The Precipitation Inspection by Using The Software together with Applied Graphs compared with Using The Standard Graphs In Total Parenteral Nutrition given to Newborns in Chaiyaphum Hospital

Abstract

The objective of this quasi-experimental research were to study and compare the precipitation of calcium phosphate in total parenteral nutrition (TPN) between the methods using the standard graphs and the software together with applied graphs. Sample groups included neonatal patients, neonatal wards and the Neonatal Intensive Care Unit in Chaiyaphum Hospital received TPN between July - September 2019, total 112 persons. The research instrument were the data recording form which has been verified for accuracy by 3 experts; consists of 3 parts which are general characteristics, TPN information and precipitation data. Data were collected by studying TPN orders, reading precipitation results, and checking the difficulty of reading results by using standard graphs. Then, read the precipitation results and check the difficulty of reading the results again with software in conjunction with the applied graphs. Data were analyzed using descriptive statistics such as percentage, mean, standard deviation, median, Interquartile range, minimum and maximum beside the inferential statistics like McNemar Chi-square also used in statistical analysis.

The results showed that the precipitation result using standard graphs of 4.5% was found, equal as when re-examined by software together with applied graphs. The same result was found (p = 1.000). As for the difficulty in reading precipitation results was found that checking with the standard graphs is 7.1%, while the difficulty when reading the results using software with applied graphs would reduce to only 0.9 %, different statistically significant (p = .016).

From these findings shows that Chaiyaphum Hospital should use software together with applied graphs to check the precipitation of calcium phosphate in TPN. Besides this method is easier to read than with the standard graphs, it is still faster. Since there is no need to write graphs manually and can also reduce errors from calculations by using calculation software. The software used is Microsoft Excel which can be used as a prototype for development or adapted for use in other hospitals that has a similar context to Chaiyaphum Hospital.