Effectiveness of the clinical nursing practice guidelines in preventing hypotension in pregnant women receiving cesarean section and spinal anaethesia

Abstract

Objectives: To investigate effectiveness of the clinical nursing practice guidelines in preventing hypotension in pregnant women receiving cesarean section and spinal anesthesia. Materials and method: The study tools including 1. Anesthesia and post anesthesia care unit record form, and 2. The incidence of hypotension record form during spinal anesthesia with intrathecal opioid. The data were collected from October 2018 until 28 February 2019. The descriptive statistics analysis can extract in table of the number, percentage, mean, and standard deviation. The inferential statistics were used independent t test to compare mean and chi-square test of hypotensive association. Results: The results were demonstrated that among 60 pregnant women were aged in 25 – 29 years around 33.33 percentage with mean age 28.48. The mean of gestational age was 38.74 weeks and the average body mass index around 28.11.Moreover,the ASA status risk of anesthesia was II from physiological change during pregnancy about 88.33 percentage. The study outcome after intervened maternal positioner were presented by the mean and standard deviation of blood pressure in post spinal anesthesia with intrathecal opioid during 5 and 30 minute higher than original positioner with (X= 113.84 , SD=12.45) and (X=109.81, SD=6.08), (X=96.34 , SD= 17.56) and (X=107.31, SD=8.32), respectively and there were statistically significant difference of hypotension between two group at level of 0.05. Conclusion: We can concluded that the intervened maternal positioner could reorganize the protocol of hypotensive prevention in undergoing pregnant women during spinal anesthesia with intrathecal opioid.