Samutprakan Hospital Journal (SMPK HOS J)

Endoscopic spinal discectomy/decompression, modified standard orthopedic operating table: A case series

Tanapat Luevisadpaibul — Sun, 30 Jun 2024 00:00:00 +0700

Lumbar intervertebral disk herniation and lumbar spinal stenosis are common causes of radiating back pain. In cases where patients do not respond to conservative treatment, surgical intervention may be required. Standard open surgery often results in significant damage to posterior spinal structures. Endoscopic spine surgery has been introduced to minimize such injuries and reduce disability. Utilizing a modified standard operating table instead of the Wilson frame can also facilitate endoscopic operations effectively.

This study reports on a series of cases treated with endoscopic surgery using a modified standard operating table. The results demonstrate a significant reduction in patient disability, as evidenced by a decrease in the Thai Oswestry Disability Index (Thai ODI) from 40.4 to 19.6.

The development of a discharge plan model for post-operative colorectal cancer patients with a colostomy

Nettip Charoensuk, Sinsupa Iamklahan, Wunnida Chochanya — Sun, 30 Jun 2024 00:00:00 +0700

This developmental research aims to create and evaluate a discharge preparation model for patients undergoing colorectal cancer surgery with a colostomy. The sample group consisted of 15 post-operative colorectal cancer patients with a colostomy admitted to the surgical ward at Samutprakan Hospital, along with 24 registered nurses from the same ward. The research tools included a knowledge assessment questionnaire about colorectal cancer surgery with a colostomy and satisfaction questionnaires for both patients and nurses. Data collection occurred between April 2023 and June 2023. Data analysis was performed using descriptive statistics, including percentage, mean, and standard deviation, as well as inferential statistics, specifically the paired t-test.

The study results indicated that the pre-discharge preparation model significantly improved the knowledge scores of patients and their relatives regarding patient care before discharge (t-test = -4.1, p<.001). Additionally, overall satisfaction with the pre-discharge preparation model was high among both patients and nurses after surgery for colorectal cancer with a colostomy.

Results of using guidelines after cataract surgery via line official in the Eye, Ear, Nose, and Throat Department, Samutprakan Hospital

Nantaporn Kijpruek, Ployphaka Keaokham — Sun, 30 Jun 2024 00:00:00 +0700

This experimental research uses a one-group pretest-posttest design to evaluate the impact of Line Official Account guidelines on knowledge and practices related to post-cataract surgery care. The sample group, selected through purposive sampling, consisted of 30 cataract patients who underwent surgery at the Eye, Ear, Nose, and Throat Department of Samutprakan Hospital.

The research tool was a questionnaire that included sections on personal information, a knowledge test about cataracts, a measure of patient behavior after cataract surgery, and a measure of satisfaction with the guidelines provided via the Line Official Account. The questionnaire's accuracy was verified by experts, and its reliability was tested using Cronbach's alpha method. The reliability values were as follows: 0.654 for the cataract knowledge measure, 0.705 for the patient behavior after cataract surgery measure, and 0.668 for the satisfaction measure with the post-cataract surgery guidelines via Line Official.

Data were analyzed using descriptive statistics, including number, percentage, mean, and standard deviation, as well as inferential statistics, specifically the paired t-test.

The study found that the sample group exhibited significantly higher knowledge after using the post-cataract surgery guidelines via Line Official, with a statistical significance (p<0.01). Additionally, patient behavior after using the guidelines was significantly better than before (p<0.01). Overall satisfaction with the post-cataract surgery guidelines via Line Official was high, with a mean satisfaction score of 3.65.

Effects of four-square exercise, nine-square exercise, and lower limb exercise video on balance and physical performance in Samutprakan Hospital older adult club

Sommawan Pumprakobsri — Sun, 30 Jun 2024 00:00:00 +0700

Older adults often experience degenerative changes in their body systems, which can lead to falls and subsequently diminished quality of life. Lower limb strengthening exercises that focus on balance can enhance postural control and reduce risk factors for falls. The nine-square step exercise is one intervention aimed at fall prevention, while the four-square step exercise has been introduced for the same purpose in clinical settings.

This study aimed to compare the effects of three types of exercises—nine-square step, four-square step, and lower limb exercise video—on balance and physical performance in members of the Samutprakan Hospital Older Adult Club. This quasi-experimental study included a sample of 53 older adults who were randomly allocated into three exercise groups: Group 1 (four-square step, n = 18), Group 2 (nine-square step, n = 18), and Group 3 (lower limb exercise video, n = 17). Each participant followed a home-based exercise regimen of 25 minutes per session, three sessions per week, for eight weeks.

Balance and physical performance were evaluated before and after the exercise program using the Timed Up and Go (TUG) test, the One Leg Standing Test (OLST), and the Short Physical Performance Battery (SPPB). Data were analyzed using Two-Way Mixed ANOVA and the Kruskal-Wallis Test.

All three groups showed significant improvements in TUG and OLST scores after training (p<0.05), although there were no significant differences between the groups. Changes in SPPB post-training were significantly greater in Groups 1 and 2 compared to Group 3 in terms of gait speed and the chair stand test. There were no falls reported in any of the groups throughout the entire study period.

Therefore, the four-square step exercise is shown to enhance balance and physical performance to a degree comparable to the nine-square step exercise.

Risk Factors for Sepsis in Stroke Patients at Samutprakan Hospital

Kantima Chuchat — Sun, 30 Jun 2024 00:00:00 +0700

Cerebrovascular disease is a significant concern for hospitals worldwide, including in Thailand. Patients with this condition are at a relatively high risk for infections due to their vulnerability and extended hospital stays. Most deaths occur in hospitals rather than in the community, and infections complicate treatment, increasing the risk of mortality. This study aims to investigate the incidence rate of sepsis and identify associated risk factors in patients with cerebrovascular disease at Samutprakan Hospital.

This retrospective analytical study was conducted at Samutprakan Hospital from April 2018 to April 2022. The study examined sepsis risk factors and incidence rates in patients with cerebrovascular disease. A total of 250 purposive samples were selected. Data collection tools included records with personal information. The data were analyzed using descriptive statistics (means and percentages) and inferential statistics (Chi-square tests).

The study included 250 patients, of which 54.8% were male, with an average age of 65.92 ± 14.87 years. The average length of stay was 18.68 days. The analysis revealed a sepsis rate of 31.2% in patients with cerebrovascular disease. Significant risk factors for sepsis identified were: age: OR 0.81 (95% CI 0.65-1.20, p-value=0.003), alcohol consumption: OR 1.29 (95% CI 1.16-1.43, p-value=0.001), hypertension: OR 0.19 (95% CI 0.10-0.33, p-value=0.000), hyperlipidemia: OR 0.30 (95% CI 0.14-0.62, p-value=0.001), atrial fibrillation: OR 0.23 (95% CI 0.78-0.67, p-value=0.004), malnutrition: OR 4.52 (95% CI 1.96-10.40, p-value=0.000), endotracheal intubation: OR 0.35 (95% CI 0.18-0.67, p-value=0.001).