and lower limb. Resistance training significantly increased VO2 peak in middle-aged and older patients with heart failure. Resistance training was identified as one of the effective ways to improve muscle strength and VO2 peak, and it should be recommended as a part of the rehabilitation for people with heart failure. Additionally, the components of interventions should be considered based on the patient’s age to maximize the exercise programs using resistance training.
{"title":"Effect of Resistance Training on Muscle Strength and VO2 Peak in Middle-aged and Older Patients with Heart Failure: A Meta-analysis","authors":"Loura Caroline Korengkeng, Elisa Anderson, Ailine Yoan Sanger, D. Ruku","doi":"10.60099/prijnr.2024.266890","DOIUrl":"https://doi.org/10.60099/prijnr.2024.266890","url":null,"abstract":"Several interventions using resistance training have been attempted for people with heart failure. Still, the overall effectiveness of resistance training in improving muscle strength and peak oxygen uptake based on age remains inconclusive. This study aimed to investigate the efficacy of resistance training on muscle strength and VO2 peak in patients with heart failure based on age. A search was conducted using English articles from 2000 to 2023 to find information on resistance training from Embase, CINAHL, MEDLINE, Cochrane, PEDro, and Google Scholar. Standardized mean difference and 95% confidence intervals were calculated, and publication biases were presented by funnel plots and Egger’s test. The Critical Appraisal Skills Programme was used to examine the quality of the studies.\u0000Results showed that 23 randomized control trial articles fulfilled the inclusion criteria, comprising 830 respondents, with 422 in the intervention and 408 in the control group. In the middle-aged subgroup, resistance training had a significant effect on increasing muscle strength in the upper limb and lower limb. Similarly, a significant effect was observed in the older subgroup for the upper limb and lower limb. Resistance training significantly increased VO2 peak in middle-aged and older patients with heart failure. Resistance training was identified as one of the effective ways to improve muscle strength and VO2 peak, and it should be recommended as a part of the rehabilitation for people with heart failure. Additionally, the components of interventions should be considered based on the patient’s age to maximize the exercise programs using resistance training.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140210533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-21DOI: 10.60099/prijnr.2024.266392
Vorrapun Phadungyotee, Srisamorn Phumonsakul, N. Chansatitporn, Noppawan Piaseu
Gestational diabetes mellitus is glucose intolerance during pregnancy, increasing health risk in the mothers, feti, and subsequent children. Understanding the factors influencing glycemic control behaviors is necessary to control plasma glucose levels. This study developed and tested the Model of Factors Influencing Glycemic Control Behavior among Pregnant Women with Gestational Diabetes Mellitus A1. The Theory of Planned Behavior was used as a conceptual framework to guide the study. The participants were 252 pregnant women with the condition from two tertiary hospitals in Thailand, and whose blood glucose could be controlled by exercise and diet. Data were collected using a demographic data form and five scales on attitude, subjective norm, belief in self-control behavior, intention, and glycemic control behavior. Statistical analysis was conducted using SPSS version 18.0 and the Mplus statistical package version 7.0. Results showed that the modified model fitted with the empirical data and accounted for 51.8% of the variance of glycemic control behavior. Intention and belief in self-control behavior directly affected glycemic control behavior. Attitude, subjective norm and belief in self-control behavior indirectly affected glycemic control behavior via intention. Among these factors, intention had the most substantial effect on glycemic control behavior. These findings suggest that nursing interventions should enhance intention by reinforcing positive attitudes, belief in self-control behavior, and support from subjective norms to promote glycemic control behavior. This model needs to be applied and tested for effectiveness in clinical practice.
