The Development of Operating Room Model for One Day Surgery in Herniorrphy Patients at Chonburi Hospital

Abstract

The purpose of this development is research and development. The objective is to develop a service model for patients with one-day inguinal hernia surgery. Chonburi hospital and to study the effect of using the developed model of the single-day hernia surgery surgery patients by using nursing standards in the quality development cycle (PDCA) and applying the concept of theory to King's goals simple sampling from patients with one-day inguinal hernia surgery that meets the criteria undergoing surgery at Chonburi hospital During April - August 2018, the sample consisted of 30 patients, 20 professional nurses, and 2 research instruments, consisting of a single day surgery inguinal hernia surgery patients. Return content validity was checked by 3 experts with CVI = 1.0 and tools used for data collection were the anxiety questionnaire had the CVI .80, alpha coefficient of Cronbach .80, the postoperative practice questionnaire CVI .80, alpha coefficient of Cronbach .80. The questionnaire for patient satisfaction and satisfaction of operating room nurses on the one-day inguinal hernia surgery patients' service model was CVI .80, .80 and alpha coefficient of Cronbach. 80,. 86 and the model save the day time complications after surgery. Data were analyzed by frequency distribution, percentage, mean, standard deviation. Chi square statistics study of problem conditions and testing the t. The research consists of 4 phases, namely 1) studying problems and situations consists of problem solving, process personnel and Equipment. 2) Develop the effective surgical service model for one-day inguinal hernia patients, consisting of guidelines for preoperative preparation, surgical care and providing advice and continuous follow-up after surgery. 3) Actual use in providing surgical services for patients. 4) Study the results of surgical services for single-day inguinal hernia patients. In patients, it was found that 1) the sample had significantly lower anxiety than before the experiment (t = 4.73, d= 29, p <.01). 2) The patients with one day inguinal hernia surgery in contrast, 80percent had postoperative operations at a high level. 3) The average satisfaction score was at a high level. 4) The average percentage of the nursing satisfaction scores was at a very good level. 5) Average duration of sleep for 1 day. 6) Complications of 1 case with congestive hemorrhage. The results of the study indicate the value of development and set guidelines for professional standards should use the format in which the format is used and developed to be used in other surgical patients in the future .