Tạp chí Khoa học Điều dưỡng https://vjol.info.vn/DHDDND <p><strong>Tạp chí của Trường Đại học Điều dưỡng Nam Định</strong></p> vi-VN Tạp chí Khoa học Điều dưỡng Medication adherence in hypertension: A cross-sectional study at Tam Tri Quang Nam General Hospital https://vjol.info.vn/DHDDND/article/view/138465 <p>Objective: Hypertension is a prevalent chronic condition in Vietnam that can lead to severe complications if not well controlled. Medication adherence plays a crucial role in effective blood pressure management. This study aimed to assess medication adherence and its associated factors among hypertensive patients in a private hospital setting. Methods: A cross-sectional study was conducted at Tam Tri Quang Nam General Hospital in 2025 among adults aged ≥18 years with hypertension diagnosed for at least six months. Data were collected using a structured questionnaire, and medication adherence was assessed using the 8-item Morisky Medication Adherence Scale (MMAS-8). Descriptive statistics were used to summarize participant characteristics and levels of medication adherence. Non-parametric tests (Mann–Whitney U and Kruskal–Wallis tests) were applied to examine associations between medication adherence and related factors in univariate analyses. Variables identified were then entered into a multivariable linear regression model to determine independent predictors of medication adherence. Results: More than half of patients had low medication adherence (52.9%), while only 8.0% showed high adherence. In univariate analyses, several factors were associated with adherence (p &lt; 0.05). In multivariable linear regression, gender and the number of daily medications remained independently associated with adherence, with the number of daily medications being the strongest predictor. Conclusion: Medication adherence among patients with hypertension was suboptimal. The number of daily medications was the strongest predictor of poor adherence, indicating the need to simplify treatment regimens and prioritize patients receiving multiple medications.</p> Nguyen Thi Thuy, Dam Thi Minh Huong Bản quyền (c) 2025 Tạp chí Khoa học Điều dưỡng 2025-12-29 2025-12-29 9 01 (Số TA) 6 16 Relationship between learning attitude, self-efficacy, and caring behavior among nursing students in selected universities in Vietnam https://vjol.info.vn/DHDDND/article/view/138506 <p>Objectives: This study aims to examine the relationship between learning attitude, self-efficacy, and caring behavior among undergraduate nursing students in three selected public universities in Vietnam. Methods:A descriptive-correlational design was used with 428 nursing students from three public universities in southern Vietnam from December 2024 to February 2025. Standardized instruments were applied, including the R-SPQ-2F for learning attitudes, the Self-Efficacy for Learning and Performance Scale, and the Caring Behaviors Inventory (CBI-24). All tools were translated and culturally adapted for Vietnamese participants. Data analysis employed descriptive statistics, Pearson’s correlation, and regression modeling. Results: Results showed moderate surface (M = 2.71, SD = 0.831 ) and deep (M = 3.32, SD = 0.7) learning approaches. Self-efficacy was rated as good in both self-learning (M = 2.63, SD = 0.48) and self-performance (M = 2.98, SD = 0.396). Caring behavior was consistently high across all domains, including being with (M = 4.85, SD = 0.746), doing with competence (M = 4.88, SD = 0.81), responding to needs (M = 5.01, SD = 0.81), and providing effective care (M = 4.89, SD = 0.942). Deep learning attitude was positively correlated with self-efficacy (r = 0.195–0.204, p &lt; 0.001) and all caring behavior dimensions (r = 0.183–0.204, p &lt; 0.001). Self-efficacy also correlated positively with caring behavior in both learning (r = 0.135–0.156) and performance domains (r = 0.135–0.165). Regression analysis confirmed a significant direct effect of self-efficacy on caring behavior (β = 0.3152, p &lt; 0.001) and a smaller indirect effect mediated