Pub Date : 2023-12-21DOI: 10.60099/prijnr.2024.264735
Rostikorn Khwanchum, L. Pothiban, T. Wonghongkul, Sumalee Lirtmulikaporn
Chronic kidney disease is a significant health problem that leads to severe complications and premature death. Adults with early-stage chronic kidney disease need to maintain renal function and prevent the progression, which can be achieved through effective self-management. This randomized control trial with a two-arm pre-post-test aimed to investigate the effectiveness of the Nurse-led Self and Family Management Support Program for increasing disease knowledge and self-management among adults with early-stage chronic kidney disease. The sample consisted of dyads of 64 adults with the disease and their family members. The dyads were randomly assigned to the experimental arm (n = 32) and the control arm (n = 32). The experimental arm received the Nurse-led Self and Family Management Support Program, while the control arm received only usual care. Data was collected using a demographic data recording form, the Disease Knowledge Scale, and the Chronic Kidney Disease Self-Management Scale. Data analysis was undertaken using descriptive statistics, two-way repeated ANOVA with post hoc test, and independent t-test. From the results, the participants in the experiment arm had better disease knowledge and self-management than the control group at 4, 8, and 12 weeks after the program and were better than before the program. Nurses can apply this program to encourage individuals and family members to be involved in providing all aspects of support for self-management for adults with early-stage chronic kidney disease. However, further testing in other settings is needed.
{"title":"Effectiveness of the Nurse-led Self and Family Management Support Program among Adults with Early-stage Chronic Kidney Disease: A Randomized Controlled Trial","authors":"Rostikorn Khwanchum, L. Pothiban, T. Wonghongkul, Sumalee Lirtmulikaporn","doi":"10.60099/prijnr.2024.264735","DOIUrl":"https://doi.org/10.60099/prijnr.2024.264735","url":null,"abstract":"Chronic kidney disease is a significant health problem that leads to severe complications and premature death. Adults with early-stage chronic kidney disease need to maintain renal function and prevent the progression, which can be achieved through effective self-management. This randomized control trial with a two-arm pre-post-test aimed to investigate the effectiveness of the Nurse-led Self and Family Management Support Program for increasing disease knowledge and self-management among adults with early-stage chronic kidney disease. The sample consisted of dyads of 64 adults with the disease and their family members. The dyads were randomly assigned to the experimental arm (n = 32) and the control arm (n = 32). The experimental arm received the Nurse-led Self and Family Management Support Program, while the control arm received only usual care. Data was collected using a demographic data recording form, the Disease Knowledge Scale, and the Chronic Kidney Disease Self-Management Scale. Data analysis was undertaken using descriptive statistics, two-way repeated ANOVA with post hoc test, and independent t-test.\u0000From the results, the participants in the experiment arm had better disease knowledge and self-management than the control group at 4, 8, and 12 weeks after the program and were better than before the program. Nurses can apply this program to encourage individuals and family members to be involved in providing all aspects of support for self-management for adults with early-stage chronic kidney disease. However, further testing in other settings is needed.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138949711","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 : 2023-12-17DOI: 10.60099/prijnr.2024.263621
Citra Gabriella Mamahit, Kimiko Inaoka, W. Wariki, Erika Ota
Diabetes is a chronic illness that negatively impacts quality of life. However, the quality of life of people with type 2 diabetes could be improved with sufficient literacy and abilities to perform self-management, such as managing blood glucose, maintaining a healthy diet, and proper exercise. This descriptive cross-sectional study aimed to describe the relationships among health literacy, self-management, and quality of life and to determine the predictors of quality of life of people with type 2 diabetes. Data were collected through purposive sampling from 218 individuals with type 2 diabetes in Manado City, Indonesia, between July and October 2021. We used the European Health Literacy Survey Questionnaire, Diabetes Self-management Questionnaire, and Diabetes Quality of Life Questionnaire. Data were analyzed using descriptive statistics, Pearson’s product-moment correlation, and hierarchical regression analysis. The study revealed that health literacy was significantly associated with self-management and quality of life. Furthermore, age, occupation, health literacy, and self-management were significant predictors and collectively explained 25.3% of the variance in quality of life. Hence, higher health literacy and improved self-management practices were linked to a higher quality of life for people with type 2 diabetes. Since the explained variance of quality of life in this study is only 25.3%, further studies should include other factors such as social and family support and communication with health care providers to predict quality of life. Nevertheless, nurses can use this study to design interventions to improve self-care management skills and health literacy levels, which may enhance quality of life. However, testing the effectiveness is needed.
