Develop and Evaluate Nursing Practice Guidelines for Care of Asthma Patients at Inpatient Departments in PhoChai Hospital

Abstract

Purposes : To develop and evaluate nursing practice guidelines for care of asthma patients at inpatient departments inPho Chai  Hospital.

Study design : Research and Development was conducted.

Materials and Methods : 16 of participants of asthma patients admitted to the inpatient department Phochai Hospital, operated from March - August 2019 and 10 of registered nurses on working at the inpatient department. Data were collected by using questionnaires, test and performance appraisal forms. Data were analyzed using frequency, percentage, standard deviation, minimum and maximum values.

Main findings : 1) The NPGs for Includes: (1) Assessment of severity of asthma exacerbation first admission at the inpatient department (2) Care of the physician according to the treatment plan (3) Oxygenation to keep SaO2% > 95% (4) Surveillance and monitoring (monitoring) (5)Day1-2 notify asthma clinic visit/evaluate patients (6) Day2-3 pulmonary rehabilitation (7) Practice skill on using bronchodilator, recommend medication and (8) Day3,4 plan for distribution. 2) The patient had a high level of knowledge about the disease (93.8%), the practice were at a good level (87.5%), the patient were treated with NPGs (100.0%) and 3) Registered nurses had satisfaction with the guidelines overall, it's at the highest level.

Conclusion and recommendations : The results of this research have provided patients with knowledge about the disease, their practices, and received additional guidelines.