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Papers by CHOMCHUEN SOMPRASERT

Research paper thumbnail of Development of the Family-Based Care Model for Stroke Survivors to Promote Healthy Family Dynamics: Participatory Action Research

Pacific Rim International Journal of Nursing Research

In many cultures around the world, including those in Thailand, family caregivers have different ... more In many cultures around the world, including those in Thailand, family caregivers have different views on caring for stroke survivors. These views affect the caring process, which tends to be a heavy burden for caregivers. This study used participatory action research to develop the Family-Based Care Model for Stroke Survivors to Promote Healthy Family Dynamics. Stroke survivors and their family caregivers were recruited via purposive sampling from two primary care units in Nonthaburi, Thailand. Fourteen caregivers participated in four cycles of activities for 16 weeks and they were divided into two groups of seven. Data were collected using family group discussions, observations, home visits, telephone, LINE application, and field notes, as well as a family demographic questionnaire. Participants in each group created caregiving strategies to balance family life tailored for stroke survivors’ families. Individual and collective self-reflective cycles were used as a method that con...

Research paper thumbnail of Symptom experiences and management of head and neck cancer patients receiving radiotherapy: integrated review

Archives in Cancer Research, Nov 20, 2018

Research paper thumbnail of Conducting the Focus Group of Novice Nurse Qualitative Researchers: A Literature Review

This study aims to provide a guideline description of how to conduct an effective focus group for... more This study aims to provide a guideline description of how to conduct an effective focus group for This study aims to provide a guideline description of how to conduct an effective focus group for the novice nurse researchers. The qualitative research is increasingly popular in health care. The focus group is one of the main methods used for data collection in this research type. However, conducting the focus group can be complicated and challenging for the novice nurse researchers as how to obtain substantial, meaningful data for further understanding of the topic. This study uses literature review of previous studies to draw on significant recurring themes. Relatedjournal articles that appeared during 2007-2016, relevant grey literature included, were investigated using three health-related databases namely CINAHL, Science Direct, and PsycINFO. The searches, which yielded 142 articles, were the results of using the following keywords of “pioneer qualitative researcher” or “novice n...

Research paper thumbnail of Early Management of Depression in Adolescent Pregnancy: An Integrative Review

International Journal of Behavioral Sciences, 2019

The purpose of this article was to discuss the factors associated with depressive symptoms in ado... more The purpose of this article was to discuss the factors associated with depressive symptoms in adolescent pregnancy and its early management. An integrative review was conducted to search databases such as CINAHL, Scopus, PubMed, and DynaMed for articles from 2008-2018. Thirteen published articles were selected by the PRISMA process. The results showed that the factors related to depressive symptoms in adolescent pregnancy that had the highest significance were the stigma perspective, lack of self-esteem, lack of support from family and spouse, barriers in accessing health services, and personal characteristics such as drug use, alcohol consumption, having history of depression, and experienced abuse. The findings of early management showed five emerging themes: 1) screening in early pregnancy, 2) promoting self-esteem, 3) promoting family and spouse support, 4) providing specific health care service, and 5) cooperation of all stakeholders. Early management is significant to a decrea...

Research paper thumbnail of View of Palliative Care in Children with Cancer : Integrative

The term “Children with cancer” is used to define cancer in patients aged less than 18 years of a... more The term “Children with cancer” is used to define cancer in patients aged less than 18 years of age. Pediatric cancer is relatively rare and sometimes considered as a familial disorder. The incidence rate of children diagnosed with cancer was approximately 200 per million children around the world.1 Fortunately, children cancer represented between 0.5% and 4.6% of all cancer diagnosed. WHO reported that about 80% of children with cancer survived for 5 years.1,2 Cancer is a life-threatening illness and a life-limiting condition, which significantly causes long-term effects, and can lead to both physical and psychological distress for children and their family.3 Long-term involvement of children with cancer may have many stressful and negative impacts on daily living, parental roles, family dynamics and quality of life for their parents.4 Oncology treatments are important for improving the survival rate in children with cancer.5 However, many families still need supportive care from h...

Research paper thumbnail of An Integrative Review of Experience of Well-Being and Happiness: Insights from Older Adults in the Community

Trends in Sciences, 2021

Well-being and happiness are the ultimate goals of older people. Having a good quality of life is... more Well-being and happiness are the ultimate goals of older people. Having a good quality of life is very important for this age group, in which well-being can be predicted through life experiences. Research on the older adult group demonstrates that well-being is positively associated with happiness. In turn, happiness is linked with better coping, lower morbidity and lower mortality. Therefore, studying to understand this phenomenon, according to the experiences and perceptions of older adults, is the key to preparing for an aging society. The objective of this integrative review for nurses was to synthesize information from academic literature to provide insight into the experience and perception of well-being and happiness in older adults. The authors searched 5 databases - CINAHL, PUBMED, CLINICAL KEY, SCOPUS and SAGE journals - using the following key search terms: “(experience or perception or perspectives), AND (happiness or well-being), AND (older adults or elderly or late ad...

