Journal of Nursing and Health Sciences Nakhon Phanom University

Nursing Care of Pregnant Women with Pregnancy Induce Hypertension who Receive General Anesthesia for Cesarean Section at Srisongkram Hospital : Two Comparative Case Studies

2024-01-03T17:55:45+07:00

Objective : To study a comparative study of nursing pregnant women with pregnancy induce hypertension who Receive General Anesthesia for caesarean section at Srisongkram Hospital. The results of the study were applied to the practice of systemic anesthesia among pregnant women with preeclampsia for caesarean section at Srisongkram Hospital.

Results : From the comparative study of nursing care in both case studies, it was found that: Case Study 1 Chronic hypertension with superimposed preeclampsia while waiting for delivery, non-reassuring fetal status. Case Study 2 preterm and preeclampsia. Both case studies terminated the pregnancy by caesarean section under general anesthesia., and nursing care during and after standard anesthesia. By nurse anesthesiologists trained according to the Royal College of Anesthesiologists. Intubation can be done at once. No serious complications occur both during and after anesthesia.

Conclusions: General anesthesia in pregnant women with pregnancy induce hypertension. There is a chance of serious complications threatening the life of the pregnant woman and the fetus. So The nurse anesthetist should be knowledgeable about the disease. Treatment and medications received by the patient before administering anesthesia. This includes knowledge of altered anatomy in pregnant women, which results in a difficult risk of intubation. As well as regular intubation skills training to gain expertise. And they can apply their knowledge to the care of patients in the early stages. While and after administering anesthesia safely. And severe complications can be prevented.

Nursing care of the patient with Patent Ductus Arteriosus in Adult of Transcatheter closure of the patent ductus arteriosus with the PDA occluder device: The Comparative Case Study

2024-03-25T08:49:40+07:00

Excessive coronary artery disease in adult patients treatment to close the leak with a special device through a cardiac catheter is popular. Because there is a small wound Little blood loss low complications short hospital stay quality nursing care promotes and speeds recovery after treatment.

Objective: To study coronary artery disease nursing care in adult patients who have had their leaks closed with a special PDA occluder device through a cardiac catheter according to the nursing process in the previous period during and after the procedure compare 2 case studies.

Study design: To compare the treatment of hypertrophic coronary artery disease in adult patients who had the leak closed using a special PDA occluder device through a cardiac catheter who were admitted to Sakon Nakhon Hospital, 2 cases, equipment consisted of the record form collects data from inpatient medical records. comparative analysis of risk factors for coronary heart disease beyond its pathology, signs and symptoms. Nursing treatment and diagnosis nursing process according to the preceding period during and after the procedure.

Summary of the study results: Comparison of patients with excess coronary artery disease in adult patients who had the leak closed with a special PDA occluder device through a cardiac catheter. Case 1 had heart disease during pregnancy tired easily tightness in the chest, unable to lie down listening to the heart sound, there was murmur. The echocardiographic examination revealed a coronary artery larger than 9 millimeters, along with a left-to-right short circuit and high blood pressure in the lungs the heart pumps 65 percent of the blood. The second case had congenital heart disease symptoms include easy fatigue, palpitations, murmur on auscultation of the heart. Echocardiographic examination found an excess coronary artery and a short circuit of blood from left to right. The heart's blood pumping rate was 65%. both patients had surgery to close the hole with a special PDA occluder device from comparative analysis. There were 10 identical nursing diagnoses, 1 difference in the second patient: dark urine, hematuria, easy bleeding from receiving antiplatelet and blood clotting drugs. Both patients received DMETHOD treatment and entered a rehabilitation program together with a physical therapist having family and relatives join in caring for patients until they are able to take care of themselves.

Conclusion: This study nurses play an important role in evaluating, finding problems, and monitoring for changes in symptoms to cover nursing care before and after cardiac catheterization procedures effectively focus on giving knowledge develop personnel potential continue to improve the quality of care for patients who have their aneurysms closed with special equipment through cardiac catheterization.

