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All Journal Nurse Media Journal of Nursing Jurnal NERS Belitung Nursing Journal
Yaowarat Matchim
Faculty of Nursing, Prince of Songkla University, Hat-Yai, Songkhla, Thailand
Nursing

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Health Behaviors and Clinical Outcomes Among Patients with Myocardial Infarction in Indonesia Herliani, Yusshy Kurnia; Matchim, Yaowarat; Kritpracha, Charuwan
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (268.522 KB) | DOI: 10.20473/%oj.Ners102%y308-317

Abstract

Introduction: Health behaviors are necessary for preventing possible cardiac events and maintaining health for MI patients. In addition to health behaviors, measuring clinical outcomes is a critical element for optimizing treatment and monitoring the risk factors of a cardiac event. The aims of this study were to (1) describe health behaviors and clinical outcomes among patients with myocardial infarction (MI) in Indonesia; and (2) investigate the relationship between their health behaviors, clinical outcomes, and other selected variables. Method: Sixty hospitalized MI patients participated in this descriptive correlational study. Data were analyzed using descriptive and correlational statistics. Results: The majority of MI patients in this study had a moderate level of total health behaviors, exercise behaviors, dietary behaviors, and stress management. Interestingly, most of the patients had a high level of medication adherence, and smoking cessation. Also, their blood pressure (BP) and body mass index (BMI) of MI patients were at the normal level. In contrast, more than half the patients had a high level of fasting blood glucose and total cholesterol, and a low level of HDL. Moreover, nearly half of the patients presented a high level of LDL, and triglyceride. Exercise behaviors have a negative relationship with total cholesterol, and LDL. Interestingly, gender showed a positive relationship with total health behaviors, and smoking cessation. In addition, monthly incomes show a positive relationship with exercise behavior, and dietary behaviors. The number of times hospitalized appeared to have a positive relationship with systolic BP. Surprisingly, MI treatments showed a positive relationship with total health behaviors, smoking cessation, and BP. Discussion: In conclusion, cardiac rehabilitation should involve health behaviors and clinical outcomes to prevent recurrent cardiac events and maintain health for MI patients.Keywords: Myocardial infarction, Health behaviors, Clinical outcomes
Dyspnea Experience and Dyspnea Management in Patients with Chronic Obstructive Pulmonary Disease in Bangladesh Parveen, Shahanaz; Thaniwattananon, Ploenpit; Matchim, Yaowarat
Nurse Media Journal of Nursing Vol 4, No 1 (2014): (JUNE 2014)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (221.902 KB) | DOI: 10.14710/nmjn.v4i1.6707

Abstract

Purpose: This study aimed to evaluate dyspnea experience and dyspnea management intervention used by Chronic Obstructive Pulmonary Disease (COPD) patients in Bangladesh.Methods: A descriptive cross-sectional design was used. The symptom management model developed by Dodd et al. was used to guide the study. Data were collected from 140 COPD patients by using self-report questionnaire. Descriptive statistics was used to analyze the data.Results: The patients perceived dyspnea difficulty within the past 24 hours and within the past 7 days at moderate level. The most used dyspnea management methods included bronchodilators, leaning forward position, and keeping still. The patients perceived bronchodilators as somewhat effective method and perceived leaning forward position as quite a bit effective method in reducing dyspnea.Conclusion: The study could guide nurses to promote dyspnea management intervention for COPD patients in Bangladesh, in order to enhance higher quality of life.
Health-related quality of life in Thai patients with hepatocellular carcinoma and its influencing factors: A cross-sectional study Pathomjaruwat, Thitiporn; Matchim, Yaowarat; Armer, Jane M.
Belitung Nursing Journal Vol. 11 No. 4 (2025): July - August
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3853

