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Publication Open Access Factors Related to Quality of Life among Patients with Asthma(2017) Le Thu Hoai; วิมลรัตน์ ภู่วราวุฒิพานิช; Wimolrat Puwarawuttipanit; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์Purpose: To investigate the relationships between level of dyspnea, FEV1, social support and QOL in persons with asthma. Design: A descriptive correlational study. Methods: The sample composed of 115 persons with asthma who received treatment in Bach Mai Hospital, Hanoi, Vietnam. Data were collected by using 4 questionnaires and lung function test (FEV1): 1) Demographic data and health information, 2) The Borg scale, 3) Social support, and 4) Quality of Life (QOL). Spearman’s rho was employed to test the relationships among studies variables. Main findings: The level of dyspnea was negatively correlated with QOL (rs = - .788, p < .05). FEV1 and social support were positively correlated with QOL (rs = .674, rs = .244, p < .05). Conclusion and recommendations: It is recommended that nurses should assess and suggest patients to manage their symptoms; and help them to seek social support; in order to enhance quality of life of persons with asthma.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.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 Emergency Room Discharge Destination among Patients with Trauma(2017) Nguyen Quynh Cham; อรพรรณ โตสิงห์; Orapan Thosingha; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลอายุรศาสตร์Purpose: To investigate the relationships between age, physiological deterioration, co-morbidity and emergency room discharge destination among patients with trauma. Design: Descriptive correlation design. Methods: The sample composed of 300 patients with traumatic injuries in emergency department, Bach Mai Hospital in Hanoi, Vietnam. Data were collected from the patient’s hospital chart. Spearman’s Rho was employed to test the relationships among studies variables. Main findings: Approximately 60% of patients with traumatic injuries (59.7%) were admitted in hospital, while 35.4% received surgery and/or admitted to intensive care unit. About 40.3% received treatment and were discharged from emergency department to home. Physiological deterioration as measured by Modified Early Warning Score, age, and co-morbidity were positively correlated with emergency room discharge destination (rs = .38, rs = .14, rs = .16, p < .05). Conclusion and recommendations: Modified Early Warning Score should be used to classify trauma injuries patients on their arrival at the emergency department. Hence, the patients can receive appropriate treatment at the right time. Co-morbid diseases should be routinely assessed in all trauma injuries patients on arrival at the emergency room.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 Predicting Mothers’ Self-efficacy in Providing Home Care for Children with Pneumonia in Yangon, Myanmar(2022) Nu Naing, Myat Pann; Sudaporn Payakkaraung; Wanida Sanasuttipun; เมียด แพน นู เนียง; สุดาภรณ์ พยัคฆเรือง; วนิดา เสนะสุทธิพันธุ์; Mahidol University. Faculty of NursingPurpose: To examine the predictability of maternal age, maternal education, family income, maternal knowledge, and social support on mothers’ self-efficacy in providing home care for children with pneumonia. Design: A predictive correlational study. Methods: A convenience sampling was used to recruit 124 mothers of children under five years old with pneumonia from two Children Hospitals in Yangon, Myanmar. Data were collected using 1) Socio-Demographic Questionnaire, 2) Mothers’ Knowledge Questionnaire, 3) the Multidimensional Scale of Perceived Social Support Questionnaire, and 4) the Perceived Self-efficacy of Caregivers in Caring for Children with Pneumonia at Home Questionnaire. Descriptive statistics, Pearson product-moment correlation coefficient, and multiple linear regression were used for data analysis. Main findings: The study results showed that all factors could account for 72.9% of the variance explained in the mothers’ self-efficacy for home care (R2 = .73). The three predictive factors of mothers’ self-efficacy were maternal education (gif.latex?\beta = .64, p < .001), maternal age (gif.latex?\beta = .25, p < .001), and maternal knowledge (gif.latex?\beta = .13, p = .034). Conclusion and recommendations: The mothers’ self-efficacy in providing home care for children with pneumonia could be predicted by maternal age, maternal education, and maternal knowledge. Therefore, health care professionals should pay more attention to younger and low educated mothers, and provide knowledge about pneumonia and caring for children with pneumonia for promoting mothers’ self-efficacy in providing home care to enhance the quality of care for the children with pneumonia.Publication Open Access Factors Associated with the Occurrence of Peripheral Arterial Disease in Patients with Type 2 Diabetes Mellitus(2017) Nguyen Thi Anh; อรพรรณ โตสิงห์; Orapan Thosingha; วิมลรัตน์ ภู่วราวุฒิพานิช; Wimolrat Puwarawuttipanit; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์Purpose: To study the occurrence of peripheral arterial disease (PAD) and factors associated with the occurrence of PAD among patients with type 2 diabetes mellitus (T2DM). Design: Descriptive design. Methods: The sample composed of 136 adult patients with T2DM who were treated at Bach Mai hospital, Hanoi, Vietnam. Data were collected using Ankle Brachial Index (ABI) to assess the occurrence of PAD, and 4 questionnaires: patients’ demographic data, clinical information, the self-efficacy for diabetes, and knowledge about PAD. Chi – Square was employed to test association between studied variables. Main findings: The findings revealed that 16.18% had PAD; 36.36% of those with PAD had stage 4-ulceration or gangrene; 63.64% had location of PAD at tibia-peroneal artery and 31.81% at femoro-popliteal artery. Co-morbid diseases, HbA1c, and self-efficacy were significantly