Research paper thumbnail of Emotional Management Problems of Caregivers for Dependent Elderly People: Integrative Review

The Bangkok Medical Journal, 2018

Emotional Management Problems of Caregivers for Dependent Elderly People: Integrative Review T ha... more Emotional Management Problems of Caregivers for Dependent Elderly People: Integrative Review T hailand is a country that enjoys a stable fertility rate. Moreover, advanced technology in medicine has led to improved human longevity. The number of elderly people in Thailand has continued to rise therefore, from 7.2 million in 2010 and is estimated to reach 11 million by 2020. 2,3 The growth rate of the older population in Thailand is predicted to be high, at a rate of increase of more than 3% each year. With the increasing rate of the number of elderly people in Thailand of around 3-3.6% per year, the total number of elderly people will double within the next 17 to 23 years. Thailand is going to be an elderly society within the next 10 years. Overall, only 15% of persons aged 60 and above admitted that they needed some assistance with their daily living activities. 2,3 Therefore, informal caregivers currently take on important roles to care for the elderly. In the giving of care, caregivers reported problems in physical, psychological or emotional and financial overload, affecting the quality of care for elderly people. 4 The issue of the burden experienced by caregivers is not new and most of caregivers need to manage their emotions for an effective outcome of caring. 5,6 Most caregivers are relatives who care for elderly parents or someone who cares for elderly people. 7 As a result, caregivers are prepared themselves for caring, which means they were aware of the physical, psychological and environmental factors that they were facing. The management of the emotions of caregivers is a major issue that health staff should be concerned with. If caregivers could manage their emotions effectively, this would be an important step to help develop a more positive outcome in caring. The risk indicators specified here, such as limited resources, giving care to a close loved one, and giving emotional support, could help to prevent informal caregivers from a heightened risk of emotional disorders. Therefore, the study of emotional management of caregivers working with the elderly is important. Whittemore and Knafl's 2005 1 technical procedure was developed for

Research paper thumbnail of Strategies to Prevent Repeated Pregnancies among Adolescents

Current Women s Health Reviews, 2020

Objective: The purpose of this article is to discuss and synthesize strategies for preventing rep... more Objective: The purpose of this article is to discuss and synthesize strategies for preventing repeated pregnancies in adolescents. Methods: An integrative review was conducted with a systematic search using Scopus, PubMed, CINAHL, PsycINFO, DynaMed, Cochrane, and ScienceDirect databases for articles published from 2015 to 2019 under the PICOT element for reviewing published articles. The data were selected and processed using PRISMA. Results: The results showed that the factors related to repeated pregnancy in adolescents were intention and motivation regarding repeated pregnancies, no sense of control over life experiences, cannot make decisions about contraceptive use, and barriers to accessing contraception. The strategies for preventing repeated pregnancies among adolescents were as follows: 1) enhancing awareness of repeated pregnancy; 2) empowerment regarding self-control; 3) effective youthfriendly care services; and 4) family and social support. Conclusion: The findings of t...

Research paper thumbnail of Strategies of Comfort Management during Childbirth: A Qualitative Systematic Review

Current Womens Health Reviews, 2020

Background: Childbirth is often conducted in a traditional biomedical paradigm. Nature’s simple p... more Background: Childbirth is often conducted in a traditional biomedical paradigm. Nature’s simple plan for birth has been replaced by a maternity care system that increases unnecessary risks for mother and child. Strategies of comfort management can guide nurse professionals to face serious challenges and help a woman get benefits from normal birth. Objective: The purpose of this article is to determine strategies of comfort management in pregnant women during childbirth. Methods: Published articles from the electric database, including CINAHL, PsyINFO, Pubmed, Cochrane, ThaiJO and other sources, were conducted from January 1, 2009, to March 1, 2019. The PICo mnemonics were used to guide the research question. The PICo tool was applied for search strategies. Two authors evaluated title, abstract and quality. The JBI Critical Appraisal Checklist for Qualitative Research has been used as a methodology for appraising the quality of all studies. Data were extracted by using a standard dat...

Research paper thumbnail of The key success factors in focus group discussions with the elderly for novice researchers: a review

Journal of Health Research, 2020

PurposeThis study aimed to discuss the key success factors in focus group discussions among the e... more PurposeThis study aimed to discuss the key success factors in focus group discussions among the elderly as a means of supporting novice researchers and also to share the experiences of novice researchers with focus group discussions.Design/methodology/approachThis study used a literature review of previous studies that revealed three themes regarding the key success of focus group discussions with the elderly. Focusing on issues published between 2009 and 2019, four health-related databases, namely the Cumulative Index of Nursing and Allied Health Literature (CINAHL), ScienceDirect, PsycARTICLES and Thaijo were investigated using keyword searches, both individually and in combination, and the inclusion criteria used in selecting relevant articles as primary sources included research written in the English and Thai languages.FindingsThe literature review involved eight published articles related to this topic in the nursing field. Three themes for key successes were identified as fol...