Abstract

Background: Health-related quality of life (HRQoL) is a critical indicator in individuals with cancer. Patients diagnosed with hepatocellular carcinoma (HCC) commonly experience a decline in HRQoL due to both the progression of the disease and the adverse effects associated with treatment. Despite the high prevalence of HCC in Thailand, there is a paucity of research examining the HRQoL of Thai patients and the factors that may influence it. Objective: This study aimed to examine HRQoL in Thai patients with HCC and evaluated the relationships between disease stage, comorbidities, albumin level, functional status (FS), self-management behaviors (SMBs), and HRQoL. Methods: A correlational, cross-sectional study was conducted with 408 patients with HCC recruited from six hospitals in central Thailand between April and September 2024. Data collection included demographic and clinical information, along with the Functional Assessment of Cancer Therapy-Hepatobiliary (FACT-Hep) scale, Inventory of Functional Status-Cancer (IFS-CA), and the SMB scale for patients with HCC. All instruments were validated and reliable. Data were analyzed using descriptive statistics and multiple regression analysis. Results: Most participants were at intermediate (38.97%) or advanced (24.26%) stages of HCC. Overall HRQoL was high (mean FACT-Hep score = 147.92 ± 26.09). Disease stage, comorbidities, albumin level, FS, and SMBs were all significantly correlated with HRQoL (r = 0.771). Together, these factors explained 58.9% of the variance in HRQoL (adjusted R² = 0.589, F(5, 402) = 117.745, p <0.001). Significant predictors of HRQoL included disease stage (β = -0.116), comorbidities (β = -0.080), albumin level (β = 0.278), FS (β = 0.388), and SMBs (β = 0.296). Among these, FS was the strongest predictor. Conclusion: Improving self-management behaviors, functional status, and nutritional status shows promise for enhancing HRQoL in patients with HCC. These findings can guide nurses in developing interventions to support patients with HCC and improve their quality of life.
Structural equation modeling of symptom clusters and health-related quality of life among patients with advanced colorectal cancer receiving chemotherapy in Bangkok, Thailand Suratako, Savitree; Matchim, Yaowarat; Griffin, Mary Quinn
Belitung Nursing Journal Vol. 11 No. 4 (2025): July - August
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3932

Abstract

Background: Patients with advanced colorectal cancer (CRC) receiving chemotherapy experience multiple symptoms due to both disease progression and complications of treatment. These symptoms affect the physical, psychological, and social aspects of health-related quality of life (HRQoL). Additionally, contextual variables of patients may also impact HRQoL. Objective: To test a structural equation model on symptom clusters, contextual variables, and HRQoL in patients with advanced CRC receiving chemotherapy. Methods: In this cross-sectional study, data were collected from 300 patients with advanced CRC who had received chemotherapy at five hospitals in Bangkok, Thailand, between March 2023 and July 2023. Data collection instruments included a demographic data form, Memorial Symptom Assessment Scale, Multidimensional Scale of Perceived Social Support questionnaire, Palliative Care Outcome Scale, and Functional Assessment of Cancer Therapy-Colorectal questionnaire. Structural equation modeling (SEM) was used to test the model. Results: SEM showed a good model fit, with X2/df = 1.15, p = 0.20, CFI = 0.94, TLI = 0.94, RMSEA = 0.03, and SRMR = 0.02. The symptom severity cluster dimension, symptom distress cluster dimension, social support, and palliative care outcomes predicted effects on HRQoL with 78% accuracy. The findings showed that the symptom severity and symptom distress cluster dimensions showed significant negative direct and positive indirect effects on HRQoL. Palliative care outcomes had a significant negative influence on HRQoL. Moreover, social support had direct positive and indirect negative influences on HRQoL. Conclusions: Symptom clusters, social support, and palliative care outcomes were identified as predictors of HRQoL in patients with advanced CRC receiving chemotherapy. Understanding the SEM of symptom clusters, social support, palliative care outcomes, and HRQoL may help nurses and other healthcare professionals develop effective interventions to better manage symptoms in patients with advanced CRC receiving chemotherapy.
Co-Authors Armer, Jane M. Charuwan Kritpracha Griffin, Mary Quinn Pathomjaruwat, Thitiporn Ploenpit Thaniwattananon Shahanaz Parveen Suratako, Savitree Yusshy Kurnia Herliani, Yusshy Kurnia