ผลของโปรแกรมการพัฒนาความรู้และทักษะของพยาบาล ในการดูแลผู้ป่วยตัดปากมดลูก ด้วยห่วงไฟฟ้าแบบวันเดียวกลับ โรงพยาบาลแห่งหนึ่ง จังหวัดเลย

Kanchanaporn  Yadpanya; Pattaya  Kaewsarn; Wanlapa  Sriboonpimsuay

Authors

Kanchanaporn Yadpanya Master's Degree Student, Master of Nursing Science Program, School of Nursing, Sukhothai Thammathirat Open University
Pattaya Kaewsarn Assistant Professor, Dr., School of Nursing, Sukhothai Thammathirat Open University
Wanlapa Sriboonpimsuay School of Nursing, Udon Thani Rajabhat University,

Keywords:

Loop electrosurgical excision procedure, Nursing knowledge, Nursing skills, One-day surgery

Abstract

The objectives of this research were to: 1) compare nurses' knowledge and skills before and after participation in a knowledge and skills development program for nurses at a hospital in Loei Province on the care of patients undergoing loop electrosurgical cervical excision procedure as one day surgery. 2) compare the incidence of complications in patients before and after program implementation.

This was quasi-experimental research using a single-group pretest-posttest design. The sample was selected by purposive sampling who met the inclusion criteria consisted of 11 nurses working at a hospital in Loei Province and 11 patients undergoing loop electrosurgical cervical excision procedure as one day surgery. The research instruments consisted of 1) a program of knowledge and skills development on the care of patients undergoing loop electrosurgical cervical excision procedure as one day surgery 2) a questionnaire on knowledge about the care of patients undergoing loop electrosurgical cervical excision procedure as one day surgery, 3) a skill evaluation form on the care of patients undergoing loop electrosurgical cervical excision procedure as one day surgery, and 4) a complication and incidence record form. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test.

The results revealed that: (1) after the program, nurses’ knowledge and skill scores were significantly higher than before (p < .05); and (2) the incidence of complications decreased from 55.55% to 9.09%. It is recommended that this program be integrated into personnel development, with further studies to evaluate long-term retention.

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