Effect of Using Nursing Practice Guideline among Patients with Sepsis at Female Medical Ward in Phatthalung Hospital
Keywords:Nursing practice guideline, Sepsis
This quasi-experimental study aimed to compare the effect of using clinical nursing practice guideline among patients with sepsis at female medical ward in Phatthalung Hospital. Subjects were purposively selected among patients who were diagnosed with sepsis and admitted in female medical wards, Phatthalung Hospital. The subjects were divided into 2 groups, 80 subjects per group. Subjects who received routine nursing care were assigned in control group. Subjects who received nursing practice guideline were assigned in study group. The results revealed that 1) receiving antibiotic administration rate within one hour increased from 92.50% to 100.00% (p = 0.001), 2) receiving fluid replacement within 6 hours increased from 65.00% to 88.80% (p = 0.001), 3) an average of arterial pressure rate greater than or equal to 65 mmHg increased from 71.30% to 96.30% (p <0.001), 4) urine output rate greater than 0.5ml/kg/hour increased from 62.50% to 87.50% (p = 0.002), 5) adequate tissue perfusion rate increased from 61.30% to 87.50% (p <0.001), and (6) mortality rate decreased from 31.30% to 15.00% (p = 0.015). The results suggested that nursing practice guideline among patients with sepsis should be applied to others department in the hospital in order to reduce the problem of sepsis.
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