The Effects of the Clinical Practice Guideline for the Prevention of Hypotension During the Cesarean Section with Spinal Anesthesia and Morphine Injection on the Level of Blood Pressure of the Women Who Underwent Cesarean Section at Phra Nakhon Si Ayutthaya Hospital

Abstract

     This quasi-experimental research, a two-group posttest-only design, is a study on the women who underwent cesarean section at Phra Nakhon Si Ayutthaya Hospital. The objective is to study the result of the Clinical Practice Guideline in preventing hypotension during the cesarean section with spinal anesthesia and morphine injection on the level of the blood pressure of the women who underwent the cesarean section at Phra Nakhon Si Ayutthaya Hospital. The 62 sampling populations were selected by purposive sampling technique. Among them, 31 were in a controlled group and the other 31 were in an experimental group. The data collection period was from June and August, 2014. The research instruments applied were general-data questionnaire, the Clinical Practice Guideline for preventing hypotension during the cesarean section with spinal anesthesia and morphine injection, and record form for the information of before, during, and after the cesarean section with spinal anesthesia and morphine injection. The general data collected were analyzed by descriptive statistics, including number, percentage, average, and Standard Deviation. These statistics were then compared with the levels of blood pressure by dependent t-test statistics. The result of the research, found that hypotension which systolic pressure is less than 100 mmHg and 90 mmHg during the cesarean section with spinal anesthesia and morphine injection, after the application of the Clinical Practice Guideline, was at 35.48 and 9.68 percent. The comparison of the level of blood pressure during the cesarean section with spinal anesthesia and morphine injection between the controlled group and the experimental group was significantly different (p<.05).
     This research could be used as a guideline for the nursing administrators to administrate the care for patients so that the nursing service could be improved and the quality of nursing could be satisfied. In addition, it could be applied in developing virtually effective system for patients with other cases.