{"title":"A Cross-sectional Study of Factors Affecting Quality of Life of People with Type 2 Diabetes","authors":"Citra Gabriella Mamahit, Kimiko Inaoka, W. Wariki, Erika Ota","doi":"10.60099/prijnr.2024.263621","DOIUrl":"https://doi.org/10.60099/prijnr.2024.263621","url":null,"abstract":"Diabetes is a chronic illness that negatively impacts quality of life. However, the quality of life of people with type 2 diabetes could be improved with sufficient literacy and abilities to perform self-management, such as managing blood glucose, maintaining a healthy diet, and proper exercise. This descriptive cross-sectional study aimed to describe the relationships among health literacy, self-management, and quality of life and to determine the predictors of quality of life of people with type 2 diabetes. Data were collected through purposive sampling from 218 individuals with type 2 diabetes in Manado City, Indonesia, between July and October 2021. We used the European Health Literacy Survey Questionnaire, Diabetes Self-management Questionnaire, and Diabetes Quality of Life Questionnaire. Data were analyzed using descriptive statistics, Pearson’s product-moment correlation, and hierarchical regression analysis.\u0000The study revealed that health literacy was significantly associated with self-management and quality of life. Furthermore, age, occupation, health literacy, and self-management were significant predictors and collectively explained 25.3% of the variance in quality of life. Hence, higher health literacy and improved self-management practices were linked to a higher quality of life for people with type 2 diabetes. Since the explained variance of quality of life in this study is only 25.3%, further studies should include other factors such as social and family support and communication with health care providers to predict quality of life. Nevertheless, nurses can use this study to design interventions to improve self-care management skills and health literacy levels, which may enhance quality of life. However, testing the effectiveness is needed.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138965937","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 : 2023-12-17DOI: 10.60099/prijnr.2024.265230
Waraporn Youngiam, M. Therawiwat
Excessive sodium intake adversely affects health outcomes and leads to premature death among adults. This quasi-experimental study was conducted with two groups using a pretest-posttest to study the effects of enhancing health literacy using the “I Watch Sodium” application. Participants were aged between 30 and 59 years, had prehypertension and consumed a high sodium diet at least twice a day. The study sample consisted of 80 members of the university staff in a province in the lower northern of Thailand. They were equally assigned to an experimental and a comparison group. The experimental group participated in the intervention program, while the comparison group did not. Data was collected between February and April 2023. The primary outcome measures consisted of Health Literacy about Sodium Consumption, Sodium Consumption Behavior, Dietary Approaches to Stop Hypertension Diet Consumption Behavior, the Amount of Sodium Consumed, and blood pressure were measured at pretest and post-test, eight weeks after the completion of the program. The descriptive statistics, the chi-square test, an independent t-test, and the paired t-test were used to analyze the data. The results showed that after the intervention, the experimental group had significantly increased mean health literacy scores about sodium consumption and DASH diet consumption behavior. In addition, the mean scores of sodium consumption behavior, the amount of sodium consumed, systolic blood pressure, and diastolic blood pressure decreased significantly compared to the comparison group eight weeks after the study ended. Nurses and health professionals can apply the “I Watch Sodium” app to people with prehypertension. However, randomized controlled trials and 24-hour sodium excretion measurements are required for future studies
{"title":"Enhancing Health Literacy Through “I Watch Sodium” Application among Prehypertension University Staff: A Quasi-experimental Study","authors":"Waraporn Youngiam, M. Therawiwat","doi":"10.60099/prijnr.2024.265230","DOIUrl":"https://doi.org/10.60099/prijnr.2024.265230","url":null,"abstract":"Excessive sodium intake adversely affects health outcomes and leads to premature death among adults. This quasi-experimental study was conducted with two groups using a pretest-posttest to study the effects of enhancing health literacy using the “I Watch Sodium” application. Participants were aged between 30 and 59 years, had prehypertension and consumed a high sodium diet at least twice a day. The study sample consisted of 80 members of the university staff in a province in the lower northern of Thailand. They were equally assigned to an experimental and a comparison group. The experimental group participated in the intervention program, while the comparison group did not. Data was collected between February and April 2023. The primary outcome measures consisted of Health Literacy about Sodium Consumption, Sodium Consumption Behavior, Dietary Approaches to Stop Hypertension Diet Consumption Behavior, the Amount of Sodium Consumed, and blood pressure were measured at pretest and post-test, eight weeks after the completion of the program. The descriptive statistics, the chi-square test, an independent t-test, and the paired t-test were used to analyze the data.