by learning attitude (estimate = 0.0378, p = 0.041), indicating partial mediation. Conclusion: The findings highlight the importance of strengthening self-efficacy and fostering deep learning approaches to enhance compassionate and competent nursing care. Future research should design interventions that integrate these elements into nursing curricula</p> Nguyen Hong Thiep, Edreck D. Estioko Bản quyền (c) 2026 Tạp chí Khoa học Điều dưỡng 2026-01-06 2026-01-06 9 01 (Số TA) 17 28 Evaluation of the validity and reliability of the Vietnamese version of the perceived stress scale-10 among nursing students https://vjol.info.vn/DHDDND/article/view/138512 <p>Objective: This study evaluated the psychometric properties of the Vietnamese version of the Perceived Stress Scale (VN-PSS-10) among nursing students. Methods: A cross-sectional study was conducted with 350 nursing students from a university in Vietnam. Psychometric evaluation followed COSMIN guidelines, assessing content validity, structural validity, and reliability. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed, with internal consistency measured by Cronbach’s alpha and test-retest reliability assessed via intraclass correlation coefficients (ICC). Results: The VN-PSS-10 demonstrated strong content validity (I-CVI: 0.80–1.00). EFA and CFA confirmed a two-factor structure (Perceived Helplessness and Perceived Self-Efficacy), explaining 54.2% of variance. The scale showed high internal consistency (Cronbach’s alpha = 0.84) and excellent test-retest reliability (ICC = 0.87). Stress levels varied significantly across academic years, with advanced students reporting higher perceived stress. Conclusions: The Vietnamese Perceived Stress Scale (VN-PSS-10) is a valid and reliable tool for measuring perceived stress in Vietnamese nursing students. Its robust psychometric properties support its use in both research and educational settings. Future research should assess its responsiveness to stress-reduction interventions and its applicability to other student populations</p> Do Minh Sinh, Do Thi Hoa, Vu Thi Hai Oanh, Nguyen Son Tung Bản quyền (c) 2026 Tạp chí Khoa học Điều dưỡng 2026-01-20 2026-01-20 9 01 (Số TA) 29 40 Effectiveness of a health educational intervention on self-care knowledge among patients with chronic heart failure https://vjol.info.vn/DHDDND/article/view/138517 <p>Objective: To assess the baseline self-care knowledge of patients with chronic heart failure and evaluate the effectiveness of a health education intervention on knowledge improvement and retention. Subjects and methods: A one-group pretest–posttest educational intervention study was conducted among 70 hospitalized patients with chronic heart failure at the Department of Cardiology, Nam Dinh General Hospital, from October 2024 to August 2025. Data were collected using a standardized questionnaire; internal consistency reliability was assessed using Cronbach’s alpha. Descriptive statistics and inferential statistics (paired t-test/chi-square test) were used as appropriate, with statistical significance set at p &lt; 0.05. Results: Before the intervention, patients’ self-care knowledge was limited, with a mean score of 10.98 ± 3.73 out of 22; no patient achieved a good level, 55.7% were at a fair level, 34.3% at a moderate level, and 10% at a poor level. After the health education intervention, knowledge improved markedly, with the mean score increasing to 17.35 ± 2.36 and remaining at 17.42 ± 2.03 after one month. The proportion of patients achieving a good level increased to 57.1% immediately after the intervention and 47.1% after one month; there were no poor-level cases, and only 1.4% were at a moderate level. The difference was statistically significant (p &lt; 0.001). Conclusion: Patients with chronic heart failure had substantial limitations in self-care knowledge. The intervention significantly improved self-care knowledge, supporting the importance of regular education to enhance self-care knowledge and thereby contribute to better quality of life and treatment outcomes in patients with chronic heart failure.