Development of Clinical Nursing Practice Guideline for Pain Management in Trauma Patients At Emergency Department, Sakon Nakhon Hospital
Keywords:
Trauma Patients, Nursing Practice Guideline for Pain ManagementAbstract
This developmental research aimed to develop a nursing practice guideline for pain management in trauma patients at the Emergency Department of Sakon Nakhon Hospital using the RAT Model framework. The sample consisted of trauma patients divided into two groups: an intervention group (n = 84) who received care according to the developed guideline and a control group (n = 84) who received standard care. The research instrument was a nursing practice guideline for pain management developed by the researcher, implemented by 30 professional nurses.
The results showed that the waiting time for pharmacological pain management in the intervention group (Median = 11.59 minutes) was significantly shorter than in the control group (Median = 56 minutes). For non-pharmacological pain management, the intervention group also demonstrated significantly reduced waiting times (Median = 9 minutes) compared to the control group (Median = 33 minutes). Regarding pain scores, the control group showed a reduction from pre-treatment (Mean = 4.11 ± 1.73) to post-treatment (Mean = 2.98 ± 1.11), while the intervention group demonstrated a reduction from pre-treatment (Mean = 4.77 ± 1.30) to post-treatment (Mean = 2.33 ± 1.43). Both groups experienced statistically significant reductions in pain scores following treatment. Patient satisfaction was higher in the intervention group (Mean = 25.1 ± 4 .8) compared to the control group (Mean = 24.6 ± 3.9). Nurse satisfaction with the guideline was high, and the feasibility of implementing the guideline was also rated high (Mean ± S.D. = 38.3 ± 6.6).
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images/a-guide-to-the-development-and-evaluation-of-clinical-practice-guidelines.pdf
สะอาด กองทุ่งมน. การพัฒนาและการประเมินคุณภาพการจัดการความปวดของผู้บาดเจ็บในห้องอุบัติเหตุและฉุกเฉิน โรงพยาบาลเมืองสรวง จังหวัดร้อยเอ็ด. ว. วิจัยและพัฒนานวัตกรรมทางสุขภาพ 2563;1(3):191-203.
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