Nursing care for tachycardia patients undergoing radiofrequency ablation : A comparative study of 2 cases

2024-03-25T08:47:05+07:00

Atrioventricular nodal reentrant tachycardia (AVNRT) is the most common form of paroxysmal supraventricular tachycardia. Currently, radiofrequency ablation is the treatment of choice for recurrent prevention. The aim of this study was to report the characteristics of patients with typical AVNRT who underwent radiofrequency ablation, recurrent rates, and complications of the procedure. Factors were analyzed to find potential predictors for AVNRT recurrence after radiofrequency ablation. In this case, two patients were at Sakon Nakhon Hospital between May and August 2023. This is intended to guide the development of standard nursing in cardiovascular clinics and hospitals that receive patients before and after a cardiac electrocardiogram comprehensively across all dimensions, both physical, mental, social, and spiritual, as well as being able to plan patient care at various stages effectively and maintain a good quality of life.

Results: It was found that both patients were similar and different in various factors. Symptoms and signs before diagnosis the effects of treatment, discharge planning, and other. In terms of diagnosis Pre-Stage Nursing During and after the procedure, nursing diagnosis duration of hospital stay after providing nursing care using a holistic comprehensive nursing process, patients can be safely discharged home. Family and relatives are involved in the care of the patient and can continue to care for the patient when returning home..

In conclusion, this study will specifically focus on patient-exclusive information that has been examined. In this nursing process, nurses and medical personnel can apply it in accordance with the characteristics of the patient and the context of the agency. In order to improve the quality of care for patients with rapid heart attacks and other disorders.

The Effects of brief counseling on self-management of the uncontrolled hypertensive patients in Nakhon Phanom hospital

2024-01-24T13:10:08+07:00

This quasi-experimental research is one group pre-post test design. To compare the mean self-management scores of patients with uncontrolled high blood pressure. Nakhon Phanom Hospital before and after receiving the brief counseling program The sample group were 42 patients with uncontrolled high blood pressure who receive services in the high blood pressure clinic Nakhon Phanom Hospital between November 2023 and January 2024. The research experiment included 1) a brief counseling program 2) the questionnaire of a self-management behavior assessment were 50 questions, 6 domains . Confidence test using Cronbach's alpha coefficient. The reliability value was 0.93. The sample group will receive a short advice program using the 3As skills: 1) Affirmation 2) Ask 3) Advice, 3 times The data were analyzed to compare mean. Using t-test statistics. the results of the study found that

Patients with uncontrolled high blood pressure There was a higher mean overall self-management score after receiving brief counseling program than before receiving the program. (Mean self-management score before receiving the brief counseling program The overall level was at a moderate level = 3.24 SD = 0.32 and after receiving the short counseling program at the highest level = 4.45 SD = 0.32), the difference was statistically significant (p=.024).

Suggestions Providing brief advice results in improved self-management of patients with uncontrolled blood pressure higher score Therefore, personnel working should be encouraged to use it. By continuously training knowledge and skills This is to help patients improve there self-management.

Effectiveness of Management Program for Patients with Sepsis Among Medical Ward Nurses

2024-01-08T11:00:31+07:00

This quasi-experimental research aimed to determine the effectiveness of the management program for patients with sepsis on knowledge, practices, and sepsis mortality rate in a medical ward in a general hospital during October to December 2023. The study sample consisted of 23 medical ward nurses. The research instruments included the patients with sepsis management program, a demographic data questionnaire, a knowledge test, a practice questionnaire, and a sepsis mortality form. Data were analyzed using descriptive statistics, Wilcoxon signed-rank test, and Chi-square test.

The research results revealed that after implementing the program, the participants significantly increased their median knowledge scores on management for patients with sepsis compared with before implementation, from 10.00 to 17.00 out of 20.00 points (p < .001), and the median practice scores for management of patients with sepsis significantly increased compared with before implementation, from 23.00 to 29.00 out of 30.00 points (p < .001). The mortality of sepsis in a medical ward significantly decreased compared with before implementation, from 12.50% to 7.14% (p < .001).

This research suggests that the program could improve knowledge and practices in the management of patients with sepsis among nurses, and reduce the mortality of sepsis in a medical ward. This program should be implemented to promote knowledge and practices in the management of patients with sepsis in other medical units.