ผลการใช้แนวทางการดูแลผู้ป่วยไข้เลือดออกต่อภาวะแทรกซ้อน ความรุนแรงของโรคและผลการรักษาในผู้ป่วยไข้เลือดออกเด็ก โรงพยาบาลบึงกาฬ Effect of care guideline for dengue hemorrhagic fever on complications, severity, and treatment outcomes of children with dengue fever in Buengkan Hospital

Abstract

Abstract

           This study aimed to compare the complications, severity, and treatment outcomes before and after applying a guideline for patient care of dengue hemorrhagic fever in children. Sixty samples were purposively selected from groups of children aged from 1 to 15 years, who were diagnosed with dengue fever or dengue hemorrhagic fever, and were admitted at the pediatric ward between February and July 2019. The research instruments included: 1) a medical record audit form, 2) the guideline for patient care of dengue hemorrhagic fever in children, and 3) a treatment outcome record form. The data were analysed using frequency, percentage, mean, standard deviation, and Chi-square test.

           The results of the study were as follows:

               1. After using the patient care guideline, the complications were lower than before. Among these complications, hypervolemia and pneumonia were significantly different (p < 0.05).

              2. After using the patient care guideline, the severity of the disease, including shock and severe shock was lower than before and significantly different (p < 0.05).

              3. After using the patient care guideline, the improved treatment outcomes was higher than before but not significantly different.

Keywords: Patient care guideline, Complications, Severity, Dengue fever in children