Development of an Early Surgery Nursing Service System for the Older Patients with Hip Fracture in Singburi Hospital
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Abstract
This research and development study aimed to develop and evaluate the outcomes of an early surgical nursing service system for the older patients with hip fracture in Singburi Hospital. The research consisted of the following 4 steps: 1) Exploring current conditions and problems, 2) Designing a nursing service system, 3) Implementing the nursing service system, and 4) evaluating the results. The purposively sampled group consisted of 46 professional nurses and 38 elderly patients with hip fracture who received early surgery nursing services. The research instruments included professional nurses’ satisfaction, the emergency surgical care system compliance assessment form, patients’ self-care practice knowledge, the Barthel Index (BI), and service quality outcomes. The data were analyzed using descriptive statistics. The findings revealed that the early nursing service system was effective, in that 1) the satisfaction of registered nurses was high (Mean=4.27, SD=.40), 2) the practice of early surgery nursing services system was at a high level (100%), 3) the patients’ self-care practice knowledge was at a high level with scores of 15-20 (92.10%), the Barthel Index (BI) at 6 weeks after surgery was high (100%), and the outcomes of service quality found that the waiting time for surgery, the rate of postoperative complications, the length of stay (LOS) and costs had decreased, while the percentage of patients receiving surgery within 72 hours had increased.
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บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
References
Cauley JA, Chalhoub D, Kassem AM, Fuleihan GE-H. Geographic and ethnic disparities in osteoporotic fractures. Nature Reviews Endocrinology 2014;10(6):338-51.
Sukpaiboonwat S. The role of population aging on economic growth in Thailand. Srinakharinwirot Research and Development Journal of Humanities and Social Sciences 2017;9(17):176-91.(in Thai)
Downey C, Kelly M, Quinlan JF. Changing trends in the mortality rate at 1-year post hip fracture: a systematic review. World J Orthop 2019;10(3):166.
Division of Nursing, Office of the Permanent Secretary, Ministry of Public Health. Guidelines for nursing service system development: service plan. Bangkok: Publishing of Suedawan Co., Ltd.;2018.(in Thai)
Zhu S, Qian W, Jiang C, Ye C, Chen X. Enhanced recovery after surgery for hip and knee arthroplasty: a systematic review and meta-analysis. Postgrad Med J 2017;3(1106):736–42.
Moja L, Piatti A, Pecoraro V, Ricci C, Virgili G, Salanti G, et.al. Timing matters in hip fracture surgery: patients operated within 48 hours have better outcomes. A meta-analysis and meta-regression of over 190,000 patients. PloS one 2012 Oct;7(10): e46175.
Male and female orthopedic wards. Statistical report of male and female orthopedic wards. Singburi Hospital Nursing Department. (unpublished documents);2021.(in Thai)
Husted H. Fast-track hip and knee arthroplasty: clinical and organizational aspects. Acta Orthop 2012; 83(SUPPL.346):1–39.
Division of Nursing, Office of the Permanent Secretary, Ministry of Public Health. Roles andresponsibilities of professional nurses. Bangkok: Publishing of Suedawan;2018.(in Thai)
Gall, JP, Meredith DG, Walter RB. Applying educational research: a practical guide. Longman Publishing Group; 1999.
Mullahy, CM. The case manager’s handbook. Jones & Bartlett Learning;2013.
Suwimon T. Research methodology in social sciences: guidelines for practice. Bangkok: Chulalongkorn University Printing House;2005.(in Thai)
Mahoney FI, Barthel DW. Functional evaluation the Barthel Index: a simple index of independence useful in scoring improvement in the rehabilitation of the chronically ill. Med J 1965.14:61–5.
Yuwadee N, Pudpong J, Wongwikkarn N, Jansook N. The Development of a case management model for patients with multiple trauma, Uthai Thani Hospital. Journal of Preventive Medicine Association of Thailand 2019;9(3):280-95.(in Thai)
Norrasan S, Wattananon W. Nurse case manager: roles of providing elderly dependent care in community. Journal of Nursing Science & Health 2017;40(2):138-45.(in Thai)
Nonthamand N. Interactive videos with open learning in the 21st century. Journal of Education Studies. Chulalongkorn University 2018;46(4):211-27.(in Thai)
Sydney W, Ellington BJ. Factors affecting post surgery hip fracture recovery. Journal of Orthopaedics, Trauma and Rehabilitation 2014:54-58.
Mak JCS, Cameron ID, March LM. Evidence based guidelines for the management of hip fractures in older persons: an update. Medical Journal of Australia 2010;192(1):37-41.
Chaiyarit A, Jangsombatsiri W. Significant roles of nurse case manager to improve quality of care for chronically ill patients: diabetes and hypertensive patients. Nursing Journal 2017;44(4):195-205.(in Thai)
Suwan D, Sae-Sia W, Songwathana P. Effects of nursing case management programme on care outcomes in patients with multiple trauma. Thai Journal of Nursing Council 2018; 33(4):33-45.(in Thai)
Donguthit K, Methakanjanasak N. The effect of using a case management model on early outcomes in the care of patients with hemorrhagic stroke. North-Eastern Thai Journal of Neuroscience 2022; 17(4):1-13.(in Thai)
Chuenban P, Sanpunya T, Krasao T. The development of nursing care model for elderly with hip fracture in fast-track surgery, Phrae Hospital. Nursing Journal of the Ministry of Public Health 2021;46(4):70-84.(in Thai)