Development of Multiple Trauma Patient Care Model in Surin Hospital

Abstract

Background: Multiple trauma is defined as at least two sites of organ injury from external force which results in life-threatening condition. According to the review of accident patients in 2017, mortality of patients with probability of survival (Ps Score > 0.75) was 40.3%. Treatment errors were found at emergency room, ICU and patient ward since lacking of explicit nursing care model.
Objective: to evaluate and develop nursing care model for multiple trauma patients.
Methods: This developmental research was conducted during October 1^st 2021 to September 30^th 2022. Research tools were 1) flow of multiple trauma patient Nursing care 2) Surin hospital’s nursing care plan for multiple trauma patient Data collection tools included 1) nursing records form on multiple trauma patient outcomes 2) questionnaire about multiple trauma nursing care plan perception and compliance 3) questionnaire about patient/family satisfaction to multiple nursing care and 4) questionnaire about difficulty, application and nurse satisfaction to multiple trauma nursing care plan. Statistical analysis with SPSS software using Chi-square test for inferential statistic and descriptive statistics included frequency, percentage, mean and standard deviation.
Results: Outcome of this study found that 1) better clinical outcome in pain management, pressure sore, ankle contracture and foot drop and incidence of clinical worsening following inadequate surveillance was decreased but not statistically significant. Patient and family satisfaction to care process was the most level with average score of 4.63 3) Nurse’s perception and compliance to the multiple trauma care model were 98.7% and 98.4% respectively. 4) Average score of convenience and application of care model were 3.4 and 3.5 respectively. 5) Average score of satisfaction to the multiple trauma patient care model was high as 8.1.
Conclusion: The developed nursing care model for multiple trauma patient enhanced the quality and efficacy in nursing outcome and provided the most level of nurse and patient/family satisfaction to the care process.