\u0000The results showed that after the intervention, the experimental group had significantly increased mean health literacy scores about sodium consumption and DASH diet consumption behavior. In addition, the mean scores of sodium consumption behavior, the amount of sodium consumed, systolic blood pressure, and diastolic blood pressure decreased significantly compared to the comparison group eight weeks after the study ended. Nurses and health professionals can apply the “I Watch Sodium” app to people with prehypertension. However, randomized controlled trials and 24-hour sodium excretion measurements are required for future studies","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138966444","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 : 2023-12-01DOI: 10.60099/prijnr.2024.264962
Latifah Jehloh, Luppana Kitrungrote, P. Songwathana
Older adults with chronic obstructive pulmonary disease frequently visit the emergency department due to an acute exacerbation of the disease or symptoms after discharge from hospital. Therefore, providing programs that enable caregivers to recognize and manage alert signs and symptoms in caring for older adults with chronic obstructive pulmonary disease at home is essential. This feasibility study is a part of emergency health management in transitional care program to reduce emergency department visits in older adults with dyspnea, and aimed to develop and test the Transitional Care Based e-Health Program. The program was tested using one group pre-test and post-test design with 50 family caregivers of older adults living with chronic obstructive pulmonary disease. Data was collected from November 2021 to May 2022. The ability to manage dyspnea symptoms among family caregivers and patient emergency department visits was assessed 30 days after hospital discharge. Data were analyzed using the Wilcoxon Signed Rank Test to compare the pre- and post-score differences. After implementation, it was found that the program was feasible and could improve the ability to manage dyspnea. Only three of 50 cases had emergency department visits within 30 days after discharge, accounting for 6% compared to the earlier report of 27.18%. The findings provide potential transitional care based on an e-health program to enhance the ability of dyspnea symptom management among family caregivers. Nurses can use this program in practice. However, further study is needed with randomized controlled trials before it can be widely used nationally.
{"title":"Transitional Care Based e-Health Program for Older Muslim Thai Adults with Chronic Obstructive Pulmonary Disease After Hospital Discharge: A Feasibility Study","authors":"Latifah Jehloh, Luppana Kitrungrote, P. Songwathana","doi":"10.60099/prijnr.2024.264962","DOIUrl":"https://doi.org/10.60099/prijnr.2024.264962","url":null,"abstract":"Older adults with chronic obstructive pulmonary disease frequently visit the emergency department due to an acute exacerbation of the disease or symptoms after discharge from hospital. Therefore, providing programs that enable caregivers to recognize and manage alert signs and symptoms in caring for older adults with chronic obstructive pulmonary disease at home is essential. This feasibility study is a part of emergency health management in transitional care program to reduce emergency department visits in older adults with dyspnea, and aimed to develop and test the Transitional Care Based e-Health Program. The program was tested using one group pre-test and post-test design with 50 family caregivers of older adults living with chronic obstructive pulmonary disease. Data was collected from November 2021 to May 2022. The ability to manage dyspnea symptoms among family caregivers and patient emergency department visits was assessed 30 days after hospital discharge. Data were analyzed using the Wilcoxon Signed Rank Test to compare the pre- and post-score differences.\u0000After implementation, it was found that the program was feasible and could improve the ability to manage dyspnea. Only three of 50 cases had emergency department visits within 30 days after discharge, accounting for 6% compared to the earlier report of 27.18%. The findings provide potential transitional care based on an e-health program to enhance the ability of dyspnea symptom management among family caregivers. Nurses can use this program in practice. However, further study is needed with randomized controlled trials before it can be widely used nationally.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139023537","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 : 2023-12-01DOI: 10.60099/prijnr.2024.262660
F. Hayee, W. Fongkaew, Joachim G. Voss
