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Background: The transition from hospital to home among patients with stroke is quite challenging. If the patients are not ready for hospital discharge, their condition may worsen, which also causes a high rate of readmission. Although instruments to measure readiness for hospital discharge exist, none of them fit with the Thailand context. Objective: This study aimed to develop a Readiness for Hospital Discharge assessment tool in Thai patients with stroke. Methods: The study was conducted from February to September 2020, which consisted of several steps: 1) conducting an extensive literature review, 2) content validity with five experts, 3) pilot testing with 30 samples, and 4) field testing with 348 participants. Content validity index (CVI) was used to measure the content validity, Cronbach’s alpha and inter-item correlation to evaluate reliability, and multiple logistic regression analysis to measure the construct validity. Results: The findings showed good validity and reliability, with I-CVI of 0.85, Cronbach’s alpha of 0.94, and corrected item-total correlation ranging from 0.43 to 0.86. The construct validity was demonstrated through the results of regression analysis showing that the nine variables include level of consciousness (OR = 0.544; CI 95% = 0.311 - 0.951), verbal response (OR = 0.445; 95% CI 0.272- 0.729), motor power right leg (OR = 0.165; 95% CI 0.56- 0.485), visual field (OR = 0.188; 95% CI 0.60-0.587), dysphagia (OR = 0.618; 95% CI 0.410-0.932), mobility (OR = 0.376; 95% CI 0.190 - 0.741), self-feeding (OR = 0.098; 95% CI 0.036 -0.265), bathing (OR = 0.099; 95% CI 0.026-0.378), and bladder control (OR = 0.589; 95% CI 0.355-0.977) that significantly influenced the hospital readmission within 30 days in patients with stroke. Conclusion: The Readiness for Hospital Discharge assessment tool is valid and reliable. Healthcare providers, especially nurses, can use this tool to assess discharge conditions for patients with stroke with greater accuracy in predicting hospital readmission.

Introduction: Respiratory distress syndrome (RDS) or hyaline membrane disease (HMD) is the most common cause of neonatal morbidity and mortality in preterm infants. The aims of the study were to determine the incidence of RDS in preterm infants in Thailand and to identify factors predicting survival of preterm infants with RDS. Methods: A retrospective cohort study was conducted with 820 preterm infants from January 2016 to December 2019 in the NICUs of a tertiary hospital located in the north of Thailand. Data were collected from hospital medical records. The incidence of RDS was analyzed. Binary logistic regression was used to predict factors related to survival of preterm infants with RDS. Results: The incidence of RDS in infants born at <37 weeks gestation was 44.15% of all preterm infants. Moreover, birth weight and length of stay could significantly predict survival of preterm infants with RDS (p<.05). Conclusions: RDS was frequent in preterm infants <37 weeks gestation. The findings of this study can increase factors contributing to RDS in preterm infants that appropriate care can initiated to improve survival of preterm infants with RDS.

Exploring Discomfort during ChemotherapyAsian Pac J Cancer Prev, 24 (2), 459-465 surgery, to remove a cancerous tumor. The main goal of adjuvant chemotherapy is to lower the chance that cancer will return and improve the outcome of first-line treatment. (National Comprehensive Cancer Network, 2019).Discomfort for breast cancer patients might be felt during adjuvant chemotherapy simultaneously with a side effect from previous treatment, such as after surgery. Adjuvant therapy can consist of physical discomfort, including pain, fatigue, difficulty sleeping, nausea and vomiting, taste disorders, hair loss, constipation, diarrhea, sexual dysfunction, loss of appetite, and weight loss.

PurposeThis study explored self-management in the context of asthma experiences of school-age children and the factors that facilitate asthma self-management.Design/methodology/approachThis is qualitative research used in-depth interviews. Purposive sampling was employed to select 15 school-age children with asthma attending the outpatient pulmonary department at university hospital in Thailand. Semistructured in-depth individual interviews were conducted. which were audiotaped and transcribed verbatim. Content analysis was used to analyze the data.FindingsTwo major themes emerged from this study: (1) perspectives on managing asthma and (2) facilitators in asthma self-management. Four subthemes emerged from the first major theme related to views on managing asthma: (1) emphasizing use of an inhaler for asthma, (2) self-monitoring for symptom, (3) difficulties with the daily regimens and (4) family support on asthma self-management. Two subthemes emerged from the second major theme related to facilitators in asthma self-management: (1) confidence in performing asthma care behaviors and (2) asthma communication.Originality/valueThis study described strategies that support asthma management of children in Thailand and provided insight into factors that influence asthma self-management. Findings will inform the development of future self-management interventions for school-age children with asthma.