Medical Journal of Sakon Nakhon Hospital

A Comparison of the Effects of Aerobic Dance and Cover Dance on Body Weight among Overweight Adolescents at Municipal 1 (Sangkhawit) School, Mueang District, Trang Province

Naruemon Prampate — Wed, 29 Apr 2026 00:00:00 +0700

This quasi-experimental research aimed to 1) compare the weight of overweight adolescents before and after cover dance, 2) compare the weight of overweight adolescents during aerobic dance and cover dance, and 3) compare the satisfaction and cooperation between group of aerobic dance and cover dance. The sample consisted of 34 overweight lower secondary school students from Thesaban 1 School, Mueang District, Trang Province, divided into an aerobic group (17 participants) and a cover dance group (17 participants). The purposive sampling method was used to select a sample with a similar BMI. The data collection tools included a general information and weight change record form and a satisfaction and cooperation assessment form, which were developed by the researcher from a literature review and approved by 3 experts. The experimental instruments were: 1) aerobic dance video, 2) cover dance video, and 3) a digital scale. The experiment was conducted for 4 weeks. Data were analyzed using a ready-made computer program. Frequency distribution, percentage, mean, and standard deviation were used. Descriptive statistics were used to compare the mean weight between the control and experimental groups using the independent t-test). The mean weight before and after each dance experiment was compared using the Dependent t-test, with a statistical significance level of .05.

The results revealed that

1) The weight after cover dance decreased from before dancing, with a statistical significance level of .05 (before M = 53.41, S.D. = 5.04 and after M = 51.69, S.D. = 4.69).

2) The weight of overweight adolescents after aerobic dance and cover dance was not different at a statistical significance level of .05.

3) After dancing, the cover dance group was more satisfied than the aerobic dance group, with a statistical significance level of .05.

Suggestions Cover dance can be used instead of aerobic dance to reduce weight in adolescents because it creates satisfaction and good cooperation.

The Effective of Psychoeducation Activity Focusing on Skill Training on Social Functioning and Symptom Psychotic of Schizophrenia Patient

Pasinee Thoin, Pawinee Stapornteera , Karnkanok Surinchompu — Wed, 29 Apr 2026 00:00:00 +0700

A quasi-experimental, two-group, repeated-measures study aimed to investigate the effectiveness of a skills-focused mental health education program on social functioning and psychiatric symptoms in schizophrenic patients. The sample consisted of 50 inpatient schizophrenic patients treated at Khon Kaen Rajanagarindra Psychiatric Hospital. Patients were selected, matched, and randomly assigned to an experimental group (25 patients) and a control group (25 patients). The study was conducted from October to December 2024. The experimental group received a skills-focused mental health education program consisting of five activities, each 60 minutes long, twice a week for two weeks. The control group received standard nursing care. The experimental instrument was the skills-focused mental health education program. Data were collected using a social functioning assessment scale (content validity: CVI=0.92, Cronbach's alpha coefficient 0.90) and a psychiatric symptom assessment scale. Data were analyzed using descriptive statistics, chi-square tests, and independent two-group t-tests. One-way repeated measures ANOVA

The research findings showed that: 1) Immediately after the completion of the program and at a 1-month follow-up, the experimental group had significantly higher average scores in social functioning than the control group at the .05 statistical significance level. 2) The average scores in social functioning and psychiatric symptoms of schizophrenic patients in the experimental group before the program, immediately after the completion of the program, and at a 1-month follow-up, differed significantly at the .05 statistical significance level.

Conclusion: this program can promote social functioning and reduce psychiatric symptoms in schizophrenic patients and can be applied in nursing to support self-care for patients and their families.

Effects of a Health Belief Model-Based Intervention on Stroke Preventive Behaviors among Patients with Hypertension in Phon Na Kaeo District, Sakon Nakhon Province

Trinnapong Teerapongtanasuk, Phitchayakorn Namnon, Nattakan Teerapongtanasuk — Wed, 29 Apr 2026 00:00:00 +0700

This quasi-experimental study, utilizing a one-group pretest–posttest design, aimed to investigate the effects of a Health Belief Model-based program on stroke preventive behaviors among patients with hypertension in Phon Na Kaeo District, Sakon Nakhon Province. The study population comprised male and female patients who had been medically diagnosed with hypertension and were receiving treatment at Phon Na Kaeo Hospital. A purposive sample of 30 patients, aged 35 years and older, was recruited to participate in the study. The intervention was implemented over a three-month period, from April 20, 2025, to July 20, 2025. The research instrument was a Health Belief Model-based program, and data were collected using structured questionnaires. Descriptive statistics, including frequency, percentage, mean, standard deviation, Median, and Interquartile Range (IQR) were used to analyze the data, while the Wilcoxon signed-ranks test was employed to assess differences in stroke preventive behaviors before and after the intervention.

