The การพัฒนาแนวปฏิบัติการพยาบาลเพื่อป้องกันภาวะความดันในกะโหลกศีรษะสูง ในผู้ป่วยที่มีการระบายน้ำไขสันหลังจากโพรงสมอง โรงพยาบาลร้อยเอ็ด

บทคัดย่อ

This research study aimed to develop a clinical nursing practice guideline for patients with Traumatic Brain Injury with external ventriculostomy for and to evaluate the guideline effectiveness regarding how it can be applied to patients by utilizing the evidence-based practice of a model devised by Soukup (2000) as a framework. The working steps consisted of analyzing and identifying problems, searching evidence, and assessing the creditability level and feasibility of implementation. The established clinical pathway was derived from the analysis of 10 research papers relating to prevention IICP patients. The developed clinical pathway was validated by 5 experts and adjusted for better application. The participants were included 14 Register nurse and 10 TBI patients. The results of this study were:

1. The Important Develop technique on nursing intervention for prevention

complication from Increased Intracranial Pressure were included: 1) posture 2) assessment of vital signs and neurological symptoms 3) Look for warning signs of IICP 4) Respiratory care and 5) Care to promote cerebrospinal drainage. Establish a nursing practice guideline to prevent IICP and 3. For Nursing participated in nursing practice to prevent high intracranial pressure, cerebral injury patients with external ventricular drainage by monitoring and continuing care. The outcome of CNPG were guarantee patients safety with no incident of IICP and highly level of satisfaction score.

It is recommended that the developed CNPG: 1) should be implemented in actual situations in other surgery department and should be extended sample size and longitudinal period for traumatic brain injuries patients care