The Results of Using the Nursing Innovation for Decreasing the Under-Skin Petechial of the Caesarean Section Patient Who Got the Regional Anesthetic at Lampang Hospital
Keywords:
Sa-paper, The upper-arm supporting, The under-skin petechialAbstract
Introduction: The most caesarean section patient who admitted at Lampang hospital got the under-skin petechial on the upper-arm that was continuingly measured the blood pressure after relating the blood pressure cuff. The complication was often found in the patient who got the regional anesthetic (spinal block). From this problem, the research team had tested by using the nursing innovation for solving.
Objective: There is the objective to study the results of using the nursing innovation to support Sa-paper or Stockinette under the brachium before rolling with the blood pressure cuff for decreasing the under-skin petechial of the patient.
Methods: This study is the RCT experiment with the caesarean section patients who get the regional anesthetic (spinal block) by comparing 25 samples a group about three groups. Two groups are the experiment groups for using the nursing innovation -the first group is used the Sa-paper to support on the upper-arm and the second group is used the stockinette before rolling with the blood pressure cuff. The other to be the control group is not used anything. The research instruments are the general information record and the evaluation of the under-skin petechial on the upper-arm which is rolled with the blood pressure cuff after relating the blood pressure cuff. The data were analyzed by using descriptive statistics, percentile, fisher’s exact probability test and ordinal logistic regression, respectively.
Results and comments: It was found that the under-skin petechial of the experiment group decreased. The group using Sa-paper to support the upper-arm before rolling with the cuff has 4% of the severe pethichea but the group that was supported with Stockinette had not the under-skin petechial. Comparing the under-skin petechial between the experiment group and the control group found that there was different significantly at p = 0.009.
Conclusion: Using Sa-paper and Stockinette to support the upper-arm before rolling with the blood pressure measurement can decrease the under-skin petechial as it is better than not to support anything. Then should be selected Sa-paper because its price is cheaper than stockinette’s price about 4.5 times.
References
Lin, C.-C., Jawan, B., Villa, V.H., Chen, F.-C., & Liu, P.-P. (2001). Blood pressure cuff compression injury of the radial nerve. Journal of Clinical Anestheia, 13(4), 306-308.
Archer, L. J., & Smith, A. J. Blood pressure measurement in volunteers with and without padding between the cuff and the skin. Anaesthesia. 2001;56:847-849.
มณีรัตน์ ธนานันต์, ดวงธิดา นนท์เหล่าพล, พุ่มพวง กิ่งสังวาล, ชัยชนะ สินเกื้อกูล, และ วินิตา จีราระรื่นศักดิ์. (2546). การป้องกันอันตรายต่อผิวหนังจากการวัดความดันโลหิตโดยการใช้แผ่น
ฟิล์มถนอมอาหารพันแขนก่อนพันถุงลมวัดความดันโลหิต. วิสัญญีสาร, 29(2), 99-105.
พุ่มพวง กิ่งสังวาล, ดารณี ปราการกมานันท์, มณีรัตน์ ธนานันต์, ชัยชนะ สินเกื้อกูล, วิมลรัตน์ กฤษณะ ประกรกิจ, ไกรวาส แจ้งเสม, และคณะ. (2547). ความพึงพอใจของอาสาสมัครค่าความดัน
โลหิตและผลต่อผิวหนัง: เปรียบเทียบระหว่างการใช้กับไม่ใช้แผ่นฟิล์มถนอมอาหารพันแขนก่อนพันถุงลมวัดความดันโลหิตวัดความดัน. วิสัญญีสาร, 30(4), 176-181.
ชูศักดิ์ เวชแพศย. (2535). การมอนิเตอรทางคลีนิค หลักการ, เครื่อง, และวิธีการ. กรุงเทพฯ: มหาวิทยาลัยมหิดล.
Archer, L. J., & Smith, A. J. Blood pressure measurement in volunteers with and without padding between the cuff and the skin. Anaesthesia. 2001;56:847-849.
OMRON healthcare, INC. (2006). How do I know if the arm cuff is wrapped too tight or too loose?. Retrieved January 6, 2011, from http://www.omronhealthcare.com
ฐิติมา ชินะโชติ. (2548). Monitoring ขณะให้ยาระงับความรู้สึก. ใน อังกาบ ปราการรัตน์ และ วรภา สุวรรณจินดา (บรรณาธิการ), ตำราวิสัญญีวิทยา (น. 171-181). กรุงเทพฯ: กรุงเทพเวชสาร.
Williams Phillips, M. D., Schroeder, T. L., & Levy, M. L. (2003). Vascular purpura and diseases of blood vessels. In J. Loscalzo, & A. Schafer (Eds.), Thrombosis and
hemorrhage (3rd ed., pp. 945-949). Philadelphia: Lippincott & Wilkins.
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