Journal of Environmental Education Medical and Health

Well-being at Work Among Nurses in Health Promotion Hospital, Health Center Region 1, Chiang Mai.

Chompoonuch Tasanasriworakarn — 2025-12-31

This survey research aimed to study well-being at work and explore approaches to promote well-being at work among nurses in Health Promotion Hospitals, Health Promotion Center 1, Chiang Mai. The population included 64 professional nurses working in the hospitals. The subjects for the focus group interview consisted of 12 nurses. Data were collected from June to July 2025. Research instruments consisted of two parts, namely 1) the Workplace Wellbeing Questionnaire (WWQ) and 2) focus group interview guidelines regarding approaches to promote well-being at work. Cronbach’s alpha coefficients of the four components of the WWQ, including work satisfaction, organizational respect for the employee, employer care, and intrusion of work into private life, were 0.83, 0.86, 0.91, and 0.85, respectively. The results revealed that: Well-being at work among nurses in Health Promotion Hospital, Health Center Region 1 Chiang Mai was at a moderate level for all four components: work satisfaction, organizational respect for the employee, employer care, and intrusion of work into private life (mean = 27.59, S.D. = 5.34; mean = 18.43, S.D. = 4.36; mean = 19.87, S.D. = 5.53; and mean = 9.48, S.D. = 4.75, respectively). Approaches for promoting well-being at work among nurses in Health Promotion Hospital, Health Center Region 1 Chiang Mai at the organizational level include 1) developing knowledge and work competencies, 2) providing a safe working environment, 3) organizing activities to strengthen mental resilience, 4) fostering work spirit, 5) organizing activities to build love and commitment to the organization, and 6) enhancing teamwork skills. And at the individual level include 1) recognizing the value and meaning of work, 2) caring for patients with compassion, 3) being a useful contributor in the workplace, 4) demonstrating work commitment, 5) building love for the profession, colleagues, and organization, 6) taking responsibility, and 7) practicing positive thinking.

Incidence of latent cancer in patients with idiopathic deep vein thrombosis.

Naruthep Nuchaikaew — 2025-12-31

This retrospective cohort study aimed to determine the prevalence of latent malignancies in patients with a first diagnosis of unprovoked deep vein thrombosis (DVT). The study enrolled adult patients diagnosed with DVT and confirmed by imaging (e.g., ultrasound, Doppler, CT, or MRI) at Hat Yai Hospital between 2009 and 2019. Medical records were reviewed to assess the incidence of latent malignancies in patients with both provoked and unprovoked DVT.

Results: Between 2009 and 2019, a total of 1,770 patients were diagnosed with DVT, with 666 patients confirmed by imaging. Of these, 188 (28%) were unprovoked DVT patients. Twenty-eight patients, representing 14.8% of all unprovoked DVT patients, were later found to have underlying malignancies. Of these patients, 11 (40%) were male and 17 (60%) were female. Prostate cancer was the most common malignancy in males, accounting for 36% of the total. Gynecological malignancies were the most common in females, accounting for 41% of the total.

Ethical Competencies of Nurses, Buddhachinnarat Hospital Phitsanulok Province

Isaraphon Panya — 2025-12-31

This survey research aimed to explore the ethical competencies of nurses at Buddhachinnarat Hospital, and to explore methods for developing nurses' ethical competencies at Buddhachinnarat Hospital. The study sample consisted of 341 nurses selected by stratified random sampling. The research instruments were a professional nurse ethical competence scale and the ethical competency development method questionnaire. Data analysis used descriptive statistics, content summarization, and classification.

The findings revealed that The overall ethical competencies of nurses at Buddhachinnarat Hospital was at a high level (= 4.22, SD = 0.67), and all four dimensions of ethical competencies were at high levels including emotional sensitivity and the value of providing good care (= 4.30, SD = 0.70), taking action while providing good care (= 4.22, SD = 0.67), taking action for good learning (= 4.23, SD = 0.65), and creating good care outcomes (= 4.13, SD = 0.66).

Development of promotion and prevention of anemia in early childhood. Lahan Sai District Buriram Province.

Maliwan Setthabut — 2025-12-31

An action research design, based on the Kemmis and McTaggart framework of planning, action, observation, and reflection, was employed from October 2023 to September 2024. The participants consisted of 12 stakeholders in early childhood development, from whom qualitative data were collected through in-depth interviews, and 127 infants aged 6–12 months attending well-child clinics, from whom quantitative data on history, nutrition, and hematocrit (Hct) levels were obtained. Data were analyzed using descriptive statistics, Chi-square test, and Paired t-test, with statistical significance set at p<0.05.

The findings revealed key facilitating factors, including district-level policy support, multidisciplinary collaboration, and improved parental knowledge. The systemic intervention increased anemia screening coverage from 65% to 100% (p<0.001), reduced the prevalence of iron deficiency anemia from 24.7% to 13.5% (p=0.02), and improved treatment coverage for anemic children from 72% to 100% (p<0.001). The mean Hct increased from 29.5% to 33.5% (p=0.03). Developmental screening identified 38 children with suspected delays, all of whom received complete follow-up and intervention.

Development of an Inhibitory Control Model on Eating Behavior by Community Participation for People with Type 2 Diabetes in Ta Phraya District, Sa Kaeo Province

Noppadon Khamsaen — 2025-12-31

This study aimed to develop a community-participatory model for inhibitory control on eating behavior among people with type 2 diabetes in Ta Phraya District, Sa Kaeo Province, and to examine its effects on eating behavior, HbA1c, and medication use. A Participatory Action Research (PAR) design with a mixed-method approach was applied in five phases: problem identification, participatory planning, implementation, evaluation using the CIPP model, and after-action review. A total of 315 participants aged ≥60 years with type 2 diabetes were selected by multi-stage sampling. Data were collected using questionnaires, interviews, HbA1c records, and medication records. Quantitative data were analyzed with paired t-tests and McNemar’s test, while qualitative data underwent content analysis.

Findings indicated strong community and stakeholder engagement throughout program design and implementation. Key activities included an inhibitory control training manual, workshops, monthly coaching, and community-based monitoring. Outcomes showed significant improvement in eating behavior scores (p<0.001), with the proportion rated “good” rising from 35.6% to 72.4% after six months. Mean HbA1c decreased from 8.7% to 7.4% (−1.3%, p<0.001), with 12.5% of participants achieving remission and 28.6% reducing at least one antidiabetic medication. Lessons learned were synthesized into a “Community-Participatory Inhibitory Control Model” with four components: (1) awareness and motivation, (2) family and community support, (3) monitoring and evaluation, and (4) linkage with health services.

Effectiveness of Program to Promote Stroke Prevention Behavior for older adult Hypertensions Nasor Subdistrict, Wanonniwad District, Sakonnakorn Province.

Narisa Jantabut — 2025-12-31

This quasi-experimental study aimed to examine the effectiveness of a stroke prevention behavior promotion program for older adult individuals with hypertension. The study was conducted in Nasor Subdistrict, Wanonniwad District, Sakonnakorn Province. The sample consisted of 58 older adult participants with hypertension who met the inclusion criteria, divided into an experimental group (n=29) and a comparison group (n=29). The 4-week program comprised four main activities: 1) education about stroke, 2) behavioral practice training, including food selection, exercise, and medication adherence, 3) support from village health volunteers serving as mentors to encourage continuous practice, and 4) home visits by health personnel to provide individualized counseling. The comparison group received standard care following non-communicable disease clinical guidelines. Data were collected using questionnaires and analyzed using Chi-square, Fisher's exact test, Wilcoxon signed-ranks test, Mann-Whitney U test, and McNemar test.

The results revealed that after the intervention, the experimental group had significantly higher mean scores for knowledge about stroke, self-efficacy, and stroke prevention behaviors compared to before the intervention (p-value < 0.001) and significantly higher than the comparison group (p-value < 0.001). The older adult participants demonstrated notable health behavior modifications in various aspects, including regular exercise, stress management, and medication adherence for blood pressure control according to physician recommendations. Additionally, the number of participants unable to control their blood pressure levels significantly decreased from baseline (p-value < 0.05), demonstrating that enhancing knowledge, confidence, and social support directly impacts health behavior modification in the older adult.

Development of a Strategic Model for Health Promotion, Disease Prevention and Control, and Public Health Performance Monitoring through Participatory Network Collaboration after the Transfer of Missions of the 60th Anniversary of Her Majesty the Queen Health Stations to the Provincial Administrative Organization, 2024

Surasak Hongwiangchan — 2025-12-31

This study was an action research aimed at developing a strategic model for health promotion, disease prevention and control, and public health performance monitoring through participatory collaboration among health network partners after the transfer of missions of the 60th Anniversary of Her Majesty the Queen Health Stations and Subdistrict Health Promoting Hospitals (SHPH) to the Provincial Administrative Organization (PAO). The objectives were: (1) to study the contextual strategies for health promotion, disease prevention and control, and public health performance monitoring through network participation after the mission transfer; (2) to study the process of developing strategic operations through participatory collaboration; and (3) to examine the outcomes of the developed strategic operations. The research was conducted in three phases: situation analysis, model development, and model evaluation. The samples included 23 officers from the Mukdahan Provincial Public Health Office, 13 officers from the Mukdahan Provincial Administrative Organization, and 78 directors of Subdistrict Health Promoting Hospitals in Mukdahan Province. Both quantitative and qualitative data were collected and analyzed using descriptive statistics—percentage, mean, and standard deviation—and content analysis.

The findings revealed that the level of participation in the development of the strategic management model was high, with the highest in the implementation phase (mean = 4.17), followed by policy and planning decision-making (mean = 4.14). Performance outcomes based on strategic indicators across three domains showed that 84.62% were at a good level, 12.82% at a very good level, and 2.56% at a moderate level. The developed strategic management model, called the 2JCA Model, comprised four main steps: Context, Joint Strategy, Joint Planning, and After Action Review (AAR). The results indicated that participatory collaboration among network partners enhanced strategic management processes and improved the effectiveness of public health operations under the PAO administrative structure.

A Model of Development for Community Based Treatment and Rehabilitation Related to Drugs Addiction Rehabilitation among Patients In Lahansai distinct, Buriram province.

Maliwan Setthabut — 2025-12-31

This study aimed to develop a CBTx model appropriate to the context of Lahan Sai District, Buriram Province. A research and development (R&D) design with qualitative methodology was applied. Data were collected through focus group discussions, in-depth interviews, observation, and document review. Participants included 45 informants: community leaders, network partners, drug users, and family members. The study followed the Action Research framework and ensured trustworthiness through triangulation.

The results revealed that the CBTx “Chum Chon Lom Rak” model consisted of four main steps: (1) raising awareness and community mobilization, (2) establishing a working group and integrating multi-sectoral collaboration, (3) implementing rehabilitation activities such as music therapy, exercise therapy, vocational training, and life-value enhancement activities, and (4) continuous follow-up and evaluation. Outcomes showed that 12 out of 15 drug users (80%) successfully reduced or quit drug use, and 86.7% reported improved physical and mental health. Families and communities increasingly accepted and supported patients, enabling their reintegration into society. Community participation significantly increased from a mean score of 3.35 to 4.20 (p<0.001), especially in “co-thinking” and “benefit-sharing.” In addition, local drug-related cases decreased by 25%.

Development of a Nursing Care Model for Patients with Chronic Obstructive Pulmonary Disease Experiencing Dyspnea in a Community Hospital

Tavisa Anuphai — 2025-12-31

This quasi-experimental research aimed to develop a care model for patients with chronic obstructive pulmonary disease (COPD) experiencing dyspnea that is appropriate to the context of a community hospital and to evaluate its effects on the severity of dyspnea, quality of life, and patient satisfaction. A mixed-methods design with a three-phase developmental process was employed. Phase 1 involved assessing the current situation and identifying care needs of COPD patients with dyspnea. Phase 2 focused on developing and validating the appropriateness of the care model. Phase 3 implemented and evaluated the model’s effectiveness. The study sample comprised 60 COPD patients with dyspnea who attended a chronic disease clinic in a community hospital. Participants were purposively selected based on inclusion criteria and willingness to participate and were equally divided into an experimental group (n = 30) and a control group (n = 30). The experimental group received care according to the developed model for eight weeks. The model consisted of four main components: 1) assessment and individualized care planning; 2) physical care and dyspnea management, including pursed-lip breathing, dyspnea-relief positioning, and light exercise; 3) patient and family education with psychosocial support; and 4) continuous follow-up and evaluation through home visits and questionnaires. Research instruments included the Modified Medical Research Council Dyspnea Scale (mMRC), the St. George’s Respiratory Questionnaire (SGRQ), and a patient satisfaction questionnaire.

The results revealed that after receiving the intervention, the experimental group showed a statistically significant reduction in dyspnea severity (mean mMRC score: pretest 2.33 ± 0.68, posttest 1.20 ± 0.55; p < 0.001), significantly improved quality of life (SGRQ total score: pretest 58.4 ± 12.5, posttest 42.1 ± 10.8; p < 0.001), and a high level of satisfaction with care, while no significant differences were observed in the control group. The findings suggest that the developed care model effectively reduces dyspnea severity and enhances quality of life among COPD patients, making it suitable for application in community hospital settings.

Factors effecting to behavior of liver fluke disease prevention among the people in Mae Tao Sub-district, Mae Sot District, Tak Province.

Phutthipong Makmai — 2025-12-31

This Cross-sectional descriptive research aimed to study factor effecting to behavior of liver fluke disease prevention among people. Population in this study consisted of 2,344 people age between 25-259 year in Mae Tao Sub-district, Mae Sot District, Tak Province in fiscal year 2023, and the sample size calculating used Daniel formula for 385 cases, and systematic random sampling was determining for collecting data. Data collected by questionnaires composed of 3 parts including, characteristics, health literacy and behavior of liver fluke disease prevention. In addition to check questionnaire standardization, validity was checked by 3 experts and try out testing reliability by cronbach’s coefficient alpha about 0.867. Data analyzed using statistical as Pearson product moment correlation coefficient and Stepwise multiple regression analysis.

An association analyzed found that, health literacy was associated with behavior of liver fluke disease prevention among people with statistic significant (P-value<0.001). Prediction model analyzed reported that overall selected factors accounted for 14.4 (R²=0.144) of the variance behavior of liver fluke disease prevention including; media literacy skill (P-value<0.001) self-management skill (P-value=0.001) access akill (P-value=0.004) communication skill (P-value=0.004), respectively.

Perception of disease status and behavior of hypertensive patients.

Mathee Sootthasil — 2025-12-31

This study was conducted among a sample of 120 hypertensive patients from Village No. 4, Ban Lan So, Wang Prachop Subdistrict, Mueang District, Tak Province, receiving treatment at Ban Lan So Subdistrict Health Promoting Hospital. The objective was to examine patients' perception of their disease status, their behavior, and the relationship between their perception and behavior. Method: A cross-sectional study was conducted among a sample of hypertensive patients from Village No. 4, Ban Lan So, Wang Prachop Subdistrict, Mueang District, Tak Province, receiving treatment at Ban Lan So Subdistrict Health Promoting Hospital. The instrument used was a questionnaire. Statistical data were analyzed using percentages, means, and chi-squared (Frequency).

Results revealed that 87 patients (72.50%) were aged 60–69 years. The majority of the sample had a high level of knowledge regarding perceived risk of complications. The mean score of the questionnaire was (𝑥̅=39.07, SD=0.001*). The mean score of the questionnaire was (𝑥̅=39.07, SD=0.001*). The mean score of the questionnaire regarding perceived severity of disease was (𝑥̅=39.07, SD=0.001*). (𝑥̅=27.33,S.D=0.001*) Consumption behavior of hypertensive patients. The mean of the questionnaire response was equal to (𝑥̅=29.35,S.D=0.001*).

Effectiveness of a Caregiver capabilty Promotion Program In the Transitional Stroke Period, Khon Kaen Hospital, Khon Kaen Province.

Sukanlaya Kumparpat — 2025-12-31

This study was quasi-experimental research using a one-group pretest-posttest design. The objective was to examine the effectiveness of a capacity-building program for caregivers of stroke patients during the transitional period at Khon Kaen Hospital, Khon Kaen Provincet the sample consisted of 30 caregivers of stroke patients. Data were collected using a general demographic questionnaire and a caregiver competency assessment specifically designed for caring for stroke patients during the transitional period. Data analysis was performed using descriptive statistics (frequency and percentage) and a paired t-test.

The results showed that the post-test mean score (mean = 14.02) was higher than the pre-test mean score (mean = 10.66), indicating that the caregivers’ abilities significantly improved after participating in the program. The difference was statistically significant (p-value < 0.05.

The Effects of Health Education Program on knowledge, stress and postpartum practice of postpartum mother at Phan Hospital, Chiang Rai Province.

Pratumporn Seantota — 2025-12-31

This study aimed to compare two groups between postpartum mothers who receive knowledge according to routine nursing care and mothers who received knowledge according to the health education program. This research is a quasi -experimental research. Compare two groups between postpartum mothers who receive knowledge according to routine nursing care and mothers who received knowledge according to the health education program. During December 2023 - March 2024). Use a conceptual framework Orem Self-care Theory. The tools used in research are a health education program on postpartum practices created by the researcher based on Orem's nursing framework and was reviewed by 3 experts for content validity, CVI = .80. and the tools for data collection include Knowledge assessment form about postpartum practices created by the researcher and the Cronbach’s alpha coefficient was .70 And the stress assessment form (Suanprung Stress Test 20) of Suanprung Hospital. For data analysis, using descriptive statistics. For comparison the differences in the mean knowledge and stress scores between groups with the Mann-Whitney U statistic because the data were not normally distributed.

RESULTS : The results showed the mean score of knowledge after the experiment between the control group and the experimental group were significantly different (p-value <0.001), with the experimental group was significantly higher mean knowledge score than control group. And the mean score of knowledge after the experiment between the control group and the experimental group were significantly different (p-value <0.001), with the experimental group was significantly higher mean stress score than control group.

A qualitative study of rational use of antibiotics in community : A case study of people living in Nakhon Nayok Province.

Isareethika Jayasvasti — 2025-12-31

This survey research by qualitative data analysis had the objective to study in-depth information about the rational used of antibiotics by people living in community via in-depth interviews asking for information within 4 main themes include antibiotics basic knowledge, antibiotics buying and using behaviors, antibiotics access channel and antibiotics usage information attainment channel. Interviewee are 22 people living in Nakhon Nayok Province selected from 4 districts including, Muang Nakhon Nayok, Ban Na, Ongkharak, and Pak Phli by using Snowball technique.

The results were showed that most of the interviewee were lacked of understanding about both the difference between antibiotic and anti-inflammatory and between treatment from viral infection and bacterial infection that led them to buy antibiotics from pharmacies and grocery stores to treat themselves when they had 3 main diseases include upper respiratory infection (URI), diarrhea or food poisoning and flesh wound. Moreover, they expressed their opinions that their communities were still lack of public relations about appropriate use of antibiotics and there were some public hospitals and clinics which prescribed antibiotics more than 50% for 3 main diseases.

The Development of a Prototype Model for Drug Prevention and Problem Solving among Youths and Community.

ลัดดา ขอบทอง — 2025-12-31

This research and development project aimed to: 1) Develop a prototype model for preventing and solving drug problems among youth, and 2) Examine the outcomes of implementing the model for continuous drug prevention and problem-solving among youth in educational institutions within Bangkok and its vicinity. The sample group consisted of 50 youths, 30 teachers and 30 families. The study was conducted between April 2023 and October 2025. The research instruments included: a drug knowledge test, a questionnaire on drug prevention skills, a questionnaire on the intention to prevent relapse, a questionnaire on drug- and substance-prevention behaviors, a family relationship questionnaire, and a teacher satisfaction survey. Data were analyzed using descriptive statistics and the paired t-test to compare pre- and post-intervention results.

The findings revealed that the development of the prototype or program for drug prevention and intervention among youth in all three groups resulted in statistically significant improvements (p < .01) in knowledge, skills, intention, and preventive behaviors after program participation — among youth, families, and teachers alike. Teachers expressed the highest level of satisfaction with the program.

Association between work stress and quality of work life of village health volunteers in the situation of Coronavirus Disease 2019 outbreak in Mae La Subdistrict, Tha Song Yang District, Tak Province.

Phutthipong Makmai — 2025-12-31

This survey research by cross - sectional study aimed to determine stress level, quality of work life level and the association between stress and quality of work life of village health volunteers under the situation of Coronavirus Disease 2019 outbreak. The subjects were 154 village health volunteers selected by systematic sampling. The research instrument was a questionnaire composed of three parts: general information, stress assessment form, and quality of work life questionnaire. The data were analyzed by using descriptive and inferential statistics: frequency, percentage, mean, standard deviation, and Pearson’s product moment correlation coefficient.

The results found that (1) the overall of work stress level was low ( =2.04, S.D.=0.71), (2) the overall of quality of work life level was good ( =3.66, S.D.=0.53), and (3) the relationship between work stress and quality of work life was at low level with statistical significance (r = -0.32, p-value < .01). When classified in three aspects of work stress, it was found that physiological, emotional, and cognitive components had a negative effect on the quality of work life with statistical significance (r = -0.30, -0.30, และ -0.22, p-value < .01).

Effects of the i-CARE Program on Discharge Planning for Prevention of Bloodstream Infections in Patients with Medical Devices and Pressure Ulcers.

Kanchana Watcharapanich — 2025-12-31

This study aimed to investigate the effectiveness of the i-CARE program on the knowledge and skills of patient caregivers, the incidence of bloodstream infections and the rate of remission within 28 days post-discharge, including satisfaction with the program. This one-group pretest–posttest quasi-experimental study was conducted with 40 patient caregivers. The i-CARE program was delivered individually to caregivers before discharge, providing education, skills training, and follow-up regarding the management of medical devices (urinary catheters/feeding tubes), wound care principles, pressure injury prevention, and recognition of signs of severe infection. Data were analyzed using the Paired t-test and McNemar's Test (p < 0.05). Results: Post-intervention, knowledge scores significantly increased from 5.70 ± 1.49 to 9.35 ±5.27 (p=0.010), and the proportion of caregivers with correct care skills increased from 37.50%to 85.00% (p <0.001). The readmission rate significantly decreased from 30.00% to 5.00% (p < 0.01). No cases of bloodstream infection were found. Caregivers reported high satisfaction with the program, with a mean score of 4.63 ±0.48.

Conclusion : The i-CARE program is highly effective in increasing caregiver knowledge and skills and significantly reducing the risk of infection and hospital readmission. This demonstrates its potential for implementation as a standard discharge planning tool for at-risk patients.

