Development of The Modified Early Warning Signs of Increased Intracranial Pressure Evaluated Guidelines in Postoperative Brain Tumor Patients in Neurosurgery Intensive Care Unit, Khon Kaen Hospital

Abstract

The objectives of this action research were to 1) Study the situation of evaluating warning signs of increased intracranial pressure (IICP) in postoperative brain tumor patients in the neurosurgery intensive care unit at Khon Kaen Hospital 2) Develop guidelines for evaluating warning signs of IICP, and 3) Study the results of using the guidelines. The sample group consisted of 36 registered nurses and 45 postoperative tumor patients between November 2023 to January 2024. The research tool includes guidelines. The tools used to collect data include personal information questionnaire, interview guide, evaluation form, knowledge testing form, and satisfaction survey form. Qualitative data were analyzed using content analysis. Quantitative data were presented as frequencies, percentages, means, and standard deviations. Compare the average knowledge scores before and after using the guidelines by the Paired Sample T-Test.

The research results found that 1) There was still no clear of using IICP guidelines in postoperative brain tumor patients, 2) Operating IICP guidelines, which were developed in this study, consisting of nursing assessments, nursing diagnosis, nursing planning, nursing practice, and nursing evaluation, and 3) After using the IICP guidelines found that patients were received the standard of care, accuracy, faster, and no life-threatening complications. The professional nurses had a significantly higher average knowledge score in each field after using IICP guidelines compared to before (p≤0.01). In addition, professional nurses followed the guidelines, which increased by 10.41-31.25 percent, and were satisfied with the guidelines at the highest level (M = 4.93, SD = 0.12).