Research paper thumbnail of Parental View of Palliative Care in Children with Cancer: Integrative Review

The Bangkok Medical Journal, 2018

he term "Children with cancer" is used to define cancer in patients aged less than 18 years of ag... more he term "Children with cancer" is used to define cancer in patients aged less than 18 years of age. Pediatric cancer is relatively rare and sometimes considered as a familial disorder. The incidence rate of children diagnosed with cancer was approximately 200 per million children around the world. 1 Fortunately, children cancer represented between 0.5% and 4.6% of all cancer diagnosed. WHO reported that about 80% of children with cancer survived for 5 years. 1,2 Cancer is a life-threatening illness and a life-limiting condition, which significantly causes long-term effects, and can lead to both physical and psychological distress for children and their family. 3 Long-term involvement of children with cancer may have many stressful and negative impacts on daily living, parental roles, family dynamics and quality of life for their parents. 4 Oncology treatments are important for improving the survival rate in children with cancer. 5 However, many families still need supportive care from health care providers while their children are receiving palliative care. When a child with cancer is admitted for the first time into palliative care, it is the parents who will be the most important primary care-givers. They will be confronted with difficult situations and numerous problems such as symptoms of the disease itself, chemotherapeutic agents and their side effects, family and social problems, family income 8,9 and a high risk for long term psychological effects. 10,11

Research paper thumbnail of Symptom Experiences and Management of Patients with Head and Neck Cancer Receiving Radiation Therapy: Integrated Review

The Bangkok Medical Journal, 2018

Symptom Experiences and Management of Patients with Head and Neck Cancer Receiving Radiation Ther... more Symptom Experiences and Management of Patients with Head and Neck Cancer Receiving Radiation Therapy: Integrated Review H ead and neck cancer is the 6 th most prevalent type of cancer with an annual incident rate of around 600,000 new cases worldwide. 1 Head and neck cancer (HNC) includes oral, laryngeal, oropharyngeal, salivary gland and other pharynx cancers. 1 Standard treatment of head and neck cancer involves radiation therapy at any time point of the treatment trajectory either for palliative or curative purposes. 2 To date, a multidisciplinary approach uses a combination of surgery, radiotherapy, and chemotherapy in order to treat HNC. The frequencies and severity of treatment-related symptoms occur depending on the dose of radiation but worsen when combined with the side effects of chemotherapy. 3-5 A review of studies relating to radiation therapy suggested that altered fractionation radiotherapy was associated with an improvement in overall survival rates in patients with oral and oropharyngeal cancers (Hazard Ratio (HR) of mortality = 0.86, 95% CI = 0.76 to 0.98). 6 A review of chemotherapy treatment suggested that chemotherapy, in addition to radiotherapy and surgery, was associated with improved overall survival in patients with oral cavity and oropharyngeal cancers (HR of mortality = 0.84; 95% CI = 0.72 to 0.98, p = 0.03). 7 However, neither review could find sufficient evidence as to which regimen was associated with better overall survival rates.

Research paper thumbnail of The experiences of colorectal cancer patients in postoperative recovery: integrative review

Journal of Health Research, 2020

Purpose The purpose of this paper is to synthesize the experiences and needs of colorectal cancer... more Purpose The purpose of this paper is to synthesize the experiences and needs of colorectal cancer patients during postoperative recovery. Design/methodology/approach This study is an integrative review, conducted by CINAHL, PubMed, ScienceDirect and ThaiJO from 2009 to 2019. Ten research articles published have been selected by PRISMA process. Findings Results show the experiences of colon cancer patients during postoperative recovery consisted of four themes, namely suffering, decreased activity, ambivalent feeling and need of caring. Research limitations/implications The health care personnel should be aware of these experiences and give holistic care in order to let the patients free from unpleasant experiences and receive the responses which really meet their needs. Originality/value Knowledge about the experience and needs of colorectal cancer patients after surgery is of great benefit to healthcare providers who are planning the care, so as to achieve complete holistic care in...

Research paper thumbnail of Patient readiness for discharge after total hip replacement: an integrative review

Journal of Health Research, 2018

PurposeThe purpose of this paper is to reduce or eliminate pain while enabling full advantage and... more PurposeThe purpose of this paper is to reduce or eliminate pain while enabling full advantage and function of daily living activities after hospital discharge. Readiness for discharge depends largely on prior healthcare team preparations for both patients and their families.Design/methodology/approachThis integrative review was conducted using the Whittemore and Knafl method, and synthesized published research concerning patients’ readiness for discharge, particularly those who had undergone total hip replacement (THR) surgery.FindingsResults were categorized into five main themes as physiological experiences, psychological experiences, coping ability, needs from the healthcare team, and family support influential to the readiness of THR patients for discharge.Originality/valueThe preparation for discharge of THR patients should be fully engaged and addressed. Moreover, healthcare professionals should provide care for patients at both the pre- and post-operation phases as well as du...