Development of a Participatory Model for Age-Friendly Community by Multi-Sectoral Collaboration in Health Region 2.

Ratchada Jopa — 2025-12-31

This study aimed (1) to examine the development process of an age-friendly community model through the participation of network partners in Health Region 2, and (2) to evaluate the outcomes of its implementation in two representative communities of the region: Thung Luang Subdistrict Municipality, Sukhothai Province (semi-rural area), and Wichian Buri Municipality, Phetchabun Province (semi-urban area). Research design was applied under the conceptual framework of Participatory Action Research (PAR) following the guideline of Crane and O’Regan. The process consisted of five key steps—Observe, Reflect, Plan, Act, and Share—and was implemented in three phases: (1) situational and contextual analysis, (2) participatory development of the age-friendly community model, and (3) evaluation and lesson learned of the model. Data were analyze by mixed method.

The study found that the development of an age-friendly community model through the participation of network partners in Health Region 2 resulted from collaboration among multiple sectors, including local administrative organizations, health service units, religious institutions, private sectors, and community members. A participatory approach was applied throughout all stages based on the World Health Organization’s Age-friendly Cities Framework (WHO, 2007), covering eight domains of age-friendly communities. Thung Luang Subdistrict Municipality emphasized community mechanisms and volunteer participation, while Wichian Buri Municipality focused on integrating health service systems and environmental management. The post-implementation evaluation revealed that the quality of life among older adults in both areas significantly improved (p < .001) across all dimensions: physical health, psychological well-being, social relationships, and environment. In Thung Luang Subdistrict Municipality, the mean quality of life score increased from 93.15 (SD = 10.53) to 119.51 (SD = 6.17), while in Wichian Buri Municipality, it increased from 91.64 (SD = 14.28) to 98.58 (SD = 7.92). These findings indicate that the developed model effectively enhanced the overall well-being and quality of life of older adults in a comprehensive and sustainable manner = 14.28) to 98.58 (SD = 7.92), with notable improvements in physical health and environmental domains.

Stress and Coping Behaviors among Students in a Private Higher Education Institutions.

Klanarong Intawong — 2025-12-31

This survey research aimed to study the stress level, causes of stress among students, and coping strategies among students in private higher education institutions. The sample consisted of 115 regular undergraduate students studying at a private higher education institution in the academic year 2024. The research instruments were a general information questionnaire and a four-section undergraduate student stress questionnaire with a reliability value of 0.92, consisting of teaching management, study skills, learning environment, and peer relationships. The data were collected by self-administered questionnaires. Descriptive statistics were used to find percentages, means, and standard deviations.

The research results found that the majority of the sample were female, 72 people, accounting for 62.6 percent. 49 students, accounting for 42.6 percent, and 89 students, accounting for 77.4 percent, had a moderate family economic status. The overall stress level of the students was at a moderate level, with an average of 3.27 (S.D.=1.02). The study skills aspect had a high stress level, with the highest average of 3.64 (S.D.=0.05). The relationship with friends aspect had a moderate stress level, with the lowest average of 3.03 (S.D.=0.04). Overall, the students' stress level was high, with an average of 3.88 (S.D.=0.90). Most students used problem-solving techniques, with an average score of 4.32 (S.D.=1.28). Most students chose to cope with stress by thinking of various ways to solve problems and trying to control the situation as much as they could.

Ergonomics Management on Risk Reduction of Work-Related Musculoskeletal Disorders among Industrial Electronics Workers.

Pattarapon Nilsing — 2025-12-31

This study was an experimental research to evaluate the before and after ergonomic performance of employees of an electronic manufacturing company and to suggest ways to improve ergonomic working postures. The sample group obtained from the SEG sample group or the similar risk group was 188 HDD employees as follows: Combing employees 76 people (40.42%), Coiling employees 45 people (23.94%), Assembly employees 67 people (35.64%). The research instruments were ergonomic risk assessment forms such as REBA (Rapid Overall Body Assessment) and RULA (Rapid Upper Extremity Assessment). The results showed that combing employees were 42 people at moderate risk, 34 people at low risk, coiling employees were 41 people at moderate risk, 3 people at low risk, 4 people at moderate risk, 60 people at low risk, totaling 53 people at moderate to high risk. After the preliminary assessment, ergonomic training was provided to 53 at-risk employees to promote behavioral changes and appropriate working postures. Post-training test results The training evaluation results showed that The risk level was significantly reduced for Comb employees (4) at moderate risk, Coil employees (0) at moderate risk, Assembly employees (4) at low risk, and Assembly employees (3) at moderate risk.

Development of a seamless pharmaceutical care system for hemodialysis patients linking government hospitals and private clinics, Sisaket Province.

Mallika Supol — 2025-12-31

This research and development have developed a seamless pharmaceutical care system for hemodialysis patients linking government hospitals with private clinics and hospitals in Sisaket Province. The study was divided into 3 phases. Phase 1 was a retrospective study and situation analysis. Data from 60 medical records were collected and 18 interdisciplinary personnel were interviewed. Interview forms and data recording forms were used to collect data. Descriptive statistics and content synthesis were used to analyze the data. Phase 2 developed the pharmaceutical care system, created the Hemodialysis SSK system, linked laboratory test results, and developed a set of 8 components: Policy, Provider, Materials, Revise CPG, Refer/Fast track, Tele-health, Risk management, and Monitoring. Data was collected from a questionnaire. Descriptive statistics and content analysis were used to analyze the data. Developed pharmaceutical care system model. It has potential for further implementation. Phase 3 The outcome study compared the experimental and control groups. The sample consisted of 30 interdisciplinary professionals, each with 30 medical records. Data were collected from the questionnaire developed in Phase 2 and expand using a t-test, with a significance level of 0.05.

Results showed that implementing the pharmaceutical care system (V2) in the outcome evaluation phase significantly increased healthcare professionals' knowledge after training (t = 15.78, p < .001), with satisfaction and feasibility levels exceeding 86%. Additionally, the proportion of DTPs at level E and above significantly decreased (Z = –2.09, p < .01), while eGFR values showed no significant difference between groups. Based on feedback, the pharmaceutical care system (V3) was developed and implemented in the scale-up phase. Results demonstrated significantly increased knowledge (t = 17.78, p < .001), satisfaction levels exceeding 94%, and DTPs proportion significantly decreased from 13.3% to 0% (Z = –2.68, p < .01).

Stress and related factors among Motorcycle taxi drivers in Bangkok.

Sampan Maneerat — 2025-12-31

This survey research by cross-sectional descriptive study aimed to investigate stress levels and factors associated with stress among motorcycle taxi drivers in the Bangkok metropolitan area. The sample group consisted of 350 registered motorcycle taxi drivers in Bangkok. Data were collected using a questionnaire and analyzed with descriptive statistics. The relationships between variables were examined using the Pearson Chi-square Test and the Spearman Rank Correlation Coefficient.

The results revealed that the majority of the participants were male (93.70%), with the largest age group being 41-50 years old (51.10%). Most had completed lower secondary education (58.90%) and were married (45.70%). The average daily income was predominantly between 401–500 Baht. A significant portion had debt (61.70%), underlying health conditions (75.10%), a history of alcohol consumption (74.30%), and a history of smoking (75.40%). The majority had been working in the profession for 1-5 years (61.70%), worked 1-5 hours per day (60.00%), and worked 5 or more days per week (77.40%). The primary cause of stress was financial problems (60.30%). Overall, the sample group exhibited a high level of stress (54.00%). The analysis of relationships showed a statistically significant positive correlation between daily income and stress (p < .05). The findings of this study can be used as a guideline for monitoring, promoting, and preventing mental health problems and other health issues arising from stress in this population.

Effect of the self-Efficacy Enhancement Program via Electronic Media on Blood Glucose Among Pregnant Women at Risk for Gestational Diabetes Mellitus

Chawala Buahom — 2025-12-31

Pregnant women at risk for gestational diabetes mellitus (GDM) often lack sufficient knowledge and skills to appropriately control blood glucose levels. This may negatively impact their self-efficacy in health self-management and lead to poor glycemic control. This quasi-experimental study aimed to: (1) compare the self-efficacy scores of pregnant women at risk for GDM before and after receiving the program; (2) compare the self-efficacy scores between the experimental group and the control group; and (3) compare blood glucose levels between the experimental group and the control group. The sample consisted of 58 pregnant women at risk for GDM who attended the antenatal care and family planning clinic at Mukdahan Hospital from June 2024 to June 2025. Participants were selected based on inclusion criteria and assigned into experimental and control groups, each comprising 29 participants. Research instruments included: (1) the Self-Efficacy Enhancement Program via electronic media, and (2) digital media on GDM and a self-efficacy questionnaire. Data were analyzed using descriptive statistics, Fisher’s exact test, Chi-square test, Mann–Whitney U test, paired sample t-test, and independent sample t-test.

Results 1. The self-efficacy scores of pregnant women at risk for GDM after receiving the program were significantly higher than before the intervention (p < .05). 2. The self-efficacy scores of the experimental group were significantly higher than those of the control group (p < .05). 3. The blood glucose levels of the experimental group were significantly lower than those of the control group. The mean self-efficacy scores after the intervention in the experimental group were significantly higher than before the intervention (p < .05).

Effects of nursing practice guidelines using early warning scores on monitoring deteriorating patients during waiting for services and impact on emergency transfer rates and satisfaction at special medical clinic (SMC), Kalasin Hospital.

Intira Phusongkha — 2025-12-31

This study aimed to examine the effects of a nursing practice using EWS on monitoring deteriorating patients during waiting periods, emergency patient transfers, and patient satisfaction at a Special Medical Clinic (SMC), Kalasin Hospital. A quasi-experimental one-group pretest-posttest design was conducted over six months (July–December 2025). The sample included 100 patients and a group of professional nurses. Data were collected using eight quantitative instruments, including MEWS assessment, patient monitoring and follow-up records, emergency transfer logs, and patient satisfaction questionnaires.

Results : After implementing the nursing practice, patients’ vital signs improved (total MEWS score decreased from 6.8 ± 2.5 to 4.1 ± 1.8, p < 0.001). Emergency transfer frequency decreased from 15.2 ± 5.8 to 10.4 ± 4.7 times (p = 0.002), and EWS scores reduced from 4.6 ± 2.1 to 2.8 ± 1.5 (p < 0.001). Patients reported high satisfaction with the practice (overall 75%), and nurses rated the practice as suitable, feasible, and effective in-patient care (mean score 64.3 ± 6.1 out of 75). Key performance indicators also improved significantly, such as timely identification of at-risk patients, which increased from 35% to 80% (p < 0.001).

Promoting Health Literate Health Care Organization (HLHCO) Policy Implementation : A Lesson Learned from Lamphun Hospital, Lamphun Mueang District, Lamphun Province.

Phetlada Borriharn — 2025-12-31

This survey research data analyzed by mixed-methods aimed to study approaches to promote the health literate organization (HLHCO) policies implementation at Lamphun Hospital. The sample consisted of 35 service providers (medical and public health personnel) and 50 clients (outpatients with chronic non-communicable diseases, including diabetes mellitus and hypertension). The research instruments included semi-structured interview on promoting HLHCO policy implementation and a behavioral assessment tool to promote health literacy among service providers and clients. The qualitative data were analyzed using content analysis and quantitative data using descriptive statistics to describe baseline characteristics of the sample, including frequency, percentage, mean, standard deviation, minimum and maximum.

The results revealed that health literacy promoting behaviors among both service providers (=3.51, S.D.=0.42) and clients (=4.00, S.D.=0.52) were at a high level. The promoting HLHCO policy implementation includes having a clear policy announcement to drive health literacy, everyone in the hospital adhering to the same direction, there is continuous stimulation and promotion of activities among medical and public health personnel, patients and the general public. There are continuous encouragement and support medical and public health personnel, patients, and the public regarding HLHCO activities. Staff are skilled in communicating health information with patients through Ask me-3 and Teach back techniques as well as using Foto novella and clear visual media. Self-help group and self-monitoring activities were organized to create health literacy among diabetic and hypertension outpatients.

The Effects of a Health Promotion Service Model on Oral Health-Related Quality of Life Among Elderly Individuals Using Complete Dentures in Hospitals Under the Ministry of Public Health, Prachuapkhirikhan Province

Supajira Wisitpongpiboon — 2025-12-31

This study employed a research and development design comprising four phases. Phase 1 involved analyzing the existing problems and challenges in oral health promotion practices. Phase 2 focused on developing a service delivery model to promote oral health among older adults using complete dentures. Phase 3 examined the effects of implementing the developed model for promoting oral health, and Phase 4 consisted of evaluating and refining the model for further improvement.

The study sample included 60 older adult patients with oral health problems who were using complete dentures and receiving care at Ministry of Public Health hospitals in Prachuap Khiri Khan Province. Data were collected between April 2025 and August 2025 at participating hospitals. Research instruments consisted of (1) the service delivery model for promoting oral health among older adults using complete dentures, (2) a personal and health information record form, and (3) the Oral Health–Related Quality of Life questionnaire. Data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation, and inferential statistics using a paired t-test.

The findings demonstrated that the oral health promotion service model for older adults using complete dentures, developed based on the self-efficacy framework, was effective in improving oral health–related quality of life. The mean quality of life score significantly decreased from 44.77 (SD = 3.579) to 36.52 (SD = 2.029) after participation in the intervention, indicating a significant improvement in oral health–related quality of life (t = 9.322, p < .001), as lower scores reflect better outcomes. In addition, the effect size was 1.20, which is considered high, indicating a substantial positive impact of the implemented model on enhancing oral self-care behaviors and self-efficacy among older adults. Consequently, the participants' quality of life improved from a moderate level prior to the intervention to a satisfactory level after completing the program.

Effect of Pharmaceutical Care Combined with Remote Couseling Telepharmacy in hypertensive patients Receiving Postal Medication Delivery at Kalasin Hospital.

Duangrut Auncharat — 2025-12-31

This survey research aimed to evaluate the outcomes of pharmaceutical care combined with remote medication monitoring in patients with hypertension. A quasi-experimental study was conducted among 60 patients receiving treatment at the chronic disease clinic of Kalasin Hospital between March and May 2023. Patients received medications via postal delivery and were followed up through Line OA or telephone. Data were collected before and after the intervention using questionnaires and assessment tools.

The results showed that the medication adherence score (MMAS-8) increased from 6.2 to 7.5 (p < 0.001). The average number of drug-related problems decreased from 2.3 to 0.8 (p < 0.001). Knowledge about hypertension and risk behavior management improved from 7.05 to 8.9 ( p < 0.001). Systolic blood pressure decreased from 138.2 to 132.5 mmHg (p < 0.05), and diastolic blood pressure decreased from 84.7 to 81.3 mmHg (p < 0.05). Moreover, patients reported high satisfaction with the telepharmacy service system (4.2±0.5).

Factors associated with prescribing behavior of herbal medicine containing cannabis containing of Thai traditional medicine in Health Area 2.

Amornsak Poum — 2025-12-31

This survey research aimed to study factors associated with prescribing behavior of herbal medicine containing cannabis containing of Thai traditional medicine in Health Area 2. Population in this study consisted of 230 Thai traditional medicine practitioners in the 2^nd health zone in all 5 provinces, including; Tak, Sukhothai, Phitsanulok, Uttaradit and Phetchabun, respectively. The sample size calculating used Daniel formula for 144 cases, and systematic random sampling was determining for collecting data. Data collected by questionnaire composed of, characteristics, knowledge, attitude and prescribing of medicinal cannabis-containing herbal medicines of Thai traditional medicine. In addition to check questionnaire standardization, validity was checked by 3 experts and try out testing reliability by cronbach’s coefficient alpha about 0.751. Data analyzed using statistical as Pearson product moment correlation coefficient.

An association analyzed found that factor was positively association with prescribing behavior of herbal medicine containing cannabis containing of Thai traditional medicine in Health Area with statistic significant level 0.05 including; attitudes toward cannabis-containing herbal medicines (P-value<0.05).

The Effectiveness of Herbal Knee Poultice In Elderly Clients Receiving Services at Ban Nam Jon Subdistrict Health Promoting Hospital, Mueang District, Tak Province.

Jatuporn Pangjak — 2025-12-31

The purpose of this study is to explore the curative effect of knee replacement with traditional Chinese medicine on elderly hospitalized patients at Ban Nam Jon Subdistrict Health Promoting Hospital, Mueang District, Tak Province. It is a quasi - experimental research with a single group. Repeat the measurement four times. The sample group consisted of elderly people living in the area of Ban Nam Chon Subdistrict Health Promotion Hospital, Mueang District, Tak Province. There are 30 people with knee pain. Research tools is Evaluation model of knee joint pain degree. The subjects was given herbal medicine in the knee area for 4 times, each time 1 week apart. Data analysis with statistics and repeated measurement variability analysis.

The results found that Knee pain level before applying herbal poultice. The average score and the degree of pain after the experiment were significantly lower than those before the experiment (Average before application = 6.43, average after application = 5.40). And after the fourth time, the average pain score after the experiment was lower than before the experiment (Average before application = 3.37, average after application = 2.07). And p-value <.001 the average knee pain level after 4 treatments was 6.43, with an average reduction of 1.03. There is a significant difference in level. 05.

Effectiveness of Jasminum sambac (L.) Essential Oil for Improving Sleep Quality.

Krongkaew Nuim — 2025-12-31

The purpose of this study was to compare the effectiveness of Jasmine essential oil for improving sleep quality. The study was quasi-experimental research, one group, three times repeated measures. The samples were 30 people of working age between 20 and 45 years who had insomnia (sleep score more than 5 points). The instrument was the sleep quality record form. The samples used 1 drop of Jasmine essential oil on a cotton ball, 20 centimeters from the nose, and inhaling for 3 minutes before going to bed. The data were analyzed by descriptive statistics and repeated measures analysis of variance.

The results showed that the mean sleep quality score before and after using Jasmine essential oil for 3 weeks decreased from 7.07 to 3.27 with statistical significance at .001.

The Effectiveness of Nursing Practice Guidelines for the Care of Patients with Acute Ischemic Stroke.

Saiyud Noptaloong — 2025-12-31

This study aimed to develop and evaluate the effectiveness of nursing practice guidelines for patients with acute ischemic stroke, based on evidence-based practice. A quasi-experimental pretest–posttest design was conducted, involving five professional nurses and twenty patients with acute ischemic stroke, divided into groups using and not using the guideline. Data were collected using tools measuring nurses’ knowledge, practice, satisfaction, and patient outcomes including acute complications, hospital readmission, and length of stay.

Results indicated that after implementing the guideline, nurses’ mean knowledge score increased from 15.9 to 18.1 (p<.001), and 88.9% of nurses reported high satisfaction with its use. Key nursing activities, such as neurological assessment, swallowing care, mobility promotion, and pressure injury prevention, significantly improved. Patients in the guideline group experienced lower rates of major acute complications compared with the non-guideline group, including pneumonia (13.3% vs 31.7%, p=0.028), urinary tract infection (13.3% vs 40.0%, p=0.002), and pressure injuries (8.3% vs 31.7%, p=0.002).

The Development of a Health Promotion Model for Older Adults Using Nursing Innovation through Community Participation

Wipada Kanjanasit — 2025-12-31

This study aimed to examine the health status and quality of life of older adults in the community, develop a health promotion model for older adults using nursing innovation through community participation, and evaluate the implementation outcomes of the developed model. The research was developmental in nature and employed a participatory action research (PAR) process. The sample consisted of 150 participants, including older adults, caregivers, and stakeholders. Research instruments included the WHOQOL-BREF-THAI quality of life questionnaire, a holistic elderly health assessment form, and a community network satisfaction assessment form. Quantitative data were analyzed using descriptive statistics and the paired samples t-test, while qualitative data were analyzed using content analysis.

The results revealed that most older adults were female, aged 70 years and above, and had chronic diseases such as hypertension and diabetes. The majority of participants demonstrated an overall good quality of life (80.0%) and a high level of holistic well-being. Health promotion activities employing nursing innovations—such as creative learning media, group activities, and proactive home visits—together with community participation, helped improve healthy behaviors among older adults and fostered mutual learning within the community. The satisfaction of community network partners was at a high level (Mean = 4.27, S.D. = 0.60), particularly regarding the development of caregiver network capacity (Mean = 4.54, S.D. = 0.56) and the application of health innovations within the community (Mean = 4.51, S.D. = 0.50).

Effects of a Self-Empowerment Promotion Program on Self-Care Behaviors and Clinical Outcomes in Patients with Graves’ Disease Treated at Ban Phai Hospital, Khon Kaen Province

Siriporn Thipyophat — 2025-12-31

This quasi-experimental study employed a two-group pretest–posttest design to examine the effects of a self-efficacy enhancement program on self-care behaviors and clinical outcomes among patients with Graves’ disease. A total of 60 patients receiving treatment at Ban Phai Hospital, Khon Kaen Province, were recruited between July to October 2025 and allocated into an experimental group (n = 30) and a control group (n = 30). Research instruments included (1) the self-efficacy enhancement program based on Bandura’s framework, (2) a demographic data form, (3) a self-care behavior questionnaire, and (4) a clinical outcomes recording form assessing TSH, Free T3, Free T4 levels, and major clinical symptoms. Data were analyzed using descriptive statistics, independent t-tests, and paired t-tests.

The results indicated that participants in the experimental group demonstrated significantly higher post-intervention self-care behavior scores compared to the control group (mean = 79.47, SD = 12.95 vs. mean = 66.63, SD = 10.72; t = 4.182, p < .001). The mean difference was 12.83, with a large effect size (Cohen’s d = 1.08), indicating substantial effectiveness of the intervention in improving self-care behavior. However, clinical outcomes, including TSH, free T3, free T4 levels, and clinical symptoms, showed no statistically significant differences between groups (p > .05).

Factors Effecting to Blood Sugar Level Control among Type 2 Diabetes Mellitus at Community Hospital, Phuket Province.

Amornsak Poum — 2025-12-31

This Survey research by Cross-sectional study aimed to study factors effecting to blood sugar level control among diabetic mellitus type 2. Population in this study consisted of 1,769 diagnosed diabetic mellitus type 2 who had fasting plasma glucose higher than 140 mg/dl drawn from name list which be registered in diabetic mellitus clinical, at community hospitals, Phuket Province, and the sample size calculating used Daniel formula for 302 cases, and systematic random sampling was determine for collecting data. Data collected by questionnaires composed of characteristics, health behavior, health perception, and blood sugar level. In addition to check questionnaire standardization, validity was checked by 3 experts and try out testing reliability by cronbach’s coefficient alpha about 0.86. Data analyzed using statistical as Pearson product moment correlation coefficient and Stepwise multiple regression analysis.

