The Effect of the Nursing Practice Guideline for Pregnant Women with Preeclampsia in the Delivery Room at Nakornping Hospital
Keywords:
Nursing practice guidelines, Pregnant women with preeclampsiaAbstract
The purpose of this research was to study the effect of nursing practice guideline for pregnant women with preeclampsia who were treated in the delivery room of Nakornping Hospital. Clinical outcomes and procedural outcomes were measured. The samples of this study were 1) pregnant women diagnosed with preeclampsia and treated in the delivery room between October 2019 and September 2021, 280 participants were enrolled and divided into two groups (140 subjects who were treated with the guideline and 140 subjects who were not); and 2) 21 of physicians and nurses who work in the Nakornping hospital’s delivery room. The research instrument tools were the data collection tools contained 1) Personal data record and outcome, as well as number of times the guideline was used; 2) A questionnaire of opinion on the use of the nursing practice guideline for preeclampsia in pregnant women. Data were analyzed using descriptive statistics. To compare the differences in the data, Fisher's exact probability test and independent t-test were utilized.
The results of the study showed no significant differences between those who were treated according to the guideline and those who were not. In terms of clinical outcomes such as seizure rates or recurrent seizures, maternal mortality rates, perinatal mortality rates, and complications of MgSO4, Infant complications with APGAR<7, and cost of the treatment. The procedural outcomes produced in compliance with maternity nursing operating standards, which were comprised of eight standards showed that the subject group who were given with the guideline had significantly better nursing practice than those who were not (P<0.001); The opinions of physicians and nurses on the application of nursing practice guidelines was at high level, with 80.95%. The findings of this study revealed that the implementation of nursing practice guideline for pregnant women with preeclampsia in the delivery room at Nakornping Hospital can encourage nurses practice following standardization in order to pregnant women receive standard care, resulting in good clinical outcomes for both mother and child.
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