Development and Evaluation of Clinical Practice Guideline for Patients with Critical Limb Ischemia Undergoing Revascularization
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Abstract
This research study is the develop and evaluate of the implement clinical practice guideline (CPG) for patients with critical limb ischemia (CLI) undergoing revascularization in a university hospital. The sample consisted of 18 surgical residents, 9 outpatient surgery nurses, 30 intensive care unit nurses, 42 general ward nurses, and 12 CLI patients who undergone revascularization. Data were collected with research instruments, personal data questionnaire, personnel adherence to CPG record form, personnel satisfaction questionnaire, patient opinions questionnaire after implementing CPG, and clinical outcomes record form. Data were analyzed using descriptive statistics. The results of the study showed that personnel cooperated to almost activities following the CPG implementation. They reported a high level of satisfaction with the CPG implementation. Patients had no clinical complications, the length of stays in endovascular patients was minimum 4 days, maximum 43 days and those after bypass surgery was 29 days. The patients reported their opinion that they received the best care in regard to: receiving good service from specialized medical professionals (91.7%), explaining problems and illness and applying advice to action (83.3%), and receiving prompt treatment (83.3%), gaining easy and convenient access to services from nurses (91.7%), helping immediately, listening to health problems and following up continuously (83.3%). Implementation of this clinical practice guidelines in the departments can improve patient clinical outcomes.
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