The Effect Clinical Practice Guideline of Alcohol withdrawal Patient for Nursing in ward Chiangsaen Hospital

Abstract

Abstract

This quasi-experimental research aimed to examine effects of a clinical practice guideline (CPG) of alcohol withdrawal patient for Nursing in ward Chiangsaen Hospital.  Divided into 2 phases, Phrase 1 is comparing between the knowledge and attitude of nurses before and after training on clinical practice guideline of alcohol withdrawal patient including of “5S” concept’s treatment for alcohol withdrawal are Sedation Symptomatic Relief Supplement Supportive environment and Standard care. Assessment of patients with alcohol withdrawal by the Alcohol Withdrawal Scale (AWS) drug administration, Restraining. Providing knowledge about the dangers of drinking alcohol to patients and care giver, referral and follow-up. Sample group in this study consisted of 30 nurses.  Phrase 2 is comparing between AWS score mean of 36 alcohol withdrawal patients who receiving care from nurses in Phase 1. Data were collected from medical records for the past 1 year for 36 control group, data analyzed to test research hypothesis by Paired Sample t-test and T-test for independent sample. The result showed that knowledge and attitude score mean of nurse after training was significantly higher than before (p-value<0.001, p-value<0.01, respectively). and AWS score mean after receiving the CPG by nurse who trained in phrase 1 was significantly lower than that of patient received usual care (P-value <0.05). Results of this study indicate that a CPG of alcohol withdrawal patient for Nursing could reduce severity of alcohol withdrawal. Therefore, this CPG should be used as a method for controlling alcohol withdrawal symptom.