Pre-coital and sexual behaviors are precarious and may lead adolescents to face higher rates of unwanted pregnancies and sexually transmitted infections. This cross-sectional study aimed to determine the factors predicting pre-coital and sexual behaviors amongMuslim adolescents in southernmost Thailand. Seven hundred adolescents were recruited from a vocational college and four schools. Sexual risk behaviors and its related factors questionnaires were employed for data collection. Descriptive statistics were used todescribe the demographic characteristics of the participants; binary and ordinal logistic regression was used to examine the factors explaining sexual risk behaviors. The results indicated that increased age was a predicting factor for higher pre-coital and sexual behaviors. For interpersonal factors, knowledge of sexual risk behaviors was a protective factor, while perceived parent and peer approval of sex and perceived peer norms predicted higher pre-coital and sexual behaviors. More parental monitoring was a protective factor for lower pre-coital behaviors. For environmental factors, cultural norms were a significant protective factor, while neighborhood disorganization predicted higher pre-coital behaviors. In conclusion, age, parental approval of sex, and perceived peer norms were predictors of sexual and pre-coital behaviors. These findings provide useful information for healthcare providers, especially nurses, to develop the intervention with the protective factors and predictors of sexual and pre-coital behaviors. We recommend action research that includes all community stakeholders to develop an intervention to prevent sexual risk behaviors among Muslim adolescents.
{"title":"Predicting Factors of Pre-coital and Sexual Behaviors among Thai Muslim Adolescents: A Cross-sectional Study","authors":"F. Hayee, W. Fongkaew, Joachim G. Voss","doi":"10.60099/prijnr.2024.262660","DOIUrl":"https://doi.org/10.60099/prijnr.2024.262660","url":null,"abstract":"Pre-coital and sexual behaviors are precarious and may lead adolescents to face higher rates of unwanted pregnancies and sexually transmitted infections. This cross-sectional study aimed to determine the factors predicting pre-coital and sexual behaviors amongMuslim adolescents in southernmost Thailand. Seven hundred adolescents were recruited from a vocational college and four schools. Sexual risk behaviors and its related factors questionnaires were employed for data collection. Descriptive statistics were used todescribe the demographic characteristics of the participants; binary and ordinal logistic regression was used to examine the factors explaining sexual risk behaviors.\u0000The results indicated that increased age was a predicting factor for higher pre-coital and sexual behaviors. For interpersonal factors, knowledge of sexual risk behaviors was a protective factor, while perceived parent and peer approval of sex and perceived peer norms predicted higher pre-coital and sexual behaviors. More parental monitoring was a protective factor for lower pre-coital behaviors. For environmental factors, cultural norms were a significant protective factor, while neighborhood disorganization predicted higher pre-coital behaviors. In conclusion, age, parental approval of sex, and perceived peer norms were predictors of sexual and pre-coital behaviors. These findings provide useful information for healthcare providers, especially nurses, to develop the intervention with the protective factors and predictors of sexual and pre-coital behaviors. We recommend action research that includes all community stakeholders to develop an intervention to prevent sexual risk behaviors among Muslim adolescents.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139013459","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}
Telehealth is increasingly important in nursing, encouraging mothers of preterm infants with ventilators to have confidence in their infant care. This study investigated the impact of a telehealth program on maternal self-efficacy in caring for preterm infants with ventilators in the early postpartum period. We employed a randomized controlled trial using the block allocation method, enrolled 42 mothers of preterm infants receiving ventilators and randomly assigned 21 in the experiment group and 21 in the control group. The experimental group received asynchronous and synchronous telehealth programs for six days to enhance their self-efficacy. Data were obtained using the demographic data questionnaire and the maternal self-efficacy questionnaire. Data were analyzed using the Chi-square test, Fisher’s Exact test, Mann–Whitney U test, independent t-test, and paired t-test. After completing the program, the experimental group had a significantly higher mean score of maternal perceived self-efficacy than the control group, and this was significantly higher than before the trial. A telehealth program is effective for mothers with preterm infants with ventilators. Nurses should allow the mothers to practice care activities with infants at least once before discharge and when they arrive home and provide health information via telehealth. These can enhance maternal self-efficacy in caring for premature infants with ventilators in the first week of life. However, further testing of the program in other settings is needed before widespread implementation.