</p> Hoang Phuong Thao, Vu Van Dau, Hoang Ngoc Ha Bản quyền (c) 2026 Tạp chí Khoa học Điều dưỡng 2026-01-22 2026-01-22 9 01 (Số TA) 41 51 Knowledge and attitudes on needlestick and sharps injury prevention among healthcare workers at Hai Phong International general Hospital https://vjol.info.vn/DHDDND/article/view/138521 <p>Objective: To describe the knowledge and attitudes toward sharp object exposure prevention among healthcare workers at Hai Phong International General Hospital in 2025. Methods: A cross-sectional descriptive study was conducted among 353 healthcare workers from March to May 2025 using convenience sampling. A structured questionnaire included 16 knowledge questions (total score 25) and 22 attitude items. Adequate knowledge and a positive attitude were defined as scores &gt;60% of the total possible score. Data were analyzed using frequency, percentage, and mean ± standard deviation. Results: Healthcare workers aged ≤30 years accounted for 58.6%; 72.2% were female, and 75.4% had a university degree or higher. A significant gap was observed between high theoretical knowledge (94.9%) and moderate positive attitudes (53.0%). No participant achieved a perfect score in the “preventive measures” knowledge domain (0%). The main perceived barriers were staff shortages (46.1%) and patients’ lack of cooperation (39.9%). Conclusion: Healthcare workers demonstrated high knowledge but a relatively low level of positive attitude toward needlestick and sharps injury prevention. The hospital should strengthen training, communication, and staffing support to improve occupational safety practices</p> Nguyen Thi Minh Thu , Do Minh Sinh Bản quyền (c) 2026 Tạp chí Khoa học Điều dưỡng 2026-01-23 2026-01-23 9 01 (Số TA) 52 60 Knowledge and attitudes toward surgical site infection prevention among surgical and obstetric nurses in the Vinmec Healthcare System https://vjol.info.vn/DHDDND/article/view/138524 <p>Objective: To assess nurses’ knowledge and attitudes regarding surgical site infection (SSI) prevention and to examine factors associated with these outcomes among surgical and obstetric nurses in the Vinmec Healthcare System in 2025. Methods: A cross-sectional study was conducted among 189 nurses working in Surgery and Obstetrics departments across Vinmec hospitals from November 2024 to September 2025. Data were collected using a predesigned questionnaire. Appropriate statistical tests were applied to evaluate associations between nurses’ characteristics and SSI-prevention knowledge and attitudes. Results: Overall, 84.7% of nurses demonstrated good knowledge of SSI prevention, with a mean knowledge score of 22.68 ± 2.0 out of 27. In addition, 92.6% reported a positive attitude toward SSI prevention, with a mean attitude score of 21.4 ± 4.02 out of 25. Age and participation in SSI-prevention training within the previous 12 months were significantly associated with both knowledge and attitudes.Conclusion: Surgical and obstetric nurses within the Vinmec Healthcare System in 2025 generally exhibited good knowledge and positive attitudes toward SSI prevention; however, gaps persisted across age groups and training status. Nurses aged &lt;30 years and those who had not received SSI-prevention training in the past year were more likely to have poorer knowledge and less favorable attitudes. Strengthening routine training and targeted support for younger nurses is recommended to enhance the effectiveness of SSI prevention across the system</p> Do Hong Thai, Pham Van Dong, Nguyen Thi Bao Ly, Nguyen Thi Thu Huong, Hoang Thi Kim Anh, Nguyen Thi Mai , Vu Thi Kieu Anh Bản quyền (c) 2026 Tạp chí Khoa học Điều dưỡng 2026-01-26 2026-01-26 9 01 (Số TA) 61 71 Effectiveness of health education intervention in improving maternal knowledge of otitis media care for children aged under five https://vjol.info.vn/DHDDND/article/view/138546 <p>Objective: To assess the baseline knowledge of mothers regarding pediatric otitis media care and to determine the impact of a