associated with the occurrence of PAD (p < .05). There was no association between the occurrence of PAD and knowledge about PAD (p > .05). Conclusion and recommendations: Nurses can empower patients with T2DM to increase self-efficacy as well as providing them with information to control the level of HbA1c and co-morbid diseases.Publication Open Access Evaluating Psychometric Properties of the Connor–Davidson Resilience Scale (10-Item CD-RISC) among University Students in Thailand(2017) นพพร ว่องสิริมาศ; วารีรัตน์ ถาน้อย; ปิยาณี คล้ายนิล-โยบาส; Nopporn Vongsirimas; Wareerat Thanoi; Piyanee Klainin-Yobas; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาสุขภาพจิตและการพยาบาลจิตเวชศาสตร์; National University of Singapore. Alice Lee Centre for Nursing StudiesPurpose: To test psychometric properties of the CD-RISC among Thai undergraduate university students. Design: Methodological research. Method: Participants were recruited via convenience sampling. Students who were enrolled in any undergraduate program at a university in Bangkok, Thailand were eligible. They would be excluded if they had chronic medical illness and/or mental disorders requiring hospitalization. Participants were asked to complete self-reported questionnaires, including the CD-RISC. Data were analyzed using exploratory and confirmatory factor analyses (EFA and CFA) to explore the construct validity of the scale. Reliability analyses were also carried out to test internal consistency reliability. Main findings: Sample size was 966 for Time 1 and 695 for Time 2. Results from EFA showed that the 10-item CD-RISC displayed one-factor solution for both data assessment points. For Time 1, factor loadings ranged from 0.54 to 0.74 and for Time 2 those were in the range of 0.50 - 0.73. Results for CFA suggested that the one-factor structure fit well with the sample data for both Time 1 and Time 2. This evidence supported the construct validity of the scale. Cronbach’s alpha were .86 for both Time 1 and for Time 2, indicating good reliability. Conclusion and recommendations: Findings from this study revealed acceptable psychomet-ric properties of the Thai version CD-RISC. Thus, this scale is suitable to capture the concept of resilience among Thai undergraduate students. Future research may test the Thai version CD-RISC on other Thai populations.Publication Open Access Factors Related to Quality of Life among Patients with Brain Tumors(2017) Nguyen Thi Nghe; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; อรพรรณ โตสิงห์; Orapan Thosingha; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์Purpose: To study the relationships between body mass index (BMI), symptom distress, anxiety, and quality of life (QOL) among patients with brain tumors. Design: Descriptive correlational design. Methods: The sample composed of 115 patients with brain tumors who were admitted to Bach Mai Hospital, Hanoi, Vietnam. Data were collected using 4 questionnaires: 1) Demographic data and illness information, 2) the MD Anderson Symptom Inventory-Brain Tumor (MDASI-BT) scale, 3) the Hamilton Anxiety Rating Scale (HAM-A), and 4) the Functional Assessment of Cancer Therapy-Brain (FACT-Br). Spearman’s Rho was employed to test the relationship among studied variables. Main findings: The findings revealed that symptom distress and anxiety were negatively related to QOL (rs = - .665, p < .05; rs = - .702, p < .05); while BMI was not related to the QOL (p > .05). Conclusion and recommendations: Nurses should pay attention to the patients’ anxiety and symptom distress by conducting routine assessment. Clinical practice guideline to reduce anxiety and manage symptom should be developed and implemented to improve QOL among patients with brain tumors.Publication Open Access The Effectiveness of COPD Management Program via Smartphone Applications on Clinical Status in Patients with Chronic Obstructive Pulmonary Disease(2021) Jinsuta Tadsuan; Doungrut Wattanakitkrileart; Sarinrut Sriprasong; จิณห์สุตา ทัดสวน; ดวงรัตน์ วัฒนกิจไกรเลิศ; ศรินรัตน์ ศรีประสงค์; Mahidol University. Faculty of NursingPurpose: To study the effectiveness of COPD management program via smartphone applications on clinical status in patients with chronic obstructive pulmonary disease. Design: A randomized controlled trial. Methods: The participants were 60 patients with chronic obstructive pulmonary disease aged 40 years or over who visited the clinic at a tertiary level hospital in Kanchanaburi, Thailand. The participants were randomized into either the experimental group (n = 30) or the control group (n = 30) by a computer-generated random scheme. The control group received usual care, while the experimental group received both usual care and the 6-week COPD management program via LINE and calendar applications developed from the researchers based on the Information–Motivation–Behavioral Skills model. Clinical status was measured by the Clinical COPD questionnaire. Data was analyzed with descriptive statistics, independent sample t-test, and paired sample t-test. Main findings: The result revealed that the majority of the experimental group and the control group were male, 93.3% and 83.3%, respectively. The experimental group had the mean age of 64.63 years (SD = 10.28), and the control group had the mean age of 62.70 years (SD = 10.79). There were no significant differences in the mean scores of clinical status between both groups at baseline (p > .05). After receiving the program, the experimental group had significantly better clinical status than before receiving the program (p < .001), and better than that of the control group (p < .05). Conclusion and recommendations: The finding suggested that COPD management program can be used to improve patient’s clinical status. Nurses should use this program to provide health education, enhance motivation, improve inhaler skills, and promote medication adherence in patients with COPD.
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