Adchara Khammathit
The Effect of the Clinical Nursing Practice Guideline to Prevent the Compartment Syndrome among Patients, Suffering from Closed Fracture Lower Leg
Keywords:
Clinical Nursing Practice Guideline, Closed fracture, Compartment syndrome, Fracture of lower legAbstract
This one group pre-post test, quasi-experimental study, aimed to determine the effectiveness of the clinical nursing practice guideline to prevent the compartment syndrome among patients, suffering from closed fracture lower leg. The research samples were 10 registered nurses at the orthopedic ward and 15 patients who were diagnosed as a closed facture lower leg.
The experimental instrument was the clinical nursing practice guideline to prevent the compartment syndrome, developed by the researcher. Data were collected by 1) demographic questionnaire, 2) the knowledge and nursing skill questionnaire, 3) the quality of clinical nursing practice assessment, and 4) the satisfaction questionnaire. Wilcoxon Match Paired Test was employed for data analysis. The result revealed that the participants had the knowledge and nursing skills at post intervention significantly higher than baseline (p ≤ 0.05). The participants indicated that the overall quality of clinical nursing practice guideline was at high level (x̅ = 8.20, S.D. = 0.14). Knowledge of nursing care was showed at the highest score while the level of difficulty was indicated at lowest score. The clinical nursing practice guideline was satisfied by the participant at high level (x̅) = 8.70, S.D. = 0.78). In addition, while conducting the clinical nursing practice guideline through the 15 patients, there was no incident of compartment syndrome. The results recommend that the feasibility of CNPG was illustrated, and it should be implemented through the orthopedic department in other hospitals to enhance the quality of nursing care.
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