远程医疗在护理工作中的重要性与日俱增，它鼓励使用呼吸机的早产儿母亲对婴儿护理充满信心。本研究调查了远程医疗项目对产妇在产后早期护理使用呼吸机的早产儿的自我效能的影响。我们采用整群分配法进行了随机对照试验，招募了 42 名使用呼吸机的早产儿母亲，并随机分配 21 名母亲为实验组，21 名母亲为对照组。实验组接受为期六天的异步和同步远程保健项目，以提高她们的自我效能。数据通过人口统计学数据问卷和产妇自我效能问卷获得。数据分析采用了卡方检验（Chi-square test）、费雪精确检验（Fisher's Exact test）、曼-惠特尼U检验（Mann-Whitney U test）、独立t检验（independent t test）和配对t检验（paired t test）。完成项目后，实验组产妇感知自我效能的平均得分明显高于对照组，且明显高于试验前。远程医疗项目对使用呼吸机的早产儿母亲很有效。护士应让母亲在出院前和回家后至少与婴儿练习一次护理活动，并通过远程医疗提供健康信息。这些都能增强母亲在婴儿出生后第一周护理使用呼吸机的早产儿的自我效能感。不过，在广泛实施之前，还需要在其他环境中对该计划进行进一步测试。
{"title":"Enhancing Maternal Self-efficacy in Caring for Preterm Infants with Ventilator through a Telehealth Program: A Randomized Controlled Trial","authors":"Kritsana Kongsaenkaew, Somsiri Rungamornarat, Sudaporn Payakkaraung","doi":"10.60099/prijnr.2024.264464","DOIUrl":"https://doi.org/10.60099/prijnr.2024.264464","url":null,"abstract":"Telehealth is increasingly important in nursing, encouraging mothers of preterm infants with ventilators to have confidence in their infant care. This study investigated the impact of a telehealth program on maternal self-efficacy in caring for preterm infants with ventilators in the early postpartum period. We employed a randomized controlled trial using the block allocation method, enrolled 42 mothers of preterm infants receiving ventilators and randomly assigned 21 in the experiment group and 21 in the control group. The experimental group received asynchronous and synchronous telehealth programs for six days to enhance their self-efficacy. Data were obtained using the demographic data questionnaire and the maternal self-efficacy questionnaire. Data were analyzed using the Chi-square test, Fisher’s Exact test, Mann–Whitney U test, independent t-test, and paired t-test. After completing the program, the experimental group had a significantly higher mean score of maternal perceived self-efficacy than the control group, and this was significantly higher than before the trial. A telehealth program is effective for mothers with preterm infants with ventilators. Nurses should allow the mothers to practice care activities with infants at least once before discharge and when they arrive home and provide health information via telehealth. These can enhance maternal self-efficacy in caring for premature infants with ventilators in the first week of life. However, further testing of the program in other settings is needed before widespread implementation.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139233813","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 : 2023-11-27DOI: 10.60099/prijnr.2024.262062
Siriwan Tumchuea, Puangpaka Kongvattananon, Yu-Yun Alice Hsu
Repeated adolescent pregnancy affects maternal and child health and the family. This issue has become more prevalent in Thailand and requires strategies to address this. mHealth, an emerging tool in the digital era, has been highlighted to lead to better healthcare outcomes. This qualitative descriptive study explored end-users’ needs in decision-making for choosing contraception via mHealth to prevent repeated adolescent pregnancy. Purposive sampling was undertaken with the snowball technique to select 31 key informants: ten adolescent mothers, ten of their family members, and 11 healthcare providers. Data were collected by conducting semi-structured, in-depth interviews at hospitals, homes and healthcare workplaces and were analyzed using content analysis, the trustworthiness of the data employed with data triangulation, member checking, and peer debriefing. Three main themes emerged from the findings: 1) The meaning of repeated pregnancy in adolescence involved being considered a trite event, a bullied girl, a burden and stress; 2) Motivating repeated pregnancy involved a lack of contraceptive knowledge, knowing methods and lack of awareness, knowing how to use but not using it, intending use and failing to use it; 3) The needs for repeated adolescents’ pregnancy prevention were easily accessible knowledge, having a trusted person, social support, and adolescent-friendly healthcare services. Knowledge about adolescents and their family needs to prevent repeated pregnancy is necessary for developing mHealth and valuable guidelines to improve contraceptive services to prevent repeated adolescent pregnancy.