An association analyzed found that factors associated with blood sugar level control among diabetic mellitus type 2 with statistic significant level 0.05 including; health behavior (r=0.127, P-value=0.035) health perception (r=0.121, P-value=0.004), respectively. Prediction model analyzed reported that overall selected factors accounted for 71.6% of the variance blood sugar level control. Six selected factors including; food consumption, prevention of complication, exercise, perceived risk, perceived severity, perceived benefit, respectively.

Development of nursing practice guidelines for screening and caring for diabetic patients at risk of metformin-associated lactic acidosis (MALA), Accident, Emergency and Forensic Department, Kosum Phisai Hospital.

Paiboon Limmanee — 2025-12-31

This study was action research aimed at developing nursing practices for screening and caring for diabetic patients at risk of Metformin-Associated Lactic Acidosis (MALA) in the Emergency, Trauma, and Forensic departments of Kosumphisai Hospital. The participants included 16 professional nurses and 128 diabetic patients taking Metformin, selected through accidental sampling between October 2024 and September 2025. The research instruments comprised a patient history and MALA risk assessment form, a nursing practice compliance evaluation form, and a questionnaire assessing nurses’ satisfaction with the developed practices. Data were analyze by descriptive statistic.

The results indicated that 64.06% of nurses fully complied with the screening and care guidelines, while 75–87.5% reported high to very high satisfaction with the developed practices. Among the screened patients, 29.69% were identified as at risk for MALA, most of whom were aged 51 years or older, had co morbidities such as chronic kidney disease and hypertension, and had been taking Metformin for over ten years. Patients diagnosed with MALA were primarily males aged 60 or older, widowed, engaged in agriculture, with primary-level education, having a diabetes duration of 6–15 years, and receiving Metformin for 10–15 years. Co morbidities commonly included hypertension and stage 2 chronic kidney disease, though some patients had no comorbid conditions. Presenting symptoms included diarrhea, abdominal discomfort, nausea, vomiting, fatigue, anorexia, and in some cases, fever, chills, and body pain.

An Innovation of herbal gel for Knee Pain Relieft in Patients with Osteoarthritis Case study in Karen people in Mae Wa Luang Subdistrict, Tha Song Yang District, Tak Province.

Jatuporn Pangjak — 2025-12-31

This quasi-experimental research aimed to develop a herbal knee gel to reduce pain in patients with osteoarthritis. To evaluate the effectiveness of herbal knee gel. and to assess innovation satisfaction A sample group of 30 people collected data during February 2024 by using knee gel every day, 2 times a day, morning and before bedtime, for a period of 1 month. Pain was assessed before and after the experiment each week. Using a 10-level pain scale Data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation.

The results of the experiment found that the majority of the sample was male, 56.7%, aged 40-60 years and over, 33.3% were farmers, 40.0% had no chronic diseases, 56.7% were not allergic to herbs/chemicals, 100% and had knee pain for 5 years or more, 66.7%. The mean knee pain intensity level before the experiment was 6.67. Compared to after the knee wrap, it was found that the patient has a level Decreased intensity of pain Measured by pain value After the experiment, the average was 4.30. From the experiment, it was found that knee pain after using the knee gel was Severity level of pain decreased less than before treatment Quantitative utilization Causes pain levels in patients with Osteoarthritis pain levels in patients with osteoarthritis have decreased from before. Quality has been an innovation used to relieve knee pain with osteoarthritis for those who receive services.

Analysis of Epidemic Patterns and Spread of Rabies in Animals for Development of Proactive Community-Level Surveillance System

Nithesn Butte — 2025-12-31

This study aimed to analyze epidemic patterns and spread of rabies in animals in Loei Province and to develop guidelines for a proactive community-level surveillance system. This was survey research by retrospective study using secondary data from rabies surveillance reports in animals and humans in
Loei Province between 2019-2025. Data were analyzed using descriptive statistics and epidemic pattern analysis by time, place, and person.

Results Over the 7-year period, 26 animals tested positive for rabies with no human deaths.
The highest number of infected animals (9 cases) occurred in 2023, decreasing to 6 cases in 2025.
Areas with recurrent outbreaks included Tha Li, Mueang Loei, and Dan Sai districts. The number of people requiring post-exposure prophylaxis increased with the number of infected animals, with 33 exposed persons in 2025. The epidemic pattern of animal rabies in Loei Province showed an increasing trend during 2022-2023 with distribution across multiple areas, especially in areas with history of recurrent infections. Development of proactive surveillance systems should focus on high-risk areas, animal vaccination programs, and community awareness campaigns.

The Effects of a Combined Exercise Program Based on the “3Y” Principles for Fall Prevention among Older Adults in Khlong Luang District, Pathum Thani Province

Sirada Boonsit — 2025-12-31

This quasi-experimental research aimed to examine the effects of a combined exercise program based on the “3Y” principles (Yam, Yuen, Yok: stepping, standing, and lifting) for fall prevention among older adults in Khlong Luang District, Pathum Thani Province. The exercise program consisted of 11 movements as follows: (1) marching in place, (2) side step-together, (3) leg curl backward, (4) alternating toe and heel raises, (5) trunk rotation, (6) side bending, (7) arm swinging, (8) side leg raises, (9) shoulder rotation, (10) trunk extension, and (11) sit-to-stand exercise. Each movement was performed with 15 repetitions with a 1-minute rest between sets. The participants completed 3 sets per session and exercised 3 times per week. The sample group consisted of 32 older adults. Data were collected using a physical fitness assessment record. The experimental period was conducted from April to June 2025. The data were analyzed using frequency, percentage, mean, standard deviation, and the paired-sample t-test.

The results found that, after the experiment, dynamic balance, core muscle strength, leg muscle strength, and flexibility among the elderly significantly improved compared with before the experiment (p < 0.05).

A Meta-synthesis of Cultural Factors and Community-based Strategies for Fall Prevention among Thai Older Adults.

Donlarawee Simkum — 2025-12-31

This study aimed to synthesize qualitative knowledge regarding the “Cultural Process of Caring and Rebalancing” related to fall prevention among older adults in Thai communities. The research employed the Ethnographic Meta-synthesis approach proposed by Noblit and Hare (1988). A total of 128 qualitative studies published between 2002 and 2025 were systematically reviewed, and 18 studies meeting the quality criteria of the Critical Appraisal Skills Programme (CASP, 2018) were included for interpretive synthesis.

The findings revealed that falling is not merely a physical event but a cultural phenomenon reflecting faith, relationships, and the meaning of life among older adults. Six conceptual categories emerged: (1) cultural beliefs and values, (2) roles of family and community, (3) experiential learning, (4) participatory care strategies, (5) self-perception in aging, and (6) psychological resilience. These categories are interrelated as a Cultural Process of Caring and Rebalancing, leading to a “New Balance of Aging,” in which older adults live with dignity, peace, and self-worth.

ASSOCIATION BETWEEN HEALTH LITERACY WITH SOCIAL SUPPORT AND DEPENDENT ELDERLY CARE OF CAREGIVERS IN SA KAEO PROVINCE.

Sulirat Petchsombat — 2025-12-31

This survey research by cross-sectional study investigated the associations between health literacy with social support and dependent elderly care of caregivers in Sa kaeo province. The sample comprised 320 active caregivers who had completed the Ministry of Public Health’s 70-hour training program, selected through stratified sampling. Data were collected via an online questionnaire and analyzed using descriptive statistics and inferential statistics, including the chi-square test and Pearson’s correlation coefficient.

Results indicated that most caregivers were female (91.0%), with a mean age of 52.41 years, and had 1–3 years of experience (53.1%). The majority demonstrated good levels of health literacy (87.5%), social support (89.4%), and caregiving for older adults (83.4%). Personal factors significantly associated with caregiving at the 0.05 level were educational attainment (p = 0.028) and length of service (p = 0.008). In addition, health literacy (r = 0.707) and social support (r = 0.687) showed strong correlations with caregiving for dependent older adults, significant at the 0.05 level.

FACTORS RELATED TO HEALTHCARE CHECK-UP OF HIGH-RISKS POPULATION FOR NON-COMMUNICABLE DISEASES AT DIGITAL HEALTH STATIONS IN SA KAEO PROVINCE.

Warisara Khuananan — 2025-12-31

This cross-sectional survey aimed to examine health beliefs model toward NCD prevention, service satisfaction, healthcare check-up behaviors, and factors related to healthcare check-ups at digital health station among high-risk populations in Sa Kaeo Province. Participants were high-risk individuals aged ≥35 years who had used a digital health station (n = 395), selected by stratified sampling from Sub-district Health Promoting Hospital in Mueang Sa Kaeo District. Data were collected via questionnaire from January–November 2025 and analyzed using descriptive statistics and the chi-square test with α = 0.05.

Results showed overall health beliefs at a moderate level (69.62%), service satisfaction at a high level (69.11%), and healthcare check-up behaviors at a moderate level (49.60%). Factors significantly associated with healthcare check-ups included marital status (p = 0.045), owning a smartphone (p = 0.018), ability to connect to the internet (p = 0.009), ability to self-record screening results/assess risk (p = 0.001), health beliefs toward NCD prevention (p < 0.001), and service satisfaction (p < 0.001).

Developing Community-Based Treatment and Rehabilitation Programe for Methamphetamine Users : A case Study in Suwannaphum District.

Niphakon Uengcharoenthanakit — 2025-12-31

This action research aims To develop and evaluate the effectiveness of Community-Based Treatment (CBTx) guidelines for methamphetamine users in Suwannaphum District, Roi Et Province. The research was conducted from July 2024 to September 2025, comprising four phases: (1) problem analysis, (2) CBTx program development, (3) implementation and evaluation, and (4) continuous improvement. Fifty-one participants aged 18-60 years meeting inclusion criteria were enrolled. Data were collected using V2 questionnaire, urine drug tests, WHOQOL-BREF and in-depth interviews. Quantitative data were analyzed using descriptive statistics and paired t-tests; qualitative data underwent content analysis.

The developed CBTx program consisted of three main components: (1) integrated screening and assessment process, (2) comprehensive treatment activities (9 sessions/week) combined with urine testing every 4 days (16 times total), and (3) community-based follow-up and sustainability mechanisms. Post-program results showed 40 participants (78.43%) achieved abstinence, 11 (21.57%) reduced use, and none dropped out. Quality of life scores increased significantly (p < 0.001).

The effect of counselling program to resilience enhancement and decrease stress in care givers of chronic schizophrenia patients at Wanonniwat Hospital, Sakon Nakhon Province.

Kamonporn Chompracha — 2025-12-31

This quasi-experimental research aimed to study the effect of counselling program to resilience enhancement and decrease stress in care givers of chronic schizophrenia patients at Wanonniwat Hospital, Sakon Nakhon Province. The samples were care givers of chronic schizophrenia patients who receiving medication at the psychiatric clinic at Wanornniwat Hospital, purposive sampling of 30 samples. The study was conducted between August 1^st to October 31^st, 2025. The experimental instrument was the counselling program to resilience enhancement and decrease stress for care givers of chronic schizophrenia patients. The instrument of data collection include; the questionnaires of general characteristics, resilience quotient, and stress test. The quantitative data were analyzed using descriptive statistics, frequency, percentage, mean and standard deviation. The comparative parametric statistics used paired t-test.

The study showed that; after receiving the counselling program, the sample had a significantly higher mean score of resilience enhancement than before at the statistical level of 0.01 (t=-12.731, p<0.001). When compared each aspect, found the mean scores of mental health power in emotional resilience, morale, and problem-solving after receiving the program were significantly higher than before at the statistical level of 0.01 (t=-9.256, p<0.001; t=-7.569, p<0.001; t=-6.338, p<0.001 respectively). And mean score of stress test after receiving the program was significantly lower than before at the statistical level of 0.01 (t=4.687, p<0.001).

Development of self-care guidelines for pregnant women with anemia : Application of Orem's nursing theory

Kesakaew Wimonmala — 2025-12-31

This survey research by qualitative analysis aimed to develop self-care guidelines for pregnant women with anemia by applying Orem's Self-Care Deficit Nursing Theory at a government hospital in the metropolitan area. The study included 45 pregnant women with anemia (hemoglobin < 11.0 g/dL) from March to May 2025. Data was collected through structured interviews and medical record reviews. The results revealed that participants had self-care deficits in three main areas (1) lack of knowledge and skills in selecting iron-rich foods, (2) lack of motivation to change health behaviors, and (3) environmental and social barriers. When provided with supportive-educative nursing interventions through education, demonstration, and continuous follow-up, pregnant women successfully developed their self-care agency. This led to improved hemoglobin levels and more appropriate health behaviors.

The impact of relaxing music therapy on milk ejection and lactation duration among post-cesarean mothers

Chayanee Sangsri — 2025-12-31

Breast milk is considered the optimal source of nutrition for all infants. Mothers undergoing cesarean section are at risk for inadequate milk production due to the impact of stress and fatigue associated with the surgical procedure. This study aimed to evaluate the effects of a relaxation-focused music intervention on milk ejection and the time to full lactation. Forty post-cesarean mothers were randomly assigned to one of two groups: the control group received standard postpartum care, while the intervention group listened to instrumental music during breastfeeding sessions. The results indicated that mothers in the intervention group had significantly higher average scores for milk ejection compared to those receiving standard care (P < 0.001). Furthermore, within the first 12 hours, the intervention group achieved full lactation significantly earlier than the control group (P < 0.001). Importantly, music intervention also led to a significant reduction in anxiety levels among post-cesarean mothers (P < 0.001). These findings highlight the efficacy of relaxing music interventions for post-cesarean mothers, demonstrating a meaningful positive impact on breastfeeding outcomes for both mothers and their infants

Development of a Participatory Nutrition and Exercise Promotion Model to Delay Sarcopenia among Older Adults in Senior Citizen Clubs.

Ratchada Jopa — 2025-12-31

This research employed participatory action research (PAR) integrating qualitative and quantitative approaches, guided by the Participatory Action Research (PAR) cycle proposed by Crane & O’Regan. The study consisted of three phases: (1) observation and joint planning with local stakeholders, (2) implementation and monitoring through collaboratively designed action plans, and (3) knowledge sharing and reflection to refine a context-appropriate model for older-adult clubs. Two main groups participated in the study: (1) eighteen stakeholders—including public health personnel, local leaders, community representatives, older-adult club committee members, and community volunteers -involved in model design and development, and (2) forty-one older adults who participated in a 12-week implementation of the developed model. Quantitative data were analyzed using percentage, mean, standard deviation, and Paired Samples t-test, while qualitative data were analyzed using content analysis.

The results showed that:

(1) The development of the participatory nutrition and exercise promotion model to delay sarcopenia among older adults was achieved through active engagement of all stakeholder groups throughout the entire process. Together, they identified three core action components: (a) a training and skill-building program aligned with the participatory nutrition and exercise promotion plan for older adults in senior citizen clubs; (b) monthly nutrition and physical activity promotion activities within the senior citizen club; and (c) a health-support group implemented via a Line communication platform.

(2) after participating in the program, older adults showed statistically significant improvements in multiple health indicators, including improved physical mobility measured by TUGT (p < 0.001), reduced sarcopenia risk assessed by SARC-F (p < 0.05), increased handgrip strength (p = 0.01), and increased daily protein intake (p < 0.001). No significant change was observed in body mass index (BMI) (p = 0.26); and (3) regarding sustainability, local administrative organizations incorporated the model into annual operational plans and planned to expand activities to village-level mobile programs.

The effected of motivational Interviewing program in uncontrolled diabetic patients on blood sugar levels and Self Care Behaviors in Tha Pla District, Uttaradit Province.

Chulaporn Kaewlah — 2025-12-31

Quasi-Experimental Research to study the effect of motivational interviewing on self-care behavior and glucose levels of diabetic patients with uncontrolled glucose levels. Tha Pla District, Uttaradit Province The sample group included diabetics who were unable to control their glucose levels. The tools used in the research included general information interviews, questionnaires on self-care behavior when diabetic, clinical data records, cumulative glucose values (HbA1c), group discussion questionnaires, quantitative data analysis using descriptive statistics, pre-before and post-development comparisons with t-tests

The results of the research found that the mean blood sugar level before and after the experiment was significantly reduced from before the experiment at the .001 level (t = 4.454, p < .001).

Development of a Foot Care Model for Prevention of Foot Complications in Type 2 Diabetes Patients Receiving Services at Community Health Centers, Kosumphisai Hospital, Kosumphisai District, Mahasarakham Province.

Pataraporn Srihorkaew — 2025-12-31

This research and development study aimed to investigate problems and needs, develop, and evaluate a foot care model for type 2 diabetes patients at high risk of diabetic foot complications at the Community Health Center, Kosum Phisai Hospital, Kosum Phisai District, Maha Sarakham Province, from January to October 2025, spanning 10 months. The sample groups consisted of 15 multidisciplinary team members who developed the model, and 41 type 2 diabetes patients at high risk. Research instruments included focus group discussion guidelines, general information questionnaires, foot care knowledge tests, foot care behavior assessments, diabetic foot complication risk assessments, SF-36 quality of life questionnaires, satisfaction assessments, and model quality evaluation forms. Data were analyzed using descriptive statistics and paired t-tests for pre-post comparisons.

The results showed that the developed foot care model comprised six main components: screening and risk assessment system for foot ulcers, risk-based care plans, knowledge and skill development programs for foot care, self-management promotion programs, multidisciplinary team collaboration system with community linkage, and monitoring and evaluation system. Experts rated the model quality at a high level across all dimensions (= 4.72, SD = 0.38). Post-implementation evaluation revealed that foot care knowledge increased from low level (= 10.48, SD = 3.24) to high level (= 18.49, SD = 1.52), foot care behavior improved from moderate level (= 66.51, SD = 11.28) to high level (= 107.54, SD = 7.85), diabetic foot complication risk decreased from high level (= 7.29, SD = 2.18) to moderate level (= 6.25, SD = 2.05), and quality of life improved from moderate level (= 57.00, SD = 11.76) to good level (= 74.78, SD = 8.95). Patients expressed high satisfaction with the care model (= 4.68, SD = 0.41). Statistical testing revealed that knowledge, behavior, and risk level changes were statistically significant at the .05 level (p<0.01, t=-18.45, -22.73, 3.28).

Development of internal audit model for information technology for service units under the Office of the Permanent Secretary, Ministry of Public Health.

Somboon Singprom — 2025-12-31

This action research aimed to develop an internal IT audit model appropriate for the context of service units under the Office of the Permanent Secretary, Ministry of Public Health. The effectiveness of the developed model was assessed by measuring the results from the recommendations obtained from the implementation of the auditing tools. The sample consisted of three levels of organizations (regional hospitals, provincial hospitals, and community hospitals). Fifteen clusters were selected, based on those that had participated in the project or had essential data for the research, to represent each level of the study. Data were collected using an IT audit guideline, internal and external environment analysis (SWOT Analysis), and questionnaires. A mixed method was used to analyze qualitative data using content analysis and quantitative data using descriptive statistics, using frequency, percentage, mean, standard deviation, maximum score, minimum score, and Pearson Product Moment Correlation Coefficient.

The study found that, by integrating with systems theory, the CHANG-IT Audit Model for information technology internal auditing can apply the concept of open systems to audit management, taking in inputs from the environment, such as data, risks, and ever-changing technologies, through a process of auditing and providing feedback to improve the efficiency of service unit systems. The study further developed this concept by transforming the general management system into an "Integrated Audit System," a new innovation that truly reflects an open system, enabling data exchange and mutual learning between hospitals at all levels. This demonstrates the application of systems thinking concepts to the context of internal auditing within service units under the Office of the Permanent Secretary, Ministry of Public Health. Furthermore, it was found that the application of modern technologies such as AI, RPA, and data analytics dashboards to the audit process supports the concept of "Digital Transformation," elevating traditional auditing practices from reactive document-based and post-audit to proactive auditing, capable of predicting and alerting on risks in advance.

Effects of a self-management program to change behavior in Pre- DM group groups on blood sugar levels at Ban Phueng Subdistrict Health Promoting Hospital.

Uthaiwan Artjhomnong — 2025-12-31

This quasi-experimental research aimed to study the effect of a self-management program on behavior modification and blood sugar levels among individuals at risk for diabetes at the Ban Phueng Subdistrict Health Promoting Hospital. The sample group consisted of 45 participants aged 35–59 years, identified as high-risk (Pre-Diabetes) with DTX blood sugar levels ranging from 100–125 mg%, selected through simple random sampling without replacement. The research compared pre- and post-intervention outcomes using a self-management behavior modification program. Data collection tools comprising three parts—personal information questionnaire, diabetes knowledge questionnaire and self-management behavior questionnaire. Data were analyzed using descriptive statistics (frequency, percentage, mean, standard deviation) and inferential statistics with paired t-tests.

Results showed that post-program diabetes knowledge significantly increased (p < .0001), self-management behaviors significantly improved (p < .0001), and blood sugar levels significantly decreased after the intervention (p < .001).

Factors Affecting Health Promotion Behavior of the Elderly in Nong Bua Subdistrict, Nong Kung Si District, Kalasin Province

Sumolrat Ussawapoom — 2025-12-31

This study aimed to identify factors influencing health-promoting behaviors among older adults in Nong Bua Subdistrict, Nong Kung Si District, Kalasin Province. A cross-sectional survey was conducted among 221 older adults. Data were collected through face-to-face interviews using validated questionnaires consisting of personal information, determinants of health behaviors, and health-promoting behaviors. Descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics, including Chi-square tests, Odds Ratios (OR), and 95% Confidence Intervals (95% CI), were employed for data analysis. The significance level was set at p < 0.05.

Results : Several factors were significantly associated with health-promoting behaviors among older adults. Older adults with sufficient income were 0.20 times as likely to practice health-promoting behaviors compared to those with insufficient income (OR = 0.20, 95% CI = 0.054–0.760, p = 0.01). Those who occasionally participated in elderly club activities demonstrated health-promoting behaviors at 0.10 times the rate of those who regularly participated (OR = 0.10, 95% CI = 0.028–0.397, p < 0.001). Older adults with higher levels of knowledge were 12.32 times more likely to engage in health-promoting behaviors (OR = 12.315, 95% CI = 3.736–40.591, p < 0.001). Additionally, older adults with positive attitudes exhibited health-promoting behaviors at 0.02 times the rate of those with negative attitudes (OR = 0.020, 95% CI = 0.003–0.162, p < 0.001).

