Evidence-Triggered for Care of Patients with Cleft Lip and Palate in Srinagarind Hospital: Operating Room
Sroyhin, W.; Thiamwisai, L.; Surit, P.; Chowchuen, B.
Journal of the Medical Association of Thailand 99 Suppl 5(2): S58-S64
2016
ISSN/ISBN: 0735-0732 PMID: 29905438 Document Number: 11342
The operating room Srinagarind hospital handles most cases that require surgical repair including cleft lip and palate patients. The average number of patients undergone surgical correction has risen to 216 in 2016 from 150 in 2014. Patients who underwent surgery, particularly infants had to be separated from family, stay in restricted place, abstaining from food and water, these create stress, fear, anxiety and pain to the child and may have affected to the outcomes of the treatment. For parents and families will also are anxious, and fears about the disease and treatment, losing children, disabled children after the surgery. In addition, their concerns with complications of surgery and chance of recovery. Therefore, there is a need to examine the clinical problems of patients who undergo surgery for cleft lip and palate in order to provide comprehensive care. To identify problems in regards to care for patients with cleft lip and palate, in the operating room, Srinagarind Hospital. The descriptive study was conducted involving nine departments of nursing services, Srinagarind There were four cases underwent operation for cleft lip and palate (40%) four cases underwent age 3-6 months and 10-18 month four cases underwent age 3-6 months and 10-18 month(40%) which included six male (60%) and ten female caregivers (100%), four of which aged older than 50 years (40%), three cases were each a farmer and housekeeper. For nurses, the majority aged between 40-44 years, nine of which had bachelor degree (90%). The results from nurses' survey found that the caregiver concerned about patients' hunger, and surgical complications such as hypothermia, pressure ulcers from operation, postural, bleeding after operation which need additional operation, something stuck in operating wound, and infected wound. The interviewing with the caregiver and mother towards patient health conditions found that the caregivers concerned about anesthetic procedure, wound separation and infection, and the operating cost. Most patients felt fear of fainting and thirsty since food and water discontinuation. Problems for care of patients with cleft lip and palate in the operating room in Srinagarind Hospital were: 1)