{"title":"Adolescents’ and Families’ Needs to Prevent Repeated Adolescent Pregnancy: A Qualitative Study","authors":"Siriwan Tumchuea, Puangpaka Kongvattananon, Yu-Yun Alice Hsu","doi":"10.60099/prijnr.2024.262062","DOIUrl":"https://doi.org/10.60099/prijnr.2024.262062","url":null,"abstract":"Repeated adolescent pregnancy affects maternal and child health and the family. This issue has become more prevalent in Thailand and requires strategies to address this. mHealth, an emerging tool in the digital era, has been highlighted to lead to better healthcare outcomes. This qualitative descriptive study explored end-users’ needs in decision-making for choosing contraception via mHealth to prevent repeated adolescent pregnancy. Purposive sampling was undertaken with the snowball technique to select 31 key informants: ten adolescent mothers, ten of their family members, and 11 healthcare providers. Data were collected by conducting semi-structured, in-depth interviews at hospitals, homes and healthcare workplaces and were analyzed using content analysis, the trustworthiness of the data employed with data triangulation, member checking, and peer debriefing. Three main themes emerged from the findings: 1) The meaning of repeated pregnancy in adolescence involved being considered a trite event, a bullied girl, a burden and stress; 2) Motivating repeated pregnancy involved a lack of contraceptive knowledge, knowing methods and lack of awareness, knowing how to use but not using it, intending use and failing to use it; 3) The needs for repeated adolescents’ pregnancy prevention were easily accessible knowledge, having a trusted person, social support, and adolescent-friendly healthcare services. Knowledge about adolescents and their family needs to prevent repeated pregnancy is necessary for developing mHealth and valuable guidelines to improve contraceptive services to prevent repeated adolescent pregnancy.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139228302","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 : 2023-11-27DOI: 10.60099/prijnr.2024.263819
Wichanee Jaimalai, S. Panuthai, Rojanee Chintanawat, Phanida Juntasopeepun
Medication non-adherence leads to poor clinical outcomes, particularly in older people with physical multimorbidity. The Medagogy model is a patient education process which enhances medication literacy resulting in medication adherence. This randomized controlled trial examined the effect of the Medagogy-Based Medication Literacy Enhancement Program on medication adherence among older persons with physical multimorbidity. One hundred participants aged 60 and over with two or more physical chronic conditions living in northern Thailand were randomly assigned into either a control group (n = 50) or an experimental group (n = 50). The control group received only usual care, while the experimental group received the Medagogy-Based Medication Literacy Enhancement Program. The program consisted of exchanging information based on the P-pathophysiology, I-indication, T-treatment, and S-specific through transformative learning and the teach-back method, with six sessions, implemented twice a week for three weeks. Medication adherence was measured using the Brief Medication Questionnaire at the 8th week of the program. Data were analyzed using descriptive statistics and Paired and Independent t-tests. The results showed that after receiving the program, the experimental group had a significantly higher mean score for medication adherence than the control group. The results indicated that enhancing medication literacy through transformative learning resulted in improvement in medication adherence among older persons with physical multimorbidity. Therefore, nurses can use the Medagogy-Based Medication Literacy Enhancement Program to improve medication adherence among this population group. Further testing in other chronic conditions for the generalizability of the program and integrating digital technology or e-Health into the program are suggested.
