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Publication Open Access Relationships between Self-efficacy, Depression, Anxiety and Quality of Life among Patients with Chronic Obstructive Pulmonary Disease(2017) Pham Thi Thanh Phuong; วิมลรัตน์ ภู่วราวุฒิพานิช; Wimolrat Puwarawuttipanit; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลอายุรศาสตร์Purpose: To examine the relationships between self-efficacy, depression, anxiety, and quality of life (QOL) in patients with Chronic Obstructive Pulmonary Disease (COPD). Design: Descriptive correlational design. Methods: Sample was 115 COPD patients who were treated at Hai Duong General Hospital, Hai Duong City, Vietnam. Data were collected with 5 questionnaires including demographic data, COPD Self-efficacy Scale (CSES), patient health questionnaire 9 (PHQ-9) to measure depression, generalized anxiety disorder 7-item (GAD-7), and a clinical COPD questionnaire (CCQ) to measure quality of life. Data were analyzed using descriptive statistics and Spearman’s Rho correlation. Main findings: The findings revealed self-efficacy was positively correlated with quality of life (rs = .586, p < .05). Depression and anxiety were negatively correlated quality of life (rs = - .279, and - .506, p < .05). Conclusion and recommendations: The results showed that self-efficacy significantly increased QOL, but depression and anxiety significantly reduced QOL among COPD patients. Therefore, nurses should consider to create pulmonary rehabilitation program using these variables to improve QOL in COPD patients.Publication Open Access Factors Associated with Quality of Life among Patients with Lung Cancer(2017) Phan Thi Thu Hue; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; วิมลรัตน์ ภู่วราวุฒิพาณิช; Wimolrat Puwarawuttipanit; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์Purpose: To determine factors associated with QOL among patients with lung cancer in Vietnam. Design: Descriptive correlational design. Methods: Sample was 115 patients who received treatment at Bac Mai Hospital, Hanoi, Vietnam. Data were collected from the patients’ hospital records, assessed Forced Expiratory Volume in 1 second scale (FEV1), and interviewed with 3 questionnaires: the Hamilton Anxiety Rating Scale (HAM-A), the Multidimensional Scale of Perceived Social Support (MSPSS), and Quality of Life for cancer (EORTC QLQ-C30). Spearman’s Rho was employed to test the relationship among studied variables. Main findings: The findings revealed that QOL of patients with lung cancer was low (Mean = 48.97, SD = 7.94). Lung function was significant positively correlated with QOL (rs = .190, p < .05). Conversely, anxiety was significant negatively correlated with QOL (r = - .347, p < .05). Conclusion and recommendations: Lung function and anxiety were significantly correlated with QOL of patients with lung cancer. In order to improve the QOL, nurses and health care team should assess and well manage anxiety and provide social support to patients.Publication Open Access Factors Related to Functional Status in Patients with Rheumatoid Arthritis(2017) Tran Thi Ngoc Xuyen; วิมลรัตน์ ภู่วราวุฒิพานิช; Wimolrat Puwarawuttipanit; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลอายุรศาสตร์Purpose: To study the relationships between self-efficacy, pain level, depression, social support, and functional status among patients with rheumatoid arthritis. Design: Descriptive correlational design. Methods: The sample was 126 patients who were admitted to the Rheumatology Department, Bach Mai Hospital, Hanoi, Vietnam. Data were collected using 6 questionnaires including the demographic data, the Health Assessment Questionnaire 8-Item Disability Scale (HAQ8-ID), the Arthritis Self-Efficacy Scale-8 item (ASES-8), the Visual Numeric Scale (VNS), the Patient Health Questionnaire Scale (PHQ-9), and the Multidimensional Scale of Perceived Social Support (MSPSS). Spearman’s rho was employed to examine the relationships among studied variables. Main findings: The findings supported the proposed hypotheses that self-efficacy and social support were negatively related to functional status (disability score) in patients with rheumatoid arthritis (rs = - .349, - .215, p < .05). Pain level and depression were positively related to functional status (disability score) in patients with rheumatoid arthritis (rs = .561, .679, p < .05). Conclusion and recommendations: The findings indicated that self-efficacy, pain level, depression, and social support were correlated with functional status with disability score among patients with RA. It is recommended that nurses should assess functional status of RA patients, enhance patients’ self-efficacy, promote social support, control pain, and manage depression to promote positive functional status of patients with RA.Publication Open Access Factors Related to Health Status among Ischemic Stroke Patients with Dysphagia(2017) Nguyen Thi Thu Hien; วิมลรัตน์ ภู่วราวุฒิพานิช; Wimolrat Puwarawuttipanit; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลอายุรศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์Purpose: To examine the relationships between severity of stroke, level of dysphagia, nutritional status, and health status among ischemic stroke patients with dysphagia (ISPD). Design: Descriptive correlational design. Methods: The sample composed of 115 ischemic stroke patients with dysphagia who were admitted to the Neurology Department, Bach Mai Hospital, Hanoi, Vietnam. Data were collected using the patients’ hospital records and 4 questionnaires: 1) the NIH Stroke Scale (NIHSS), 2) the Gugging Swallowing Screen Scale (GUSS), 3) the Nutritional Risk Screening 2002 Scale (NRS-2002), and 4) the 12-item Short Form Survey (SF-12v2). Spearman’s Rho was employed to test the relationships among studied variables. Main findings: The findings revealed that severity of stroke and level of dysphagia were negatively correlated with physical health (rs = - .45, rs = - .31, p < .05); and mental health (rs = - .54, rs = - .71, p < .05); whereas nutritional status was positively correlated with both physical and mental health (rs = .42, rs = .23, p < .05). Conclusion and recommendations: Severity of stroke, level of dysphagia and nutritional status affected physical and mental health of ischemic stroke patients with dysphagia. In order to improve health status for this group of patients, nurses should assess and detect dysphagia symptoms and nutritional status among patients with ischemic stroke. Nutritional programs should be developed and implemented as appropriate.