Development of Nursing Practice Guidelines for Pain Management in Severe Traumatic Brain Injury and Multiple Injury Patients

Main Article Content

ชัจคเณค์ แพรขาว โพธิพงษ์ เรืองจุ้ย สุภาพรณ์ ตัณฑ์สุระ นิชาภัทร บุษมงคล พจนา ทัพซ้าย

Abstract

Abstract


            The development of nursing practice guidelines for pain management in severe traumatic brain injury and multiple injury patients employed the evidence-based practice model of Soukup in 2000 which consisted of 1) pain assessment, 2) pain management, and 3) prevention of risk factors of pain stimulating severity of pathology. The content validity was performed (CVI=.93). The practice guidelines was applied by 29 nurses in an accident and surgery department. The possibility of application, and satisfaction with the application of the guideline were assessed. It was found that 1) the possibility of application was good at 72.9 percent, 2) the satisfaction with the application was good at 86.5 percent, and 3) the satisfaction with the nursing practice regarding pain mangement with medicines and involvement with the practice development was good at 75.86 percent. The practice also gave the nurses confidence to perform their role independently in order to manage pain, which was good at 75.17 percent. The nursing practice followed the pain management practice guidline  at 80 percent. The nurses were satisfied with the pain assessment applied with the patients who were not able to communicate, especially those who were unconscious and those whohad pain killer injection (12 patients). They were closely monitored for side effects of the medicines. application was good at 72.9 percent, 2) the satisfaction with the application was good at 86.5 percent, and 3) the satisfaction with the nursing practice regarding pain mangement with medicines and involvement with the practice development was good at 75.86 percent. The practice also gave the nurses confidence to perform their role independently in order to manage pain, which was good at 75.17 percent. The nursing practice followed the pain management practice guidline  at 80 percent. The nurses were satisfied with the pain assessment applied with the patients who were not able to communicate, especially those who were unconscious and those whohad pain killer injection (12 patients). They were closely monitored for side effects of the medicines.

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How to Cite
1.
แพรขาวช, เรืองจุ้ยโ, ตัณฑ์สุระส, บุษมงคลน, ทัพซ้ายพ. Development of Nursing Practice Guidelines for Pain Management in Severe Traumatic Brain Injury and Multiple Injury Patients. Nursing Journal of The Ministry of Public Health [Internet]. 10Sep.2018 [cited 17Nov.2018];28(2):41-2. Available from: https://tci-thaijo.org/index.php/tnaph/article/view/144721
Section
บทความวิจัย

References

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