Research paper thumbnail of The Burden of Caregivers due to Stroke Patients Living at Home: Integrative Review

The Bangkok Medical Journal, 2017

The Burden of Caregivers due to Stroke Patients Living at Home: Integrative Review T he burden wa... more The Burden of Caregivers due to Stroke Patients Living at Home: Integrative Review T he burden was assessed from the perspective of individuals through four viewpoints: as physical, psychological, social, and financial overload. Some studies separated the burden of caregiving into two groups: the specific events or activities as an objective burden, and the emotions, feelings, and attitudes as a subjective burden. 1,2 Even though some papers stated that caregivers have positive feelings, and negative feelings can occur on many occasions, such as stress, worries, or guilt because of their responsibility to take care of patients. Moreover, the caregivers who had chronic health problems themselves increasingly experience high levels of stress and burden. 3,4 Stroke was found to be the leading cause of long-term disability. Stroke was a traumatic life event not only for the persons who had the stroke but also for their family caregivers. Stroke patients have significantly limited functioning resulting from the disability of movement and of personal activities, impairment in cognition, and depression or change in personality. Most of the stroke caregivers carried the main responsibility for the care of the stroke patient at their home. Sometimes, they acted like parents, which caused tension in the relationship. Changes in roles, relationships, and responsibilities may induce caregiver burden. The activities, financial duties, and necessary tasks all potentially created a burden for caregivers. The achievement of balance in caregiving was important as it could influence the health and well-being of caregivers. 3,5,6 Integrative review is a method in primary qualitative research that identifies, analyzes, and draws the themes that form conclusions from multiple studies. 7 From the literature review, several studies reflected

Research paper thumbnail of Nursing Outcomes of Patient’s Comfort During Neoplastic Chemotherapy: An Integrative Review

The Bangkok Medical Journal, Sep 26, 2018

Nursing Outcomes of Patient's Comfort during Neoplastic Chemotherapy: An Integrative Review C urr... more Nursing Outcomes of Patient's Comfort during Neoplastic Chemotherapy: An Integrative Review C urrently, cancer patients require more aggressive and systemic treatments. However, chemotherapy often causes discomfort which affects patient's well-being during and after cancer treatment. 1 The nursing mission then focuses on patient's comfort and the interventions offered to relieve discomfort. The care is delivered after an assessment of patients' needs, implementations of care, and outcomes from such interventions. These nursing interventions include physical and psycho-spiritual contexts intended to alleviate the patient's discomfort observed from signs and symptoms. There is a great opportunity to address the patient's needs and to understand him/her, which increases the likelihood that patient will be safe during treatment. This is considered a relief effort. 2 Comfort is theoretically defined at this point as the state of being meeting the basic human need for ease, relief, and transcendence. 3 Nurse-led care and management have a significant impact on patient experience and outcomes. However, currently there are no definitive criteria in establishing what constitutes sufficient evidence of this beyond using the outcome. Previous reviews have used an overview of evidence-based intervention studies. 4 Evidence-base-nursing outcomes in the physical dimensions of cancer patients during chemotherapy were reviewed and used to develop a set of indicators that are suitable for performance measurement and to identify the need for quality improvement.

Research paper thumbnail of Experience of Parents Caring for Their Children with Thalassemia: Challenges and Issues for Integrative Review

The Bangkok Medical Journal

Parents are important primary caregivers as they are the key individuals who take on the crucial ... more Parents are important primary caregivers as they are the key individuals who take on the crucial role of caring for children with thalassemia. 1 Thalassemia is a severe chronic inherited disorder of globin synthesis in which the production of globin chains is partially or completely suppressed. This abnormality requires long-term treatment and significant treatments for thalassemia are blood transfusions and iron chelating therapies. Children with thalassemia encounter the impacts from this inherited disease and its treatment and they need to continue to receive care throughout their childhood from their parents. 2,3 In addition, parents encounter multiple challenges that affect their quality of life when caring for their children with thalassemia. 4,5 In fact, the child's quality of life depends largely on the corresponding parents' quality of life. Therefore, if parents are overwhelmed by caring for their children, without being provided the support system necessary to solve their problems, this in turn can also adversely affect the quality of life for children with thalassemia. The empirical studies searched from January 1st, 2009 to March 1 st , 2018, showed that many studies illustrated parents' experiences, and comprised: physical distress such as sleep problems, weakness, fatigue, failing to take care of oneself, loss of good health; psychological distress such as anxiety, worry about their child's condition and their future, stress, guilt, uncertainty; social distress such as loss of social activity, social alienation, social death; and spiritual distress such as hopelessness, inexpressible wishes of having an ideal society, stigmatization etc. 6-10 Similarly, in a quantitative study of the burden of caregivers for children with thalassemia 9 it was found that 66 % of parents reported they had no happiness in their lives and 82% of them revealed concerns for their child's future. In addition, culture and context in each area of the study is an influential factor on parents' experiences. 11,12 For example, there is the study on Southeast Asian and Asian Indian parents of children with thalassemia who lived in the United states. 13 The research results showed that the parents

