Nursing, Health, and Public Health Journal

The effects of the activity promoting self-efficacy in basic health care using the 7-Color Life Traffic Ping-Pong tool for youth leaders in Bak Dai Subdistrict, Phanom Dong Rak District, Surin Province

2025-04-30T18:28:22+07:00

This quasi-experimental one-group pretest-posttest study aimed to examine the effects of activities promoting self-efficacy in basic health care using the 7-color life traffic ping-pong tool for youth leaders. The sample consisted of 50 youth leaders from Bak Dai Subdistrict, Phanom Dong Rak District, Surin Province. They were purposively selected based on specific inclusion criteria. The research instruments included: 1) an activity program to promote self-efficacy in basic health care using the “7-Color Life Traffic Ping Pong” tool for youth leaders, developed based on Bandura's concept of self-efficacy; 2) a knowledge assessment questionnaire on basic health care, with a reliability coefficient (KR-20) of .82; and 3) a self-efficacy perception assessment form, with a reliability coefficient (Cronbach's alpha) of .80. Data were analyzed using frequency and percentage for demographic information, and paired t-test statistics were used to compare levels of knowledge and self-efficacy before and after the intervention.

The results revealed that after participating in the activities, the participants had significantly higher mean scores in self-efficacy perception and knowledge compared to before the activities, at a statistical significance level of p < .001.

Suggestion: The activity promoting self-efficacy in basic health care using the 7-Color Life Traffic Ping Pong tool should be applied for youth leaders to enhance their confidence in their own potential to transfer the knowledge and practices to their families or communities within their areas of responsibility.

The effects of a mental health literacy program using positive psychology on mental well-being of village health volunteers in ThaThong Sub-district, Mueang District, Phitsanulok Province

2025-04-13T15:55:06+07:00

This pretest-posttest two-group quasi-experimental research aimed to examine the effects of a mental health literacy program based on positive psychology on the mental well-being of village health volunteers in ThaThong Sub-district, Mueang District, Phitsanulok Province. A total of 70 village health volunteers were purposively selected according to specific criteria and assigned to either the experimental group (n = 35) or the control group (n = 35). The control group continued with their usual daily activities, while the experimental group participated in a mental health literacy program comprising five sessions, each lasting 180 minutes. The program was structured around a five-step learning process: 1) creating positive emotions, 2) building engagement, 3) learning for meaningful living, 4) taking pride in accomplishments, and 5) developing relationships. Mental well-being was assessed using a validated questionnaire. The Item-Objective Congruence (IOC) indices ranged from 0.67 to 1.00, and the Cronbach’s alpha coefficient was 0.86, indicating good internal consistency. Data were analyzed using descriptive statistics, paired t-tests, and independent t-tests.

The results revealed that after participating in the program, the experimental group showed significantly higher mean scores in all dimensions of mental well-being compared to their baseline scores: Life satisfaction (p-value < 0.001), self-acceptance (p-value = 0.036), optimism (p-value < 0.001), personality growth (p-value < 0.001), and resilience (p-value < 0.001). 2) Post-intervention, the experimental group also had significantly higher scores than the control group in the same areas: life satisfaction (p-value < 0.001), self-acceptance (p-value = 0.020), optimism (p-value = 0.037), personality growth (p-value < 0.001), and resilience (p-value < 0.001). Therefore, it is recommended that this program be scaled up and implemented more broadly to strengthen community-based mental health promotion efforts.

A retrospective study of the prevalence and risk factors of stroke in patient with transient ischemic attack

2025-07-12T22:01:21+07:00

This retrospective study aimed to examine the prevalence and risk factors of stroke among patients with transient ischemic attack (TIA) at Phra Nakhon Si Ayutthaya Hospital. Data were collected from medical records of patients diagnosed with TIA between January 1, 2017, and December 31, 2022, who subsequently developed a stroke. Research instruments consisted of 1) demographic data, 2) the comorbidity assessment form, and 3) the ABCD2 score risk assessment. Data were analyzed using descriptive statistics, including percentages, means, standard deviations, medians, minimums, and maximums.

The results showed that most participants were aged over 60 years (74.28%) and had underlying diseases such as hypertension (67.8%), diabetes mellitus (45.2%), dyslipidemia (39.6%), and atrial fibrillation (3.5%). Risk behaviors included smoking (26.2%) and alcohol consumption (22.4%). The average ABCD2 score was 6.0 (S.D. = 1.53), with 44.55% classified as high risk (95% CI: 41.9–46.2). The incidence of stroke steadily increased from 2018 to 2022 (7.56%, 8.90%, 10.63%, 11.83%, and 12.86%, respectively)

The findings emphasize the importance of continuous surveillance and prevention of stroke among individuals with TIA, as well as the need for further investigation into other related risk factors to enhance future prevention strategies.

The relationship and predictive power between nicotine dependence levels and substance addiction among adolescents using electronic cigarettes

2025-04-28T12:34:28+07:00

This descriptive study aimed to examine the relationship and predictive power of nicotine dependence levels on substance addiction among adolescents using e-cigarettes. The sample consisted of 84 adolescents aged 15–18 years, residing in communities in Surin Province, who were purposively selected based on predefined inclusion criteria. Research instruments included a personal information questionnaire, a nicotine dependence scale, and a substance use assessment scale. The reliability of the instruments was confirmed with Cronbach’s alpha coefficients of 0.92 and 0.94, respectively. Data were analyzed using descriptive statistics and multiple regression analysis.

The findings revealed that most participants had very low levels of nicotine dependence (34.53%, n=29). For substance use, the majority scored between 2–3 points, indicating user status (58.33%, n=49). Nicotine dependence was found to have a low but statistically significant positive correlation with substance addiction (r = 0.226, p < .05). Moreover, nicotine dependence significantly predicted substance addiction among adolescents who used e-cigarettes, accounting for 5.1% of the variance (R² = 0.051, p < .05).

These results demonstrate that nicotine dependence influences substance addiction in adolescents using e-cigarettes. The findings underscore the importance of preventive and control measures against e-cigarette use to reduce the risk of subsequent substance addiction among adolescents.

The relationship between social support, media use, and medical cannabis health literacy among nursing students in the lower northern region of Thailand

2025-05-19T13:18:00+07:00

This descriptive correlational study aimed to examine the level of health literacy regarding medical cannabis and the relationships between social support, media use, and health literacy among nursing students in the lower northern region of Thailand. The sample consisted of 376 nursing students from educational institutions in the region. Data were collected using three questionnaires: social support for medical cannabis, media use related to medical cannabis, and health literacy regarding medical cannabis. Content validity was verified by three experts, with content validity index (CVI) scores of 0.91, 1.00, and 0.75, respectively. The reliability coefficients were 0.90, 0.82, and 0.86, respectively. Data were analyzed using mean, standard deviation, and Spearman’s rank correlation coefficient.

The findings revealed that the overall level of health literacy regarding medical cannabis among participants was moderate. Social support showed a statistically significant positive correlation with health literacy (r = .512, p < .001), while media use also demonstrated a significant positive correlation (r = .429, p < .001).

These results suggest that both social support and media use are important factors influencing nursing students’ health literacy concerning medical cannabis. It is recommended that strategies be developed to enhance health literacy in this area.