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Nursing care system development for patients with cleft lip-palate and craniofacial deformities in Srinagarind
Darawan Augsornwan1, Pantamanas Pattangtanang, Kritsana Pikhunthod
1Surgical and Orthopedic Department, Division of Nursing, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. darawana@hotmail.com
Insights
A new nursing care system was developed for cleft lip and palate patients undergoing surgery. This system, including manuals and VCDs, aims to improve pre- and post-operative care and reduce family stress.
Area of Science:
- Craniofacial anomalies research
- Nursing system development
- Patient care optimization
Background:
- Cleft lip and palate (CLP) are common craniofacial anomalies, with 150-200 cases annually at Srinagarind Hospital.
- Effective care for CLP patients requires a multidisciplinary team and continuous nursing support.
- Pre- and post-operative care is crucial for managing patient pain, activity, and feeding, and for supporting families.
Purpose of the Study:
- To develop an optimized nursing care system for patients with cleft lip-palate undergoing surgical procedures.
- To enhance the continuity and quality of care for CLP patients and their families.
Main Methods:
- Action research methodology employed across three phases: situation review, nursing system development, and evaluation.
- Development of comprehensive resources including nursing guidelines, a nursing manual, a parent handbook, a VCD, and storytelling aids.
- Implementation and assessment of the developed nursing care system.
Main Results:
- The developed nursing care system components, including guidelines, manual, handbook, VCD, and storytelling, were found to be appropriate and well-utilized.
- Identified areas for improvement in the parent handbook and storytelling materials, specifically regarding picture clarity, size, and attractiveness.
- Positive initial feedback on the utility of the developed resources for patient and family support.
Conclusions:
- The nursing manual, parent handbook, storytelling, and VCD contribute to optimal pre- and post-operative care for CLP patients and families.
- Further evaluation of nursing outcomes is recommended to fully assess the impact of the developed nursing system.
- The study highlights the importance of tailored educational materials in managing CLP care.
Background:
Cleft lip and palate are the most common craniofacial anomalies. Srinagarind Hospital has 150-200 cases each year. The operating process of care requires continuity of care involving a multidisciplinary team. When the patients go to hospital to have operation, pain, limited activity and food are very different from normal life. During pre and post operative care nurses who work continuously and closely with the patients should have knowledge, experience and ability to take excellent care of their patients and families. This can prevent complications and help their decision process, decrease parents stress and encourage better co-operation.
Objective:
To develop a nursing care system for patients with cleft lip-palate undergoing operation.
Material And Method:
This is an action research divided into 3 phases. Phase 1, situation review: review of nursing care process by interview, focus group, observation and nursing documents. Phase 2, nursing system management: developing guidelines, composing nursing manual, handbook for parents, VCD for patients and family and story telling. Following that announcement and implementation. Phase 3: evaluation.
Result:
The authors found that guidelines, nursing manual, handbook for parents, VCD for patients and family and story telling are appropriate and have good utilization, but the pictures in handbook for parents and storytelling were not clear, too small and not attractive.
Conclusion:
Nursing manual for giving information about pre-post operative care, handbook for parents, story telling and VCD about pre-post operative care provide optimal care for patients and family with cleft lip and palate, but need to evaluate further the nursing outcome after this nursing system development.
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