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Publication Open Access Factors Related to Quality of Life among Patients with Chronic Hepatitis B Infection in Vietnam(2017) Doan Thi Ben; วิมลรัตน์ ภู่วราวุฒิพานิช; Wimolrat Puwarawuttipanit; อรพรรณ โตสิงห์; Orapan Thosingha; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลอายุรศาสตร์Purpose: To investigate the relationships between anxiety, depression, fatigue, social support, and quality of life (QOL) among patients with chronic hepatitis B infection in Vietnam. Design: Descriptive correlational study. Methods: Sample was chronic hepatitis B infection patients who were treated at the Department of Infectious Diseases in Bach Mai Hospital, Ha Noi, Vietnam. Data were collected through interview using 5 questionnaires: The Hamilton Anxiety Rating scale (HAM-A), the Hamilton Depression Rating Scale (HAM-D), the Functional Assessment of Chronic Illness Therapy Fatigue Scale (Version 4) (FACIT-F), the Multidimensional Scale of Perceived Social Support (MSPSS), and the SF-36® Health Survey (SF36) to measure QOL. Spearman’s rho was employed to test the relationships between the studied variables and quality of life. Main findings: The findings supported that anxiety, depression, and fatigue were negatively correlated to quality of life (QOL) among patients with chronic hepatitis B infection (rs = - .550, - .683, and - .541, p < .05, respectively). However, social support was not correlated to quality of life (QOL) significantly among patients with chronic hepatitis B infection (p > .05). Conclusion and recommendations: From the findings of this study it is suggested that nurses should screen for anxiety, depression, fatigue, and social support of patients with chronic hepatitis B infection in order to provide appropriate care to enhance QOL.Publication Open Access Factors Associated with Functional Recovery among Patients with Low Back Pain(2017) Khuc Thi Hong Anh; อรพรรณ โตสิงห์; Orapan Thosingha; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์Purpose: To examine the relationships between pain, pain self-efficacy, anxiety, depression, and co-morbid diseases with functional recovery among patients with low back pain (LBP). Design: Descriptive correlational design. Methods: The sample was 126 patients with LBP who were treated in Rheumatology Unit at Bach Mai Hospital, Hanoi, Vietnam. Data were collected using patients’ hospital record and 4 questionnaires: 1) the Numerical Rating Scale, 2) the Pain Self-efficacy Questionnaire, 3) the Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale, 4) the Oswestry Disability Index. Spearman’s Rho was employed to test the relationships among studied variables. Main findings: The findings revealed that pain was negatively correlated with functional recovery (rs = - .56, p < .05), anxiety and depression were also negatively correlated with functional recovery (rs = - .46, - .58, p < .05). Pain self-efficacy was positively correlated with functional recovery (rs = .48, p < .05). Nevertheless, co-morbidity did not correlate with functional recovery (p > .05). Conclusion and recommendation: To improve patients’ functional recovery, nurses should assess and control pain, anxiety and depression as well as increase pain self-efficacy. A comprehensive guideline to improve patients’ recovery should be developed and tested for its effectiveness with research before implementation.Publication Open Access Factors Related to Quality of Life among Patients with HIV/AIDS in Vietnam(2017) Bui Minh Thu; วิมลรัตน์ ภู่วราวุฒิพานิช; Wimolrat Puwarawuttipanit; อรพรรณ โตสิงห์; Orapan Thosingha; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์Purpose: To determine the relationships among education level, medication adherence, social support, and quality of life in patients with HIV/AIDS in Vietnam. Design: Descriptive correlational design. Methods: Sample was 115 HIV/AIDS patients at outpatient center in Bach Mai Hospital, Hanoi, Vietnam. Data were collected using questionnaires: WHOQOL-HIV BREF, Medication Adherence scales, and the Multi-dimensional Scale of Perceived Social Support (MSPSS). Spearman’s rho was employed to examine the relationships among studied variables. Main findings: The findings showed that there was a positive correlation between social support and overall score of QOL (rs = .38, p < .05). Conclusions and recommendations: The results imply that perceive social support from different sources are very important to promote quality of life. So, nurses should provide counseling to caregivers, family members, and friends to support patients with HIV/AIDS both physical and psychological aspects.Publication Open Access Factors Related to Needs in Palliative Care among Patients with Hepatocellular Carcinoma(2017) Le Thi Hien; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; อรพรรณ โตสิงห์; Orapan Thosingha; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์Purpose: To identify relationships between physical symptoms, anxiety and depression, social support, and needs in palliative care among patients with hepatocellular carcinoma (HCC). Design: Descriptive correlational study. Methods: The study was conducted among 115 patients with HCC at the Nuclear Medicine and Oncology Center in Hanoi, Vietnam. Data were collected from the patients’ record and interviewed using demographic questionnaire, the Cohen-Hoberman Inventory of Physical Symptoms scale (CHIPS), the Hopkins Symptoms Checklist-25 scale (HSCL- 25), the Multidimensional Scale Perceived Social Support (MSPSS), and the Problems and Needs in Palliative Care-short version (PNPC-sv). Spearman’s rho was employed to test the relationship among studied variables. Main findings: Physical symptoms, anxiety, and depression were significant positively correlated with needs in palliative care (rs = .775, rs = .828, p < .05). Social support had a significant negative correlation with needs in palliative care (rs = - .307, p < .05). Conclusion and recommendations: Nurses should assess and manage patients’ symptoms, control their psychology and promote their social support. To improve palliative care, standard guidelines for symptom management in palliative care should be developed and implemented.Publication Open Access Factors Related to Diabetic Foot Ulcers in Persons with Type 2 Diabetes(2017) Tran Thi Bich; อรพรรณ โตสิงห์; Orapan Thosingha; วิมลรัตน์ ภู่วราวุฒิพานิช; Wimolrat Puwarawuttipanit; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลอายุรศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์Purpose: To investigate the relationship between age, duration of diabetes, HbA1C, co-morbidity, self-efficacy, and diabetic foot ulcer among persons with type 2 diabetes. Design: Descriptive correlational design. Methods: The sample consisted of 136 persons with type 2 diabetes in the outpatient department, at the Bach Mai Hospital, Hanoi, Vietnam. Data were collected using hospital record and a structured questionnaire. The diabetic foot ulcer was assessed using 60 second Diabetic Foot Screen. Spearman, Rho correlation was employed to test the relationship among variables. Main findings: More than half of subjects were female (60.3%) with mean age of 65.3 years. The majority had type 2 diabetes more than 10 years; hypertension was the most common co-morbid disease with 89%. The mean score of self-efficacy was 54.49 (SD = 8.34) while the mean of diabetic foot ulcer score was 6.05 (SD = 3.14). Age, duration of type 2 diabetes, and co-morbidity were significant positively correlated with the diabetic foot ulcer score (rs = .29, rs = .31, rs = .30; p < .05, respectively) while self-efficacy was negatively correlated with the diabetic foot ulcer score (rs = - .42, p < .05). Conclusion and recommendations: Nurses should routinely assess persons with type 2 diabetes using the 60 second Diabetic Foot Screen, control their co-morbid diseases, and promote their self-efficacy. Standard guidelines to take care feet of diabetic persons concerning those related factors should be developed and implemented.