Research paper thumbnail of Development of the Family-Based Care Model for Stroke Survivors to Promote Healthy Family Dynamics: Participatory Action Research

Pacific Rim International Journal of Nursing Research

In many cultures around the world, including those in Thailand, family caregivers have different ... more In many cultures around the world, including those in Thailand, family caregivers have different views on caring for stroke survivors. These views affect the caring process, which tends to be a heavy burden for caregivers. This study used participatory action research to develop the Family-Based Care Model for Stroke Survivors to Promote Healthy Family Dynamics. Stroke survivors and their family caregivers were recruited via purposive sampling from two primary care units in Nonthaburi, Thailand. Fourteen caregivers participated in four cycles of activities for 16 weeks and they were divided into two groups of seven. Data were collected using family group discussions, observations, home visits, telephone, LINE application, and field notes, as well as a family demographic questionnaire. Participants in each group created caregiving strategies to balance family life tailored for stroke survivors’ families. Individual and collective self-reflective cycles were used as a method that con...

Research paper thumbnail of Symptom experiences and management of head and neck cancer patients receiving radiotherapy: integrated review

Archives in Cancer Research, Nov 20, 2018

Research paper thumbnail of Conducting the Focus Group of Novice Nurse Qualitative Researchers: A Literature Review

This study aims to provide a guideline description of how to conduct an effective focus group for... more This study aims to provide a guideline description of how to conduct an effective focus group for This study aims to provide a guideline description of how to conduct an effective focus group for the novice nurse researchers. The qualitative research is increasingly popular in health care. The focus group is one of the main methods used for data collection in this research type. However, conducting the focus group can be complicated and challenging for the novice nurse researchers as how to obtain substantial, meaningful data for further understanding of the topic. This study uses literature review of previous studies to draw on significant recurring themes. Relatedjournal articles that appeared during 2007-2016, relevant grey literature included, were investigated using three health-related databases namely CINAHL, Science Direct, and PsycINFO. The searches, which yielded 142 articles, were the results of using the following keywords of “pioneer qualitative researcher” or “novice n...

Research paper thumbnail of Early Management of Depression in Adolescent Pregnancy: An Integrative Review

International Journal of Behavioral Sciences, 2019

The purpose of this article was to discuss the factors associated with depressive symptoms in ado... more The purpose of this article was to discuss the factors associated with depressive symptoms in adolescent pregnancy and its early management. An integrative review was conducted to search databases such as CINAHL, Scopus, PubMed, and DynaMed for articles from 2008-2018. Thirteen published articles were selected by the PRISMA process. The results showed that the factors related to depressive symptoms in adolescent pregnancy that had the highest significance were the stigma perspective, lack of self-esteem, lack of support from family and spouse, barriers in accessing health services, and personal characteristics such as drug use, alcohol consumption, having history of depression, and experienced abuse. The findings of early management showed five emerging themes: 1) screening in early pregnancy, 2) promoting self-esteem, 3) promoting family and spouse support, 4) providing specific health care service, and 5) cooperation of all stakeholders. Early management is significant to a decrea...

Research paper thumbnail of View of Palliative Care in Children with Cancer : Integrative

The term “Children with cancer” is used to define cancer in patients aged less than 18 years of a... more The term “Children with cancer” is used to define cancer in patients aged less than 18 years of age. Pediatric cancer is relatively rare and sometimes considered as a familial disorder. The incidence rate of children diagnosed with cancer was approximately 200 per million children around the world.1 Fortunately, children cancer represented between 0.5% and 4.6% of all cancer diagnosed. WHO reported that about 80% of children with cancer survived for 5 years.1,2 Cancer is a life-threatening illness and a life-limiting condition, which significantly causes long-term effects, and can lead to both physical and psychological distress for children and their family.3 Long-term involvement of children with cancer may have many stressful and negative impacts on daily living, parental roles, family dynamics and quality of life for their parents.4 Oncology treatments are important for improving the survival rate in children with cancer.5 However, many families still need supportive care from h...

Research paper thumbnail of An Integrative Review of Experience of Well-Being and Happiness: Insights from Older Adults in the Community

Trends in Sciences, 2021

Well-being and happiness are the ultimate goals of older people. Having a good quality of life is... more Well-being and happiness are the ultimate goals of older people. Having a good quality of life is very important for this age group, in which well-being can be predicted through life experiences. Research on the older adult group demonstrates that well-being is positively associated with happiness. In turn, happiness is linked with better coping, lower morbidity and lower mortality. Therefore, studying to understand this phenomenon, according to the experiences and perceptions of older adults, is the key to preparing for an aging society. The objective of this integrative review for nurses was to synthesize information from academic literature to provide insight into the experience and perception of well-being and happiness in older adults. The authors searched 5 databases - CINAHL, PUBMED, CLINICAL KEY, SCOPUS and SAGE journals - using the following key search terms: “(experience or perception or perspectives), AND (happiness or well-being), AND (older adults or elderly or late ad...

