Developing Model of Nursing among Cataract Surgery Patients with Phacoemulsification in Pra Achan Fan Arjaro Hospital, Phanna Nikom district, Sakon Nakhon Province.

Abstract

     This study was action research with the objectives: 1) to analyze the nursing service system for patients undergoing with Phacoemulsification cataract surgery at Phra Achan Fan Arjaro Hospital, Sakon Nakhon Province; 2) to develop the nursing service system for patients undergoing with Phacoemulsification cataract surgery in the operating room at Phra Achan Fan Arjaro Hospital, Hospital and 3) to evaluate the nursing service system for patients undergoing with Phacoemulsification cataract surgery. The sample consisted of patients aged 60 years and older who underwent with Phacoemulsification cataract surgery, purposive sampling, totaling 140 individuals. The research instruments included a questionnaire on cataract knowledge for patients, a nursing behavior recording form for professional nurses, a patient satisfaction questionnaire for cataract surgery, and a professional nurse satisfaction questionnaire, with a reliability coefficient of .85. The study was divided into three phases: preparation, research implementation, and evaluation. Data were collected by distributing questionnaires to cataract surgery patients and recording the nursing behavior of professional nurses. Data analysis was using frequency, percentage, mean, standard deviation, and paired t-test statistics.
     Study results were: (1) The problems with the service system are the insufficient number of staff to serve patients, unclear service models, and the absence of an ophthalmologist on duty. (2) Develop a service model for nursing patients undergoing cataract surgery by defining responsibilities for each role, creating informational pamphlets on cataract knowledge and patient behavior, and preparing for pre- and post-surgery. (3) The level of knowledge about cataracts before using the model is at a moderate level. (=10.74, S.D =.29) After using the model, the level of knowledge was at a high level ( =16.98, S.D = .22) (3) The satisfaction of cataract patients who underwent with Phacoemulsification surgery was a high level (= 4.38, S.D.=.73). (4) The service behavior of professional nurses before the development of the service system was a level of good behavior(= 2.78, S.D =.31) After the development of the service system, the overall behavior level was at a good level (= 3.00, S.D =.00) (5) The satisfaction of professional nurses performing nursing activities in providing services to patients undergoing cataract surgery with Phacoemulsification is the highest level. (= 4.72, S.D =.26) (6) The knowledge scores after the development of the nursing service model was higher than before the development of the nursing service model, with a statistically significant difference (p<.05) (8) The average nursing practice behavior of professional nurses after the development of the nursing service model was higher than before the development, with a statistically significant difference (p<.05).