Effects of Clinical Nursing Practice Guidelines for The Patients with Acute Ishemic Stroke of Chiang Yuen Hospital Maha Sarakham Province

Abstract

This action research study aimed to develop the clinical nursing practice guidelines for acute ischemic stroke patients and evaluate the effects of using the guidelines of Chiang Yuen Hospital in Maha Sarakham Province. Target groups consisted of 2 groups 1) 74 new acute ischemic stroke patients who have symptoms within 4.30 hours and receive treatment in Chiang Yuen Hospital : 41 who were receive treatment before implementation of the clinical nursing practice guidelines (December 2021- September 2022) and 33 who were receive treatment after implementation of the clinical nursing practice guidelines (October 2022 - July 2023). 2) 34 professional nurses who caring for patients with acute ischemic stroke in Chiang Yuen Hospital. The instuments used in the study were questionnaires of nurses. Nursing practice guidelines and Nursing record from for acute ischemic stroke patients. It contents validity had been approved by 5 experts and the index of Item-Objective Congruence were 1.0 as well as the Cornbrash^, s Alpha Coeffcient were 0.82. The Human subjects protection and Ethical consideration Institutional Review Board of Chiang Yuen Hospital. The medical records data were analyzed statistically by frequencies, percentages, means and t-tests. The results of this study were found that 1) There are nursing practice guidelines for acute ischemic stroke patients of Chiang Yuen Hospital in Maha Sarakham Province. The quality of the guideline is practical, through the evaluation of the guideline using AGREE. 2) The satisfaction levels of nurses after implementation of the clinical nursing practice guidelines was good, and significant higher than before implementation (P< 0.001).3) The average time of patient transferring was 28.68 minutes, and significant shorter than before implementation (P< 0. 001). The results indicate that the nursing practice guidelines for acute ischemic stroke patients helps with decreasing duration of access to the specialized are that these patients require.