The Development of Nursing Practice Guideline for Children Acute gastroenteritis patient In the pediatric ward of Yasothon Hospital

Abstract

The purpose of this research was develop a nursing practice for pediatric patient Acute gastroenteritis and the research of nursing practice for pediatric patients Acute gastroenteritis who treat at pediatric ward at Yasothon hospital. The target group is pediatric patients Acute gastroenteritis who admit at Yasothon hospital between October 2019 – September 2020 by selected pediatric patients aged 1 -5 years old 370 persons and pediatric nurse practice 10 person. The development of nursing practice in the IOWA model is guideline of development. The research applied 1) The development of nursing practice using IOWA model 2) The implementation of nursing practice by using guideline 3) The evalution of result after the implementation of using nurse practice including readmission within 28 days severe dehydration while admit at hospital. Acute gastroenteritis caregiver’s knowledge nurse satisfiction  toward the use of nursing guideline. The research instrument was review of medical record pediatric nursing practice Acute gastroenteritis guideline papers of the study evaluate of dehydration Acute gastroenteritis straightness check the reliability of data was 0.8 . The reliability of alpha cornbrach was 0.86. The data were analyzed by percentage , mean , standard deviation in the data that were compared before and after the same group by used pair t-test statistics.

          Result. 1. Nursing Practice Guideline for Children Acute gastroenteritis Contains 3 categories. (1) Patient assessment (2) Prevention of dehydration (3) Continuing Care. 2. Result after use nursing practice guideline for children acute gastroenteritis. 1) Readmission within the 28 days before the implementation of 2017-2019 found 4.8%, 3.6% and 4.2% after the implementation of 0.8% 2) Severe dehydration during hospital stay 3, 2 and 3 patients were found after the operation. dehydration while in hospital. 3) The knowledge of child care acute gastroenteritis by evaluating knowledge. Before and after the health education, it was found that before the education, the average score was 4.35, and the average score was 7.76. There were significant differences at the .05 level. 4) Nurses' satisfaction toward the use of practice guidelines revealed that the personnel were satisfied with the use. The overall practice is at the highest level. 5) Percentage of follow-up of nursing practice guideline for acute gastroenteritis 92%