Results: The findings revealed that scores on knowledge about stroke, perceptions related to stroke—including perceived susceptibility, perceived severity, perceived benefits of prevention, perceived barriers to preventive practices, and perceived self-efficacy in stroke prevention—as well as stroke preventive behaviors, differed significantly between pre- and post-intervention measurements. All differences were statistically significant at the 0.05 level. The post-test scores were significantly higher than the pre-test scores (p < .05).

Recommendations It is recommended to promote the application of the Health Belief Model -based program to stroke prevention behaviors among patients with hypertension. This program enhances patients' knowledge and understanding of hypertension and its complications, ultimately leading to improved self-care behaviors.

Effects of the Chronic Kidney Disease Progression-Delay Program in Patients with Non–Insulin-Dependent Diabetes Mellitus. at Phon Na Kaeo Hospital, Sakon Nakhon Province

Prapasri Phonrachom — Wed, 29 Apr 2026 00:00:00 +0700

This quasi-experimental study, employing a one-group pretest–posttest design, aimed to evaluate the effects of the Kidney Function Deterioration–Delay Program among patients with non–insulin-dependent diabetes mellitus (NIDDM) at Phon Na Kaeo Hospital, Sakon Nakhon Province. The study population comprised 499 patients with NIDDM receiving care at the hospital. The sample included patients who were unable to achieve adequate glycemic control during the period from 20 July 2025 to 20 October 2025. The intervention tool was the Kidney Function Deterioration–Delay Program. Data collection instruments included a personal information questionnaire, a health care knowledge test, and a self-care behavior assessment form. Data were analyzed using frequency distribution, percentage, mean, standard deviation, and paired t-test.

Results: The findings demonstrated significant improvements across all measured domains following the intervention. Participants’ knowledge regarding health care practices to delay renal function decline increased significantly after the program (x̄ = 13.29, S.D. = 2.19; t = –11.70, p < .001). Self-care behavior scores related to the prevention of kidney deterioration also improved significantly post-intervention (x̄ = 3.45, S.D. = 0.46; t = –13.63, p < .001). Regarding clinical outcomes, fasting blood sugar (FBS) levels decreased significantly following the intervention (x̄ = 135.09, S.D. = 24.03;

t = 7.92, p < .001). Glycated hemoglobin (HbA1C) levels mirrored this trend, showing a significant reduction post-intervention (x̄ = 7.17, S.D. = 1.16; t = 6.54, p < .001). Additionally the estimated glomerular filtration rate (eGFR) increased significantly after the program (x̄ = 87.10, S.D. = 15.12; t = –7.39 p < .001), reflecting improved renal function.

Recommendations: It is recommended that the Kidney Function Deterioration–Delay Program be further promoted and integrated into routine care for diabetic patients at Phon Na Kaeo Hospital to strengthen self-care behavioral modification. Furthermore, the program should be scaled up for implementation in subdistrict health-promoting hospitals, as its broader application has the potential to enhance self-management practices among diabetic patients and reduce the risk of diabetes-related complications.

Assessment of the Konsung hemoglobin analyzer’s accuracy and precision compared to the standard method in measuring hemoglobin and hematocrit levels

Sakondet Kaipraiwan — Wed, 29 Apr 2026 00:00:00 +0700

Background: The measurement of hemoglobin (Hb) and hematocrit (Hct) is essential for the diagnosis and monitoring of anemia. Automated hematology analyzers and the microhematocrit centrifuge are considered standard methods. However, point-of-care testing (POCT) devices such as the Konsung hemoglobin analyzer have gained increasing interest due to their convenience and rapid turnaround time. This study aimed to evaluate the accuracy and precision of the Konsung hemoglobin analyzer compared with standard methods.

