Development and Feasibility Study the Usage of Clinical Practice Guidelines of Patients with Aneurysmal Subarachnoid Hemorrhage
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Abstract: This study aimed to develop and assess the feasibility of guidelines for patients with aneurysmal subarachnoid hemorrhage (aSAH) at a university hospital. The study included 55 nurses and 5 patients with aSAH. Data were collected using Nurse data record forms, Patient data record forms, Feasibility assessment forms for guideline implementation, Adherence record forms, and Clinical outcomes record forms. Descriptive statistics and Repeated Measures ANOVA were used for data analysis to compare the difference of knowledge score at pre, post training and after implementing a guideline at week 8. The study revealed that the guidelines covered 4 phases of care starting from pre and post treatment (operation or endovascular intervention) in the intensive care unit (ICU), recovery care in the general ward, and discharge planning. Nurses generally followed the guidelines closely and reported high satisfaction with their use. Notably, the average knowledge score of nurses regarding the care of aSAH patients significantly improved after training and guideline implementation (F=138.155, p = .001). There were no occurrences of cerebral vasospasm or ischemic stroke and reported the decrease in length of hospitalization rate from 17.81 to 16.8 days. So, implementing clinical practice guidelines would result in patients receiving care based on the standard, reducing clinical complications and the number of hospital days. However, the outcomes should be further evaluated in a larger sample size.
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