structured health education intervention on their knowledge levels immediately post-intervention and at one-month follow-up at Gia Dinh General Hospital, Da Nang. Subjects and methods: A single-group, pre–post interventional study was conducted among 76 mothers whose children under five were hospitalized for otitis media at Gia Dinh General Hospital, Da Nang. Mothers’ knowledge was assessed at baseline (pre-intervention), immediately after the counseling session, and one month after the intervention. Results: After the intervention, the proportion of mothers with adequate knowledge of caring for children with otitis media increased markedly, from 64.5% at baseline to 90.8% immediately post-intervention and 80.3% at one month. The mean knowledge score also improved from 14.66 ± 5.26 at baseline to 19.97 ± 4.56 immediately after the intervention and 17.86 ± 5.69 one month later. Conclusion: Mothers’ knowledge of caring for children under five with otitis media was limited before the intervention and improved significantly following health education counseling. These findings underscore the importance of providing health education and counseling for mothers to enhance the quality of pediatric care and treatment.</p> Doan Ngan Thy Thu, Vu Van Dau, Tran Thi Hai Ly Bản quyền (c) 2026 Tạp chí Khoa học Điều dưỡng 2026-01-27 2026-01-27 9 01 (Số TA) 72 82 Quality of life among patients with open-angle glaucoma at Hanoi Eye Hospital in 2025 https://vjol.info.vn/DHDDND/article/view/138550 <p>Objective: To describe the current status of vision-related quality of life among patients with open-angle glaucoma at Hanoi Eye Hospital in 2025. Methods: A cross-sectional descriptive study was conducted using the 25-item National Eye Institute Visual Function Questionnaire on 215 patients diagnosed with OAG attending the glaucoma outpatient clinic at Hanoi Eye Hospital. Results: The overall vision-related quality of life among the participants was generally low, with a mean score of 41.7 ± 18.6 out of 100. Over 60% of the patients scored below 50. The domains most severely impaired were general vision and dependency, whereas activities such as driving and color vision were relatively preserved. Notably, visual impairment was associated with a reduced capacity for disease self-management, reflecting underlying limitations in patients’ awareness and self-care behaviors. Conclusion: The vision-related quality of life of patients with open-angle glaucoma at Hanoi Eye Hospital is predominantly at a moderate level. These findings highlight the urgent need to implement comprehensive intervention strategies to enhance the well-being of this vulnerable patient population</p> Tran Thi Hong Tham, Mai Thi Lan Anh, Nguyen Ngoc Thanh Bản quyền (c) 2026 Tạp chí Khoa học Điều dưỡng 2026-01-28 2026-01-28 9 01 (Số TA) 83 89 Quality of life in patients with chronic kidney disease receiving maintenance hemodialysis at Military Hospital 105 in 2025 https://vjol.info.vn/DHDDND/article/view/138555 <p>Objective: This study aims to describe the quality of life in patients with chronic kidney disease undergoing maintenance hemodialysis at Military Hospital 105 in 2025. Method: A cross-sectional descriptive study was carried out using the KDQOL-36 instrument on 188 chronic kidney disease patients receiving maintenance hemodialysis at the Department of Nephrology – Hemodialysis, Military Hospital 105. Results: The overall quality of life among the participants was predominantly at a moderate to fair level, with a mean score of 51.2 ± 9.5 out of 100. Both physical and mental health component scores were relatively low, averaging 44.4 ± 19.2 and 43.5 ± 16.4, respectively. Conclusion: Patients undergoing maintenance hemodialysis experience significant impairments in both physical and mental well-being. Comprehensive interventions in medical, psychosocial, and economic support are needed to improve the quality of life of chronic kidney disease patients undergoing maintenance hemodialysis</p> Pham Thi Kieu Oanh, Mai Thi Lan Anh, Tran Thi Kim Thu, Bui