Effectiveness of Using the Nursing Practice Guidelines to Care for Patients with Hemorrhagic Stroke with Non-Operation Admitted to the Neurosurgery Intensive Care Unit
Keywords:
Nursing practice guidelines, Hemorrhagic stroke, Systolic blood pressure, Increased intracranial pressureAbstract
The aim of this research was to develop and study the effectiveness of nursing practice guidelines for the care of hemorrhagic stroke patients receiving non-surgical treatment and admitted to the neurosurgical intensive care unit of Nopparat Rajathanee Hospital. The participants consisted of 90, divided into a control group of 45 and an experimental group of 45. The research instrument was the nursing practice guidelines for the care of patients with hemorrhagic stroke who received non-surgical treatment. The instruments used to collect data for patients consisted of 4 sets: a personal data record form, a screening form for the severity of hemorrhagic stroke, a modified Rankin scale, and an increased intracranial pressure assessment form. Data were analyzed using descriptive statistics: chi-squared test, Fisher's exact test, independent t-test, and repeated measure ANOVA. The results of the research found that after using the nursing practice guidelines, systolic blood pressure could be reduced significantly after 1 hour and 24 hours of admission. The incidence of intracranial hypertension and mortality were also significantly reduced. The results of the study showed that the developed nursing practice guidelines were effective in controlling blood pressure and reducing major complications in patients with cerebral infarction. They can be applied as care for this patient group in the intensive care unit to further improve nursing quality and clinical outcomes.
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