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All Journal Belitung Nursing Journal
Rapin Polsook
Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand
Nursing

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Validity and reliability of a Thai version of the Body Image Scale among patients with post-coronary artery bypass graft Pannawit Moonkaew; Rapin Polsook
Belitung Nursing Journal Vol. 9 No. 3 (2023): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2679

Abstract

Background: Body image is a significant concern for patients who have undergone a coronary artery bypass graft (CABG) surgery, as the presence of scars on the chest, arms, and legs can impact their self-perception. Difficulty accepting these scars may lead to negative body image, non-compliance with prescribed treatments, and potentially poorer health outcomes. However, the Body Image Scale, commonly used to assess body image, has not been validated for Thai patients. Objective: This study aimed to evaluate the validity and reliability of the Body Image Scale in Thai post-CABG patients. Methods: This instrument validation study was conducted between April and July 2022. A total of 320 post-CABG patients were randomly selected to participate in the study. The scale was translated from English to Thai and adapted to address the concerns of CABG patients specifically. Validity and reliability were assessed using Principal Component Analysis and Cronbach’s alpha. Results: The Thai version of the Body Image Scale demonstrated satisfactory internal consistency, as indicated by a Cronbach’s alpha coefficient of 0.88. The factor analysis revealed a single-factor structure, and each component had communalities ranging from 0.63 to 0.76, explaining 70.07% of the variance in body image. Conclusion: The Thai version of the Body Image Scale exhibited good validity and reliability for assessing body image in Thai patients undergoing CABG surgery. Nurses and other healthcare professionals can effectively utilize this measurement tool to evaluate the body image concerns of Thai patients following a CABG procedure.
The impact of a self-management program on exercise adherence among patients discharged after coronary artery bypass grafts: A quasi-experimental study in Thailand Sudarat Tippinit; Rapin Polsook
Belitung Nursing Journal Vol. 9 No. 4 (2023): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2685

Abstract

Background: Exercise adherence is essential for maintaining the physical and mental health of patients after coronary artery bypass grafts (CABG). However, adherence is often poor, particularly in the early weeks after hospital discharge, leading to adverse health outcomes. Therefore, implementing self-management programs is crucial to promote and sustain long-term exercise adherence among these patients. Objective: This study aimed to examine the impact of self-management programs on exercise adherence in post-CABG patients. Methods: A quasi-experimental posttest-only control group study was conducted from April to November 2022 at Surat Thani Hospital in Thailand. Forty post-CABG patients were gender and age-matched and randomly assigned to either the control group (n = 20) or the experimental group (n = 20). The experimental group participated in a six-week self-management program for exercise adherence, utilizing telephone and LINE applications, while the control group received standard care. Data were collected using validated exercise adherence rating scales and a self-management questionnaire. Descriptive statistics and independent t-tests were employed for data analysis. Results: The mean exercise adherence score in the control group was 9.30 (SD = 4.91), whereas it was 21.30 (SD = 3.20) in the experimental group. The experimental group, which received the self-management program, exhibited significantly higher exercise adherence scores compared to the control group (t = 9.16, df = 32.65, p <0.001). Conclusions: This study demonstrates the effectiveness of a post-CABG self-management program in improving exercise adherence. Nurses play a crucial role in promoting and enhancing self-management during the pre-and post-discharge phases, and regular phone or LINE application contacts can have a positive impact on post-CABG patients. Policymakers should consider implementing self-management programs to encourage patients to maintain their exercise routines, leading to improved physical and mental well-being.
Psychometric validity of the Thai version of the Motivation for Healthy Eating Scale in patients with acute coronary syndrome Ratchadaporn Boonsanong; Rapin Polsook
Belitung Nursing Journal Vol. 9 No. 4 (2023): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2687

Abstract

Background: Motivation plays a crucial role in lifestyle modifications for disease control and preventing recurrent cardiac events. Higher motivation levels are associated with improved health outcomes, including adherence to a healthy diet and sustained behavior change. However, there is a lack of evaluation of instruments for assessing motivation to adhere to diet recommendations, specifically among patients in Thailand. Objective: This study aimed to assess the psychometric validity of the Thai version of the Motivation for Healthy Eating Scale (MHES) in patients with acute coronary syndrome in Thailand. Methods: The study was conducted between May and August 2022, involving 200 patients with acute coronary syndrome selected through multistage random sampling from tertiary care institutions in Bangkok, Thailand. The scale was translated from English to Thai using the back-translation method. Principal Component Analysis (PCA) and Cronbach's alpha were employed to evaluate the validity and reliability of the scale. Results: The Thai version of the MHES demonstrated satisfactory reliability with a Cronbach's alpha coefficient of 0.73. The analysis revealed four factors consisting of 16 items: 1) ‘integrated and integrated regulation’ with seven items, 2) ‘intrinsic and external regulation’ with three items, 3) ‘introjected regulation’ with three items, and 4) ‘amotivation’ with three items. These factors collectively explained 66.78% of the total variance. Conclusion: The findings indicate that the Thai version of the MHES is a reliable and valid instrument for assessing motivation related to dietary behavior among Thai patients with acute coronary syndrome. Nurses and healthcare professionals can use this scale to evaluate the motivation of dietary behavior among this population, thereby facilitating targeted interventions and promoting positive health outcomes.
Co-Authors Pannawit Moonkaew Ratchadaporn Boonsanong Sudarat Tippinit