ผลของการพยาบาลโดยใช้ทฤษฎีของ Neumanในผู้ป่วยเด็กวิกฤตที่ใช้เครื่องช่วยหายใจ ต่อปริมาณยานอนหลับ ยาแก้ปวด และอาการถอนยา
Keywords:
the Neuman model, respiratory failure in critically ill children, sedative, analgesic, drug withdrawal symptomsAbstract
The purpose of this quasi experimental research was to compare total dose of sedative, analgesic used and drug withdrawal symptoms between participants received the nursing intervention base on the Neuman model and the usual nursing care. The research subjects composed of 30 participants as inclusion criteria. We randomly assigned the participants into intervention group and control group. Research instruments used including 1) Experimental instrument was nursing care program base on Neuman model linked to the nursing intervention for preventing and reducing withdrawal symptoms including adminstration of sedative and analgesic drug, promotion of sleep, and comforting touch. 2) Data collecting instrument was Sophia Observation Withdrawal Scale. 3) Monitoring instruments were the nursing activities observation forms including 3.1) Adminstraion of drug for preventing and reducing drug withdrawal symptoms observation form.3.2) Teaching comforting touch to parents and caregivers with demonstraion method observation form 3.3) Promoting sleep observation form. These instruments were tested for content validity by five experts. Total dose of sedative, analgesic used were collected by researcher and drug withdrawal symptoms were collected by research assistants every eight hours. Data was analyzed by descriptive, Mann - whitney U test and repeated measures ANOVA.
The findings were as follows:total dose of sedative, analgesic used of critically ill children who received the nursing intervention base on the Neuman model was not different than that critically ill children who received the usual nursing care; and drug withdrawal symptoms of critically ill children who received the nursing intervention base on the Neuman model was significantly less than that of critically ill children received the usual nursing care at the level .05
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารวิทยาศาสตร์สุขภาพและสุขภาวะ
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยหัวเฉียวเฉลิมพระเกียรติ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใดๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว