The Development of a nursing care model for preventing hypotension in pregnant women undergoing cesarean section under spinal anesthesia At Phonthong Hospital, Roi Et Province.

Abstract

     This research aimed to develop a nursing model to prevent hypotension in pregnant women who underwent cesarean section under spinal anesthesia and to evaluate the results of using the developed model. This research was an action research conducted from January 2024 to August 2024. The sample group consisted of 31 pregnant women who underwent a cesarean section under spinal anesthesia. The instruments used were an interview form, a treatment information recording form, and a satisfaction questionnaire. Data were collected through interviews, brainstorming sessions, and group discussions. Quantitative data were analyzed using descriptive statistics. Qualitative data were analyzed using content analysis. Blood pressure was compared before and after anesthesia using the Pair t test.

     Results: The developed model was an improvement of the anesthesia service model. It included nursing practice guidelines for the prevention of low blood pressure in pregnant women who underwent abdominal cesarean section under spinal anesthesia. The results showed that the incidence of low blood pressure was reduced, there were no complications from spinal anesthesia, and satisfaction with the nursing practice guidelines was at a very good level.