The development of a promoting self-management model among diabetes patients with complications at Satuek hospital, Buriram province

Phukapol Punjajitti — 2025-12-31

This action research was aimed to development of a promoting self-management model among diabetes patients with complications at Satuek hospital, Buriram province. There were 2 groups of samples: 1) Network partner of 22 samples and 2) Diabetic patients with complications 178 samples, selected according to predefined criteria. The research was conducted between October 2024 - September 2025. Data were collected from questionnaires, self-management record forms, in-depth interview guidelines and focus group guidelines. Quantitative data were analyzed using descriptive statistics and comparing the mean differences using paired t-test and qualitative data were analyzed by content analysis with a significance level at 0.05.

The results showed that the developed of a promoting self-management model for diabetes patients with complications consisted of 5 key components: 1) Participatory assessment of problems and needs, 2) Individualized self-management plan, 3) Participatory self-care activities 4) Community–family support system and 5) Self-evaluation & iterative improvement. The evaluation results showed that most participants had a moderate level of knowledge about of diabetes and self-management behaviors (=7.96 S.D.=1.32 and =2.32 S.D.=0.17 respectively). A comparison of pre and post development of a promoting self-management model found the mean score difference of knowledge and self-management were significantly higher than pre-development (p-value<0.001)

Development of a Care Model for Pterygium Patients Undergoing One Day Surgery to Enhance Accessibility, Understanding, Safety, and Service Satisfaction at Khumphawapi Hospital, Udonthani Province.

Napatsanan Thasako — 2025-12-31

This action research aimed to study the situation and problems, develop a care model, and evaluate the outcomes of care for pterygium patients undergoing one day surgery. The sample consisted of qualitative participants including a multidisciplinary team of 15 members, and quantitative participants comprising 48 pterygium patients. The study was conducted over 12 months from October 2024 to October 2025, employing the DALI process integrated with LEAN principles. Mixed-methods data collection was utilized, incorporating both quantitative and qualitative data. Research instruments included focus group discussion guidelines, patient care guidelines, general information forms, clinical data forms, knowledge assessment questionnaires, and satisfaction evaluation forms. Quantitative data were analyzed using descriptive statistics and paired t-tests for pre-post comparison, while qualitative data were analyzed through content analysis.

The findings revealed that the developed care model comprised five essential components: accessibility, understanding, safety, satisfaction, and teamwork. Based on the EI3O framework, outcomes demonstrated that surgery cancellation rates decreased from 2.50% to 0.00%, complication rates decreased from 3.20% to 0.00%, waiting time reduced from 2.68 hours to 1.15 hours, patient knowledge improved from 2.98 ± 0.85 to 4.35 ± 0.68, and satisfaction increased from 3.08 ± 0.96 to 4.68 ± 0.58, all statistically significant at the .05 level (t = 8.42, 9.15 respectively).

Development of internal audit models related to procurement and material management of agencies under the Office of the Permanent Secretary, Ministry of Public Health.

Somboon Singprom — 2025-12-31

This survey research aimed to develop an internal audit model appropriate for the context of service units under the Office of the Permanent Secretary, Ministry of Public Health. The sample consisted of selected data units that were representative of the entire data unit or the research population. Purposive sampling was used to select individuals with knowledge and direct experience in relevant projects from 10 units within the internal audit plan. Data were collected through questionnaires. Data were analyzed using content analysis, percentages, means, standard deviations, maximum and minimum scores, Pearson's Product Moment Correlation Coefficient, and Chi-Square tests.

The study results revealed that this internal audit demonstrated that the procurement management system of the central units of the Office of the Permanent Secretary, Ministry of Public Health, remained compliant but had not yet reached the integrated level. The use of a system-risk-based audit approach enabled the identification of structural weaknesses that were the root cause of the problem, not just individual errors. Overall, the sample group assessed the value gained from the internal audit with a high level of agreement (x̄ = 4.40, SD = 0.52). Overall satisfaction with the audit process was rated as very good (x̄ = 4.52, SD = 0.25). Audit methods appropriate to the organization's context were significantly positively correlated with the respondent's position (r = 0.677, p = 0.032). 2) Overall, audits that create value for the organization were significantly positively correlated with the respondent's position (r = 0.704, p = 0.023). 3) Audit methods appropriate to the organization's context were significantly positively correlated with audit participation (r = 0.659* p = 0.038). 4) Audit results can be used to plan the development of the entire procurement system, including linking with other related tasks, and were significantly positively correlated with audit participation (r = 0.704* p = 0.023). 5) Clear communication before and during the audit was significantly positively correlated with audit participation (r = 0.667, p = 0.035). 6) Audit methods appropriate to the context were significantly positively correlated with satisfaction with the audit process (r = 0.067, p = 0.032).

A Comparative Case Study of Nursing Management for Neonates with Respiratory Syncytial Virus (RSV) Infection and Comorbid Pneumonia.

Patcharanat Ritthiranakant — 2025-12-31

This study was study aimed to study and compare nursing care using the nursing process for caring for two newborn patients diagnosed with RSV and pneumonia (Cases Study). The data from the patient's history was studied and compared according to Gordon's health model and the nursing process in nursing planning.

Results: The results showed that both infants, aged 14 and 18 days, presented with fever, tachypnea, respiratory distress, and a history of close contact with symptomatic household members. Case 1 had documented exposure to a cousin with confirmed RSV infection, while Case 2 had exposure to an older sibling with undiagnosed respiratory symptoms. A notable difference was that Case 1 exhibited mild dehydration and undernutrition. Both infants required hospitalization and received oxygen therapy high-flow nasal cannula (HFNC) and an oxygen box and were provided with fluid and nutritional supplementation to maintain hydration and metabolic stability. Nursing outcomes indicated similar clinical presentations; however, Case 1 required high-concentration non-invasive oxygen support (HFNC), continuous airway management due to thick secretions, and a change in antibiotic regimen after persistent fever beyond seven days. The mother was anxious but cooperative throughout the treatment. Case 2 adhered well to oxygen and antibiotic therapy as prescribed and maintained close maternal contact. Both infants were ultimately discharged, though their lengths of hospital stay differed.

The Effectiveness of Happy Working Age Program in Community : A Case Study of Si Satchanalai District, Sukhothai Province.

Yokfa Penglia — 2025-12-31

This research aims to evaluate the effectiveness of a program for working-age people in enhancing their happiness and psychological resilience at a community level. In detail, a quasi-experimental research with two groups, pretest-posttest, is the study method. The sampling populations in each group consist of 40 working-age individuals in Si Satchanalai District, Sukhothai Province. The experimental group attended a one-day “working-age happiness program,” while the control group received standard mental health care activities.The study was conducted between January and June 2023. Data were analyzed by frequency, percentage, mean, and standard deviation distribution, dependent t – test, independent t - test, Mann-Whitney U and Wilcoxon signed rank test.

The research results found that the majority of the sample were female, aged between 40 and 49 years, married, Buddhist, agricultural, secondary education, and income not exceeding 5,000 baht per month. and was insufficient to cover expenses; most had manageable debt and no chronic illness. They reported no distress during the previous month. After participating in the program, the experimental group showed a statistically significant increase in happiness scores, rising from 33.76 to 36.84 (p < .01). Posttest happiness scores in the experimental group were also significantly higher than those in the control group (36.84 compared with 32.25; p < .01). For psychological resilience, the experimental group demonstrated a significant improvement from 70.35 to 73.41 (p < .05) and their posttest resilience score was significantly higher than that of the control group (73.41 compared with 68.57; p < 01).

Predictors of Depression Among Lower Secondary School Students at a Secondary School in Nakhon Nayok Province

Noppussorn Wises — 2025-12-31

This survey research aimed to investigate the predictors of depression among lower secondary school students at a secondary school in Nakhon Nayok Province. The sample consisted of 138 lower secondary school students, representing 100% of the target population, selected through total enumeration sampling during the academic year (2025). Data were collected using a cross-sectional descriptive design with 26 questionnaires comprising 17 items administered in May 2568 (2025). The instruments included a personal information form, the Patient Health Questionnaire-9 (PHQ-9), the Suanprung Stress Test-20 (SPST-20), a family relationship assessment scale developed specifically for this study, and an anxiety assessment tool. Data were analyzed using Pearson's correlation coefficient and multiple regression analysis.

The results revealed that the standardized regression equation for predicting depression among lower secondary school students at a secondary school in Nakhon Nayok Province was as follows: Ẑ = 0.464 (stress). Stress significantly predicted depression at the .001 level (β = 0.464, t = 5.407, p < .001). The predictors explained 24.8% of the variance in depression (R² = 0.248).

Development of Dental Public Health Guidelines to Prevent Dental Fluorosis in Earty Primary School Children in Fluoride-Risk Areas, Sukhothai Province.

Pattraphorn Mekkhaphat — 2025-12-31

This quasi-experimental study aimed to objectives: 1) to develop public oral health practice guidelines for the prevention of dental fluorosis among early primary school children residing in areas with fluoride-containing drinking water in Sukhothai Province, 2) to evaluate the effects of these guidelines on parents’ knowledge, health beliefs, preventive behaviors, and the dental fluorosis status of their children. The study was conducted in four phases. Phase 1 involved assessing fluoride levels in water sources, household water-use practices, the dental fluorosis status of children, and the knowledge, beliefs, and preventive behaviors of parents living in three high-risk districts characterized by limestone mountain terrain and recurrent drought. In Phase 2, practice guidelines were developed based on the Health Belief Model, the KAP model, and the concept of oral-health literacy, combined with participatory processes involving community leaders, teachers, parents, and public health personnel. Phases 1 and 2 constituted the instrument-development stage. Phase 3 implemented the guidelines using a quasi-experimental one-group repeated-measures design, with data collected at three time points (pre-intervention, and at 4 and 12 weeks post-intervention) among 45 parents of early primary school children. Phase 4 focused on evaluating the outcomes and synthesizing policy recommendations. The research instruments included a general information questionnaire, a knowledge assessment, a health-belief scale, and a preventive-behavior assessment for dental fluorosis, as well as a dental fluorosis recording form using Dean’s Index. Data were analyzed using descriptive statistics and repeated-measures ANOVA.

The results indicated that after the implementation of the guidelines, parents’ mean knowledge scores increased from 5.76 to 11.67 and 11.78 at weeks 4 and 12, respectively. Health-belief scores increased from 51.27% to 74.69% and 73.44%, while preventive-behavior scores rose from 34.89% to 64.40% and 63.98%. All improvements were statistically significant (p < 0.001). Furthermore, the enhanced levels of knowledge, beliefs, and preventive behaviors were sustained for at least 12 weeks. Meanwhile, the proportion of children with dental fluorosis remained unchanged during the follow-up period, consistent with the irreversible nature of the condition in the short term.

Development of Play Patterns to Promote Language Development in Early Childhood: Within Family and Preschool Contexts.

Siriwan Saehao — 2025-12-31

The study on the development of play patterns to promote language development in early childhood, within family and preschool context, aimed to: 1) Investigate the situation, problems, and needs in organizing play models to promote language development in early childhood. 2) Develop play models that promote language development in early childhood. 3) Evaluate the effectiveness of the developed play models for promoting language development in early childhood. For the phase involving the evaluation of the effectiveness of the play models, the sample consisted of 180 early childhood children aged 2-5 years, divided into an experimental group and a control group. The sample size was determined using the participants were selected using purposive sampling. Data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation for general information of children aged 2 - 5 years. The comparison of the mean scores for language development between the experimental and control groups was analyzed using the Paired-Sample t-test.

The comparison of the data revealed that the mean scores for language development were statistically significantly different at the .05 level. Similarly, the mean scores for language development between the experimental group and the control group following the intervention (using the innovation) were also statistically significantly different at the .05 level.

Nursing Care Model for Diabetic Retinopathy Patients with Seamless Continuum of Care through Telemedicine and Nursing Care System at Kumphawapi Hospital, Udonthani Province.

Waraphon Phomsaen — 2025-12-31

This action research utilized the 3P process (Purpose-Process-Performance) to examine the situation and problems in caring for diabetic retinopathy patients, develop a nursing care model integrated with seamless continuum of care through Telemedicine and Nursing Care systems, and evaluate the outcomes at Kumphawapi Hospital, Udon Thani Province. The study population comprised qualitative participants including 25 multidisciplinary team members, and quantitative participants including 86 diabetic retinopathy patients. The research was conducted over 12 months from October 2024 to September 2025. Mixed-methods data collection employed both quantitative and qualitative approaches. Research instruments included focus group guidelines, nursing practice guidelines, general information forms, clinical data forms, knowledge assessment tools, self-care behavior assessment tools, diabetes management self-efficacy scales, and satisfaction assessment tools. Quantitative data were analyzed using descriptive statistics and paired t-tests, while qualitative data were analyzed through content analysis.

The findings revealed that the nursing care model comprised 8 core components: screening and risk assessment, comprehensive multidimensional evaluation, collaborative care planning, health education and self-efficacy enhancement, multidisciplinary team coordination, continuous follow-up through Telemedicine and Tele-nursing systems, 24-hour service accessibility, and caregiver and family support. Outcomes demonstrated EI3O framework achievements: nursing competency increased from 3.18 to 4.76, screening rate improved from 77.27% to 96.84%, appointment adherence increased from 65.40% to 91.28%, waiting time decreased from 128.40 to 42.68 minutes, knowledge scores increased from 17.48 to 25.84, self-care behavior scores increased from 15.64 to 21.76, self-efficacy scores increased from 128.46 to 174.28, satisfaction score was 4.58, and HbA1c decreased from 8.42% to 7.24%, all statistically significant at p<.05.

Development of a Care Model for Colorectal Cancer Screening Service Recipients Using a Seamless Digital Healthcare System at Kumpawapi Hospital, Udon Thani Province.

Mutita Ruangsettee — 2025-12-31

This action research aimed to develop and evaluate a care model for colorectal cancer screening service recipients using a seamless digital healthcare system at Kumpawapi Hospital, Udon Thani Province. The population consisted of qualitative participants for model development including multidisciplinary teams and network partners (n=15), and quantitative participants for model evaluation including patients with positive Fecal Immunochemical Test results (n=63). The research was conducted in three phases: situation and problem analysis, model development and implementation, and model evaluation, utilizing the Plan-Do-Study-Act cycle and Model of Improvement principles. Mixed-methods data collection was employed. Research instruments included focus group discussion guidelines, risk screening and triage forms, electronic appointment systems, LINE Official Account application, general and clinical data collection forms, knowledge assessment questionnaires, and satisfaction evaluation tools. Quantitative data were analyzed using descriptive statistics and paired t-tests, while qualitative data were analyzed through content analysis.

Results revealed that the developed care model comprised seven key components: risk screening and triage form, electronic appointment and queue management system, LINE Official Account application, Visit reduction process modification, continuous care practice guidelines, health literacy promotion, and monitoring and evaluation system. Outcomes based on the EI3O framework showed that waiting time decreased from 128.50 days to 24.80 days (80.70% reduction), colonoscopy completion rate within one month increased from 9.50% to 92.06%, appointment adherence rate increased from 71.50% to 90.48%, adequate bowel preparation quality increased from 78.20% to 93.65%, hospital visits reduced from two to one time, knowledge scores increased from 2.95 to 4.38, and satisfaction scores increased from 3.08 to 4.65, with statistically significant differences at .05 level (t = 8.42, 9.12 respectively).

The Development of a Care Model for Drug User in Amphoe Phanna Nikhom, Sakon Nakorn Province

Napapat Joollanee — 2025-12-31

This Participatory Action Research (PAR) of Care Model for Drug User in Amphoe Phanna Nikhom, Sakon Nakorn Province. The Sample were 28 Drug User have drugs detected in the body and voluntary drug treatment. Research Instrument by 1) Care Model for Drug User 2) The assessment of Brief Assessment of Recovery Capital (BARC-10) 3) WHOQOL-BREF (World Health Organization Quality of Life - BREF). Data were analyzed by frequenzy , mean , standard deviation , content analysis and dependent t-test.

The result were show before use care model have the effects of drug use is moderate-level and after is low-level 2) Recovery capital is low-level before and after use care model 3) Quality of Life is Moderate-level that is not significant.

The Effect of Health Belief Model Application on Behavior Level Dengue Fever Prevention of Village Health Volunteers, Lam Sai Subdistrict, Lam Luk Ka District, Pathum Thani Province

Natthawut Chongsiri — 2025-12-31

This quasi-experimental study aimed Compare the mean health belief patterns and dengue fever prevention behaviors before and after receiving the program in the experimental and comparison groups, and between the experimental and comparison groups. The population studied was 95 village health volunteers (VHVs). The sample group proportion was determined using the G*power program. The sample group was 35 people, obtained by purposive selection. The tool used was a questionnaire. The statistics used for data analysis included percentage, mean, standard deviation, Paired Sample t-test and Independent Sample t-test.

The results showed that after the experiment, 1) the experimental group had a higher mean health belief pattern than before receiving the program with statistical significance at the .01 level, while the comparison group after the experiment had a lower mean health belief pattern than before the experiment. 2) After receiving the program, the experimental group had a higher mean dengue fever prevention behavior than before receiving the program with statistical significance at the .01 level, while the comparison group after the experiment had a higher mean dengue fever prevention behavior than before the experiment. 3) After receiving the program, the experimental group had a higher mean health belief pattern and a higher mean dengue fever prevention behavior than the comparison group with statistical significance at the .05 level.

The Effect Of Self-Efficacy Development Program On Nutritional Food Consumption Behavior Of late Primary School Students Lam Sai Subdistrict, Lam Luk Ka District, Pathum Thani Province

Narisara Kongpetch — 2025-12-31

This research wasการ Quasi Experimental Research aimed to compare Mean self-efficacy perception before and after receiving the program of the experimental and comparison groups. food consumption behavior before and after receiving the program of the experimental and comparison groups and self-efficacy perception and nutritional food consumption behavior after receiving the program between the experimental and comparison group. By applying Bandura's self-efficacy theory is Mastery experience, Vicarious experience, Verbal persuasion and Emotional arousal. The study population consisted of 38 primary school students in grades 4-6. Purposive sampling of 20 people. The research instrument was a questionnaire. Statistics used in data analysis were Percentage, Mean, Standard Deviation, Paired t-test and independent sample t-test.

The study results found that After receiving the program, the experimental group had a statistically significant higher mean self-efficacy score than before receiving the program at the .01 level receiving the program, the experimental group had a higher mean nutritional food consumption behavior than before receiving the program, with statistical significance at the .01 level and After receiving the program, the experimental group had a higher mean score on self-efficacy perception and a higher mean score on nutritional food consumption behavior than the comparison group, with statistical significance at the .05 level. This study indicated that this program can improve students' self-efficacy and nutritional eating behavior.

Roles and Experiences of Informal Caregivers in Thai Rural Families and Communities: A Qualitative Meta-synthesis.

Donlarawee Simkum — 2025-12-31

This survey research by qualitative meta-synthesis applied a meta-ethnographic approach to examine the roles and lived experiences of informal caregivers in rural Thailand. A systematic search of national and international databases (2021–2025) identified 84 studies; 12 qualitative studies met Critical Appraisal Skills Programme (CASP) criteria and were included for interpretive synthesis.

Seven core meaning components emerged: 1) caregiving grounded in cultural attachment and filial obligation, 2) multidimensional caregiving burden, 3) family–community networks as natural support systems, 4) fragmented health and welfare services, 5) role-based isolation and emotional vulnerability, 6) faith and ritual practices as emotional sustenance, and 7) local wisdom as a practical care resource. These findings informed the development of the Rural Care Ecosystem Model, which illustrates interactions across cultural–familial values, individual experiences, community networks, and health system structures.

Effectiveness of Rational Medication Literacy Enhancement Program in Tambon Gao Ngiew, Phon District, Khon Kaen Province

Lalita Pethpa — 2025-12-31

This quasi-experimental study, employing a one-group pre-post-test design, aimed to evaluate the effectiveness of a program to enhance rational drug use literacy in the community of Kaeng Ngiu Subdistrict, Phon District, Khon Kaen Province. The study was conducted between December 2024 and March 2025. The sample consisted of 48 residents selected through systematic random sampling. Data were collected using a questionnaire assessing rational drug use literacy and analyzed using the t-test.

The findings revealed no significant differences in the participants' abilities to access drug and health information, understand drug and health information, interact, make decisions about drug use and health care, or manage their drug use and health care independently after was higher than before and non significantly (P-value < 0.05). However, there was significantly improvement in participants' ability to share information about drug use and health care with others after was higher than before (P-value < 0.05).

The influence of the profile incisor inclination on the esthetic perception of the smile.

Duangrudee Pholniwatwong — 2025-12-31

This study was survey research by cross-sectional study aimed to evaluate differences in the perception of smile esthetics between orthodontists and laypersons when viewing lateral smile profiles with varying degrees of upper incisor inclination, and to examine the relationship between incisor inclination and esthetic perception within each group. Lateral smile photographs of a 29-year-old female who met the inclusion criteria were digitally manipulated to create seven upper incisor inclinations ranging from +15 to –15 degrees in 5 degrees increments. Each image was duplicated and randomly ordered, resulting in 14 images scored using a Numerical Rating Scale (1–10). The evaluators consisted of 120 orthodontists and 120 laypersons. 2-Sample Independent t-test analysis showed that laypersons assigned significantly higher esthetic scores than orthodontists at 70°, 75°, and 85° at a significance level of 0.05 (p < 0.05), while no significant differences were observed at 80°, 90°, 95°, and 100° (p > 0.05). Pearson’s Chi-square test revealed that the proportions of subjects selecting each angulation differed significantly between the two groups, including for the most-preferred (X² = 15.77, p = 0.015) and least-preferred images (X² = 35.20, p < 0.001). Both groups most frequently preferred the 85° inclination; however, orthodontists least preferred 70°, whereas laypersons least preferred 100°.

THE IMPACT OF IMPLEMENTING A NURSING PRACTICE GUIDELINE OF PREVENT ACCIDENTAL EXTUBATION IN CRITICAL CARE UNIT AT SAWANG DAENDIN CROWN PRINCE HOSPITAL.

Maneerat Somsripaeng — 2025-12-31

This quasi-experimental research objective is: 1) compare nurses' knowledge; 2) compare the proportion of nurses who performed correct practice; 3) study nurses' satisfaction levels; and 4) examine the incidence of endotracheal tube prolapse before and after implementing the nursing practice guidelines for preventing endotracheal tube prolapse in critically ill nursing at Sawang Daendin Crown Prince Hospital. Thirteen nurses who implemented the guidelines were enrolled between May and September 2025. The research instruments included a personal data assessment form, nursing knowledge, and practice, and a satisfaction survey. Data collection tools included a general questionnaire and an observation record. Data were analyzed using descriptive statistics, standard deviation, and a paired t-test.