Thi Thu Hien, Tran Thi Hai Ly Bản quyền (c) 2026 Tạp chí Khoa học Điều dưỡng 2026-01-29 2026-01-29 9 01 (Số TA) 90 97 Changes in knowledge regarding antibiotic useamong mothers of children with acute respiratory infectionsafter a health education intervention at Ha Dong General Hospital https://vjol.info.vn/DHDDND/article/view/138559 <p>Objective: To evaluate the changes in knowledge regarding antibiotic use among mothers of children with acute respiratory infections treated at Ha Dong General Hospital after a health education intervention. Methods: An educational intervention study was conducted on 145 mothers of children with ARIs at Ha Dong General Hospital from February to May 2025. Data were collected using a validated assessment tool for maternal knowledge on antibiotic use, which demonstrated a strong Content Validity Index (CVI = 0.86) and high reliability (Cronbach’s alpha = 0.945). Results: Before intervention, maternal knowledge was notably limited, with only 33.1% of participants demonstrating adequate general knowledge about antibiotic use. After intervention, this proportion significantly increased to 100% at both post-intervention assessments (T2 and T3). The mean score for general antibiotic knowledge improved from a baseline of 14.41 ± 1.39 (T1) to 18.81 ± 0.49 immediately post-intervention (T2), and this high level of knowledge was sustained prior to discharge at 18.71 ± 0.58 (T3), with statistically significant p &lt; 0.05. Conclusion:Maternal knowledge regarding antibiotic use was initially inadequate but showed marked and sustained improvement following the health education intervention (p &lt; 0.05). Nurses should proactively educate and regularly verify mothers’ understanding of antibiotic administration throughout the clinical care process</p> Nguyen Thi Trang, Nguyen Thi Minh Chinh, Mai Phuong Thanh, Nguyen Thi Nga, Doan Van Thuy, Cao Thi Luyen Bản quyền (c) 2026 Tạp chí Khoa học Điều dưỡng 2026-01-30 2026-01-30 9 01 (Số TA) 98 106 Attitudes and practices regarding preventive oral health self-care among patientsat Ha Dong General Hospital in 2025 https://vjol.info.vn/DHDDND/article/view/138563 <p>Objective: To describe the attitudes and practices regarding preventive oral health self-care among patients visiting Ha Dong General Hospital in 2025. Methods: A cross-sectional descriptive study was conducted on 401 patients attending the Odonto-Stomatology Clinic at Ha Dong General Hospital from March to May 2025. Data were collected using a validated questionnaire assessing attitudes and practices towards preventive oral care, yielding Cronbach’s alpha reliability coefficients of 0.933 and 0.947 for the attitude and practice domains, respectively. Results: Regarding attitudes toward preventive oral self-care, 60.1% of patients demonstrated a good attitude, 19.7% were average, and 20.2% were poor. In terms of practices, 60.1% exhibited good practices, 10.2% were average, and 29.7% were poor. The mean scores for attitudes and practices varied significantly according to gender and age (p &lt; 0.05). Furthermore, a strong and statistically significant positive correlation was observed between patients’ attitudes and their practices (r = 0.924, p = 0.001). Conclusion: Patient attitudes and practices concerning preventive oral health self-care remain suboptimal. Targeted oral health counseling and health education, meticulously tailored to specific age groups and genders, must be prioritized by nursing staff in clinical settings</p> Nguyen Thi Duyen, Truong Tuan Anh, Nguyen Thi Nguyet Bản quyền (c) 2026 Tạp chí Khoa học Điều dưỡng 2026-02-02 2026-02-02 9 01 (Số TA) 107 115 Sleep quality among patients with chronic musculoskeletal disorders at Nghe An Provincial Friendship General Hospital https://vjol.info.vn/DHDDND/article/view/138569 <p>Objective: To describe the sleep quality and identify selected factors associated with sleep quality among patients with chronic musculoskeletal disorders at Nghe An Provincial Friendship General Hospital in 2025. Methods: A cross-sectional