Methods: This quasi-experimental analytical study included 100 patient blood samples, classified into three groups based on hemoglobin levels: low (male < 13.0 g/dL, female < 12.0 g/dL; n = 46), normal (male 13.0–16.5 g/dL, female 12.0–15.0 g/dL; n = 34), and high (male > 16.5 g/dL, female > 15.0 g/dL; n = 20). Hemoglobin and hematocrit levels were measured using the Konsung hemoglobin analyzer and compared with the Sysmex XN-3000 and the microhematocrit centrifuge within 2 hours after sample collection. Correlation analysis was performed using Pearson’s correlation coefficient. Agreement was evaluated using Bland–Altman analysis, including bias and limits of agreement (LoA). Precision was assessed using the coefficient of variation (%CV).

Results: Hematocrit values showed a strong correlation with the standard method (r = 0.975, p < 0.001), while hemoglobin values demonstrated a very strong correlation (r = 0.985, p < 0.001). Hematocrit showed a slight positive bias compared with the microhematocrit centrifuge method (+0.36%) and the Sysmex XN-3000 (+0.19%). The limits of agreement (LoA) for hematocrit ranged from -3.26% to +3.98% compared with the microhematocrit centrifuge method, and from -3.44% to +3.82% compared with the XN-3000. Hemoglobin measurements showed a positive bias of +0.49 g/dL compared with the XN-3000, with LoA ranging from -0.49 to +1.47 g/dL, all within clinically acceptable limits. Precision analysis demonstrated %CV values of less than 7% at all levels.

Conclusion: The Konsung hemoglobin analyzer demonstrated acceptable accuracy and precision compared with standard methods and can be used as a point-of-care testing device to support rapid clinical assessment. However, confirmatory testing using standard methods should be considered in cases with significant clinical implications.

The Efficacy of Using Lumbosacral Support in the Early Post-operative Period Following Decompressive Laminectomy in Patients with Degenerative Lumbar Spine Disease

Thanapoom Promsombat; Paveenrath Charussuriyong — Wed, 29 Apr 2026 00:00:00 +0700

Background: Degenerative lumbar spine disease is common among the elderly. Surgery can alleviate symptoms; however, the benefits of postoperative bracing remain unclear. This study aimed to evaluate the effects of a soft lumbosacral support (LS support) on early postoperative mobility and pain.

Objective: To evaluate the efficacy of lumbosacral support (LS support) during the early postoperative phase after decompressive laminectomy in patients with degenerative lumbar spine disease.

Methods: A randomized cross-over trial in patients with degenerative lumbar spine disease who underwent decompressive laminectomy at Maharat Nakhon Ratchasima Hospital. Patients were randomly assigned into two groups. Group 1 first performed the functional test and pain assessment while wearing LS support. The LS support was then removed followed by a 10-minute rest period before repeating the test without it. Group 2 underwent the same procedure in the reverse order, starting without LS support. Functional outcome measures included the Timed Up and Go Test (TUGT) and the Five Times Sit-to-Stand Test (FTSTS). Pain during activities and posture was evaluated using Visual Analog Scale (VAS). Patient satisfaction and willingness to continue LS support were also assessed.

Result: A total of 56 patients (mean age 61.51 years, 66.07% female) were included, with no dropouts. There were no statistically significant differences in TUGT (p = 0.68) or FTSTS (p = 0.09) between wearing and not wearing LS support. Pain scores (VAS) during activities and postures also showed no statistically significant differences. However, patients reported high satisfaction with LS support regarding comfort (54.76%), pain reduction (55.95%), and feeling safety (65.48%). All participants (100%) expressed a desire to continue using LS support.

Conclusion: Wearing LS support did not significantly improve functional ability and reduce pain during the early postoperative period following decompressive laminectomy in patients with degenerative lumbar spine disease. However, it helps improve patient confidence and perceived safety in mobility.