{"title":"Effect of Medagogy–Based Medication Literacy Enhancement on Medication Adherence Among Older Persons with Physical Multimorbidity: Randomized Controlled Trial","authors":"Wichanee Jaimalai, S. Panuthai, Rojanee Chintanawat, Phanida Juntasopeepun","doi":"10.60099/prijnr.2024.263819","DOIUrl":"https://doi.org/10.60099/prijnr.2024.263819","url":null,"abstract":"Medication non-adherence leads to poor clinical outcomes, particularly in older people with physical multimorbidity. The Medagogy model is a patient education process which enhances medication literacy resulting in medication adherence. This randomized controlled trial examined the effect of the Medagogy-Based Medication Literacy Enhancement Program on medication adherence among older persons with physical multimorbidity. One hundred participants aged 60 and over with two or more physical chronic conditions living in northern Thailand were randomly assigned into either a control group (n = 50) or an experimental group (n = 50). The control group received only usual care, while the experimental group received the Medagogy-Based Medication Literacy Enhancement Program. The program consisted of exchanging information based on the P-pathophysiology, I-indication, T-treatment, and S-specific through transformative learning and the teach-back method, with six sessions, implemented twice a week for three weeks. Medication adherence was measured using the Brief Medication Questionnaire at the 8th week of the program. Data were analyzed using descriptive statistics and Paired and Independent t-tests. The results showed that after receiving the program, the experimental group had a significantly higher mean score for medication adherence than the control group. The results indicated that enhancing medication literacy through transformative learning resulted in improvement in medication adherence among older persons with physical multimorbidity. Therefore, nurses can use the Medagogy-Based Medication Literacy Enhancement Program to improve medication adherence among this population group. Further testing in other chronic conditions for the generalizability of the program and integrating digital technology or e-Health into the program are suggested.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139229459","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}
Preterm labor significantly impacts premature birth, influencing infant development and health outcomes. This randomized controlled trial aimed to develop and test the effectiveness of the Preterm Labor Prevention Program on primary outcomes (knowledge, attitudes, self-care practices) and secondary outcomes (preterm labor, preterm birth rates). Sixty-six high-risk participants aged 15-49 attending antenatal care clinics in Northeastern Thailand were selected using multi-stage random sampling. They were randomly assigned to either the experimental group (n = 32) receiving the Preterm Labor Prevention Program in addition to routine care or the control group (n = 34) receiving routine care. Data collection employed questionnaires on knowledge, attitude, self-care practice, preterm labor, and preterm birth rates. Data were analyzed using one-way repeated measures ANOVA for knowledge, attitudes, and self-care practice scores across three-time points at baseline before the intervention, immediately and four weeks after program completion, and chi-square tests for comparing preterm labor and premature birth rates across groups. Results indicated that the mean score of knowledge, attitude, and self-care practice in the experiment group was significantly increased over time immediately and four weeks after program completion and significantly higher than that of the control group at both time points. Furthermore, the incidence of preterm labor and the preterm birth rate in the experiment group were 6.25% and 3.10%, respectively. However, the incidence of preterm labor and the preterm birth rate in the control group were equal at 20.60%. Nurses and midwives can apply this program to increase knowledge, more positive attitudes, and practice to reduce preterm labor and preterm birth in high-risk pregnancies, but first, testing of the program is required with an increased number of participants.
{"title":"Effectiveness of the Preterm Labor Prevention Program for High-Risk Pregnant Women: A Randomized Controlled Trial","authors":"Sunetr Boobpamala, Sangduean Jindapaisan, Natcha Wanniyom, Rampai Thessawadwong","doi":"10.60099/prijnr.2024.263001","DOIUrl":"https://doi.org/10.60099/prijnr.2024.263001","url":null,"abstract":"Preterm labor significantly impacts premature birth, influencing infant development and health outcomes. This randomized controlled trial aimed to develop and test the effectiveness of the Preterm Labor Prevention Program on primary outcomes (knowledge, attitudes, self-care practices) and secondary outcomes (preterm labor, preterm birth rates). Sixty-six high-risk participants aged 15-49 attending antenatal care clinics in Northeastern Thailand were selected using multi-stage random sampling. They were randomly assigned to either the experimental group (n = 32) receiving the Preterm Labor Prevention Program in addition to routine care or the control group (n = 34) receiving routine care. Data collection employed questionnaires on knowledge, attitude, self-care practice, preterm labor, and preterm birth rates. Data were analyzed using one-way repeated measures ANOVA for knowledge, attitudes, and