descriptive study was conducted among 298 inpatients aged ≥ 18 years who were diagnosed with chronic musculoskeletal diseases (osteoarthritis, rheumatoid arthritis, gout, osteoporosis, ankylosing spondylitis, and systemic lupus erythematosus). Data were collected from March to August 2025 using a structured questionnaire covering general characteristics, the Pittsburgh Sleep Quality Index (PSQI), and the Visual Analog Scale (VAS) for pain. Multiple linear regression analysis was performed to determine factors associated with sleep quality. Results: The mean PSQI score was 10.88 ± 3.96 (range: 2–20), and 82.2% of patients had poor sleep quality. Mean sleep duration was 5.43 ± 1.07 hours, and habitual sleep efficiency was 68.98 ± 16.83%. The mean pain score on the VAS was 5.99 ± 2.18, with 55.0% of patients reporting severe pain. Regression analysis showed that pain intensity within the previous 24 hours (β = 0.292; p &lt; 0.05) and income (β = −0.366; p &lt; 0.05) were statistically significant predictors of sleep quality; the model explained 43.5% of the variance in PSQI scores (adjusted R² = 0.435). Conclusion: Sleep quality among patients with chronic musculoskeletal disorders was markedly poor and was primarily influenced by pain and socioeconomic conditions. Multimodal pain management, strengthened rehabilitation, and psychological support are recommended, with particular attention to low-income patients. Integrating routine sleep screening using the PSQI into clinical practice is necessary for early detection and timely intervention, thereby contributing to improved patient quality of life</p> Hoang Thi Thuy Anh, Mai Thi Lan Anh, Dinh Thi Hang Nga, Nguyen Thi Thanh Ha, Nguyen Thi Thanh Tinh, Mai Thi Huong Bản quyền (c) 2026 Tạp chí Khoa học Điều dưỡng 2026-02-04 2026-02-04 9 01 (Số TA) 116 125 Knowledge on low-iodine diet among thyroid cancer patients preparing for radioactive iodine therapy: A cross-sectional study in Hanoi https://vjol.info.vn/DHDDND/article/view/138572 <p>Objectives: This study aimed to describe patients’ knowledge of the low-iodine diet (LID) and to assess patients’ needs for nutritional counseling related to LID among thyroid cancer patients preparing for radioactive iodine (RAI) therapy. Methods: A cross-sectional study was conducted among 232 thyroid cancer patients at two large hospitals in Hanoi between May and October 2024. Data were collected using a self-administered questionnaire. Results: The mean knowledge score was moderate (5.95 ± 2.10 out of 11 points). Nearly all participants (98.7%) expressed a need for nutritional counseling regarding LID prior to RAI therapy. Conclusion: Participants demonstrated insufficient knowledge regarding the low-iodine diet, indicating substantial unmet educational needs among thyroid cancer patients before RAI therapy</p> Le Quynh Trang, Hoang Thi Xuan Huong, Mai Ha Anh, Do Thi Thuy Linh, Nguyen Ngoc Oanh, Dinh Thi Luot, Le Thanh Thao Bản quyền (c) 2026 Tạp chí Khoa học Điều dưỡng 2026-02-06 2026-02-06 9 01 (Số TA) 126 133 Correlation of adversity quotient and resilience withprofessional quality of life among nurses: A cross-sectional study https://vjol.info.vn/DHDDND/article/view/138579 <p>Objectives: To determine the correlations between adversity quotient, resilience, and professional quality of life among nurses. Subjects and methods: A cross-sectional descriptive study was \conducted among 110 nurses working at Can Tho University of Medicine and Pharmacy Hospital from February to April 2025. Data were collected using self-administered questionnaires, including the Adversity Response Profile to evaluate the adversity quotient, the Brief Resilience Scale to measure resilience, and the Professional Quality of Life scale version 5.0 to determine professional quality of life. Results: The mean (standard deviation) score for the adversity quotient was 127 (21.6), with subscale scores for control, ownership, reach, and endurance at 29.5 (8.68), 30.2 (9.37), 32.5 (7.87), and 35.1 (7.64), respectively. The mean resilience score