Research and Development of Guidelines for Prevent Shock from Diarrhea in Elderly Patients

Abstract

         Data on admission of Lamplaimas Hospital shown that diarrhea was first rank on cause of hospitalized. Moreover, diarrhea with shock was increasing from 2.40% in 2012 to 3.04% in 2013. These have impact on qualitative of life of patients and family. The aim of this research and development was to develop guidelines for prevent shock from diarrhea in elderly patients. For the phase I in situation analysis, information was in-depth interview from medicine and nurses, review literature relevance to care for diarrhea in elderly were also conducted.  For the phase II in development guideline, information from phase I were used to frame guideline. Then, draft guideline was sent to 5 experts. For the phase II implementation, guideline was implements in medicine ward for 10 months, Descriptive statistics were utilized to describe the findings and independent sample t-test was utilized to describe the different.  

         Developed guideline was composed of (1) monitoring sign and symptom for septic shock with SIRS, (2) located patients with Immunocompromised close to nurse station, (3) observe vital signs every 30 minutes, and (4) care from oral dehydration therapy-ORT. There were affect of this guideline on decrease number of diarrhea with shock, decrease length of stay, and decrease the hospital expensed statically significant at p<.05. In conclusion, this guideline is easy to implement and have good effect for patients.