Effects of using the nursing practice guideline for children with thalassemia in receiving a blood transfusion in pediatrics ward at Wanonniwat Hospital, Sakon Nakhon Province

Abstract

     This quasi-experimental research aimed to study effects of using the nursing practice guideline for children with thalassemia in receiving a blood transfusion in pediatrics ward at Wanonniwat Hospital, Sakon Nakhon Province. The sample were 11 registered nurses who worked in pediatric ward, and 20 cases of the thalassemia children who were treated by blood transfusion in pediatrics ward during on January 17^th- April 16^th, 2024, purposive sampling of samples. The data collection instrument consist; the questionnaire of demographic, nursing of skills assessment, adverse event recording form, and satisfaction of nursing practice guideline. The experimental instrument was the nursing practice guideline for children with thalassemia. The quantitative data were analyzed using descriptive statistics, frequency, percentage, mean and standard deviation. The comparative statistic used Wilcoxon signed rank test.
     The results showed; the majority of general characteristic of samples were female (100.00%), age group ≥ 30 years (63.64%), status single (54.55%), graduated with bachelor’s degree (100.00%), working period in pediatric ward during 6-10 years (63.64%), had training about nursing care of thalassemia children blood transfusion (45.54%). When comparing nursing skills found significant statistic mean score of nursing skills after using practice guideline higher than before (Z=-2.938, p=0.003), and the satisfaction after using practice guideline higher than before (Z=-2.947, p=0.003), respectively. But not found adverse event after using practice guideline.