Effects of Employing Nursing Practice Guidelines for Managing Disturbance Symptoms in Older People Underwent Cataract Surgery
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Abstract
The objective of this quasi-experimental research was to study the results of using the nursing practice guidelines to manage disturbing symptoms in the elderly undergoing cataract surgery, operating room nursing unit, Roi Et Hospital. A sample of 84 elderly undergoing cataract surgery was divided into 42 subjects in the experimental group and 42 subjects in the control group as well as 63 nurses. The research instrument was the nursing practice guidelines for managing disturbing symptoms in elderly undergoing cataract surgery, yielding a CVI of 1.0. Data collecting tool consisted of (1) nurse competency assessment form (2) disturbance management supervision form, (3) opinion towards the use of the nursing practice guidelines, (4) nurse satisfaction questionnaire, (5) patient satisfaction questionnaire, and (6) clinical outcome recording form. Cronbach alpha coefficient of data collecting tool were 0.72, 0.82, 0.95, 0.96 and 0.90 respectively. Data were analyzed using descriptive statistics, t-test, Mann-Whitney u-test, and Spearman rank correlation.
The results found that the patients’ disturbing symptoms had a significantly high inverse relationship with the patients’ surgical cooperation (r -0.717, p < .001). The surgery postponement rate was not found. The surgical cooperation of the experimental group was significantly higher than the control group (z 5.77, p < .001). The patients in the experimental group had significantly higher satisfaction than the control group (t -13.49, p < .001). It was found that after using the guidelines, the nurses stated that the guideline was possible, appropriate, correct, and useful. 86.55% of the nurses had skills in assessing and managing disturbing symptoms. 87.44 % of the nurses were able to follow the guideline. The nurses had the overall satisfied at the highest level (Mean 4.59, SD, 0.51).
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