Translation and Validation of the Sore Throat Assessment Tool-10 (STAT-10) into Thai Language for Patients with Acute Pharyngitis

Pipatpong Pomchaiya , Sribud Srichaijaroonpong — Wed, 29 Apr 2026 00:00:00 +0700

Acute pharyngitis is a common health problem that imposes a significant burden on Thailand's healthcare system; however, there is currently no standardized Thai-language instrument for assessing sore throat severity from the patient's perspective. This study aimed to translate and validate the Thai version of the Sore Throat Assessment Tool-10 (STAT-10). The study followed the cross-cultural instrument translation process, including obtaining permission from the original developer, forward translation, backward translation, review by the original developer, and content validity assessment by three experts. Reliability was tested in 30 patients with pharyngitis at Phra Ajarn Fan Ajaro Hospital, Sakon Nakhon Province. The results showed that the Index of Item-Objective Congruence (IOC) values for all items exceeded 0.67, indicating good content validity. The overall Cronbach's alpha coefficient was 0.873, demonstrating high internal consistency comparable to the original instrument (0.87-0.91). In conclusion, the Thai version of STAT-10 demonstrates good content validity and high reliability, serving as a standardized tool for assessing sore throat severity in Thai patients.

Factors Influencing Clinical Risk Management Among Professional Nurses In Community Hospitals in Khon Kaen Province

Jatuporn Suwannhakhin, Wanchanok Juntachum — Wed, 29 Apr 2026 00:00:00 +0700

This descriptive correlational and predictive study aimed to examine the level of clinical risk management among professional nurses, the relationships between shared leadership, team resilience, and clinical decision support systems with clinical risk management, and the combined predictive ability of these factors in community hospitals in Khon Kaen Province. A purposive sample of 226 professional nurses with at least one year of experience (excluding supervisors) was selected through multi-stage sampling. Data were collected using four questionnaires: shared leadership questionnaire, team resilience questionnaire, clinical decision support systems questionnaire, and clinical risk management questionnaire. The instruments were validated for content validity by five experts and tested for reliability using Cronbach's alpha coefficient, yielding reliability values of 0.97, 0.96, 0.97, and 0.98, respectively. Data analysis employed descriptive statistics, Pearson correlation coefficients, and stepwise multiple regression analysis.

Results revealed that: 1) Clinical risk management was at a high level ( = 4.07, S.D. = 0.46). 2) Shared leadership (r = .55, p < .001), team resilience (r = .45, p < .001), and clinical decision support systems (r = .58, p < .001) demonstrated moderate positive correlations with clinical risk management. 3) Clinical decision support systems and shared leadership jointly predicted 41.7% of variance in clinical risk management (F = 79.782, p < .001, R² = .417).

Factors Influencing Research Productivity Among Professional Nurses in Cancer Hospitals Under the Department of Medical Services in Northeastern Thailand

Intra Sakulchocboonma , Wanchanok Juntachum — Wed, 29 Apr 2026 00:00:00 +0700

This descriptive study aimed to examine factors influencing research productivity among professional nurses in cancer hospitals under the Department of Medical Services in Northeastern Thailand. The sample consisted of 236 professional nurses from Udon Thani Cancer Hospital and Ubon Ratchathani Cancer Hospital, selected using stratified random sampling. The research instrument was a questionnaire comprising personal factors, research productivity, attitudes toward research,
self-efficacy, and perceived organizational support for research. Data were analyzed using descriptive statistics and multivariate logistic regression analysis.
The findings revealed that work experience (AOR = 1.13; 95% CI: 1.08–1.17; p < .001) and attitudes toward research (AOR = 2.34; 95% CI: 1.10–4.99; p = .028) were significant predictors of research productivity. For each additional year of work experience, the likelihood of conducting research increased by 1.13 times. Nurses with positive attitudes toward research were 2.34 times more likely to engage in research activities than those with negative attitudes. The logistic regression model was statistically significant (Model χ² = 69.709, p < .001), explained 34.2% of the variance (Nagelkerke R² = .342), and demonstrated adequate model fit (Hosmer–Lemeshow test: χ² = 8.373, p = .398). Weekly working hours, self-efficacy, and organizational support were not found to have statistically significant effects.
These findings highlight the importance of enhancing professional experience and fostering positive attitudes toward research to promote nurses' participation in research activities, which may contribute to improved nursing quality and sustainable development of healthcare systems.