was 3.45 (0.7). Regarding professional quality of life, the mean scores for compassion satisfaction, burnout, and secondary traumatic stress were 39.4 (5.89), 26.9 (3.21), and 27.6 (5.57), respectively. Compassion satisfaction was found to be positively correlated with the adversity quotient (r = 0.395; p &lt; 0.001) and resilience (r = 0.197; p = 0.039). Conversely, it was negatively correlated with burnout (r = -0.456$; p &lt; 0.001) and secondary traumatic stress (r = -0.207; p = 0.03). Burnout showed a positive correlation with secondary traumatic stress (r = 0.593; p &lt; 0.001) but a negative correlation with resilience (r = -0.2; p = 0.036). No significant correlations were observed between burnout or secondary traumatic stress and the adversity quotient, nor between resilience and the adversity quotient or secondary traumatic stress. Conclusion: It is essential to develop interventions aimed at enhancing the adversity quotient and resilience, promoting compassion satisfaction, and mitigating burnout and secondary traumatic stress among nurses. Such efforts will contribute to improving work performance and the overall quality of patient care</p> Nguyen Thi Thanh Truc, Nguyen Van Tuan, Nguyen Thi Thuy Trang, Le Kim Tha, Nguyen Hong Thuy, Pham Thi Be Kieu, Le Thi Kim Chi, Nguyen Viet Phuong Bản quyền (c) 2026 Tạp chí Khoa học Điều dưỡng 2026-02-09 2026-02-09 9 01 (Số TA) 134 143 Quality of life among patients with peptic ulcer disease at Danang Hospital in 2025 https://vjol.info.vn/DHDDND/article/view/138584 <p>Objective: To describe the quality of life and identify factors associated among inpatients with peptic ulcer disease at the Department of Gastroenterology, Da Nang Hospital in 2025. Methods: A cross-sectional descriptive study was conducted on 114 inpatients aged ≥ 18 years diagnosed with peptic ulcer disease via endoscopy. The Vietnamese version of the Quality of Life Instruments for Chronic Diseases – Peptic Ulcer (QLICD-PU) was used for face-to-face interviews one day prior to discharge. Data were analyzed using descriptive statistics and association analysis (OR, 95% CI, p &lt; 0.05). Results: The mean overall quality of life score was 49.34 ± 8.93. Domain scores were psychological (58.25 ± 13.41), social (51.81 ± 9.80), symptom-specific (44.67 ± 8.73), and physical (42.54 ± 15.58). QoL levels were classified as good (50.0%), moderate (49.1%), and poor (0.9%). The quality of life was significantly associated with age, income, disease duration, history of hospitalization, comorbidities (cardiovascular and musculoskeletal), smoking, and alcohol consumption (p &lt; 0.05). Conclusion: The quality of life of patients with peptic ulcer disease was predominantly at an moderate to good level. Clinical interventions should prioritize counseling and support for older patients, those with low income, prolonged disease duration, and co-existing chronic conditions to improve their overall quality of life</p> Dao Duy Hai, Doan Hieu Trung, Nguyen Thi Phuc, Le Thanh Tung, Nguyen Ngoc Thanh Bản quyền (c) 2026 Tạp chí Khoa học Điều dưỡng 2026-02-10 2026-02-10 9 01 (Số TA) 144 156 Self-Confidence among nursing students following pediatric health care simulation at Nam Dinh University of Nursing https://vjol.info.vn/DHDDND/article/view/138590 <p>Objectives: To describe self-confidence among nursing students after pediatric health care simulation practice at Nam Dinh University of Nursing in 2025 and identify associated factors. Methods: A cross-sectional descriptive study was conducted at the Preclinical Practice Center of Nam Dinh University of Nursing from March to September 2025. A total of 236 nursing students enrolled in the Pediatric Health Care course were recruited using convenience sampling. Data were collected using a structured questionnaire and the 8-item Self-Confidence in Learning scale (Cronbach’s alpha = 0.91). Descriptive statistics and multivariable linear regression analysis were applied. Results: The mean age of participants was 25 ± 5.8 years; 86% were female and 61% were full-time undergraduate students. Most students had Ordinary to Good academic performance classification, and 56.8% had no prior experience with simulation or pediatric patient care. The mean self-confidence score after simulation was high (4.32 ± 0.41). The regression model demonstrated good fit (R² = 0.67; p &lt; 0.05). Six factors were significantly associated with self-confidence, with pre-simulation briefing showing the strongest effect (β = 0.409). Conclusions: Simulation-based education should be more widely integrated into nursing curricula, particularly in pediatric clinical education.