Results: The nurses who implemented the guidelines had a moderate level of knowledge (76.92%) before implementation. The nurses who implemented the guidelines were at a high level (100%). Professional nurses correctly followed the guidelines (55.77%) before implementation and 96.58% after implementation. Nurses who implemented the guidelines were highly satisfied, with a mean score of 4.84. The incidence of endotracheal tube prolapse was also found. Before using the guidelines, 13.33 percent and after using the guidelines, 2.22 percent (p < 0.05).

Development of a Nursing Care Model for Cataract Surgery Patients with Medical Comorbidities at Khumphawapi Hospital, Udonthani Province.

Nicha Budtaheung — 2025-12-31

This action research integrated with the 3P process (Purpose-Process-Performance) aimed to study the situation and problems of caring for cataract surgery patients with medical comorbidities, develop a nursing care model, and evaluate the outcomes of implementing the nursing care model for cataract surgery patients with medical comorbidities at Khumphawapi Hospital, Udon Thani Province. The population consisted of qualitative participants including a multidisciplinary team of 30 healthcare professionals, and quantitative participants including 45 cataract surgery patients aged 60 years and above with medical comorbidities. The research was conducted in four phases: planning and preparation, model development, implementation, and evaluation. Mixed-methods data collection included both quantitative and qualitative approaches. Research instruments comprised focus group discussion guidelines, nursing care guidelines for cataract surgery patients with medical comorbidities, general information questionnaire, clinical data form, knowledge assessment tool, self-care behavior assessment tool, and satisfaction questionnaire. Quantitative data were analyzed using descriptive statistics and t-test, while qualitative data were analyzed through content analysis.

The results revealed that the nursing care model consisted of six key components: comprehensive screening and readiness assessment, nursing process implementation, knowledge and self-care skills enhancement based on Orem's theory, empowerment based on Gibson's concept, continuous follow-up care, and multidisciplinary team integration. The outcomes reflecting EI3O demonstrated that nurses' competency increased from 3.35 to 4.72, incorrect lens implantation was reduced to zero, surgery postponement rate decreased from 1.89% to 0.50%, waiting time reduced from 2.30 hours to 25 minutes, knowledge increased from 2.98 to 4.36, self-care behavior improved from 3.08 to 4.28, and satisfaction increased from 3.68 to 4.74, all statistically significant at the .05 level.

The Impact of Structural Barriers on Cardiovascular Disease Risk in the Akha Ethnic Group : A Secondary Moderation Analysis.

Jitraphorn Sutthipong — 2025-12-31

This research is an exploratory study aiming to evaluate the role of structural factors (ability to communicate in Thai and barriers to accessing healthcare) as moderators on the relationship between biological risk factors (hypertension) and the risk of cardiovascular disease over the next 10 years among the Akha ethnic group. Data were obtained from 128 Akha adults aged 35–70 years residing in Mae Suai District, Chiang Rai Province. CVD risk was assessed using the Thai CV Risk Score, and logistic regression and moderation analyses were performed using the Hayes Process Macro.

Results showed that 77.30% of participants were classified as low risk, while 22.60% were at moderate-to-high risk. Hypertension was the only factor significantly associated with higher CVD risk (OR = 3.48, 95% CI = 1.33–9.11, p < .05). Thai language communication ability was significantly associated with lower CVD risk (b = –1.29, p < .001), demonstrating a direct effect, but did not mediate or moderate the relationship between hypertension and CVD risk. Barriers to healthcare access were positively associated with hypertension (b = 0.42, p < .001) but were not associated with CVD risk and showed no significant indirect effect.

Leadership Affecting Primary Health Care Service Delivery at Primary Care Unit under the Suphanburi Provincial Administrative Organization

Danuphon Chanpo — 2025-12-31

This survey research aimed to (1) examine the level of leadership in primary care units under the Suphanburi Provincial Administrative Organization, (2) assess the level of primary health care service delivery in these units, and (3) analyze leadership styles that influence service delivery performance. This cross-sectional quantitative research was conducted among 458 personnel working in medium-sized primary care units. Data were collected using a validated questionnaire with a reliability coefficient of 0.97. Descriptive statistics, Pearson’s correlation coefficient, and multiple linear regression were employed for analysis.

The findings revealed that servant leadership scored the highest (= 4.23, SD = 0.59), followed by transformational and strategic leadership, respectively. Overall, primary health care service delivery was rated at a high level (= 4.32, SD = 0.47). The multiple regression analysis showed that the three leadership styles together explained 61.10% of the variance in service delivery quality. Servant leadership (β = 0.439) and strategic leadership (β = 0.405) had statistically significant positive effects, while transformational leadership (β = -0.134) demonstrated a negative influence in the context of administrative transition.

The Effects of a Competency Development Program in Community-Based Palliative Care for Terminally Ill Patients by Professional Nurses at Sub-District Health Promoting Hospitals, Kra Buri District, Ranong Province

Nataya Sonprasit — 2025-12-31

This quasi-experimental study aimed to compare the knowledge, skills, and attitudes of professional nurses toward community-based palliative care for terminally ill patients at sub-district health-promoting hospitals in Kra Buri District, Ranong Province, before and after participating in a competency development program. Additionally, it sought to compare the outcomes between the experimental and comparison groups. A total of 32 participants were purposively selected and divided into two groups: an experimental group (n = 16) and a comparison group (n = 16). The intervention consisted of a competency development program based on Ralph W. Tyler's theory and the Nursing Council of Thailand's competency framework (2015). Assessment instruments included a 30-item knowledge questionnaire (KR-20 = 0.71), a 65-item skills assessment form (Cronbach's alpha = 0.95), and a 30-item attitude assessment form (Cronbach's alpha = 0.80). Content validity was verified by five experts, yielding IOC values of 0.80, 0.94, and 0.80, respectively. Data were analyzed using descriptive statistics, the Chi-square test, the Wilcoxon signed-rank test, and the Mann-Whitney U test.

The results showed that the experimental group's mean scores significantly increased after the program: knowledge scores increased from 17.44 (SD = 3.22) to 24.56 (SD = 2.34), skills scores increased from 151.56 (SD = 24.11) to 188.69 (SD = 10.59), and attitude scores increased from 47.19 (SD = 7.52) to 69.06 (SD = 4.96), with all three domains showing statistically significant differences (p < .001). When comparing between groups, the experimental group demonstrated significantly higher mean scores in knowledge, skills, and attitudes than the comparison group (p < .001). In conclusion, the competency development program for community-based palliative care for terminally ill patients effectively enhanced professional nurses' knowledge, skills, and attitudes at sub-district health-promoting hospitals.

The Effects of High-Intensity Interval Training on Body Mass Index Among Higher Education Students.

Thanyaras Siriklinkhae — 2025-12-31

This quasi experimental research aimed to (1) examine the Body Mass Index (BMI) of higher education students before participating in a High-Intensity Interval Training (HIIT) program and (2) compare the BMI values before and after the training program. The research employed a one-group pretest–posttest design. The participants were 15 overweight students selected through purposive sampling. The HIIT program lasted 8 weeks with a frequency of 3 sessions per week at an intensity of 75–85% HRmax (high phase) and 50–60% HRmax (recovery phase). The exercise consisted of simple bodyweight activities such as jumping jacks, running in place, lunges, and squats. Data collection instruments included a body composition analyzer and health record forms. Descriptive statistics (mean and standard deviation) and inferential statistics (Paired Sample t-test) were used for data analysis.

The results showed that the participants’ mean BMI decreased from 26.10 ± 2.40 kg/m² before training to 24.90 ± 2.20 kg/m² after the 8-week HIIT program. The statistical analysis revealed a significant difference (t = 8.43, p = 0.000, p < 0.05). The HIIT program effectively reduced BMI in overweight students and proved to be a practical exercise method for university students, requiring minimal equipment and time while being flexible and easily implemented.

The Effectiveness of Aspirin in Reducing the Risk of Stroke in Patients with Type 2 Diabetes : A Retrospective Study.

Nipada Positlimpakul — 2025-12-31

This study aimed to study the relationship and incidence of stroke in patients with type 2 diabetes mellitus treated with aspirin therapy. A retrospective cohort study was conducted in patients with type 2 diabetes mellitus aged 60 years and older who received care at a rural hospital in Khon Kaen Province. Medical records were reviewed retrospectively over a 10-year period for 362 patients, divided into two groups: 170 patients (47.0%) who received aspirin and 192 patients (53.0%) who did not receive aspirin. Data were analyzed using descriptive statistics and Chi-square test.

Results: The majority of participants were female (76.5%) and aged 60-69 years (54.7%). The overall incidence of stroke was 17 cases (4.7%). In the aspirin group, 8 patients (4.7%) developed stroke, while in the non-aspirin group, 9 patients (4.7%) developed stroke. Statistical analysis revealed no statistically significant relationship between aspirin use and stroke occurrence (Chi-square = 0.993, p > 0.05).

Development of an Empowerment Program for Self-Management on Blood Glucose Control Ability to Achieve Diabetes Remission Among Patients with Diabetes Prepared for Hospital Discharge

Sermsiri Vichitkul — 2025-12-31

This study aimed to (1) develop an empowerment program for self-management among patients with type 2 diabetes who were prepared for hospital discharge, (2) examine the effects of the program on patients’ ability to control blood glucose levels, and (3) investigate the program’s impact on achieving diabetes remission after hospital discharge. This research employed a Research and Development (R&D) approach combined with a quasi-experimental design using a one-group pretest–posttest design. The sample consisted of 34 patients with type 2 diabetes who were receiving treatment at Singhanakhon Hospital, Songkhla Province, and were selected through purposive sampling based on predetermined inclusion criteria. The research instruments included (1) the self-management empowerment program, consisting of four phases: admission, inpatient care, discharge preparation, and a three-month follow-up; (2) a personal information and clinical data record form; (3) a self-management behavior questionnaire; and (4) a diabetes remission assessment form. Data were analyzed using descriptive statistics and a dependent t-test to test hypotheses.

The results revealed that after participating in the program, the overall self-management behavior score significantly increased (t = -17.43, p < .001) from a mean of 34.88 ± 9.85 to 62.24 ± 3.54, representing a 78.4% improvement. The most substantial improvement was observed in self-monitoring of blood glucose, which increased by 226.8%. Clinical indicators also improved significantly: fasting blood sugar (FBS) decreased from 222.79±67.35 mg/dL to 179.79±45.62 mg/dL (a 19.3% reduction, p < .001), and glycated hemoglobin (HbA1c) decreased from 10.72±2.18% to 10.24±1.89% (a 4.5% reduction, p = .039). Body mass index (BMI) and both systolic and diastolic blood pressure values also significantly decreased. However, no participants achieved diabetes remission within the three-month follow-up period, as all patients still required hypoglycemic medication and maintained HbA1c levels above the defined threshold.

The Effects of the “CKD Insight” Illness Representation–Based Innovation in Patients with Type 2 Diabetes and Stage 3 Chronic Kidney Disease: A Pilot Two-Case Study

Anuthai Phraklangthiw — 2025-12-31

This case study aimed to examine the effects of implementing the "CKD Insight" innovation to enhance understanding of stage 3 chronic kidney disease (CKD) in type 2 diabetic patients. The study evaluated outcomes of the innovation on illness representation, clinical outcomes, and patient satisfaction. Using the illness perception concept, a case study approach was employed with two patients who received education through a mobile application and follow-up via LINE group.

Results: Case 1 was a 51-year-old Thai male with a 16-year history of type 2 diabetes mellitus, 2-month history of stage 3 CKD, 8-year history of dyslipidemia, and 10-year history of hypertension. Baseline measurements: weight 67 kg, BMI 16 kg/m², blood pressure 176/92 mmHg, FBS 328 mg/dL, HbA1C 11.6%, eGFR 50.2 mL/min/1.73m², UMA 154 mg. Case 2 was a 55-year-old Thai female with an 8-year history of type 2 diabetes, 1-month history of stage 3 CKD, 5-year history of dyslipidemia, and 7-year history of hypertension. Baseline measurements: weight 78 kg, BMI 28 kg/m², blood pressure 159/95 mmHg, FBS 168 mg/dL, HbA1C 10.2%, eGFR 59 mL/min/1.73m², UMA 95 mg. Both patients demonstrated low to moderate illness perception scores at baseline. After implementing the innovation and 12-week follow-up, patients showed increased levels of CKD awareness from low to moderate-high levels, indicating improved understanding of kidney disease, symptoms, causes, disease duration, disease impact, treatment, and disease control. Additionally, clinical

Development of a Sepsis Patient Care Model at Kamphaeng Saen Hospital.

Nichapa Noophasuk — 2025-12-31

The study employed a quasi-experiment research aimed to develop and evaluate a nursing care model for patients with sepsis, guided by Donabedian’s quality of care framework and the AGREE II instrument for appraising the quality of clinical practice guideline. Consisting of three phases: Phase 1, situation analysis and draft model development; Phase 2, model development and implementation in clinical practice; and Phase 3, outcome evaluation of the model. The sample comprised 230 inpatients diagnosed with sepsis and 12 registered nurses working in the inpatient ward. Data were analyzed using descriptive statistics and content analysis.

The developed care model consisted of four core components: (1) development of
a systematic screening and risk patient, (2) standardization of nurses’ knowledge and treatment pathways, (3) dissemination of clinical guideline and establishment of an effective communication system, and (4) continuous monitoring, evaluation, and supervision of nursing practice. Regarding patient outcomes after implementation, only 12.17% of patients developed septic shock form sepsis, indicating favorable clinical effectiveness of the new model.

For process-related outcomes, the mean knowledge score of nurses regarding sepsis care increased from 14.08 to 17.50 points, with a statistically significant improvement. Overall adherence to the nursing practice guideline reached 89.70% at the consistent performance level. Satisfaction of nurse with the care model ranged from high to very high in all domains, reflecting its appropriateness and feasibility in real-world practice.

The results of a health literacy program on reducing recurrence in pediatric upper respiratory tract infection management.

Kunnika Jaidee — 2025-12-31

This research aimed to evaluate the effects of a health literacy program on reducing recurrence among parents of children under five years old, based on the self-management concept of Kanfer and Gaelick. The program focused on improving the knowledge, practical skills, and decision-making ability of the caregivers through education about URITs, proper nasal irrigation, appropriate medication use, recognizing danger signs, basic home care, and practical demonstrations.

A quasi-experimental design was used with a total of 42 participants, selected voluntarily according to clinical criteria. Research instruments consisted of a general information questionnaire, a health literacy assessment form, and a caregiver behavior assessment form.

The results revealed that the mean score of health literacy significantly increased (p < 0.05). The proportion of parents at the critical health literacy level increased from 4.76% to 28.57%, especially in the areas of media/information literacy and correct decision-making, which showed statistically significant improvement. Childcare behavior also improved significantly, with the average score increasing from 1.67 to 2.40 points (p < 0.05), covering general care, age-appropriate care, and care for illness conditions which showed the greatest improvement. After completing the program, the recurrence rate of URTIs within 28 days was 14.29%, and hospitalization was required in only 2.38%. These findings indicate better clinical outcomes consistent with increased health literacy and improved caregiving behavior among parents.

Developing an innovative and safe sepsis monitoring tool : “slide KPOS”.

Ampha Thawiang — 2025-12-31

This research and development aimed to 1) study the situation of the warning signs of deterioration in pediatric patients at the pediatric ward after using the Khon Kaen Hospital Pediatric Observation Score or KPOS assessment form; 2) develop the innovation “Slide KPOS” which is easy to combine scores, suitable for assessing children aged 1-3 years to increase the efficiency of the assessment of better scores in monitoring the warning signs of deterioration of Sepsis in young children; 3) study the effectiveness of the use of the innovation “Slide KPOS”. The sample size consisted of pediatric patients admitted to the pediatric ward at Khon Kaen Hospital between October 2021 and March 2022. Data collection tools included individual patient vital signs records, ward indicator records for sepsis assessment, sepsis protocol records, and satisfaction survey forms. Data were analyzed using content analysis, employing frequency, percentage, mean, and standard deviation.

Result: The Slide KPOS has been established along with its guideline. According to the evaluation’s result, healthcare staff and nurses’ rate of using this innovation has increased from 67% to 100%. Post sepsis evaluation’s result shows only 6 cases of sepsis patients that are needed to consult with the doctors. Moreover, 6 cases is treated properly regarding to the CPG sepsis guideline, and it can considered as 100% for the healthcare treatment. For the third question, pediatric nurses who use the Slide KPOS seem to satisfy with the outcome and it procedure which can be calculated as 92%.

Development of a Self-Care Support System Using Communication Technology for Mild Head Injury Patients After Emergency Department Discharge at Akat Amnuai Hospital.

Sawangjit Kraibut — 2025-12-31

This study aimed to: 1) develop a self-care support system using communication technology for patients with mild head injury after discharge from the emergency department, 2) examine the effects of the developed system on self-care ability, and 3) assess user satisfaction with the system. A quasi-experimental one-group pretest-posttest design was employed. The sample consisted of 30 patients with mild head injury who received treatment at the emergency department and were discharged home from Agatamanuay Hospital between May and June 2025, selected through purposive sampling based on inclusion criteria. The system was developed through LINE Official Account and comprised four main components: an automated symptom assessment and monitoring system at 6, 24, 48, and 72 hours; an educational system providing knowledge and guidance through multimedia; a real-time communication system with nurses available 24 hours; and a data management system. Research instruments included a general information questionnaire, a self-care ability assessment form, a satisfaction questionnaire, and a system effectiveness recording form. Data were analyzed using descriptive statistics and paired t-test with a significance level of .05.

The results revealed that self-care ability after using the system was significantly higher than before (p < .001), with total scores increasing from 80.4 (S.D. = 12.3) to 124.7 (S.D. = 9.6) points. System effectiveness achieved all target indicators: assessment response rate of 86.7%, appropriate return visit rate of 93.3%, no severe complications occurred, and average response time of 8.5 minutes. User satisfaction with the system was at a high level (Mean = 4.49, S.D. = 0.42), with the benefits received dimension having the highest mean score.

Effectiveness of a Gentle Communication for Gentle Healthcare Guidebook on Violence Reduction in Regional and General Hospitals

Wee Mekwilai — 2025-12-31

This study evaluated the Gentle Communication for Gentle Healthcare Guidebook's effectiveness in reducing hospital violence. A mixed-methods approach was employed in two phases: Phase 1 used a quasi-experimental design with 50 healthcare personnel from five hospitals; Phase 2 involved follow-up with 132 participants. Data were analyzed using paired t-tests, independent t-tests, chi-square tests, and content analysis.

Results showed significant violence reductions (p<0.05): physical violence decreased 25.0%, verbal violence 17.8%. Safety perception increased from 3.0 to 3.6 (Effect Size=0.55, p<0.01), and conflict management confidence improved from 3.1 to 3.8 (Effect Size=0.58, p<0.01). At 3-month follow-up, 65.2% maintained regular usage. General hospitals demonstrated higher effectiveness perception than regional hospitals (p<0.05). Key factors for sustainable implementation included supervisor support (X²=18.42, p<0.001), refresher training (X²=12.67, p<0.001), and workload management (X²=9.73, p=0.002).

EFFECT OF NETWORK BUILDING AND SOCIAL SUPPORT ON THE BEHAVIOR OF HAZARDOUS DRUG CONSUMPTION AMONG THE POPULATION IN LALOM SUBDISTRICT, PHUSING DISTRICT, SISAKET PROVINCE

Thongchai Chaiyachot — 2025-12-31

The purpose of this quasi-experimental research aimed to study the effects of a networking program with social support on hazardous drug consumption behavior of residents in Lalom Subdistrict, Phusing District, Sisaket Province. The sample was divided into two groups, each consisting of 35 participants, totaling 70 participants. The experimental group consisted of residents of Lalom Subdistrict, Phusing District, Sisaket Province, and the comparison group consisted of residents of PhraiPhatthana Subdistrict, Phusing District, Sisaket Province. The experimental group received a program developed by the researcher for 12 weeks, while the comparison group received a conventional program. Data were collected using questionnaires twice: before and after the experiment, from September 13, 2025 to December 6, 2025 Descriptive statistics were used to present frequency, percentage, mean, standard deviation, median, and 25th and 75th percentiles. Paired t-test was used to compare mean scores of variables within the experimental and comparison groups, and ANCOVA was used to compare means of variable scores between the experimental and comparison groups, with a significance level of 0.05 The results indicated that, after the intervention, the experimental group demonstrated significantly higher mean scores than at baseline for knowledge of dangerous drugs, attitudes toward dangerous drugs, perceived susceptibility to dangerous drugs, perceived severity of dangerous drugs, perceived benefits of reducing dangerous drug use, perceived barriers to reducing dangerous drug use, social support for reducing dangerous drug consumption, network-building for reducing dangerous drug consumption, perceived self-efficacy in reducing dangerous drug consumption, and dangerous drug consumption behaviors (p < 0.05). Furthermore, after controlling for baseline mean scores, significant differences were observed between the experimental and comparison groups in all aforementioned variables at the 0.05 significance level.

A Study on the Guidelines for Elderly Healthcare Using the Wisdom of Medicinal Food Plants Based on the Knowledge of Thai Traditional Medicine.

Kritsada Srihomtree — 2025-12-31

The objectives of this research were to: 1) study the medicinal properties of herbs used as ingredients and side dishes in local cuisine that can be used to supplement the care and treatment of elderly patients in Thai traditional medicine textbooks; and 2) develop guidelines for elderly health care using plant-based food wisdom with medicinal properties under the framework of Thai traditional medicine knowledge. This was survey research focused on searching and collecting information from relevant textbooks and documents to obtain research data. Data analysis was performed using content analysis techniques.

The results showed that 20 Thai traditional medicine textbooks listed 577 types of plants used as ingredients and side dishes in local cuisine. After removing duplicates, 167 types remained. When categorized by agricultural product to promote cultivation, consumption, and sale, they were divided into 6 groups: 1) fruits, 2) vegetables, 3) grasses, 4) nuts, seeds, and sap, 5) herbs and spices, and 6) vegetables with medicinal properties, with 18, 42, 3, 9, 55, and 39 types, respectively. When analyzing the medicinal properties of Thai traditional medicine and grouping medicinal plants according to diseases or symptoms commonly found in the elderly, as follows: 1) Loss of appetite, 2) Insomnia, 3) Constipation, 4) Indigestion, 5) Hemorrhoids, 6) Chronic gastritis, 7) Cough, 8) Allergic rhinitis, 9) Hypertension, and 10) Diabetes, with 12, 6, 17, 49, 9, 9, 26, 7, 9, and 1 species respectively, and nutritional value information was found for 46 medicinal plants.

