A Study of Patients’ Knowledge in Self-Care Undergoing Neuraxial Block
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Published:
Jul 16, 2018
Keywords:
Patients’ knowledge Neuraxial block
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Abstract
Abstract:This descriptive research aimed to 1) describe of patients’ knowledge in self-care undergoing neuraxial block 2) compare the patients’ knowledge in self-care between who had received and had not received previous knowledge and 3) compare the patients’ knowledge in self-care between receiving and not receiving knowledge from anesthetists. The sample included 200 patients, aged between 15-65 years scheduled for surgery under neuraxial block in a university hospital. The questionnaires on patients’ demographic data and knowledge of neuraxial block were used to collect data postoperative day 1 at ward. Data were analyzed using Mann-Whitney test.
Results revealed that the sample had good knowledge regarding the appropriate behavior after recovery from neuraxial block.The patients whom received previous knowledge had significantly higher score than those who didn’t received previous knowledge (p=.034). The patients receiving knowledge from anesthetists had significantly higher score than those counterparts (p=.015). The result suggested that nursing care should be provided at ward particularly knowledge and information from anesthetists providing before neuraxial block in order for patients to have a good care of themselves after neuraxial block.
Article Details
How to Cite
1.
Poomhirun P, Ongvisetpaiboon W, Arnuntasupakul V. A Study of Patients’ Knowledge in Self-Care Undergoing Neuraxial Block. Nurs Res Inno J [Internet]. 2018 Jul. 16 [cited 2024 Nov. 5];24(1):69-7. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/84996
Section
บทความวิจัย
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
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aspiration: application to healthy patients undergoing elective procedures: an updated report by the American
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risk of pulmonary aspiration. Anesthesiology. 2017; 126(3):376-93.
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node/ 1012 (in Thai)
29. Rungsawasjit A. A study of instruction on self-care practice for postoperative recovery in elderly patients after
spinal surgery [thesis]. Bangkok: Ramkhamhaeng University; 2013. (in thai)
30. Wacharasint P, Leelanukrom R. Postdural puncture headache (PDPH). Chula Med J. 2006;50(8):561-77.
(in Thai)
University; 2009-2015. (in Thai)
2. Wongyingsinn M. The role of anesthetists in promoting recovery after surgery. In: Pulnitiporn A, Raksakietisak
M, Charoenraj P, Ruananukun N, editors. Refresher course for nurse anesthetist; 2015. p. 439-43. (in Thai)
3. Pitimana-aree S. Preanesthetic evaluation, preparation. In: Prakarnrat U, Sanansilp V, Suksompong S, Toomtong
P, editors. Textbook of anesthesiology. Bangkok: Aplus Printing; 2013. p. 135-49. (in Thai)
4. Hata TM, Hata JS. Preanesthetic evaluation and preparation. In: Barash PG, Cullen BF, Stoelting RK, Cahalan MK, Stock MC, Ortega R, editors. Clinical Anesthesia 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2013. p. 584-611.
5. Fowler MA, Spiess BD. Post anesthesia recovery. In: Barash PG, Cullen BF, Stoelting RK, Cahalan MK, Stock MC,
Ortega R, editors. Clinical Anesthesia. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2013. p. 1555-79.
6. Kumar K, Singh S. Neuraxial opioid-induced pruritus: an update. J Anaesthesiol Clin Pharmacol. 2013;29(3):
303–7.
7. Hurly RW, Wu CL. Acute postoperative pain. In: Miller RD, Eriksson LI, Fleisher LA, Wiener-Kronish JP, Young
WL, editors. Miller’s anesthesia 7th ed. Philadelphia: Churchill Livingstone; 2010. p. 2757-81.
8. Szarvas S, Harmon D, Murphy D. Neuraxial opioid-induced pruritus: a review. J Clin Anesth. 2003;15(3):234-9.
9. Ratanasuwan P. Guidelines for neuraxial anesthesia. In: Choea-intra W, Tribuddharatana S, editors. Clinical anesthesia 2001. Khon kaen: Klangnanavittaya Press; 2001. p.75-86. (in Thai)
10. Nimmaanrat S. Regional anesthesia. In: Wasinwong W, Chanchayanon T, Nimmaanrat S, Uakritdathikarn T,
editors. Basic anesthesia. Songkhla: Chanmuang Press; 2009. p. 384-418. (in Thai)
11. Orem DE, Taylor SG, Renpenning KM. Nursing: concepts of practice. 6thed. St. Louis: Mosby; 2001.
12. Kunset P, Krainuwat K, Nakagasien P. Effects of a knowledge and self-efficacy-building program on selfcare
behaviors for uncontrolled essential hypertension. J Nurs Sci. 2016;34(4):90-102. (in Thai)
13. American Society of Anesthesiologists. ASA Physical status classification system [internet]. United States; 2014
[cited 2017 August 27]. Available from: https://www. asahq.org/ resources/clinical-information/asa-physicalstatus-
classification-system
14. Arrindell WA, Van der Ende J. An empirical test of the utility of the observations-to-variables ratio in factor and
components analysis. Appl Psychol Meas. 1985;9(2): 165-78.