self-care practice scores across three-time points at baseline before the intervention, immediately and four weeks after program completion, and chi-square tests for comparing preterm labor and premature birth rates across groups. Results indicated that the mean score of knowledge, attitude, and self-care practice in the experiment group was significantly increased over time immediately and four weeks after program completion and significantly higher than that of the control group at both time points. Furthermore, the incidence of preterm labor and the preterm birth rate in the experiment group were 6.25% and 3.10%, respectively. However, the incidence of preterm labor and the preterm birth rate in the control group were equal at 20.60%. Nurses and midwives can apply this program to increase knowledge, more positive attitudes, and practice to reduce preterm labor and preterm birth in high-risk pregnancies, but first, testing of the program is required with an increased number of participants.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139233576","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 : 2023-11-27DOI: 10.60099/prijnr.2024.262563
Jeraporn Tongdee, D. Thapinta, S. Panuthai, Rojanee Chintanawat
Uncontrolled diabetes among older adults leads to acute and chronic complications that threaten health and life. Health literacy is crucial to managing health and making successful behavior changes for optimal diabetes outcomes. However, a clear understanding of multiple factors and their mechanisms to influence health literacy is lacking. This descriptive cross-sectional study aimed to test a Model of Health Literacy among Thai Older Adults with Uncontrolled Diabetes and examined the influencing pathways of cognitive function, diabetes knowledge, provider-patient communication, empowerment perception, social support, Internet use, and social engagement regarding health literacy. The sample consisted of 259 older Thai adults with uncontrolled diabetes. Data were collected using a demographic data form, the European Health Literacy Survey Questionnaire, the Diabetes Knowledge Scale, the Diabetes Empowerment Process Scale, the Provider-patient Communication Scale, the Social Support Questionnaire, the Montreal Cognitive Assessment-Basic Test, the Internet Use Questionnaire, and the Being Actively Engaged with Society Subscale of the Active Ageing Scale for Thai People. Data were analyzed using descriptive statistics and structural equation modeling with AMOS. The results showed that the model explained 76% of the quality of life variance. Diabetes knowledge and cognitive function directly affected health literacy. Health literacy was indirectly affected by provider-patient communication and empowerment perception through diabetes knowledge, social engagement through cognitive function, and Internet use through cognitive function and diabetes knowledge. Nurses can develop strategies by integrating Internet use and social engagement in empowerment communication programs to improve diabetes knowledge and cognitive function toward higher health literacy in this population.
{"title":"A Causal Model of Health Literacy among Thai Older Adults with Uncontrolled Diabetes","authors":"Jeraporn Tongdee, D. Thapinta, S. Panuthai, Rojanee Chintanawat","doi":"10.60099/prijnr.2024.262563","DOIUrl":"https://doi.org/10.60099/prijnr.2024.262563","url":null,"abstract":"Uncontrolled diabetes among older adults leads to acute and chronic complications that threaten health and life. Health literacy is crucial to managing health and making successful behavior changes for optimal diabetes outcomes. However, a clear understanding of multiple factors and their mechanisms to influence health literacy is lacking. This descriptive cross-sectional study aimed to test a Model of Health Literacy among Thai Older Adults with Uncontrolled Diabetes and examined the influencing pathways of cognitive function, diabetes knowledge, provider-patient communication, empowerment perception, social support, Internet use, and social engagement regarding health literacy. The sample consisted of 259 older Thai adults with uncontrolled diabetes. Data were collected using a demographic data form, the European Health Literacy Survey Questionnaire, the Diabetes Knowledge Scale, the Diabetes Empowerment Process Scale, the Provider-patient Communication Scale, the Social Support Questionnaire, the Montreal Cognitive Assessment-Basic Test, the Internet Use Questionnaire, and the Being Actively Engaged with Society Subscale of the Active Ageing Scale for Thai People. Data were analyzed using descriptive statistics and structural equation modeling with AMOS. The results showed that the model explained 76% of the quality of life variance. Diabetes knowledge and cognitive function directly affected health literacy. Health literacy was indirectly affected by provider-patient communication and empowerment perception through diabetes knowledge, social engagement through cognitive function, and Internet use through cognitive function and diabetes knowledge. Nurses can develop strategies by integrating Internet use and social engagement in empowerment communication programs to improve diabetes knowledge and cognitive function toward higher health literacy in this population.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139231705","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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