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All Journal Belitung Nursing Journal
Yaowarat Matchim
Faculty of Nursing, Thammasat University, Pathum Thani, Thailand
Nursing

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Quality of life and its correlates in pretreatment patients with locally advanced head and neck cancer: A cross-sectional study in Thailand Sirinya Pimvichai; Yaowarat Matchim; Tanadej Sinthusake; Kiratiya Wongkalasin
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.2621

Abstract

Background: Locally advanced head and neck cancer (LAHNC) can significantly impact the quality of life of patients in various ways. However, several factors can contribute to the decrease in quality of life. In Thailand, there is limited knowledge about the factors that affect the quality of life of patients with LAHNC before they receive treatment. Objective: This study aimed to examine the correlations between Palliative Performance Scale (PPS), family income, body mass index (BMI), age, comorbidity index, and the quality of life of patients with LAHNC before they undergo treatment. Methods: A correlational cross-sectional study was conducted, and data were collected from 94 pretreatment patients with LAHNC who were admitted to a cancer center in central Thailand using purposive sampling. The data collection instruments included a demographic data form, a medical record form, the Charlson Comorbidity Index (CCI), the Palliative Performance Scale (PPS), and the Functional Assessment of Cancer Therapy-Head and Neck (FACT-H&N) version 4. Descriptive statistics, Pearson’s correlation, and Spearman’s rank correlation were used to analyze the data. Results: All study participants completed the questionnaire. The results showed that the overall quality of life of the patients was moderate. PPS, family income, and body mass index were moderately positively correlated with quality of life (r = 0.494, p <0.01; r = 0.420, p <0.01; r = 0.339, p<0.01, respectively). Age had a moderate negative correlation with quality of life (r = -0.596, p <0.01), while comorbidity was not significantly associated with quality of life. Conclusion: The quality of life of patients with LAHNC before treatment was associated with various factors, including PPS, family income, body mass index, and age. These findings highlight the importance of nutritional support before treatment and the need for social support, especially for older adult patients, to improve their quality of life. The results of this study can be valuable for nurses in developing care programs that enhance the quality of life for patients with LAHNC during the pretreatment phase.
Enhancing recovery in older patients undergoing abdominal surgery: Examining the effect of a preoperative preparation program using a quasi-experimental design Issarapong Penphumphuang; Yaowarat Matchim; Prasit Mahawongkhajit; Thanyarat Boontoi
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.2629

Abstract

Background: Older adult patients often experience delayed postoperative recovery due to a lack of self-efficacy in engaging in physical activities during early rehabilitation. Concurrently, family caregivers play a crucial role in caring for older adults. However, the extent of family involvement in improving self-efficacy and facilitating recovery following major abdominal surgeries in older adults remains largely unexplored. Objective: This study aimed to examine the effect of a preoperative preparation program on the recovery of older patients undergoing major abdominal surgeries. Methods: A quasi-experimental study with a two-group, pretest-posttest design was conducted. The participants included 60 older adult patients undergoing abdominal surgeries at Thammasat University Hospital, Thailand, between September 2019 and March 2020. Participants were selected by purposive sampling with the inclusion criteria and were assigned to the experimental (n = 30) or the control (n = 30) groups using matched pair according to the type of operation. The control group received standard care, while the intervention group underwent a two-week preoperative preparation program developed based on self-efficacy theory and family support. Data were collected using validated tools. Recovery was assessed at one week and two weeks after surgery. Descriptive statistics, as well as dependent and independent t-tests, were used for data analysis. Results: The results revealed that the intervention group had significantly higher mean recovery scores than the control group at one week (M = 56.93, SD = 16.42; M = 44.60, SD = 16.30, t = -2.92, df = 58, p <0.01) and two weeks after surgery (M = 66.64, SD = 8.63; M = 61.68, SD = 7.86, t= -2.33, df = 58, p <0.05) when comparing between the two groups. Conclusion: The preoperative preparation program effectively enhanced recovery one week and two weeks after surgery. The study findings can be valuable for nurses in implementing the preoperative preparation program to facilitate recovery among older adult patients undergoing abdominal surgeries.
Factors predicting intention to engage in advance care planning among patients with chronic kidney disease in Thailand: A cross-sectional study Kanokwan Linthong; Yaowarat Matchim; Piyawan Kanan; Thatsanee Poosumang
Belitung Nursing Journal Vol. 12 No. 3 (2026): May - June
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4466

Abstract

Background: Chronic kidney disease (CKD) is a progressive condition associated with declining decisional capacity and increased end-of-life care needs. Although advance care planning (ACP) supports patient autonomy and goal-concordant care, engagement remains limited, particularly among patients with pre-dialysis CKD in Thailand. Objectives: To assess the level of intention to engage in ACP and identify factors predicting ACP intention among patients with CKD stages 3–5 in Thailand. Methods: A cross-sectional study was conducted from April to June 2025 among 184 patients aged ≥20 years with CKD stages 3–5 attending nephrology outpatient clinics at five public tertiary-level hospitals. Participants were recruited through purposive sampling using a multistage approach. Data were collected using validated questionnaires and analyzed using descriptive statistics and hierarchical multiple regression. Results: The mean age of participants was 64.48 years (SD = 11.78), and 51.6% were female. The level of intention to engage in ACP was low (M = 16.89, SD = 7.83). Hierarchical regression analysis identified attitudes toward ACP (β = 0.296, p < 0.001), family support (β = 0.220, p = 0.001), perceived self-efficacy in self-management (β = 0.155, p < 0.05), and knowledge of ACP (β = 0.145, p < 0.05) as significant predictors. The final model explained 56.6% of the variance in ACP intention (R² = 0.566), with the independent variables contributing an additional 33.3% beyond demographic and clinical variables (ΔR² = 0.333, p < 0.001). Death anxiety was not a significant predictor. Conclusions: ACP intention among Thai patients with CKD was low, influenced by attitudes, family support, self-efficacy, and ACP knowledge. Nurses should implement family-centered, empowerment-based educational interventions and integrate ACP discussions into routine nephrology care to promote timely and culturally aligned end-of-life decision-making.
Co-Authors Issarapong Penphumphuang Kanokwan Linthong Kiratiya Wongkalasin Piyawan Kanan Prasit Mahawongkhajit Sirinya Pimvichai Tanadej Sinthusake Thanyarat Boontoi Thatsanee Poosumang