Effect of an exercise program on Low Back Pain Among Pregnant Women at Nakhon Phanom Hospital

Wed, 29 Apr 2026 00:00:00 +0700

Low back pain is a common problem among pregnant women, adversely affecting their quality of life and daily functioning. This study aimed to examine the effects of an exercise program on low back pain among pregnant women. A quasi-experimental, one-group pretest–posttest design was employed. The research was executed at the antenatal care clinic of Nakhon Phanom Hospital. The sample consisted of 45 pregnant women aged 18 years and older, in their second to third trimesters, who experienced low back pain. The intervention included health education, exercise training, posture adjustment, and avoidance of risk factors. The program was delivered in four sessions, each lasting 45 minutes, by nurses and Thai traditional medicine practitioners. Data collection included general information, health literacy, and motivational literacy. Descriptive statistics (mean and standard deviation) were used, and paired t-tests were conducted to compare mean scores of knowledges, health decision-making behaviors, and pain levels before and after the intervention.

The results showed that after the intervention, participants had significantly higher mean scores in knowledge and health decision-making behaviors (p < .001) and significantly reduced levels of low back pain. In conclusion, an exercise program integrated with health literacy effectively enhances self-care behaviors and reduces low back pain in pregnant women. It is recommended for implementation in antenatal care services to promote health behaviors and alleviate low back pain.

Factors Influencing Decision-making Using Information Technology Among Nursing Administrators at Khon Kaen Hospital

Thamonwan Tharasombat, Somprattana Dapha — Wed, 29 Apr 2026 00:00:00 +0700

This study employed a descriptive correlational and predictive research design to examine factors that jointly predict information technology–based decision-making among nursing administrators at Khon Kaen Hospital. The study sample consisted of 110 nursing administrators at all administrative levels of Khon Kaen Hospital. The research instrument was a structured questionnaire comprising three parts: 1) personal factors, 2) information technology system management factors, and 3) information technology–based decision-making. Content validity was evaluated by five experts, yielding content validity indices of 1.00, 0.96, and 0.97, respectively. The reliability of the instruments was assessed using Cronbach’s alpha coefficients, which were 0.73 and 0.86, respectively. Data were analyzed using descriptive statistics, Pearson’s correlation coefficient, and stepwise multiple regression analysis.

The findings indicated that: 1) the overall level of information technology–based decision-making among nursing administrators at Khon Kaen Hospital was high ( = 4.21, S.D. = 0.60); 2) personal factors were not significantly associated with information technology–based decision-making (p > 0.05); 3) information technology system management factors, including perceived usefulness of information technology and organizational factors, demonstrated strong positive correlations with information technology–based decision-making (r = 0.83 and r = 0.78, respectively; p < 0.001), while information quality and system quality showed moderate positive correlations (r = 0.61 and r = 0.56, respectively; p < 0.001); and 4) perceived usefulness of information technology and organizational factors jointly predicted information technology–based decision-making, accounting for 78% of the variance (R² = 0.78, p < 0.001).

Content

Wed, 29 Apr 2026 00:00:00 +0700

Editorial Board

Wed, 29 Apr 2026 00:00:00 +0700

Editorial

Wed, 29 Apr 2026 00:00:00 +0700

A study of Innovative Leadership Components of Nursing Administrators in Regional and General Hospitals

Wed, 29 Apr 2026 00:00:00 +0700

This study aimed to investigate the components of innovative leadership among nursing administrators in regional and general hospitals. A mixed-methods research design was employed, comprising three phases: 1) a synthesis of eight documentary and research sources; 2) in-depth interviews with five experts; and 3) an assessment of appropriateness and feasibility conducted by seven experts. The research instruments consisted of a document synthesis form, an interview guide, and an appropriateness and feasibility assessment form. Data were analyzed using mean scores, standard deviations, and percentages

The findings were as follows:

1) The components of innovative leadership for nursing administrators comprises 14 dimensions: (1) innovative vision and strategy (2) innovative creativity (3) innovation creation (4) learning organization management (5) rewards and recognition (6) team building (7) personality traits (8) organizational climate creation (9) innovative leadership (10) organizational culture building (11) specialized expertise development (12) communication and interpersonal skills (13) emotional intelligence and (14) supportiveness.

2) Regarding appropriateness, the components were rated at the highest level overall.

3) Regarding feasibility, the components were also rated at the highest level overall.