Research paper thumbnail of Emotional Management Problems of Caregivers for Dependent Elderly People: Integrative Review

The Bangkok Medical Journal, 2018

Emotional Management Problems of Caregivers for Dependent Elderly People: Integrative Review T ha... more Emotional Management Problems of Caregivers for Dependent Elderly People: Integrative Review T hailand is a country that enjoys a stable fertility rate. Moreover, advanced technology in medicine has led to improved human longevity. The number of elderly people in Thailand has continued to rise therefore, from 7.2 million in 2010 and is estimated to reach 11 million by 2020. 2,3 The growth rate of the older population in Thailand is predicted to be high, at a rate of increase of more than 3% each year. With the increasing rate of the number of elderly people in Thailand of around 3-3.6% per year, the total number of elderly people will double within the next 17 to 23 years. Thailand is going to be an elderly society within the next 10 years. Overall, only 15% of persons aged 60 and above admitted that they needed some assistance with their daily living activities. 2,3 Therefore, informal caregivers currently take on important roles to care for the elderly. In the giving of care, caregivers reported problems in physical, psychological or emotional and financial overload, affecting the quality of care for elderly people. 4 The issue of the burden experienced by caregivers is not new and most of caregivers need to manage their emotions for an effective outcome of caring. 5,6 Most caregivers are relatives who care for elderly parents or someone who cares for elderly people. 7 As a result, caregivers are prepared themselves for caring, which means they were aware of the physical, psychological and environmental factors that they were facing. The management of the emotions of caregivers is a major issue that health staff should be concerned with. If caregivers could manage their emotions effectively, this would be an important step to help develop a more positive outcome in caring. The risk indicators specified here, such as limited resources, giving care to a close loved one, and giving emotional support, could help to prevent informal caregivers from a heightened risk of emotional disorders. Therefore, the study of emotional management of caregivers working with the elderly is important. Whittemore and Knafl's 2005 1 technical procedure was developed for

Research paper thumbnail of Strategies to Prevent Repeated Pregnancies among Adolescents

Current Women s Health Reviews, 2020

Objective: The purpose of this article is to discuss and synthesize strategies for preventing rep... more Objective: The purpose of this article is to discuss and synthesize strategies for preventing repeated pregnancies in adolescents. Methods: An integrative review was conducted with a systematic search using Scopus, PubMed, CINAHL, PsycINFO, DynaMed, Cochrane, and ScienceDirect databases for articles published from 2015 to 2019 under the PICOT element for reviewing published articles. The data were selected and processed using PRISMA. Results: The results showed that the factors related to repeated pregnancy in adolescents were intention and motivation regarding repeated pregnancies, no sense of control over life experiences, cannot make decisions about contraceptive use, and barriers to accessing contraception. The strategies for preventing repeated pregnancies among adolescents were as follows: 1) enhancing awareness of repeated pregnancy; 2) empowerment regarding self-control; 3) effective youthfriendly care services; and 4) family and social support. Conclusion: The findings of t...

Research paper thumbnail of Strategies of Comfort Management during Childbirth: A Qualitative Systematic Review

Current Womens Health Reviews, 2020

Background: Childbirth is often conducted in a traditional biomedical paradigm. Nature’s simple p... more Background: Childbirth is often conducted in a traditional biomedical paradigm. Nature’s simple plan for birth has been replaced by a maternity care system that increases unnecessary risks for mother and child. Strategies of comfort management can guide nurse professionals to face serious challenges and help a woman get benefits from normal birth. Objective: The purpose of this article is to determine strategies of comfort management in pregnant women during childbirth. Methods: Published articles from the electric database, including CINAHL, PsyINFO, Pubmed, Cochrane, ThaiJO and other sources, were conducted from January 1, 2009, to March 1, 2019. The PICo mnemonics were used to guide the research question. The PICo tool was applied for search strategies. Two authors evaluated title, abstract and quality. The JBI Critical Appraisal Checklist for Qualitative Research has been used as a methodology for appraising the quality of all studies. Data were extracted by using a standard dat...

Research paper thumbnail of The key success factors in focus group discussions with the elderly for novice researchers: a review

Journal of Health Research, 2020

PurposeThis study aimed to discuss the key success factors in focus group discussions among the e... more PurposeThis study aimed to discuss the key success factors in focus group discussions among the elderly as a means of supporting novice researchers and also to share the experiences of novice researchers with focus group discussions.Design/methodology/approachThis study used a literature review of previous studies that revealed three themes regarding the key success of focus group discussions with the elderly. Focusing on issues published between 2009 and 2019, four health-related databases, namely the Cumulative Index of Nursing and Allied Health Literature (CINAHL), ScienceDirect, PsycARTICLES and Thaijo were investigated using keyword searches, both individually and in combination, and the inclusion criteria used in selecting relevant articles as primary sources included research written in the English and Thai languages.FindingsThe literature review involved eight published articles related to this topic in the nursing field. Three themes for key successes were identified as fol...

