Development nursing practice guidelines for prevention oxygen Desaturation in patient’s difficult intubation at Kalasin hospital

Abstract

This research is action research. The objective of this research is to develop and apply a nursing practice guideline to prevent the occurrence of hypoxia in patients with dyspnea in Kalasin Hospital and to study the results of the implementation of the guideline development. Na and the use of nursing practices to prevent hypoxia in patients with difficulty breathing in Kalasin Hospital. To use in practice In the anesthesia work group The sample group consisted of 2 groups: a sample group using clinical practice guidelines and a group of patients who were nursing according to the Kalasin Hospital clinical practice guideline between March 2017 and June 2017. The data were analyzed using descriptive statistics.

          The results of the study found that 1) the feasibility of applying a nursing practice guideline for the prevention of hypoxia in patients with difficulty intubation to anesthesia group using the guideline. (Mean 1.92) 2) Difficulty Assessment - Easy to use nursing practice guidelines to prevent hypoxia in patients with difficulty intubation to the anesthetist group. Easy level (mean 1.86) 3) The satisfaction of the anesthetist team towards the use of nursing practice for the prevention of hypoxia in patients with difficulty intubation was found that 71.4% were satisfied at a moderate level and 100% satisfied. 4) The effect of the patients on the application of nursing practice to prevent hypoxia in patients with dyspnea in Kalasin Hospital was found that 1) the pre-anesthesia phase of the patient. The nursing practice guideline was followed correctly 97.04% (mean = 4.85) 2) the anesthesia period: 95.71% of the patients were correctly followed the nursing practice guideline (mean = 4.85). 4.79) and 3) after anesthesia received 98.33% correctly in the nursing practice guideline (mean = 4.92). Can use guidelines The nursing care was correct 97.03% (mean = 4.85), 100% of the patients were able to start surgery. And no danger of complications from hypoxia after anesthesia was 100%