Development of holistic geriatric clinic “ROM PHO MODEL” Khokpho hospital, Pattani.

Sulwina Chumprawed — 2025-12-31

This research and development aimed to develop and evaluate the effectiveness of the "Rom Pho Model" holistic elderly clinic service model at Khok Pho Hospital, Pattani Province. The sample group included family medicine physicians, continuous care center (COC) nurses, multidisciplinary teams, sub-district health center nurses, community health volunteers, and elderly individuals in Khok Pho District. Data were collected using questionnaires and analyzed using descriptive statistics, including frequency and percentage, and content analysis.

Results: 1) The situation of elderly individuals at risk of dementia. A screening of falls in the Khok Pho district community between March 2023 and April 2024 revealed that a total of 258 elderly individuals in Khok Pho district received services at the elderly clinic. These were categorized as follows: 112 individuals with mild cognitive impairment (MCI), representing 43.41%; 11 individuals at risk of dementia, representing 4.26%; and 213 individuals at risk of falls, representing 82.56%. 2) The “ROM PHO” Model of service provision is a holistic approach to elderly clinics, comprising a referral system and opportunities for all elderly individuals to receive the 9-aspect screening (Occasion Older Person), with collaborative work from partner networks. (Participatory Team) provides holistic care encompassing physical, mental, and social aspects, enabling the elderly to “Obtain on Quality of life” or continuously improve their quality of life. 3) From the implementation, it was found that the number of at-risk elderly people entering the holistic elderly clinic service system “Rom Pho Model” increased by more than 20 percent, and more than 80 percent received continuous care and treatment at the elderly clinic of Khok Pho Hospital.

Development of a Home Ward Patient Care Model Based on Ministry of Public Health Policy in the Context of Ubon Ratchathani Province.

Yossadon Thongmoon — 2025-12-31

This research is a Research and Development (R&D) study with the objectives of (1) studying the policies, guidelines, and operational context of Home Wards in Ubon Ratchathani Province, (2) developing a service delivery model appropriate to the local context, (3) evaluating the effectiveness in terms of care quality, satisfaction, and policy alignment, and (4) synthesizing policy recommendations for expansion throughout the province. The study was conducted in 27 hospitals in Ubon Ratchathani Province between April 2024 and September 2025. The sample consisted of (1) 215 practitioners (30 before development, 185 after development) and (2) 799 patients/caregivers (292 before development, 507 after development). Research instruments included questionnaires, in-depth interviews, and document analysis. Data were analyzed using descriptive statistics, paired t-test, and content analysis.

The research findings showed that 1) the situation and context... Ubon Ratchathani Province has 38 hospitals. Home Ward operations began in 2022, covering 10 disease groups. Six main problems were identified: (1) the service system lacks clarity; (2) there is insufficient personnel and a lack of specialized skills; (3) the data system is incomplete; (4) equipment and technology are not yet complete; (5) reimbursement of medical expenses is not in full; and (6) strong leadership and governance are needed. 2) The developed model includes: (1) a multidisciplinary team structure with 7 specialties; (2) three service models (Step down, Refer back, Start at home); (3) clear patient screening criteria; (4) a follow-up system via A-MED and Telehealth; and (5) a fair compensation mechanism. Outcomes: 3) After development, the quality of care and hospital stay duration decreased from 10 days to 1 day. The readmission rate decreased by 43.7%. Treatment costs decreased by 37.7%. Satisfaction: Patient/relative satisfaction increased (from (=4.50 to (==4.52). Practitioners... Satisfaction was high regarding organizational policies ((=4.53) and the success in policy implementation (=4.34)

EFECTS OF A HEALTH LITERACY ENHANCEMENT PROGRAM COMBINED WITH A WELLNESS PLANNING ON HEALTH BEHAVIORS OF OLDER ADULTS IN MUEANG YASOTHON DISTRICT, YASOTHON PROVINCE

Kanokwan Chaoubon — 2025-12-31

This quasi-experimental study aimed to examine the effects of a health literacy enhancement program combined with a healthy lifestyle promotion plan on health behaviors among older adults in Mueang Yasothon District, Yasothon Province. The sample consisted of 83 older adults, divided into an experimental group (n = 40) from Samran Subdistrict and a comparison group (n = 43) from Nam Kham Yai Subdistrict, Mueang Yasothon District. The experimental group received the health literacy enhancement program combined with the healthy lifestyle promotion plan for 12 weeks, while the comparison group received routine care. Data were collected using questionnaires before and after the intervention between September 10 and December 12, 2025. Data were analyzed using descriptive statistics, including frequency, percentage, mean, standard deviation, median, and the 25th and 75th percentiles. Differences in mean scores within groups were analyzed using paired t-tests, and differences between groups were examined using analysis of covariance (ANCOVA), with statistical significance set at 0.05.

The results showed that, prior to the intervention, there were statistically significant differences at the 0.05 level between the experimental group and the comparison group in the mean scores of health information and services comprehension, health decision-making, health behaviors based on the 3E–2S–1F principle, and fall prevention behaviors. After controlling for the pretest scores of both groups, the mean scores of health information and services comprehension, health decision-making, application of health information, health behaviors based on the 3E–2S–1F principle, and fall prevention behaviors after the intervention were found to be significantly different between the two groups at the 0.05 level.

Development of a Denture Service Model in Subdistrict Health Promoting Hospitals Based on the Context of Uthumphon Phisai District, Sisaket Province

NITTAYA VIRAVAIDYA — 2025-12-31

This research aimed to: (1) examine the factors influencing the utilization of denture services in Subdistrict Health Promoting Hospitals (HPHs) within the context of Uthumphon Phisai District, Sisaket Province; (2) develop a context-based denture service model for HPHs; and (3) study the effects of the developed model. The study consisted of three phases. A quasi-experimental study was conducted to evaluate the effectiveness of the developed model among 85 residents within the study area. Paired t-test was used to compare pre- and post-intervention mean scores.

Results: After the intervention, participants showed statistically significant improvements (p < 0.05) in knowledge of dentures, attitudes toward dentures, perceived susceptibility and severity of not wearing dentures, perceived benefits, perceived barriers, social support, and oral health care behaviors.

The comparative case study of nursing care for postpartum women with breast abscess in the surgical clinic of Bamrasnaradura Institute.

Kanyaluk Thongnum — 2025-12-31

This study aimed to examine nursing care for postpartum women with mastitis and breast abscess, particularly during the breastfeeding period, through a comparison of two case studies treated at the Surgical Outpatient Department, Bamrasnaradura Infectious Diseases Institute. Gordon’s Functional Health Patterns framework was applied to compare nursing approaches and clinical outcomes.

The results revealed that both cases presented with breast pain and palpable masses; however, they differed in severity of infection, risk factors, and responses to treatment. Case 1 was a 23-year-old mother, one month postpartum, who developed a large breast abscess requiring surgical drainage, hospitalization, antibiotic therapy, and close follow-up. Case 2 was a 33-year-old mother, three months postpartum, who presented with early-stage mastitis associated with a blocked milk duct; nursing care focused on breastfeeding guidance, milk drainage techniques, symptom monitoring, and psychological support.

The incidence of bloodstream infections from 8 types of bacteria under surveillance in patients at Ban Mi Hospital, Lopburi Province.

Jirawan Kongjumpa — 2025-12-31

This retrospective study aimed to investigate the incidence of bloodstream infections among patients admitted to Banmi Hospital, Lopburi Province, as well as to assess the sources of infection, trends in antimicrobial resistance, and the impact of bloodstream infections on mortality. In addition, the study examined the association between infections in other organ systems and their progression to bloodstream infections. This study focused on bloodstream infections caused by eight surveillance bacteria in patients at Banmi Hospital, Lopburi Province, from January 2023 to December 2024.

A total of 8,397 blood culture specimens were submitted from 3,463 patients. The incidence of bloodstream infections was 11% in 2023 and increased to 12% in 2024. The most frequently isolated pathogen in 2023 was Escherichia coli (51.9%), followed by Klebsiella pneumoniae (15.3%) and Staphylococcus aureus (10.7%). In 2024, S. aureus became the second most common pathogen (15.6%), followed by K. pneumoniae (12.1%). More than 80% of infections in both years originated from community-acquired sources, with no statistically significant difference between years (p > 0.05). Analysis of antimicrobial resistance trends revealed that Acinetobacter baumannii showed increasing resistance to carbapenems (from 54% to 86%) and aminoglycosides (from 54% to 71%). In contrast, K. pneumoniae and S. aureus exhibited decreasing resistance trends. E. coli maintained high resistance to co-trimoxazole, rising from 52% to 55%. The number of deaths from bloodstream infections was identical across both years (30 deaths), with no statistically significant difference (p > 0.05). However, the mortality proportion slightly declined from 22.9% to 21.3%. Patients with hospital-acquired infections had significantly higher mortality rates compared with those with community-acquired infections (p < 0.05). When classified by pathogen, Pseudomonas aeruginosa had the highest mortality rate at 75%, followed by A. baumannii at 50%, whereas Streptococcus pneumoniae was associated with no deaths. Regarding antibiotic utilization, third-generation cephalosporins had the highest Defined Daily Dose (DDD) throughout the study period, followed by methicillin and carbapenems, which corresponded with the distribution of pathogens identified in the hospital.

Incidence and factors associated with adverse reactions to blood transfusion at Ban Mi Hospital.

Watchara Pothongkham — 2025-12-31

This study aimed to investigate the incidence, associated factors, and risk-reduction strategies for adverse transfusion reactions among patients at Ban Mi Hospital. A survey research by retrospective study was conducted by collecting data from patients who received blood and blood components between October 1, 2015, and September 30, 2024, totaling 12,572 patients. The study population consisted of 230 patients aged 15 years and older who experienced adverse transfusion reactions and had complete medical records. Data were analyzed using descriptive statistics, chi-square tests, and multiple logistic regression.

The results showed that the most common adverse reaction was chills (45.22%), followed by urticaria (39.13%). The blood component most frequently associated with adverse reactions was packed red cells (PRC), accounting for 70.00%. Most reactions occurred within 30 minutes to 1 hour after the initiation of transfusion. Factors significantly associated with adverse transfusion reactions included receiving more than three units of blood, a history of previous transfusions, a history of pregnancy, and a transfusion duration of less than three hours (p < 0.05).

Development of a fast-track service model for stroke patients at Thai Charoen Hospital and its service network, Thai Charoen District, Yasothon Province.

Nipaphon Pongsri — 2025-12-31

This action research aimed to develop a model for a stroke fast-track service system at Thai Charoen Hospital and its network in Thai Charoen District, Yasothon Province. The research was conducted from June to November 2025 in Thai Charoen District, Yasothon Province, in three phases. The sample size was divided into two groups: 25 stakeholders involved in developing the fast-track service model and 95 stroke at-risk patients. Research instruments included focus group discussions and interviews. Descriptive data analysis included mean, standard deviation, and percentage. Knowledge, behavior, and satisfaction levels with the developed model were compared before and after the research using a paired t-test.

The results showed that participating volunteers had knowledge about stroke and warning signs, and also knowledge about self-care. There was a statistically significant increase in knowledge about communication channel 1669 (p-value<0.05).

The Development of a rehabilitation model for methamphetamine addicts at Phonsawan Hospital Nakhon Phanom Province.

Kittichet Thirakunphongwet — 2025-12-31

This study aimed to 1) To study the problems and needs for a rehabilitation model for methamphetamine addicts; 2) To develop a rehabilitation model for methamphetamine addicts; and 3) To evaluate the effectiveness of the developed rehabilitation model for methamphetamine addicts at Phon Sawan Hospital, Nakhon Phanom Province. An Action research was conducted using the Cognitive Behavioral Therapy (CBT) concept combined with the concept of learning activity models in developing the model, and the concept of the Four Foundations of Mindfulness. The sample were several methamphetamine addicts from July to December 2025. Data collection tools included: 1) a general information questionnaire, 2) a methamphetamine cessation intention assessment scale, 3) a methamphetamine cessation behavior assessment scale, 4) a methamphetamine usage assessment scale, and 5) a satisfaction questionnaire. Experimental tools included: 1) a methamphetamine addiction rehabilitation model, 2) a cognitive and behavioral therapy manual for methamphetamine addicts, and 3) a model from the methamphetamine addicts. Data were analyzed using descriptive statistics (percentages, means, and standard deviations) and paired t-tests, with a statistical significance level of 0.05.

Results of the study : 1) Problems and needs regarding the rehabilitation model for alcohol addiction included insufficient coverage of the target group and a lack of a network team for identification. Lack of follow-up in the target group, lack of skilled assessors, lack of referral for treatment, long distances, financial burden, lack of awareness of treatment, social stigma, lack of multidisciplinary team in treatment, lack of contextually appropriate treatment system, lack of follow-up system, and lack of guidelines for preventing relapse. 2) Model of treatment for patients with alcohol addiction consists of (1) Community Screening, which is screening at the Village Health Volunteer (VHV) and Sub-district Health Promotion Hospital (RPS.ST.) levels; (2) Comprehensive Treatment, which is a program with 4 phases: Phase 1, pre-admission phase to assess alcohol withdrawal symptoms; Phase 2, drug treatment phase (DETOX phase); Phase 3, rehabilitation phase. (Rehabilitation phase) in the form of a mini-Tanyarak, the intermediate phase (Intermediate Care) and the 4th phase, the follow-up phase (After phase) after treatment (3) Continuous Support is a self-help group for patients with alcohol addiction, such as the Buddy System and Line group, and (4) Collaborative Network is the definition of the roles of the network and agencies involved. And 3) The results of developing the treatment model for patients with alcohol addiction showed that after the experiment, the sample group had a greater intention to quit using methamphetamine and a greater behavior in quitting methamphetamine use than before the experiment. The amount of methamphetamine used decreased than before the experiment. The satisfaction of methamphetamine addicts and the satisfaction of the health team increased more than before the experiment, with statistical significance at 0.05.

The development of problem solving program for psychiatric patients with depression Long hospital Long district Phrae province.

Pacharapa Khanthong — 2025-12-31

This quasi-experimental research aimed to develop a problem-solving therapy program for psychiatric patients with depression at Long Hospital, Long District, Phrae Province. The objectives were: 1) to study the situation and problems of psychiatric patients with depression; 2) to develop a problem-solving therapy program for psychiatric patients with depression; and 3) to study the effectiveness of the problem-solving therapy program for psychiatric patients with depression at Long Hospital, Long District, Phrae Province. Quantitative and qualitative data were collected before and after the program development using questionnaires, data recording forms, observation, and outcome evaluation forms. The research was conducted from October 1, 2024, to September 30, 2025. The sample consisted of 18 psychiatric patients with depression who had been assessed for depression using the 2Q assessment tool (with a score of 7 or greater on 9Q and 17 or less on 8Q). A purposive sampling method was used to select the sample. Data were collected from the assessments and analyzed using content analysis, including frequency, percentage, mean, and standard deviation.

Research findings indicate that following the implementation of a problem-solving therapy program for psychiatric patients with depression at Long Hospital, Long District, Phrae Province, the level of depression can be reduced, and suicide attempts can be prevented. Specifically, the suicide rate in Long District decreased to 9.22 per 100,000 population after the program was implemented.

Challenges and factors affecting the control and prevention of chronic kidney disease in Thailand.

Panadda Junporng — 2025-12-31

This research was survey study aiming to investigate the challenges and factors affecting the control and prevention of chronic kidney disease (CKD), and to develop policy recommendations for CKD prevention and control. The sample consisted of 300 patients with stage 2-4 CKD, aged 35-70 years, receiving treatment at target hospitals in four target districts of Chiang Mai Province. Data were collected using the G*power program, with purposive and voluntary selection. Data were analyzed using descriptive statistics including frequency, percentage, mean, standard deviation, and t-test.

The study found that the main challenges can be divided into three dimensions: 1) Behavioral dimension of the population, such as consuming salty foods, lack of awareness of early kidney failure, inappropriate medication use, and economic limitations affecting access to treatment; 2) Healthcare system dimension, including insufficient screening of at-risk groups, inadequate public health personnel, and incomplete interconnected health information systems; and 3) Policy and management dimension, such as inadequate policy enforcement, project sustainability, and limitations in providing treatment services. The study results reflect the need to improve early screening, develop the healthcare system, and raise awareness of prevention to support the Ministry of Public Health's Decade of Slowing Kidney Deterioration policy and lead to a sustainable long-term reduction of the burden of chronic kidney disease. Factors affecting the control and prevention of chronic kidney disease are mostly associated with comorbidities such as hypertension, hyperlipidemia, and diabetes. Contributing factors to chronic kidney disease include drinking less than 8 glasses of water per day, urinary incontinence, taking pain relievers, combination drugs, and anti-inflammatory drugs, anxiety, frequent stress, alcohol consumption, and regular use of herbal remedies and supplements. Most patients received knowledge on how to slow kidney deterioration in chronic kidney disease patients. Policy recommendations include: 1) The government declaring the decade of chronic kidney disease control and prevention as a national agenda; 2) The Ministry of Public Health establishing a chronic kidney disease management system, starting from screening at-risk groups, disease prevention, treatment, and monitoring, aiming to reduce chronic kidney disease; 3) Multidisciplinary healthcare units providing a continuous and comprehensive patient care system; and 4) The public having access to, being aware of, and understanding how to control risk factors related to health behaviors and avoiding potential health impacts.

Developing of addressing non-communicable diseases (NCDs) model by artificial intelligence for the District Health Board (DHB) in Udon Thani Province.

Supat Kongsrima — 2025-12-31

This study aimed to examine the situation of non-communicable diseases (NCDs), the process of driving the District Health Board (DHB) in Udon Thani Province, and to study the development of a model for solving NCDs using artificial intelligence for the DHS in Udon Thani Province. This is a research and development (R&D) project spanning 24 months, divided into two phases: Phase 1 (research phase, October 2023 to September 2024, 12 months) and Phase 2 (development phase, October 2024 to September 2025, 12 months). The sample group consists of 500 members from each of the 20 District Health Board (DHB) in Udon Thani Province, with 25 members per district. The tools used in the activities include the development of a model for solving NCDs using artificial intelligence for the DQDCs in Udon Thani Province, and the existing model for solving NCDs using artificial intelligence. The District Health Board (DHB) of Udon Thani Province used the following tools for data collection: a record form for the implementation of the DQDC's processes in addressing health problems in the area; an evaluation of performance using the UCCARE criteria (UCCARE Assessment); and a self-assessment form for the DQDC's readiness in addressing health problems in the area. Data was analyzed using content analysis, frequency, percentage, mean, standard deviation, F-test with two-way MANOVA, dependent t-test, F-test with repeated measurement, and Duncan's pairwise comparisons.

The results of the study, following the development of a model for solving non-communicable diseases (NCDs) using artificial intelligence for the District Health Board (DHB) in Udon Thani Province, showed that the UCCARE implementation results in 5 districts had a score of 5. The readiness of the District Health Board (DHB) in solving health problems in the area of Udon Thani Province, both overall and in specific aspects, was at the highest level. The readiness to implement the UCCARE model was also at the highest level overall and in specific aspects. It was found that there was a statistically significant difference (p < .05) between the implementation periods of before (2023), during (2024), and after (2025), with the implementation after (2025) being better than before (2023) and during (2024).

Development of clinical nursing guidelines for prevention of early postpartum hemorrhage in the delivery room. Phibunrak Hospital.

Rapeeporn Boonpha1 — 2025-12-31

This action research aimed to develop and investigate the outcomes of implementing clinical nursing guidelines for the prevention of early postpartum hemorrhage in the delivery room of Pibulrak Hospital. The study was conducted from April 2024 to March 2025 in three phases. The sample consisted of 30 mothers who delivered in the delivery room of Pibulrak Hospital. The research instruments included a postpartum hemorrhage patient medical record form based on the Trigger Tool of the Institute of Hospital Accreditation, guidelines for early postpartum hemorrhage prevention, an evaluation form for the use of the guidelines, a questionnaire on general information of stakeholders, and a satisfaction questionnaire for mothers. Data were analyzed using content analysis, means, and percentages.

The study results showed that the clinical nursing practice guidelines included: protecting the rights of mothers and adhering to ethical principles; assessing the condition of mothers before receiving prevention of early postpartum hemorrhage; managing and preventing early postpartum hemorrhage in mothers; educating mothers on prevention of early postpartum hemorrhage; continuous care for prevention of early postpartum hemorrhage in mothers; improving service quality; and assessing the risk of postpartum hemorrhage using the 4Ts model. The outcomes of implementing the clinical nursing practice guidelines showed that the overall feasibility of implementing the guidelines was 66.66%. 90.32% of those who tested the guidelines were able to implement them. Overall satisfaction among mothers was high (x̅ = 5.00, S.D. = 4.03).

Effectiveness of a Triage Training Program Development among Professional Nurses Working in the Outpatient Department of Phibunrak Hospital, Udon Thani Province.

Hathairat Kanhachin — 2025-12-31

This quasi-experimental research aimed to investigate the effectiveness of a triage training program for professional nurses working in the outpatient department of Phibunrak Hospital, Udon Thani Province. A one-group pretest-posttest design was employed. The sample consisted of 5 professional nurses and 138 medical records reviewed after the 3-month training program.

The results showed significant improvements after the program. The nurses' knowledge scores increased from a low level (43%) to a high level (93%). Their practice scores rose from 53.33% to 90.67%, upgrading from "needs improvement" to "good" level. The accuracy of triage significantly increased (X² = 71.38, p < 0.001) from 42.03% to 89.13%, with significant reductions in both over-triage (X² = 47.13, p < 0.001) and under-triage (X² = 12.97, p < 0.001). The incidence of patient deterioration decreased by 69.23%. The nurses expressed the highest level of satisfaction with the program (4.67 ± 0.49).

Effectiveness of using guidelines for preparation anesthesia services in Phen Hospital Udonthani Province.

Tachaya Narongmethawin — 2025-12-31

This action research aimed to study the effectiveness of using guidelines for preparation before providing anesthesia services in Pen Hospital Udon Thani Province. Between October and December 2024, 2 sample groups were 8 professional nurses and 33 surgical patients. Research tools were guidelines for preparing before administering anesthesia CVI= 1, knowledge questionnaire KR-20 = 0.88, preparation practice questionnaire alpha = 0.81, and satisfaction alpha = 0.84. Data were analyzed using descriptive statistics, Wilcoxon Signed Ranks Test and Paired t-test.

