Assessing the Factors that Affect the Nursing Issues Dengue Hemorrhagic Fever Patients throughout the Disease that Remain in The Hospital for Tropical Diseases

Abstract

Objective: To assess nursing factors affecting the solution of dengue hemorrhagic fever patients.

Methods: This research was descriptive research by collecting retrospective data from medical records. We studied dengue patients who were admitted to the wards in the Hospital for Tropical Medicine, Mahidol University .To record in case record form . Total 250 patients consisted of 125 DF patients and 125 DHF / DSS patients selected by Hospital number with an even number ending. Data collected from 1 January 2013 to 31 December 2017 from medical record.

Results: Among 250 patients, there were 125 cases (50%) in the DF group, 115 (46%) in the DHF group, and 10 (4%) in the DSS group. 53.3 % of patients were female with overall mean age 28 years. Most patients (86.0%) were Thai, Burmese (10%), Lao (2.4%). Nursing Practice up to 99.5% of care could be managed by nurses such as vital sign monitoring, providing supporting care, etc. Only 0.5% of care must be managed by doctors, such as rise in hematocrit, and severely abnormal vital signs, or hepatic encephalopathy.

Conclusion: The result of this study showed nurses were able to provide nursing practice to patients in due time, causing no complications and patients can go home as scheduled. Therefore, nurses play an important role in elementary evaluating the symptoms of patients and providing nursing care closely.