{"title":"Model of Factors Influencing Glycemic Control Behavior among Pregnant Women with Gestational Diabetes Mellitus A1","authors":"Vorrapun Phadungyotee, Srisamorn Phumonsakul, N. Chansatitporn, Noppawan Piaseu","doi":"10.60099/prijnr.2024.266392","DOIUrl":"https://doi.org/10.60099/prijnr.2024.266392","url":null,"abstract":"Gestational diabetes mellitus is glucose intolerance during pregnancy, increasing health risk in the mothers, feti, and subsequent children. Understanding the factors influencing glycemic control behaviors is necessary to control plasma glucose levels. This study developed and tested the Model of Factors Influencing Glycemic Control Behavior among Pregnant Women with Gestational Diabetes Mellitus A1. The Theory of Planned Behavior was used as a conceptual framework to guide the study. The participants were 252 pregnant women with the condition from two tertiary hospitals in Thailand, and whose blood glucose could be controlled by exercise and diet. Data were collected using a demographic data form and five scales on attitude, subjective norm, belief in self-control behavior, intention, and glycemic control behavior. Statistical analysis was conducted using SPSS version 18.0 and the Mplus statistical package version 7.0.\u0000Results showed that the modified model fitted with the empirical data and accounted for 51.8% of the variance of glycemic control behavior. Intention and belief in self-control behavior directly affected glycemic control behavior. Attitude, subjective norm and belief in self-control behavior indirectly affected glycemic control behavior via intention. Among these factors, intention had the most substantial effect on glycemic control behavior. These findings suggest that nursing interventions should enhance intention by reinforcing positive attitudes, belief in self-control behavior, and support from subjective norms to promote glycemic control behavior. This model needs to be applied and tested for effectiveness in clinical practice.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140221194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-21DOI: 10.60099/prijnr.2024.265851
Wangqiao Zhu, K. Nuntaboot, Jia Liu, Sulan Long
Diabetic foot infection is one of the most severe complications of diabetes mellitus. Immediately seeking medical attention is vital after foot ulcers occur; however there are often delays in seeking treatment. This study used a qualitative descriptive approach to explore the perceptions of delay in people seeking medical help for foot ulcers in three villages in Baise, rural areas of southwest China. Fifteen patients were recruited in this study. In-depth interviews were performed to collect data from August to October 2022, and thematic analysis was used to analyze the data. This study identified four main themes: personal estimation; supernatural and traditional power; health service expertise, cost and access to hospital care; and psychological and complementary care. Inadequate awareness of potential ulcers and a preference for alternative methods significantly contributed to delays in medical foot care. Additionally, a shortage in community healthcare services impeded the timely initiation of proper foot care actions. It was worth noting that the preference for Traditional Chinese Therapy was relevant to the delay in seeking medical attention on foot, yet it was not perceived before. These findings serve as crucial evidence for developing interventions and future policy adjustments. Further consideration of the multifaceted impacts is necessary to incentivize prompt treatment decisions for diabetic foot ulcers. Nurse specialists should be concerned regarding psychological care, and dual-way support between nurses and families is vital for prompt medical care-seeking. Nursing education should emphasize knowledge of pathophysiology integrating prayer merits and Chinese therapies for patient empowerment.
{"title":"Perceptions of Delay in Seeking Medical Help among People with Diabetic Foot Ulcers in Rural Southwest China","authors":"Wangqiao Zhu, K. Nuntaboot, Jia Liu, Sulan Long","doi":"10.60099/prijnr.2024.265851","DOIUrl":"https://doi.org/10.60099/prijnr.2024.265851","url":null,"abstract":"Diabetic foot infection is one of the most severe complications of diabetes mellitus. Immediately seeking medical attention is vital after foot ulcers occur; however there are often delays in seeking treatment. This study used a qualitative descriptive approach to explore the perceptions of delay in people seeking medical help for foot ulcers in three villages in Baise, rural areas of southwest China. Fifteen patients were recruited in this study. In-depth interviews were performed to collect data from August to October 2022, and thematic analysis was used to analyze the data. This study identified four main themes: personal estimation; supernatural and traditional power; health service expertise, cost and access to hospital care; and psychological and complementary care. Inadequate awareness of potential ulcers and a preference for alternative methods significantly contributed to delays in medical foot care. Additionally, a shortage in community healthcare services impeded the timely initiation of proper foot care actions. It was worth noting that the preference for Traditional Chinese Therapy was relevant to the delay in seeking medical attention on foot, yet it was not perceived before. These findings serve as crucial evidence for developing interventions and future policy adjustments. Further consideration of the multifaceted impacts is necessary to incentivize prompt treatment decisions for diabetic foot ulcers. Nurse specialists should be concerned regarding psychological care, and dual-way support between nurses and families is vital for prompt medical care-seeking. Nursing education should emphasize knowledge of pathophysiology integrating prayer merits and Chinese therapies for patient empowerment.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140223617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-21DOI: 10.60099/prijnr.2024.265202
Hitomi Hamada, Mika Ninohei, N. Yamaji, Erika Ota
Menstruation relates to women’s well-being, and menstrual health and hygiene are important. However, the effects of menstrual health and hygiene interventions remain unclear. This systematic review assessed the effects of menstrual health and hygiene interventions on adolescent girls and young women. Structured systematic searches were conducted using five databases from 5 August to 30 September 2022 with no restriction. We included individual-, cluster- and quasi-randomized controlled trials that assessedthe effects of menstrual health and hygiene interventions on the quality of life and social outcomes. Two researchers independently completed the screening process and assessed the risk of bias using the second version of the Cochrane risk of bias tool for randomized trials.Ten studies were described in 12 reports, and three ongoing studies were included. Five studies evaluated education interventions, one evaluated the distribution of menstrual products, and four assessed both. No study reported the quality of life. A small but non-significant positive impact on school attendance was found from the meta-analysis of four studies evaluating the distribution of sanitary products compared with no intervention (SMD = 0.23, 95%CI [-0.03, 0.48]). Although this study’s result should be used cautiously, menstrual health and hygiene interventions offer positive outcomes. Quality of life should be assessed as well. Morecomprehensive and innovative interventions and a rigorous research design are required, and nurses have an important role in education, practice and further research on this topic.