Results: It was found that Development of guidelines for preparation before providing anesthesia services using the PDCA cycle, development results found that patients receive physical, mental, emotional, and social preparation before receiving anesthesia services. Able to take care of oneself properly relieve anxiety while waiting to transferred into the operating room. After developing professional nurses, service providers' knowledge in preparation procedures before providing anesthesia services increased overall statistically significant (Z= -2.023, p=0.043). There was an increase in the overall score of preparatory operations before providing services. Statistically significant (Z= -1.826, p=0.068) and after development, nurses had overall satisfaction at a high level, averaging 27.25 (S.D.=1.98). The results of patient care revealed that the majority of patients were female, 87.9%, had chronic diseases such as diabetes 21.2%, had surgery in the past, namely Cesarean section 9.1%, and after improving the patients were overall satisfied with the service of the personnel. At a moderate level, the average was 11.42 (S.D.=3.76).

The Effects of Pre- and Postoperative Breast Visiting Program on Knowledge, Anxiety, and Satisfaction of Breast Cancer Patients at Sawangdandin Crown Prince Hospital.

Sunan Phuntasa — 2025-12-31

This quasi-experimental research aimed to study the effects of pre- and postoperative breast visiting program on knowledge, anxiety, and satisfaction of breast cancer patients at Sawangdandin Crown Prince Hospital, Sawang Daen Din district, Sakon Nakhon province. The sample group consisted of 25 newly diagnosed breast cancer patients scheduled for mastectomy at Sawangdandin Crown Hospital between July and October 2025, purposive sampling of the sample. Data collection instruments included the questionnaire of; general information, self-care knowledge, anxiety, satisfaction of the program, and recording form of postoperative complication. The experimental instrument was the pre- and postoperative breast visiting program. The quantitative data were analyzed using descriptive statistics, frequency, percentage, mean and standard deviation. The comparative parametric statistics used paired t-test.

The results showed that the sample group had significantly higher mean scores on self-care knowledge after receiving the program than before (=15.16, S.D.=1.84 vs =18.96, S.D.=1.46; t=-10.970, p<0.001). And mean score on anxiety after receiving the program was significantly lower than before (=28.80, S.D.=5.03 vs =22.72, S.D.=2.91; t=5.906, p<0.001). No complications were found after mastectomy, and overall satisfaction with the pre- and post-operative visiting program was high.

The Effectiveness of Developing Referral Guidelines for ST-Elevation Myocardial Infarction (STEMI) Patients in Hospital Networks of Udon Thani Province.

Aumporn Hinsangsai — 2025-12-31

This research was quasi experiment research to examine the effectiveness of the care and referral guidelines for ST-elevation myocardial infarction (STEMI) patients in the hospital networks of Udon Thani Province. Sample size were 60 STEMI patients or their relatives who were transferred by ambulance with nursing accompaniment, selected through purposive sampling. The research instruments included: 1) care and referral guidelines for STEMI patients; 2) questionnaires for professional nurses, consisting of a general information questionnaire, a practice compliance questionnaire for the care and referral guidelines, a questionnaire on compliance with information reporting requirements for STEMI patients referred to Udon Thani Hospital, and a satisfaction questionnaire regarding the use of the care and referral guidelines 3) questionnaires for patients or relatives, including general demographic information and a satisfaction questionnaire and 4) quality outcomes assessment of the care and referral guidelines implementation. Quantitative data were analyzed using descriptive statistics, while qualitative data were analyzed through content analysis.

The findings revealed that most professional nurses were female, predominantly aged 30-39 years, with the majority having 6-10 years of experience in their current positions. Following the implementation of the guidelines, compliance scores for the STEMI care and referral guidelines were at the highest level (12-15 points) for 100% of participants (=14.6, S.D.= 0.6). Overall practice compliance scores were also at the highest level (48-60 points) for 100% of respondents (=58.9, S.D.= 1.4). Professional nurses' satisfaction with the care and referral guidelines was at the highest level overall (=4.64, S.D.= 0.51). Post-implementation outcomes for STEMI patient care and referral demonstrated overall quality improvement compared to pre-implementation results. However, the average length of hospital stay showed no difference between the pre- and post-implementation periods, with a mean of approximately three days.

The Development of a Participatory Model for Improving the Quality of Life of Vulnerable Groups in Health by the District Health board in Wang Sombun District, Sakaeo.

Orpin Phattarakonsakul — 2025-12-31

This study employed a Participatory Action Research (PAR) approach using a mixed-methods research design. The objectives were to: (1) examine the problems and needs related to quality-of-life development among health-vulnerable groups in Wang Sombun District, Sa Kaeo Province; (2) develop a participatory quality-of-life development model for health-vulnerable groups through the District Quality of Life Development Committee; and (3) evaluate the effectiveness of the developed model. The research process was conducted in four stages following the PAOR cycle: planning, action, observation, and reflection. The sample and key informants were selected through purposive sampling and consisted of four groups: 21 members of the District Quality of Life Development Committee, 21 members of the Subdistrict Quality of Life Development Committees, 30 members of the District Public Health Coordinating Committee, and 190 health-vulnerable individuals older adults aged 60–70 years with type 2 diabetes mellitus and HbA1c levels greater than 7 mg/dL. Research instruments included a biomarker measurement tool (HbA1c), interview guides, questionnaires, participatory observation forms, and lesson-learned synthesis guidelines. Quantitative data were analyzed using descriptive statistics and paired-samples t-tests, while qualitative data were analyzed through content analysis.
The results revealed that health-vulnerable groups in the study area experienced significant challenges in diabetes control and multidimensional quality of life. The developed model, named the WANGSOMBOON PAOR CHRONIC CARE Model (WS-PAOR CCM Model), systematically integrated the Chronic Care Model with the participatory action research process. Effectiveness evaluation indicated that, after implementation, participants demonstrated high levels of quality of life and satisfaction. HbA1c levels decreased significantly at the .05 level, and participation among district- and subdistrict-level quality-of-life development committees and the district public health coordinating committee was high.

Organizational Factors Influencing the Work Performance of Personnel in Subdistrict Health Promoting Hospitals (SHPHs) under the Provincial Administrative Organization in Mueang District, Maha Sarakham Province

Ntapat Worapongpat — 2025-12-31

This study aimed to examine the effects of organizational culture, work motivation, and Total Quality Management (TQM) on the work performance of personnel in Subdistrict Health Promoting Hospitals (SHPHs) located in Mueang District, Maha Sarakham Province, specifically Ban Nong Waeng SHPH, Ban Nong Jik SHPH, and Ban Tha Ngam SHPH. A survey research design was employed. The sample comprised personnel (insert actual number), and data were collected using a standardized questionnaire with high reliability. Descriptive statistics, including mean and standard deviation, and inferential statistics, specifically multiple regression analysis, were used for data analysis.

The results indicated that work motivation had a statistically significant positive effect on work performance at the 0.01 level. In contrast, organizational culture and TQM did not exert statistically significant effects on work performance at the 0.05 level.

The Relationship between Stress, Mental Health Literacy, and Academic Burnout among Nursing Students at a Public University

Bukhori Daleng — 2025-12-31

This suevey research aimed to examine the relationships among these variables in nursing students. The sample consisted of 235 nursing students. Data were collected using questionnaires on demographic characteristics, stress scale, mental health literacy, and academic burnout. Data were analyzed using descriptive statistics and Pearson’s correlation coefficient.

The findings revealed that the participants had a high level of stress (Mean = 48.36), a high level of mental health literacy (Mean = 3.79), and a moderate level of academic burnout (Mean = 3.09). Stress was significantly correlated with academic burnout (r = 0.66, p < 0.001), whereas mental health literacy showed no significant correlation with academic burnout.

Effect of the Development discharge planning Model of palliative Care and End -of -Life Patients, Dokkhamtai Hospital Phayao Province

Arunee Sangsrichan — 2025-12-31

This research and development aimed to develop and evaluate a discharge planning model for end-of-life palliative care patients in inpatient wards at Dokkhamtai Hospital, Phayao Province. The study was conducted to improve the quality of care and enhance the readiness of patients, families, and healthcare teams in managing end-of-life care at home. A research and development design was employed with four phases: 1) review of existing discharge plans and medical records, 2) development of research instruments, 3) implementation of the discharge planning model, and 4) evaluation of outcomes. The sample consisted of 26 professional nurses working in inpatient wards and 34 primary caregivers of end-of-life patients. Research instruments included knowledge and practice assessment forms for professional nurses and a practice assessment form for primary caregivers. All instruments were validated for content validity and reliability. Data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation, and inferential statistics using a paired t-test.

The results showed that professional nurses' knowledge increased from 8.76 to 9.34 points (87.6% to 93.4%) and their practice increased from 7.96 to 8.76 points (79.6% to 87.6%), although the differences were not statistically significant (p > 0.05). However, scores remained at high levels, reflecting quality improvement in care processes. Primary caregivers' practice in discharge planning increased significantly from 7.97 to 9.06 points (79.7% to 90.6%) (p < 0.001).

Effectiveness of low power laser on pain level, knee angle and physical performance among patients with total knee arthroplasty.

Phunyanuch Sonsin — 2025-12-31

This quasi-experimental study aimed to investigate the effects of low-level laser therapy on pain levels, knee range of motion, and functional mobility in patients following total knee arthroplasty. The sample consisted of 10 patients with knee osteoarthritis aged 50-70 years awaiting total knee replacement surgery at the Orthopedic Surgery Department, Wichian Buri Hospital, selected through purposive sampling. Participants received low-level laser therapy (wavelength 804 nm, power 500 mW, energy 10 joules per session) combined with a standard rehabilitation program. Outcome measures included the Numerical Rating Scale (NRS) for pain, a goniometer for knee flexion angle measurement, and the 3-meter Timed Up and Go test (TUG), assessed preoperatively and on postoperative days 1, 14, and 30. Data were analyzed using repeated measures ANOVA.

Results showed statistically significant pain reduction on day 14 (2.4±1.65, p<0.05) and day 30 (0.8±1.32, p<0.001) compared to preoperative levels (6.0±2.05). Knee flexion angles on day 14 (108.70±13.38 degrees) and day 30 (113.0±12.04 degrees) returned to near-preoperative values (112.30±9.35 degrees, p>0.05). TUG scores on day 30 (35.80±9.32 seconds) approached preoperative values (29.10±8.03 seconds, p=0.20).

The Results of Developing a Case Management Model to Reduce Recurrent Violence in Addicted Patients with Co-occurring Mental Disorders and High Risk of Violence.

Nipawan Boontabthom — 2025-12-31

This Research and Development (R&D) design study aimed to develop and examine the effectiveness of a specialized Case Management Model based on Powell's Case Management framework (comprising 1) Nurse Case Manager, 2) Interdisciplinary Collaboration, and 3) Clinical Pathway) to mitigate the recidivism of violence in patients with Substance Use Disorders (SUD) and co-occurring psychiatric conditions who present a high risk of violence.

The research was conducted in four phases. Participants were selected via purposive sampling from the dual-diagnosis, high-risk addiction wards at the Princess Mother National Institute on Drug Abuse Treatment. The sample included 60 high-risk patients (divided into n=30 pre-implementation and n=30 post - implementation groups) and 30 family members of patients. Data collection occurred between October 2024 and September 2025.

Research instruments included: (1) Semi-structured focus group interview guide; (2) Semi-structured interview form for administrators; (3) Nurse satisfaction/acceptance questionnaire (4) Patient/family satisfaction questionnaire and (5) Violence incident record form. Quantitative data were analyzed using descriptive statistics, the independent t - test (for length of hospital stay), and the Mann–Whitney U Test (for repeat violence rates). Qualitative data utilized content analysis

The developed model successfully integrated the three core components. Implementation outcomes indicated a very high level of nurse satisfaction (M = 4.48, SD = 0.18) and acceptance (M = 4.25, SD = 0.20). Patient and family satisfaction with nursing care was rated at the highest level (M_patient = 4.71, SD = 0.31; M_family = 4.51, SD = 0.38). Effectiveness analysis demonstrated that rates of repeat violence in the post-implementation group were significantly lower compared to the pre-implementation group, both in the inpatient unit (U = 300, Z = -2.66, p = 0.008, r = 0.343) and within one month after discharge (U = 255, Z = -3.49, p < 0.001, r = 0.45). Furthermore, the average length of hospital stay was significantly reduced from 32.10 days (pre-implementation) to 27.50 days (post-implementation) (t = 4.136, p < 0.001). The findings support the developed case management model's effectiveness in reducing violent recidivism and shortening hospital stay for this high-risk population.

The conditions, problems, and needs of farmers in environmentally friendly coffee production, Loei Province.

Natithol Pronpitaksit — 2025-12-31

The objectives of this research are to study the conditions, problems, and needs of farmers in environmentally friendly coffee production, Loei Province. This survey research specifically targets key informants chosen through purposive sampling: 15 farmer representatives who grow and process coffee. Data was collected by In-depth interview. The instruments using for data collection were semi-structured interviewing forms. Data was analyzed by using content analysis.

The research results reveal that most farmers grow coffee in foothill areas. Soil fertilization methods apply organic fertilizer, chemical fertilizer, and a combination of organic and chemical fertilizer. Watering methods are automatic systems, drip irrigation, hoses, and rainwater. In some areas, shade trees are planted to provide cover for the coffee plants. Problems in coffee production are insect pests, maintenance and harvesting of coffee beans, soil erosion, drought, water shortages, waste from coffee bean husks and lacking knowledge of farmers regarding composting, bio-fermented water, and photosynthetic bacteria for soil nourishment. Furthermore, they require knowledge and awareness concerning environmentally friendly coffee production.

Development of treatments for patients with antimicrobial resistance infection at Kusuman Hospital, Sakonnakhon.

Sukolrat Yotasing — 2025-12-31

This study was a participatory action research study (Participatory Action Research). Objectives : 1) To study the situation of patients with antimicrobial-resistant infections in the Kusuman Hospital Health Network; 2) To develop a care system for patients with antimicrobial-resistant infections in the Kusuman Hospital Health Network; and 3) To study the results of developing a care system for patients with antimicrobial-resistant infections in the Kusuman Hospital Health Network. A total of 21 participants from Kusuman Hospital were purposively selected based on their qualifications and willingness to participate in the study. The research instruments included a general information questionnaire, a questionnaire on the problems and situation of patients with antimicrobial-resistant infections, a knowledge test on caring for patients with antimicrobial-resistant infections, an observation form on preventing the spread of antimicrobial resistance, a satisfaction assessment form, and a patient data recording form. The study was conducted between February and September 2025. Descriptive statistics were used to analyze frequencies, percentages, means, and standard deviations. Paired t-tests were used to compare differences.

Results : 1) The situation of patients with antimicrobial resistance infection in Kusuman Hospital Health Network found that there was no clear system for caring for patients with antimicrobial resistance infection. There was a lack of network guidelines. Operators lacked knowledge and practice in caring for patients with antimicrobial resistance infection. There was a lack of supervision and control of the service system. 2) The system for caring for patients with antimicrobial resistance infection in the Health Network consisted of (1) screening and surveillance system, (2) measures to prevent the spread of infection, (3) communication and coordination in the hospital and health network, (4) competence in knowledge and skills of personnel, and 3) the results of the development of the system for caring for patients with antimicrobial resistance infection in the Health Network found that (1) nurses’ knowledge in preventing the spread of drug-resistant infection after system development was significantly higher than before system development, p < .05. (2) nurses’ practice in preventing the spread of drug-resistant infection after system development was significantly higher than before system development, p < .05. (3) nurses’ satisfaction with the development of the system for caring for patients with antimicrobial resistance infection in the Health Network. It was at the highest level and (4) the incidence of antimicrobial-resistant infections after system development decreased from 1.49 to 0 times per 1,000 hospital days.

Development of a Participatory Subdistrict Health-Promoting Hospital Network Model for Psychiatric Care Using Digital Technology in Non Sung District, Nakhon Ratchasima.

Worawut Supit — 2025-12-31

This participatory action research (PAR) aimed to develop a digital model for monitoring, screening, and caring for psychiatric patients in the community ("Mental Health Check In" app, QR code, and telemedicine), piloted in Non Suang District, Nakhon Ratchasima Province (March–September 2025), covering 18 primary care facilities. The research process is divided into four phases: situation assessment, innovation development, pilot testing (15 villages, 81 village health volunteers, 817 population), and scaling up to the entire district (18 facilities). Tools include a knowledge/participation questionnaire for the network (n=100), a caregiver and patient questionnaire (n=82), a patient data recording form, and a satisfaction survey for the app/telemedicine. Descriptive statistics, t-tests, and qualitative analysis (FGD/interviews) were used for data analysis.

Results: Network knowledge improved from mean 8.12 ± 2.45 to 11.09 ± 2.30 (p < 0.001). Caregiver satisfaction averaged ≥4.0/5; care competency increased significantly. The digital tools and telemedicine enhanced screening coverage and access. Key constraints were limited internet infrastructure in some areas, necessitating paper-based fallback procedures.

Conclusions: The digital–telemedicine model increased access, screening, and community network capacity in the pilot area. To scale sustainably, investments in infrastructure, clinical protocols, app quality-control, and long-term outcome monitoring are recommended.

Development of the Primary Health care System after the Transfer of the Sub-District Health Promoting Hospital to the Amnat Charoen Provincial Administrative Organization.

Wuttiphong Sinsup — 2025-12-31

This action research aims to analyze the current situation, develop a model for primary healthcare services, and evaluate the model for primary healthcare services under the transfer of Subdistrict Health Promoting Hospitals to the Amnat Charoen Provincial Administrative Organization. The sample groups included 24 executives, 42 district-level personnel, 154 subdistrict/community-level personnel, and 296 service recipients. The tools used comprised document analysis, in-depth interviews, focus group discussions, expert feedback forms, satisfaction questionnaires, and quality of life questionnaires. Quantitative data were analyzed using frequency, percentage, mean, and standard deviation. Qualitative data were analyzed by classification, grouping, and content analysis.

The results indicated that (1) the analysis of the current situation found that the overall context dimension was at a high level (M = 3.78, SD = 0.61); the input factors were at a moderate level overall (M = 3.60, SD = 0.60); the process dimension was also at a moderate level (M = 3.58, SD = 0.57); and the output dimension was at a high level (M = 3.43, SD = 0.46). Regarding challenges, budget and equipment support were not sufficiently flexible, personnel were inadequate and overburdened, data recording was burdensome, and patient care was not continuous, integrated, or holistic. (2) The developed model consisted of one goal, seven major strategies, and 19 sub-strategies, including developing leadership and primary healthcare teams, coordinating network partnerships, developing integrated networks, managing primary healthcare strategic plans, improving quality standards, managing resources and support systems, and developing information technology systems. (3) The evaluation of the model showed that service recipient satisfaction was at a high level overall (M = 3.86, SD = 0.44), while quality of life was at a moderate level (M = 3.00, SD = 0.59). The outcome indicators met both criteria.

Effects of the infection prevention training program on knowledge and infection prevention behavior of registered nurses and emergency medical officers in the emergency department at Phangkhon Hospital.

Sujitra Sunsin — 2025-12-31

This quasi-experimental research aimed to study effects of the infection prevention training program on knowledge and infection prevention behavior of registered nurses and emergency medical officers in the emergency department at Phangkhon Hospital. The samples were registered nurses and emergency medical officers in the emergency department, purposive sampling of 16 samples. The study was conducted between May 1^st to July 31^st, 2025. Data collection instruments consisted of the questionnaire; general information, knowledge, and behavior on preventing work-related infections. The experimental instrument was the infection prevention training program. The quantitative data were analyzed using descriptive statistics, frequency, percentage, mean and standard deviation. The comparative parametric statistics used paired t-test.

The results showed after receiving the infection prevention training program, the sample group had a statistically significant higher mean score of knowledge than before receiving the program (=10.31, S.D.=2.18 vs =14.06, S.D.=0.93; t=-6.799, p<0.001). And mean score of the preventing work-related infections behavior after receiving the program higher than before significantly (=4.03, S.D.=0.41 vs =4.79, S.D.=0.18; t=-7.739, p<0.001). And found statistical significant mean score of behavior after receiving the training program higher than before in terms of; prevention of accidents from needles or sharp objects (=4.25, S.D.=0.84 vs =4.69, S.D.=0.25; t=-3.737, p=0.002), use of protective equipment (=3.82, S.D.=0.71 vs =4.92, S.D.=0.15; t=-5.788, p<0.001), handwashing (=3.75, S.D.=0.49 vs =4.79, S.D.=0.20;t=-8.644, p<0.001), using aseptic techniques (=4.01, S.D.=0.50 vs =4.70, S.D.=0.28;t=-4.863, p<0.001), and waste storage and separation (=4.22, S.D.=0.80 vs =4.92, S.D.=0.12; t=-3.576, p=0.003). There was no statistical difference in self-care before and after receiving the training program.

Development of a Preparation and Continuity Care Model for Elderly Patients Who Elective Surgery, Scheduled Surgery, Borabue Hospital, Maha Sarakham Province.

Jintana Dangjunthek — 2025-12-31

This research employed a Research and Development (R&D) approach based on the Borg & Gall framework to design and implement a context-appropriate preparation and continuity care model for elderly patients undergoing elective surgery. The study comprised three phases: (1) situational and problem analysis, (2) model development, and (3) pilot implementation. Data were collected from 60 elderly patients and 15 healthcare providers using focus-group discussions, questionnaires, assessments, and medical record reviews. Quantitative data were analyzed with descriptive statistics, while qualitative data underwent content analysis.

Findings revealed that the existing preoperative preparation system lacked continuity and systematically failed to assess critical domains such as nutrition, mobility, risk behaviors, and psychological health. As a result, a substantial proportion of older patients were inadequately prepared before surgery, contributing to a postponement rate of 8.89% in 2023 due to reasons such as uncontrolled blood pressure, unstable blood glucose, and failures to fast or stop medications. In response, the research developed the CARE-ElderS model (Continuity of Pre–Postoperative Care for Elderly Surgery Patients), integrating proactive risk assessment, individualized preparation plans, elderly-friendly educational media, and a postoperative follow-up system via a LINE OA platform. Pilot use of CARE-ElderS was associated with improved preoperative compliance, reduced postponement rates, and high satisfaction among both patients and providers.

