Development of nursing practices for diabetic patients with high blood sugar along with acid blood and respiratory failure in Uttaradit Hospital
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Abstract: This research and development study aimed to develop nursing practice guidelines for patients with diabetes experiencing high blood sugar along with acid blood and respiratory failure. The study was conducted between May 2024 and August 2025 in four phases: (1) situation analysis, (2) guideline development, (3) evaluation of guideline implementation, and (4) refinement of the guidelines. The sample consisted of 28 registered nurses and 72 patients, divided into a control group and an experimental group, with 36 in each group. Research instruments included a nursing care questionnaire, a patient satisfaction questionnaire, a competency assessment tool, and an observation record form, all of which were validated by 5 experts. Data were analyzed using descriptive statistics, independent t-test and dependent t-test. The research results showed that the experimental group using the guidelines had a statistically significant shorter time to control their blood sugar levels, time to recover from acidosis, time on a ventilator, and length of stay in the intensive care unit (ICU) than the control group receiving routine nursing care (p<.05). No patients died from diabetes. In terms of nursing outcomes after using the guidelines, nurses had a statistically significant higher mean satisfaction and nursing competency in terms of knowledge, skills, and attitude than before using the guidelines (p<.05). It is recommended to set a policy to continuously encourage the implementation of this guideline and monitor outcomes.
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