Development of a Clinical Nursing Practice Guideline for Hip Fracture Patients Undergoing Internal Fixation Surgery at Buddhasothorn Hospital, Chachoengsao
Keywords:
Hip fracture, open reduction internal fixation, clinical nursing practice guidelinesAbstract
This research aimed to study the situations regarding the care of hip fracture patients, to develop a clinical nursing practice guideline for patients undergoing open reduction internal fixation, and to study the effectiveness of implementing the clinical nursing practice guidelines. The sample for this study consisted of male and female hip fracture patients undergoing open reduction internal fixation at the orthopedic ward of Chachoengsao Hospital. The study took place between April and September 2021. The sample was 60 patients who met inclusion criteria, divided equally into 30 control and experimental groups. The data collection tools were the readiness to discharge from hospital questionnaire, the rehabilitation behavior questionnaire, the illness and treatment history record form of the patients, and the questionnaire on the use of clinical nursing practice guidelines. Data were analyzed by descriptive statistics, Independent t-test and ODD Ratio.
The results showed that patients who received care following the clinical nursing practice guidelines had higher perceived readiness to discharge from hospital (p < .001), higher rehabilitation behavior (p < .001), and lower length of stay (p < .05) compared to those who received usual care. Patients who received conventional care were 4.33 times more likely to have complications. (OR = 4.33; 95% CI = 1.04 - 1.99). The results of this study could be applied to the care for hip fracture patients to enhance recovery and speed return to their normal lives.
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