Correlation between PM2.5 Concentration and the Incidence of Respiratory Diseases in Outpatients at Satun Hospital, Satun Province 2019

Nart Kruon — 2025-12-31

This survey research by retrospective study examined the correlation between daily concentrations of fine particulate matter (PM_2.5) and outpatient visits for respiratory diseases at Satun Hospital, Satun Province, Thailand, in 2019. Data were obtained from the Pollution Control Department’s air quality monitoring station, the Satun meteorological station, and hospital outpatient data, including 1,869 cases of chronic obstructive pulmonary disease (COPD), asthma, and rhinitis.

In 2019, Satun recorded 10 days exceeding the national daily PM_2.5standard (37.5 µg/m³) and 22 days exceeding the WHO guideline (25 µg/m³). The highest daily concentration (69 µg/m³) occurred during August–September, corresponding with transboundary haze episodes. Among outpatients, COPD accounted for the largest share (1,005 cases), followed by rhinitis (620) and asthma (244). Pearson’s correlation analysis revealed positive associations between PM_2.5concentrations and outpatient visits for asthma (r = 0.260, p < 0.001) and rhinitis (r = 0.209, p < 0.001), particularly among children (≤12 years) without smoking behavior. In contrast, COPD showed a negative correlation, especially among elderly male patients (≥60 years) without smoking behavior (r = -0.243, p < 0.001). The findings highlight that PM_2.5exposure significantly contributes to the burden of respiratory diseases in Satun, especially in vulnerable groups such as children and non-smokers. Meanwhile, the negative correlation with COPD suggests complex or delayed health responses.

Carbohydrate Intake and Related Factors in Patients with Type 2 Diabetes Mellitus

Monchanok Phetkaew — 2025-12-31

A survey research by cross-sectional study aimed to assess carbohydrate intake and related factors in patients with type 2 diabetes. Sample size were conducted among 282 patients attending Ban That Subdistrict Health Promoting Hospital, Phen District, Udon Thani Province. Participants were selected using multi-stage sampling. Dietary intake data were collected through 24-hour dietary recall interviews and analyzed using the INMUCAL Version 4.0 program. Descriptive statistics were used to summarize demographic and dietary data, while multiple linear regression analysis was applied to identify factors associated with carbohydrate intake.

The results showed that participants had a mean total energy intake of 1,244.15 ± 483.35 kilocalories per day and a mean carbohydrate intake of 177.77 ± 2.79 grams per day, accounting for 57.19 ± 10.93% of total energy intake. Factors significantly associated with lower carbohydrate intake included being female (Adjusted Coefficient = -12.92, 95% CI: -23.83 to -2.01, P = 0.02), older age (Adjusted Coefficient = -0.83, 95% CI: -1.65 to -0.012, P = 0.047), and education level higher than secondary school (Adjusted Coefficient = -23.43, 95% CI: -38.75 to -8.12, P = 0.03).

A Quality of Life Enhancement Model and Its Effects on Clinical Outcomes in End-Stage Renal Disease Patients Not Receiving Renal Replacement Therapy.

Nipar Suttipun — 2025-12-31

This study aimed to develop a quality of life enhancement model for end-stage renal disease (ESRD) patients who are not receiving renal replacement therapy, and to evaluate its effects on clinical outcomes and overall quality of life. A Research and Development approach integrated with participatory action research was applied in three phases: situation analysis, development of an Advance Care Planning (ACP) model, and implementation with evaluation. The sample consisted of 30 ESRD patients and their primary caregivers, purposively selected. Research instruments included demographic questionnaires, a knowledge assessment on treatment options, a quality-of-life assessment tool, an ACP form, and clinical outcome recording sheets. Quantitative data were collected before and after the intervention; qualitative data were obtained through in-depth interviews and focus group discussions. Quantitative data were analyzed using descriptive statistics and paired t-tests, while qualitative data were analyzed using content analysis.

The results indicated that the developed model—which comprised individualized education, goal-of-care communication, shared decision-making support, and continuous follow-up—enhanced patient knowledge regarding treatment options, clarified end-of-life care goals, and improved overall quality of life. Several clinical indicators, such as blood pressure and symptom burden, also showed improvement after the intervention. Qualitative findings revealed that patients experienced enhanced self-empowerment, reduced treatment-related anxiety, and perceived holistic support from the multidisciplinary team.

EFFECT OF THE PROGRAM TO CHANGE BEHAVIOR TO PREVENT LIVER FLUKE DISEASE AMONG PEOPLE AT RISK IN THE THAI-CAMBODIAN BORDER AREA, PHU SING DISTRICT, SISAKET PROVINCE

Wattana Supan — 2025-12-31

The purpose of this quasi-experimental study was to examine the effects of a behavioral modification program on the prevention of opisthorchiasis among at-risk populations residing in the Thai–Cambodian border areas of Phusing District, Sisaket Province. The sample consisted of 82 participants, divided equally into an experimental group and a comparison group (41 participants each). The experimental group comprised at-risk individuals in Phu Sing District, while the comparison group included at-risk individuals in Khun Han District, Sisaket Province. The experimental group received a researcher-developed program for a duration of 12 weeks, whereas the comparison group received the usual program. Data were collected twice—before and after the intervention—between 10 September 2025 and 10 December 2025. Data were analyzed using descriptive statistics including frequency, percentage, mean, standard deviation, median, and the 25th and 75th percentiles. Differences within groups were examined using paired t-tests, and differences between groups were analyzed using ANCOVA, with the level of significance set at 0.05.

The results showed that, prior to the intervention, the experimental and comparison groups differed significantly in mean scores of perceived barriers at the 0.05 significance level. After controlling for baseline scores, the experimental group demonstrated significantly higher mean scores than the comparison group in knowledge of liver fluke infection, attitudes toward disease prevention, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, social support, intention to prevent the disease, self-efficacy, and preventive behaviors related to liver fluke infection (p < 0.05).

Development of nursing practice guidelines for patients with coronary artery disease after coronary catheterization in the cardiac intensive care unit Nong Khai Hospital

Wanthana Somnoi — 2025-12-31

This study aimed to develop nursing practice guidelines for caring for patients with coronary artery disease after undergoing PCI via the radial artery in the Coronary Care Unit (CCU) at Nong Khai Hospital. A research and development (R&D) design was employed. Purposive sampling selected 12 professional nurses, while 33 patients undergoing PCI were recruited through simple random sampling. The study was conducted from January to June 2025 and consisted of three phases: (1) assessment of current problems, (2) development of nursing practice guidelines, and (3) evaluation of the implemented guidelines. Data were analyzed using descriptive statistics, paired sample t-tests, and independent samples t-tests.

The findings showed that the developed guidelines significantly improved nurses’ knowledge and clinical skills. Post-procedural complications decreased from five cases to zero, with statistical significance (P-value = 0.033). Additionally, the average length of hospital stay was significantly reduced (P-value = 0.04), indicating the effectiveness of the implemented guidelines in improving patient outcomes.

Organizational Engagement of Registered Nurses in Bangkok Metropolitans.

Prasert Sitthijirapat — 2025-12-31

This survey research aimed to: 1) examine the level of organizational engagement among registered nurses, and 2) investigate the relationship between organizational factors and organizational engagement of professional nurses in Bangkok. The sample consisted of 400 registered nurses working in a hospital in Bangkok. Data were collected using a questionnaire. The statistical methods employed included percentage, mean, standard deviation, and Pearson’s correlation coefficient.

The results revealed that the overall level of Employee engagement among professional nurses was high (Mean = 4.33, SD = 0.67). Regarding organizational factors, the overall level was found to be high (Mean = 4.36, SD = 0.69). Among these factors, job security recorded the highest mean score at a very high level (Mean = 4.66, SD = 0.50). Moreover, the results of the correlation analysis indicated that overall organizational factors were positively and moderately correlated with the overall organizational engagement of registered nurses, with statistical significance at the 0.05 level.

Comparison of the Effects of Knee Poultice and Knee acupressure massage in Patients with Osteoarthritis.

Viphawee Litkaew — 2025-12-31

The objectives of this study were: 1)to evaluate the effect of herbal poultices in reducing pain in patients with osteoarthritis of the knee. 2)to evaluate the effects of acupressure massage and herbal compresses in reducing pain in patients with osteoarthritis of the knee; and 3) to compare the effectiveness of herbal poultices with acupressure massage and herbal compresses in reducing pain in patients with osteoarthritis of the knee. This study employed a quasi-experimental pretest–posttest design with two groups: an experimental group and a control group. The sample consisted of 266 patients diagnosed with knee osteoarthritis in Phra Pradaeng District, Samut Prakan Province. The experimental group (n = 133) received herbal poultices applied to the knee, while the control group (n = 133) received knee massage and herbal compresses. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to assess outcomes before and after the intervention. Data were analyzed using descriptive statistics, paired t-tests, and independent t-tests.

Results: Herbal poultices applied to the knee were found to be effective in significantly reducing pain, joint stiffness, limited range of motion, and joint function (p<.001). Herbal massage is effective in relieving pain, joint stiffness, limited range of motion, and reduced joint function (p<.001). When comparing herbal knee poultices with herbal massage and compresses, both interventions were found to be effective in reducing pain, joint stiffness, joint rigidity, and limitations in joint function; however, no statistically significant differences were observed between the two methods.

Effects of a Teledentistry Service Program via Mor Prom Platform on Oral Health Care Adherence among Patients with Chronic Diseases in Sukhothai Province.

Pattraphorn Mekkhaphat — 2025-12-31

This study aimed to evaluate the effects of a teledentistry service program delivered via the “Mor Prom” mobile application on oral health care adherence, utilization of dental services according to the treatment plan, and satisfaction among patients with chronic diseases. A quasi-experimental two-group pretest–posttest design was conducted between April and September 2025 (B.E. 2568). The sample consisted of 60 patients aged 18–60 years with hypertension and/or type 2 diabetes residing in Sukhothai Province, divided into an experimental group (n = 30) and a control group (n = 30). The experimental group received an 8-week teledentistry program, while the control group received routine care. Data were collected using a general information questionnaire, an oral health care adherence scale, a service utilization record, and a satisfaction questionnaire. Data were analyzed using descriptive statistics, paired t-test, independent t-test, and Chi-square test, with the level of statistical significance set at .05.

The results showed that: After implementing the program, the experimental group showed significantly higher scores on oral health care compliance and treatment enrollment rates compared to the control group (P-value < .001 and P-value = .007, respectively), and demonstrated high to very high satisfaction with the service.

Study of Opportunities and Guidelines for Developing Infant Dietary Supplements using Traditional Thai Medicine Methods

Jintana Nunta — 2025-12-31

This Survey research aimed to gather data on infant dietary supplements from textbooks of Thai traditional medicine and modern medicine including analyzing guidelines for developing infant dietary supplements using Thai traditional medicine techniques. This study was collected and analyzed the documentary together with a focus group of 20 multidisciplinary professionals.

The results showed that the collecting and eliminating redundant information on infant dietary supplements in Thai traditional medicine textbooks and modern medical textbooks revealed a total of 114 items. This comprises 52 items from Thai traditional medicine textbooks detailing food names and properties, and 62 items from modern medicine textbooks specifying food names, ingredients, preparation method, benefits, principles of supplementation and nutritional value. Guidelines for developing infant dietary supplements using Thai traditional medicine methods were as follow: 1) The principles of modern medical infant nutritional supplements should be used in the consideration. 2) Infant nutritional supplements should be started at around 6 months or late in order to give the digestive system time to adjust. The primary source of nutrition prior to that should be formula or breast milk. 3) Supplements for infant feeding should be providing full nutritional value and suitable for infants of all ages. 4) Choose infant nutritional supplements that are prepared using ingredients that are found locally.

Determination of Red Blood Cell Antigens in Pediatric Thalassemia Patients at Nakhon Nayok Hospital for Optimal and Rapid Blood Preparation.

Chaweewan Judpai — 2025-12-31

This study aimed to identify red blood cell antigen profiles in pediatric thalassemia patients at Nakhon Nayok Hospital and to evaluate the feasibility of rapidly preparing blood that meets patient requirements. This research was Survey research by cross sectional study. Blood samples were collected from 55 pediatric thalassemia patients. ABO and Rh blood group systems, as well as other clinically significant antigens (Kell, Duffy, Kidd, and MNS), were examined using red cell phenotyping. Data were analyzed using basic descriptive statistics to determine the frequency of each antigen type.

The results showed that the probable genotypes were DCe/DCe (R1R1) 45.4%, DCe/Dce (R1R0)20.2%, DCe/DcE (R1R2) 25.5%, DCe/DCE (R1Rz) 7.3%, and dce/dce (rr) 1.8%. In the MNS system,red cell phenotyping for the Mia antigen revealed Mi(a+) in 5.5% of patients and Mi(a−) in 94.5%. These findings can be applied to improve the provision of compatible blood, reduce blood preparation time, and enhance transfusion safety for pediatric thalassemia patients.

A Development of Treatment and rehabilitation Drug Addiction Operation Models Supports the Narcotics Code: a Case Study of Phanat Nikhom District,Chonburi Province.

Somsak Keeratihattayakorn — 2025-12-31

This research was a participatory action research. The objective was to develop a model for treatment and rehabilitation of drug addicts in accordance with the Narcotics code which was based on the management principles that created efficiency in the network in the district. This was a case study of Phanat Nikhom district, Chonburi province. Accordingly, the population and sample groups were 2 sets totally. The first group was the Quality of Life Development Committee. This had 21 persons who selected to be the pilot subdistricts for the development of the model at this time. The second group was a group of community leaders from the Tha Kham subdistrict, totalling 50 persons. Thus, the tools were consisted of a questionnaire on participation in the implementation of drug addiction treatment and rehabilitation, supporting the Narcotics Code, and an appropriateness assessment form. Moreover, the possibility of a model for the treatment and rehabilitation of drug addicts in accordance with the Narcotics Code which was based on the concept of management principles creating efficiency. Importantly, the qualitative data analysis was to be used to analyze the content of data (Content Analysis). This was obtained from the informants to summarize the relationships and reasons in the issued studies. Another partly, the quantitative data was to be analyzed a data which had been percentages and medians value.

DEVELOPMENT OF A LIFESTYLE MEDICINE LITERACY PROMOTION MODEL FOR HEALTHY AGING AND LONGEVITY AMONG RETIRED OFFICIALS OF THE MINISTRY OF PUBLIC HEALTH IN CHONBURI PROVINCE

Rak Thanapaiboon — 2025-12-31

This study employed participatory action research to develop a lifestyle medicine literacy promotion model for healthy aging and longevity among retired Ministry of Public Health officials in Chonburi Province and evaluate behavioral health changes following the literacy promotion intervention. The study was conducted in three phases: Phase 1 analyzed health conditions and situations, Phase 2 developed the lifestyle medicine health literacy promotion model, and Phase 3 evaluated the effectiveness of the literacy promotion model. The sample consisted of 130 retired Ministry of Public Health officials in Chonburi Province. Data collection was conducted between February and June 2025 using focus group discussions, behavioral assessment tools, behavioral change goal-setting plans, health record forms, individual tracking forms, and satisfaction questionnaires. Quantitative data were analyzed using descriptive statistics including percentages, means, and paired t-tests, while qualitative data were analyzed through content analysis.

The study findings revealed that participants had the highest risk behaviors in exercise (76.92%) followed by sleep quality (73.85%). The most common behavioral change goals were dietary modification (93.1%) followed by exercise (87.9%). Participants expressed needs for strong group networking, network participation, and easily accessible healthcare service channels. 1. The developed lifestyle medicine literacy promotion model comprised 1) establishing clear policies and directions 2) strengthening retired personnel networks 3) promoting health literacy communication and health-supportive environments
4) developing individual and group literacy enhancement processes 5) enhancing participation in health promotion activities 2. Model evaluation results showed that most individuals demonstrated improved health behaviors consistent with their behavioral modification goals. Comparing pre- and post-intervention mean health behavior scores revealed that exercise, sleep, mental health, and relationship domains showed statistically significant differences (P < 0.05). Satisfaction with the model ranged from moderate to high levels at 81.03%.

Prevalence and Risk Factors of Obstructive Sleep Apnea Using the STOP-Bang Questionnaire in Patients with Type 2 Diabetes at Phra Narai Maharaj Hospital, Lopburi Province.

Supphanut Sukkasem — 2025-12-31

This cross-sectional study was conducted among 149 patients with type 2 diabetes mellitus (T2DM) who attended chronic disease clinics at primary care units under the supervision of Phra Narai Maharaj Hospital, Lopburi Province. The objective was to determine the prevalence and risk factors of obstructive sleep apnea (OSA) using the STOP-Bang questionnaire in patients with T2DM. Demographic and clinical data were collected, and OSA risk was assessed using the STOP-Bang questionnaire. Participants were categorized into two groups: STOP-Bang <3 and ≥3. Statistical analyses were performed using chi-square test, t-test, and logistic regression.

The results showed that STOP-Bang scores ranged from 1 to 6, with 124 participants scoring ≥3, yielding a prevalence of 83.2% (95% CI: 76.4–89.0). Participants with STOP-Bang scores ≥3 had a significantly higher mean waist circumference (91.06±11.93 cm vs. 85.75±7.21 cm, p=0.03). Univariate analysis indicated that waist circumference >80 cm was significantly associated with OSA risk (OR=12.1, 95% CI: 2.07–70.46, p<0.01), while having a bachelor’s degree was associated with a lower risk (OR=0.30, 95% CI: 0.09–0.96, p=0.04). Other variables were not significantly associated. In multivariable logistic regression, waist circumference >80 cm remained an independent risk factor for OSA (aOR=13.36, 95% CI: 2.13–83.61, p<0.01).

In conclusion, the prevalence of OSA among patients with T2DM assessed using the STOP-Bang questionnaire was high. Waist circumference >80 cm was identified as a significant independent risk factor.

The effectiveness of psychosocial treatment programs with cognitive and behavioral modification by the family's involvement in alcohol drinking behavior and the amount of alcohol consumption in alcoholic patients Phonsawan Hospital Nakhon Phanom Province.

Supit Yosaeng — 2025-12-31

This study aimed to study the effectiveness of a psychosocial treatment program using cognitive and behavioral modification with family participation on alcohol drinking behavior and consumption among alcoholics at Phon Sawan Hospital, Nakhon Phanom Province. This research is a quasi-experimental study in a group of alcoholic patients receiving services in the inpatient building of Phon Sawan Hospital. The study was conducted from February to August 2025, totaling 35 patients, using a one-group, pre- and post-hoc comparison. The research instruments included a general information questionnaire, an alcohol drinking behavior assessment form, an alcohol consumption assessment form, an alcohol dependence patient satisfaction assessment form, and a nursing staff satisfaction assessment form. The experimental instruments included a family-participatory cognitive behavioral psychosocial treatment program on alcohol drinking behavior and alcohol consumption in alcoholics, a cognitive behavioral therapy manual for alcoholics, and a model of alcoholics. Descriptive statistics were used to analyze the drinking behavior of alcoholics, alcohol consumption, alcoholic patient satisfaction, and health care professional satisfaction. Descriptive statistics were used to determine frequency, percentage, mean, and standard deviation. Paired t-tests were used to compare differences.

Results : 1) The mean score of alcoholic patients after the intervention was significantly higher than before the intervention, at the 0.05 level. 2) The mean score of alcoholic patients after the intervention was significantly lower than before the intervention, at the 0.05 level. 3) The mean score of alcoholic patients after the intervention was significantly higher than before the intervention. Statistically significant at the 0.05 level. 4) The average satisfaction of nursing personnel after system development increased significantly from before system development, with a statistical significance of 0.05.

Development of a Treatment Model for Alcoholic Patients at Phonsawan Hospital Nakhon Phanom Province.

Kittichet Thirakunphongwet — 2026-01-05

This study aimed to study the problems and needs regarding the treatment model for alcohol dependence; 2) To develop a treatment model for alcohol dependence; and 3) To evaluate the effectiveness of the developed treatment model for alcohol dependence at Phon Sawan Hospital, Nakhon Phanom Province. This action research employed Cognitive Behavioral Therapy (CBT) principles combined with family involvement to help patients modify their thoughts, emotions, and behaviors appropriately. The sample were 35 alcohol dependence patients receiving treatment at Phonsawan Hospital between July and December 2025. Research instruments included: data collection tools: 1) a general information questionnaire, 2) an assessment scale for alcohol consumption behavior in patients with alcohol dependence, 3) an assessment scale for alcohol consumption in patients with alcohol dependence, 4) a satisfaction questionnaire for patients with alcohol dependence, and 5) a satisfaction questionnaire for the healthcare team; and experimental instruments: 1) an alcohol dependence treatment model, 2) a Cognitive Behavioral Therapy manual for alcohol dependence patients, 3) a model from alcohol dependence patients, and 4) an alcohol withdrawal symptom assessment scale. Data were analyzed using descriptive statistics, calculating percentages, means, and standard deviations. Comparisons were made using a paired t-test with a statistical significance level of 0.05.

Results of the study : 1) Problems and needs regarding the treatment model for patients with alcohol addiction: problems with access to services include long distances, costs, and lack of referrals; problems with screening include a lack of assessment and referral for treatment; problems with treatment include a lack of a multidisciplinary team for treatment and a lack of a treatment system appropriate to the context; and problems with follow-up include a lack of follow-up on relapse. 2) The treatment model for patients with alcohol addiction consists of (1) Community Screening, which involves screening at the community health volunteer and sub-district hospital levels; (2) Comprehensive Treatment, with a program consisting of 4 phases: Phase 1, the pre-admission phase, involves assessing alcohol withdrawal symptoms; Phase 2, the drug treatment phase, is the DETOX phase in week 1; Phase 3, the rehabilitation phase. (Rehabilitation phase) is the phase in which patients with alcohol dependence receive treatment according to the psychosocial treatment process with cognitive and behavioral modification with family involvement in weeks 2-12 and phase 4, the follow-up phase (After phase), is the phase of preparing patients and families for discharge home after treatment, home visits and evaluation after completion of treatment. The total time is 16 weeks (4 months). (3) Continuous Support is a self-help group for patients with alcohol dependence, the Buddy System (peer support system) and the Line group, and (4) Collaborative Network is the definition of the roles of the network and agencies involved. And 3) The results of the development of the treatment model for patients with alcohol dependence: the average score of alcohol drinking behavior of patients with alcohol dependence was higher than before the experiment; the amount of alcohol consumed by patients with alcohol dependence decreased than before the experiment; the number of days without alcohol consumption by patients with alcohol dependence after discharge at 1, 2 and 3 months increased than before receiving treatment; satisfaction of patients with alcohol dependence was higher than before the experiment; and satisfaction of the health team was found to increase more than before the development of the system, which was statistically significant at 0.05.