The effects of using the Clinical Nursing practice Guideline for preventing desaturation in Patients Receiving general anesthesia at Phrae Hospital
Abstract
Background: General anesthesia (GA) is the induction of a state of unconsciousness with the absence of pain sensation over the entire body, through the administration of anesthetic drugs. Complications may occur during GA. Desaturation is one of frequent and significant complication among patients whom receiving GA. Consequently, closed monitoring and rapid treatment are very important.
Objectives: This study aimed at comparing the effects of preventing desaturation before and after receiving the clinical nursing practice guideline for preventing desaturation in patients receiving GA. The framework of this study used the guideline of the National Health of Medicine and Research committee.
Study design: The samples were comprised of 17 nurse anesthetists and 68 patients who received general anesthesia. Data were collected from July 2016 to December 2016 The frequency, percentage, mean, standard daviation, t-test Wilcoxon rank sum test, exact probability test and Mulivariable logistic regression were utilized for data analysis.
Results: The developed clinical nursing practice guideline for desaturation in patients receiving general anesthesia consisted of three phases during the anesthetic process (pre-operation, peri-operation and post-operation), After implement-ting the guideline, the incident rate of desaturation were decreased 93 % (immediately at the recovery room) in group of receiving the clinical nursing practice guideline for preventing desaturation in patients receiving GA and nurse anesthetists were comments that the clinical nursing practice guideline for preventing desaturation in patients receiving general anesthesia can be applied for daily working.
Conclusion: the clinical nursing practice guideline for preventing desaturation in patients receiving general anesthesia can be applied for daily working.
Keywords: Clinical Nursing Practice Guideline, desaturation, general anesthesia