15. Iamaroon A. Spinal, epidural, and caudal anesthesia. In: Prakarnrat U, Sanansilp V, Suksompong S, Toomtong P,
editors. Textbook of anesthesiology. Bangkok: Aplus Printing; 2013. p.233-54. (in Thai)
16. Ankcorn C, Casey WF. Spinal anaesthesia–a practical guide. Update in anaesthesia [internet]. United States; 2000
[cited 2013 June 10]. 20:21-34. Available from: https:// www.wfsahq.org/ resources/update-in-anaesthesia?id=392
17. The Royal College of Anesthesiologists. Your spinal anaesthetic [internet]. United Kingdom; 2014 [cited 2014
January 10]. Available from: https://www.rcoa.ac.uk/ document-store/your-spinal-anaesthetic
18. Bernards CM, Hostetter LS. Epidural and spinal anesthesia. In: Barash PG, Cullen BF, Stoelting RK, Cahalan MK, Stock MC, Ortega R, editors. Clinical anesthesia. 7th ed. Philadelphia:Lippincott Williams & Wilkins; 2013. p. 905-33.
19. Kleinman W, Mikhail M. Spinal, epidural, & caudal blocks. In: Butterworth JFT, Mackey DC, Wasnick JD, editors. Morgan & Mikhail’s clinical anesthesiology. 5thed. New York: McGraw-Hill Education; 2013. p. 937-74.
20. Brown DL. Spinal, epidural, and caudal anesthesia. In: Miller RD, Eriksson LI, Fleisher LA, Wiener-Kronish JP,
Young WL, editors. Miller’s anesthesia. 7th ed. Philadelphia: Churchill Livingstone; 2010. p. 1611-38.
21. Kvanli AH, Pavur RJ, Keeling KB. Concise managerial statistics. California: Thomson South-Western; 2006.
22. Bhatnagae R, Kim J, Many JE. Candidate surveys on program evaluation: examining instrument reliability,
validity and program effectiveness. American Journal of Educational Research. 2014;2(8):683-90.
23. Prasawang J, Summart U. The effectiveness of pre-anesthetic information leaflet on pre-anesthetic knowledge in patients undergoing advance elective surgeries at Roi-Et hospital. Roi-Et, Kalasin, Mahasarakham Hospital Medical Journal. 2012;19(1):1-10. (in Thai)
24. Limapongpas B, Kokilanan K, Thitipaisan N, Sirisakulveroj M, Yamsopee W, Waipurintha N, et al. Effects of preoperative instruction using multimedia in patients receiving spinal anesthesia. Journal of Health Science Research. 2015; 9(1):1-7. (in Thai)
25. Weckbach S, Kocak T, Reichel H, Lattig F. A survey on patients’ knowledge and expectations during informed consent for spinal surgery: can we improve the shared decision-making process. Patient Safety in Surgery. 2016;10(1):15.
26. Shahrbabaki PM, Farokhzadian J, Hasanabadi Z. Effect of self-care education on patient’s knowledge and performance with heart failure. Procedia - Social and Behavioral Sciences. 2012;31:918-22.
27. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary
aspiration: application to healthy patients undergoing elective procedures: an updated report by the American
Society of Anesthesiologists task force on preoperative fasting and the use of pharmacologic agents to reduce the
risk of pulmonary aspiration. Anesthesiology. 2017; 126(3):376-93.
28. Yuthavaraporn S. The effectiveness of knowledge in patients under spinal anesthesia at Lerdsin hospital
[internet]. Bangkok; 2008[Cited 2013 December 18]. Available from: http://www1.si. mahidol. ac.th/km/
node/ 1012 (in Thai)
29. Rungsawasjit A. A study of instruction on self-care practice for postoperative recovery in elderly patients after
spinal surgery [thesis]. Bangkok: Ramkhamhaeng University; 2013. (in thai)
30. Wacharasint P, Leelanukrom R. Postdural puncture headache (PDPH). Chula Med J. 2006;50(8):561-77.
(in Thai)