Research paper thumbnail of Parental View of Palliative Care in Children with Cancer: Integrative Review

The Bangkok Medical Journal, 2018

he term "Children with cancer" is used to define cancer in patients aged less than 18 years of ag... more he term "Children with cancer" is used to define cancer in patients aged less than 18 years of age. Pediatric cancer is relatively rare and sometimes considered as a familial disorder. The incidence rate of children diagnosed with cancer was approximately 200 per million children around the world. 1 Fortunately, children cancer represented between 0.5% and 4.6% of all cancer diagnosed. WHO reported that about 80% of children with cancer survived for 5 years. 1,2 Cancer is a life-threatening illness and a life-limiting condition, which significantly causes long-term effects, and can lead to both physical and psychological distress for children and their family. 3 Long-term involvement of children with cancer may have many stressful and negative impacts on daily living, parental roles, family dynamics and quality of life for their parents. 4 Oncology treatments are important for improving the survival rate in children with cancer. 5 However, many families still need supportive care from health care providers while their children are receiving palliative care. When a child with cancer is admitted for the first time into palliative care, it is the parents who will be the most important primary care-givers. They will be confronted with difficult situations and numerous problems such as symptoms of the disease itself, chemotherapeutic agents and their side effects, family and social problems, family income 8,9 and a high risk for long term psychological effects. 10,11

Research paper thumbnail of Symptom Experiences and Management of Patients with Head and Neck Cancer Receiving Radiation Therapy: Integrated Review

The Bangkok Medical Journal, 2018

Symptom Experiences and Management of Patients with Head and Neck Cancer Receiving Radiation Ther... more Symptom Experiences and Management of Patients with Head and Neck Cancer Receiving Radiation Therapy: Integrated Review H ead and neck cancer is the 6 th most prevalent type of cancer with an annual incident rate of around 600,000 new cases worldwide. 1 Head and neck cancer (HNC) includes oral, laryngeal, oropharyngeal, salivary gland and other pharynx cancers. 1 Standard treatment of head and neck cancer involves radiation therapy at any time point of the treatment trajectory either for palliative or curative purposes. 2 To date, a multidisciplinary approach uses a combination of surgery, radiotherapy, and chemotherapy in order to treat HNC. The frequencies and severity of treatment-related symptoms occur depending on the dose of radiation but worsen when combined with the side effects of chemotherapy. 3-5 A review of studies relating to radiation therapy suggested that altered fractionation radiotherapy was associated with an improvement in overall survival rates in patients with oral and oropharyngeal cancers (Hazard Ratio (HR) of mortality = 0.86, 95% CI = 0.76 to 0.98). 6 A review of chemotherapy treatment suggested that chemotherapy, in addition to radiotherapy and surgery, was associated with improved overall survival in patients with oral cavity and oropharyngeal cancers (HR of mortality = 0.84; 95% CI = 0.72 to 0.98, p = 0.03). 7 However, neither review could find sufficient evidence as to which regimen was associated with better overall survival rates.

Research paper thumbnail of The experiences of colorectal cancer patients in postoperative recovery: integrative review

Journal of Health Research, 2020

Purpose The purpose of this paper is to synthesize the experiences and needs of colorectal cancer... more Purpose The purpose of this paper is to synthesize the experiences and needs of colorectal cancer patients during postoperative recovery. Design/methodology/approach This study is an integrative review, conducted by CINAHL, PubMed, ScienceDirect and ThaiJO from 2009 to 2019. Ten research articles published have been selected by PRISMA process. Findings Results show the experiences of colon cancer patients during postoperative recovery consisted of four themes, namely suffering, decreased activity, ambivalent feeling and need of caring. Research limitations/implications The health care personnel should be aware of these experiences and give holistic care in order to let the patients free from unpleasant experiences and receive the responses which really meet their needs. Originality/value Knowledge about the experience and needs of colorectal cancer patients after surgery is of great benefit to healthcare providers who are planning the care, so as to achieve complete holistic care in...

Research paper thumbnail of Patient readiness for discharge after total hip replacement: an integrative review

Journal of Health Research, 2018

PurposeThe purpose of this paper is to reduce or eliminate pain while enabling full advantage and... more PurposeThe purpose of this paper is to reduce or eliminate pain while enabling full advantage and function of daily living activities after hospital discharge. Readiness for discharge depends largely on prior healthcare team preparations for both patients and their families.Design/methodology/approachThis integrative review was conducted using the Whittemore and Knafl method, and synthesized published research concerning patients’ readiness for discharge, particularly those who had undergone total hip replacement (THR) surgery.FindingsResults were categorized into five main themes as physiological experiences, psychological experiences, coping ability, needs from the healthcare team, and family support influential to the readiness of THR patients for discharge.Originality/valueThe preparation for discharge of THR patients should be fully engaged and addressed. Moreover, healthcare professionals should provide care for patients at both the pre- and post-operation phases as well as du...