</p> Nguyen Thi Nhat Le, Mai Thi Lan Anh, Pham Thi Thu Mui Bản quyền (c) 2026 Tạp chí Khoa học Điều dưỡng 2026-02-12 2026-02-12 9 01 (Số TA) 157 169 Special oral care practices for intubated mechanically ventilated patients by nurses at Ha Dong General Hospital in 2025 https://vjol.info.vn/DHDDND/article/view/138599 <p>Objective: To describe special oral care practices for intubated mechanically ventilated patients by nurses at Ha Dong general hospital in 2025 and related factors. Methods: A cross-sectional descriptive study was conducted, encompassing 390 observations of SOC procedures performed by 15 clinical nurses in the Intensive Care Unit (ICU) of Ha Dong General Hospital from February to May 2025. Procedural compliance was evaluated using the standardized SOC checklist issued by the Vietnamese Ministry of Health (Decision No. 1904/QD-BYT). Results: The overall compliance rate for SOC procedures was 60.0%, while 40.0% of the observed practices were non-compliant. Factors including the nurse’s age, gender, years of clinical experience, total patient-to-nurse ratio per shift, and the specific number of mechanically ventilated patients assigned per shift demonstrated statistically significant associations with compliant SOC practices (p &lt; 0.05). Conclusion: The compliance rate with standard SOC protocols for intubated mechanically ventilated patients remains suboptimal. Nurse demographics and workload are significantly associated with procedural compliance. Enhanced training, continuous supervision, and optimal nurse staffing are imperative to improve the quality of oral care in the ICU</p> Nguyen Thanh Huong, Nguyen Thi Minh Chinh, Do Thi Thu Hien Bản quyền (c) 2026 Tạp chí Khoa học Điều dưỡng 2026-02-24 2026-02-24 9 01 (Số TA) 170 180 Factors associated with pregnant women’s attitudes toward neonatal jaundice at Thai Binh Obstetrics and Gynecology Hospital in 2025 https://vjol.info.vn/DHDDND/article/view/138604 <p>Objective: To identify factors associated with pregnant women’s attitudes toward neonatal jaundice at Thai Binh Obstetrics and Gynecology Hospital in 2025. Methods: A cross-sectional descriptive study was conducted among 359 pregnant women attending routine antenatal care at Thai Binh Obstetrics and Gynecology Hospital from April 2025 to July 2025. Results: the majority were under 35 years old (80.2%) and lived in rural areas (73.5%). Most participants had at least a high school education (76.9%). Multiparous women accounted for 61.0%, and 86.9% had access to information about neonatal jaundice. Nearly half of the participants (47.9%) reported a history of having a child with jaundice. The main sources of information about neonatal jaundice were healthcare workers (48.4%) and the internet (41.9%), while books and manuals were the least common source (3.2%). Factors associated with pregnant women’s attitudes toward neonatal jaundice included age ≥35 years (OR = 2.03; 95% CI: 1.20–3.43), urban residence (OR = 1.61; 95% CI: 1.00–2.58), a history of having a child with jaundice (OR = 1.89; 95% CI: 1.09–3.24). Conclusion: The study findings indicate that in the multivariable logistic regression model, pregnant women’s adequate attitudes toward neonatal jaundice were associated with maternal age and a history of having a child with jaundice (p &lt; 0.05).</p> My Thi Hai, Nguyen Thi Phuong, Pham Thi Huong Ly Bản quyền (c) 2026 Tạp chí Khoa học Điều dưỡng 2026-02-26 2026-02-26 9 01 (Số TA) 181 192