Development of the Modified Early Warning Signs of Increased Intracranial Pressure (MEWS of IICP) Evaluated Guidelines in Postoperative Brain Tumor Patients
Increased Intracranial Pressure in Postoperative Brain Tumor Patients
Keywords:
early warning sign, increased intracranial pressure (IICP), postoperative brain tumor patientAbstract
Increased intracranial pressure (IICP) is the most common in patients with brain pathological and is leading to death or disability. This research and development aimed to develop guidelines to assess warning signs of IICP in postoperative brain tumor patients and determine the results of guidelines using. The samples consisted of 18 professional nurses and 52 postoperative brain tumor patients. Data were collected from November 2019-April 2020. The instruments used in this study consisted of the guidelines for evaluating early warning signs of IICP in postoperative brain tumor patients, the opinion of professional nurses, knowledge evaluation form, satisfaction assessment form and postoperative brain tumor patients' characteristic & clinical form. The guidelines were tested for content validity from five experts, which content validity index was 0.95. Qualitative data were analyzed by content analysis. Quantitative data were analyzed by descriptive statistics: frequencies, percentages, mean (standard deviation) and paired t test. The study found that the guidelines consist of nursing assessment, nursing diagnosis, reporting doctors and nursing interventions. The professional nurses had mean score of knowledge after using the guidelines more than before statistically significant. The level of satisfaction in the guidelines was at high level. The guidelines can assess early warning signs of IICP. This allows patients to receive the right care, fast, safe and without life- threatening complications
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