The Effects of Nursing Care Model for Hypertensive Urgency patient in Emergency Department Yasothon hospital

Abstract

Hypertensive urgency in patient  will have a lasting effect on organ  the important in the brain, kidneys, and eyes. Talk about research centers where most people, if not focusing on this research are quasi-experimental research Its purpose is to 1) To study the results of using the hypertension urgent nursing model. 2) To compare the nursing results of the group that used the nursing hypertension urgent model and the group that did not use the nursing model. In the emergency department Yasothon Hospital The sample group is 17 professional nurses working in the emergency department and 60 patients with high blood pressure. Divided into a control group of 30 patients  study was based on the medical records of patients with hypertensive urgency . who received service at the The experimental group of 30 patients were patients with urgent high blood pressure who came to receive services at the emergency department. Yasothon Hospital in the past   3 months Data collection was carried out from 31 August 2023 to 1 January 2024. The research tools were1) Nursing model for hypertensive urgency patients 2) General information and health information questionnaire 3) Assessment of knowledge and understanding about high blood pressure. 4) Form for evaluating professional nurses' compliance with nursing guidelines for hypertensive urgent patients. 5) Form for evaluating professional nurses' satisfaction. Content validity was checked by 3 experts. The knowledge and understanding questionnaire on hypertension used the Kr-20 value to be 0.50. Data were analyzed using descriptive statistics, averages, percentages, and differences were compared using paired t statistics. - test, Independent t-test ,chi-square The results of the study found that patients who received nursing care according to the hypertensive urgency nursing model There was a significantly higher level of knowledge and understanding about high blood pressure (P<0.05) in the experimental and control groups. Complications occurred, re-visits and follow-up visits were significantly different (P<.05). Personnel in the unit adhered to the overall format at a high level and were satisfied at a high level.

Conclusion: There is a model for hypertensive urgency care of patients with high blood pressure. As a result, patients with urgent high blood pressure receive continuous, standardized care. As a result patients do not experience complications from treatment. Did not Re visit in 48 hours and had an increased rate of follow-up visits. and operating personnel are satisfied