The Effects of Using Nursing Practice Guidelines for Monitoring and Assessing Patients with Condition Deterioration Using the SOS Score in Pneumonia Patients on Nurses' Response Behavior and the Severity of Symptoms Upon Receiving Assistance.
Keywords:
Nursing practice, monitoring and assessment, patients with worsening symptoms, patients with pneumoniaAbstract
This quasi-experimental research aimed to 1) study nurses' response behavior to the use of nursing guidelines for monitoring and assessing patients with worsening symptoms using the SOS Score in pneumonia patients; 2) study the severity of symptoms after receiving assistance in pneumonia patients in relation to the use of nursing guidelines for monitoring and assessing patients with worsening symptoms using the SOS Score; and 3) compare the severity of symptoms in pneumonia patients before and after receiving assistance in relation to the use of nursing guidelines for monitoring and assessing patients with worsening symptoms using the SOS Score. The sample consisted of 40 pneumonia patients with worsening symptoms or at risk of worsening symptoms who were assessed using the SOS Score at the study hospital. The sample was selected using purposive sampling according to predefined criteria. Data were collected through patient data records, a nurses' assessment and response behavior assessment form, an SOS Score recording form, and opinions from professional nurses regarding the feasibility of using nursing guidelines for pneumonia patients. Data analysis was performed using descriptive statistics, including frequency, percentage, mean (M), and standard deviation (SD), and the t-test, with a significance level of .05.
The study results showed that the number of patients with mild symptoms increased from 10 (25.0%) before assistance to 18 (45.0%) after assistance. The number of patients with moderate symptoms decreased slightly from 18 (45.0%) to 16 (40.0%). The number of patients with severe symptoms decreased from 12 (30.0%) to only 6 (15.0%). In terms of average symptom severity scores, the group with mild symptoms showed an increase in average score from 1.8 to 2.4, reflecting clearer assessment and group differentiation. The group with moderate symptoms saw a decrease in average score from 2.6 to 2.3, while the group with severe symptoms showed a significant decrease from 3.4 to 2.8. Nurses' behavior was rated “very good to good” in all categories. Regarding the feasibility of using the pneumonia patient nursing practice guidelines, overall, nurses considered them to have a very high probability of being implemented in the context of pneumonia patient care. Nurses' satisfaction with the use of the pneumonia patient nursing practice guidelines for preventing bloodstream infection using a critical condition monitoring assessment tool was also assessed. There was a very high level of satisfaction.
References
กรรณิกา สิริแสน.(2558).ประสิทธิผลของการใช้ระบบสัญญาณเตือนในการพยาบาลผู้ป่วยในหอผู้ป่วยวิกฤตโรงพยาบาลเอกชนแห่งหนึ่งในกรุงเทพมหานคร(วิทยานิพนธ์ปริญญาพยาบาลศาสตรมหาบัณฑิต).มหาวิทยาลัยคริสเตียน, นครปฐม
กลุ่มภารกิจด้านข้อมูลเวชสถิติ โรงพยาบาลสมเด็จพระยุพราชเลิงนกทา. (2567). รายงานสถิติผู้ป่วยติดเชื้อในกระแสเลือดปีงบประมาณ 2567. ยโสธร: โรงพยาบาลสมเด็จพระยุพราชเลิงนกทา
รัฐภูมิ ชามพูนท, ไชยรัตน์ เพิ่มพิกุล, และบุญส่ง พัจนสุนทร (บ.ก.). (2558). การดูแลรักษาผู้ป่วย Severe Sepsis และ Septic Shock (ฉบับร่าง) แนวทางเวชปฏิบัติ. กรุงเทพฯ:สมาคมเวชบำบัดวิกฤต.
R Champunot et al. 2012. Saving 500 Live Campaign: another way to improvethe mortality rate of patients with severe sepsis and septic shock. Crit Care. 2012; 25:857– 867. doi: 10.1186/cc11792.2012.11.005.[PubMed] [Cross Ref].
Smith, D., Brown, J., & Wilson, L. (2020). Impact of early warning scores on patient deterioration recognition and response. Critical Care Medicine, 48(7), 937-944.
Jones, A., Smith, B., & Taylor, C. (2018). Early warning scores and pneumonia patient outcomes: A systematic review. Journal of Clinical Nursing, 27(3-4), 450-460.
NHS England. (2022). Structured Observation Score (SOS) implementation guide. Retrieved from https://www.england.nhs.uk
Kumar, R., Lee, A., & Roberts, J. (2019). Barriers to effective implementation of early warning systems: A qualitative study. Nursing Management, 26(2), 22-28.