{"title":"Effects of Interventions for Menstrual Health and Hygiene Management for Adolescent Girls: A Systematic Review and Meta-analysis","authors":"Hitomi Hamada, Mika Ninohei, N. Yamaji, Erika Ota","doi":"10.60099/prijnr.2024.265202","DOIUrl":"https://doi.org/10.60099/prijnr.2024.265202","url":null,"abstract":"Menstruation relates to women’s well-being, and menstrual health and hygiene are important. However, the effects of menstrual health and hygiene interventions remain unclear. This systematic review assessed the effects of menstrual health and hygiene interventions on adolescent girls and young women. Structured systematic searches were conducted using five databases from 5 August to 30 September 2022 with no restriction. We included individual-, cluster- and quasi-randomized controlled trials that assessedthe effects of menstrual health and hygiene interventions on the quality of life and social outcomes. Two researchers independently completed the screening process and assessed the risk of bias using the second version of the Cochrane risk of bias tool for randomized trials.Ten studies were described in 12 reports, and three ongoing studies were included. Five studies evaluated education interventions, one evaluated the distribution of menstrual products, and four assessed both. No study reported the quality of life. A small but non-significant positive impact on school attendance was found from the meta-analysis of four studies evaluating the distribution of sanitary products compared with no intervention (SMD = 0.23, 95%CI [-0.03, 0.48]). Although this study’s result should be used cautiously, menstrual health and hygiene interventions offer positive outcomes. Quality of life should be assessed as well. Morecomprehensive and innovative interventions and a rigorous research design are required, and nurses have an important role in education, practice and further research on this topic.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140222494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-21DOI: 10.60099/prijnr.2024.265360
O. Wichaikhum, K. Abhicharttibutra, A. Nantsupawat
Many migrants currently use local Thai healthcare services while living and working in Thailand. Health workers’ attitudes toward providing health services to migrants significantly influence the quality of their healthcare. This study aimed to describe and compare health workers’ attitudes toward providing health services to migrants between health professionals and supportive health workers and examine the personal and system factors that predict health workers’ attitudes towards health services. A cross-sectional design was applied in this study. A total of 1,356 health workers in Thailand were selected using multi-stage random sampling. The research instruments included the Migrants’ Cultures and Contexts Questionnaire and the Health Workers’ Attitudes toward Providing Health Services to Migrants Questionnaire. Data were analyzed using the Mann-Whitney U test and binary logistic regression.Most health professionals (91.05%) and supportive health workers (91.71%) had positive attitudes toward health services for migrants. The appropriateness of health workers’ numbers and knowledge about migrants’ cultures and contexts could mutually influence the health workers’ attitudes, accounting for only 3.6% of the variance. Reinforcing positive attitudes among health workers can be done by providing praise for good health services. However, further studies on the accessibility, quality of care services, cost, and migrants’ satisfaction are needed before appropriate intervention and policy can be improved.
{"title":"Factors Influencing Thai Health Workers’ Attitudes toward Providing Health Services to Migrants","authors":"O. Wichaikhum, K. Abhicharttibutra, A. Nantsupawat","doi":"10.60099/prijnr.2024.265360","DOIUrl":"https://doi.org/10.60099/prijnr.2024.265360","url":null,"abstract":"Many migrants currently use local Thai healthcare services while living and working in Thailand. Health workers’ attitudes toward providing health services to migrants significantly influence the quality of their healthcare. This study aimed to describe and compare health workers’ attitudes toward providing health services to migrants between health professionals and supportive health workers and examine the personal and system factors that predict health workers’ attitudes towards health services. A cross-sectional design was applied in this study. A total of 1,356 health workers in Thailand were selected using multi-stage random sampling. The research instruments included the Migrants’ Cultures and Contexts Questionnaire and the Health Workers’ Attitudes toward Providing Health Services to Migrants Questionnaire. Data were analyzed using the Mann-Whitney U test and binary logistic regression.Most health professionals (91.05%) and supportive health workers (91.71%) had positive attitudes toward health services for migrants. The appropriateness of health workers’ numbers and knowledge about migrants’ cultures and contexts could mutually influence the health workers’ attitudes, accounting for only 3.6% of the variance. Reinforcing positive attitudes among health workers can be done by providing praise for good health services. However, further studies on the accessibility, quality of care services, cost, and migrants’ satisfaction are needed before appropriate intervention and policy can be improved.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140223221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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