Research paper thumbnail of The Burden of Caregivers due to Stroke Patients Living at Home: Integrative Review

The Bangkok Medical Journal, 2017

The Burden of Caregivers due to Stroke Patients Living at Home: Integrative Review T he burden wa... more The Burden of Caregivers due to Stroke Patients Living at Home: Integrative Review T he burden was assessed from the perspective of individuals through four viewpoints: as physical, psychological, social, and financial overload. Some studies separated the burden of caregiving into two groups: the specific events or activities as an objective burden, and the emotions, feelings, and attitudes as a subjective burden. 1,2 Even though some papers stated that caregivers have positive feelings, and negative feelings can occur on many occasions, such as stress, worries, or guilt because of their responsibility to take care of patients. Moreover, the caregivers who had chronic health problems themselves increasingly experience high levels of stress and burden. 3,4 Stroke was found to be the leading cause of long-term disability. Stroke was a traumatic life event not only for the persons who had the stroke but also for their family caregivers. Stroke patients have significantly limited functioning resulting from the disability of movement and of personal activities, impairment in cognition, and depression or change in personality. Most of the stroke caregivers carried the main responsibility for the care of the stroke patient at their home. Sometimes, they acted like parents, which caused tension in the relationship. Changes in roles, relationships, and responsibilities may induce caregiver burden. The activities, financial duties, and necessary tasks all potentially created a burden for caregivers. The achievement of balance in caregiving was important as it could influence the health and well-being of caregivers. 3,5,6 Integrative review is a method in primary qualitative research that identifies, analyzes, and draws the themes that form conclusions from multiple studies. 7 From the literature review, several studies reflected

Research paper thumbnail of Nursing Outcomes of Patient’s Comfort During Neoplastic Chemotherapy: An Integrative Review

The Bangkok Medical Journal, Sep 26, 2018

Nursing Outcomes of Patient's Comfort during Neoplastic Chemotherapy: An Integrative Review C urr... more Nursing Outcomes of Patient's Comfort during Neoplastic Chemotherapy: An Integrative Review C urrently, cancer patients require more aggressive and systemic treatments. However, chemotherapy often causes discomfort which affects patient's well-being during and after cancer treatment. 1 The nursing mission then focuses on patient's comfort and the interventions offered to relieve discomfort. The care is delivered after an assessment of patients' needs, implementations of care, and outcomes from such interventions. These nursing interventions include physical and psycho-spiritual contexts intended to alleviate the patient's discomfort observed from signs and symptoms. There is a great opportunity to address the patient's needs and to understand him/her, which increases the likelihood that patient will be safe during treatment. This is considered a relief effort. 2 Comfort is theoretically defined at this point as the state of being meeting the basic human need for ease, relief, and transcendence. 3 Nurse-led care and management have a significant impact on patient experience and outcomes. However, currently there are no definitive criteria in establishing what constitutes sufficient evidence of this beyond using the outcome. Previous reviews have used an overview of evidence-based intervention studies. 4 Evidence-base-nursing outcomes in the physical dimensions of cancer patients during chemotherapy were reviewed and used to develop a set of indicators that are suitable for performance measurement and to identify the need for quality improvement.

Research paper thumbnail of Experience of Parents Caring for Their Children with Thalassemia: Challenges and Issues for Integrative Review

The Bangkok Medical Journal

Parents are important primary caregivers as they are the key individuals who take on the crucial ... more Parents are important primary caregivers as they are the key individuals who take on the crucial role of caring for children with thalassemia. 1 Thalassemia is a severe chronic inherited disorder of globin synthesis in which the production of globin chains is partially or completely suppressed. This abnormality requires long-term treatment and significant treatments for thalassemia are blood transfusions and iron chelating therapies. Children with thalassemia encounter the impacts from this inherited disease and its treatment and they need to continue to receive care throughout their childhood from their parents. 2,3 In addition, parents encounter multiple challenges that affect their quality of life when caring for their children with thalassemia. 4,5 In fact, the child's quality of life depends largely on the corresponding parents' quality of life. Therefore, if parents are overwhelmed by caring for their children, without being provided the support system necessary to solve their problems, this in turn can also adversely affect the quality of life for children with thalassemia. The empirical studies searched from January 1st, 2009 to March 1 st , 2018, showed that many studies illustrated parents' experiences, and comprised: physical distress such as sleep problems, weakness, fatigue, failing to take care of oneself, loss of good health; psychological distress such as anxiety, worry about their child's condition and their future, stress, guilt, uncertainty; social distress such as loss of social activity, social alienation, social death; and spiritual distress such as hopelessness, inexpressible wishes of having an ideal society, stigmatization etc. 6-10 Similarly, in a quantitative study of the burden of caregivers for children with thalassemia 9 it was found that 66 % of parents reported they had no happiness in their lives and 82% of them revealed concerns for their child's future. In addition, culture and context in each area of the study is an influential factor on parents' experiences. 11,12 For example, there is the study on Southeast Asian and Asian Indian parents of children with thalassemia who lived in the United states. 13 The research results showed that the parents