Development of Clinical Practice Guidelines for Nursing Care of Patients with Pneumonia Receiving High-Flow Oxygen Therapy: A Community Hospital in Ubon Ratchathani Province
Keywords:
high-flow oxygen therapy, clinical practice guideline, patients with pneumoniaAbstract
This research and development study aimed to develop a clinical nursing practice guideline (CNPG) for patients with pneumonia receiving high-flow oxygen therapy (HFOT) at Khuang Nai Hospital and to evaluate its clinical outcomes. The study sample consisted of 68 hospitalized patients with pneumonia receiving HFOT. Participants were selected using purposive sampling and were equally divided into an experimental group (n = 34) and a control group (n = 34). The research instruments included the HFOT CNPG and a data recording form. Data were analyzed using descriptive statistics, chi-square tests, independent samples t-tests, risk ratio regression, and mean difference regression analysis.
The results showed that the HFOT CNPG had content validity index (CVI) values ranging from 0.80 to 1.00. At 6 hours after HFOT initiation, the experimental group had significantly lower mean heart rate, respiratory rate, and systolic blood pressure, as well as significantly higher mean oxygen saturation, compared with the control group (p < .05). In addition, the experimental group had significantly lower rates of endotracheal intubation and a shorter mean length of hospital stay than the control group (p < .05).
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