Effect of developing an assessment model for prevention and surveillance before entering a crisis situation for patients with septic arthritis of the knee. Female orthopedic ward Udon Thani

Abstract

     This study was action research aimed to develop and study the results of the model. Evaluation for prevention and surveillance before entering a crisis situation of patients with septic arthritis in terms of the incidence of patients deteriorating due to inappropriate surveillance. Incidence of resuscitation and the incidence of death after using the model Using work development according to the Deming Quality Improvement Cycle (Deming Cycle) with the Plan-Do-Check Act steps, research was conducted between May 2024 - July 2024. Sample groups include: Professional nurse working at the female orthopedic ward Udonthani Hospital, 10 people, and medical records including patients who came to use the services at the ward. female orthopedic Udonthani Hospital, 30 people. The tools used to collect data were questionnaires. Quantitative data were analyzed using frequency statistics, percentages, means, standard deviations, t-tests, and qualitative data were analyzed using content analysis.
     The results of the study revealed that most patients had stable symptoms throughout their stay in the ward. Only 6.67% of the sample had symptoms deteriorate during surveillance. But not so severe that he had to be revived. or died Opinions of professional nurses who provide patient care Most had good to very good satisfaction with the format. that it can help make decisions in evaluating each patient to see what level of assistance is needed They were also satisfied with the nursing and surveillance guidelines that were developed and used in this study.