Nursing outcome in patients with craniofacial anomalies who underwent operation
Darawan Augsornwan1, Pantamanas Pattangtanang, Kritsana Pikhunthod
1Surgical and Orthopaedic Department, Division of Nursing, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. darawana@hotmail.com
Insights
Craniofacial anomaly patients experienced wound infections due to inadequate caregiver knowledge and information gaps. Improving patient education and wound care is crucial for better outcomes in pediatric surgery.
Area of Science:
- Pediatric Nursing
- Surgical Outcomes
- Patient Education
Background:
- Craniofacial anomalies affect approximately 2.5 per 1,000 births in Northeast Thailand.
- Ward 3C Srinagarind Hospital manages 150-200 craniofacial anomaly cases annually, with some requiring up to 10 surgeries.
- Patients and families experience significant fear and anxiety, necessitating comprehensive information on disease, treatment, feeding, and wound care.
Purpose of the Study:
- To evaluate nursing outcomes for pediatric patients with craniofacial anomalies admitted to Ward 3C.
- To identify key areas for improvement in nursing care and patient support.
Main Methods:
- Retrospective descriptive study design.
- Data collected from medical records of 27 patients with craniofacial anomalies admitted between June 2010 and May 2011.
- Purposive sampling of medical records using a standardized data collection form.
Main Results:
- A wound infection rate of 2.36% was observed.
- While 100% of parents received information, comprehension varied.
- Average length of stay was 2.74 days, with one unplanned readmission.
- Parental satisfaction was high at 91.81%.
Conclusions:
- Post-discharge wound infections occurred due to improper wound cleaning by caregivers.
- Insufficient or misunderstood information provided to parents and caregivers contributed to complications.
- Enhanced patient and caregiver education is vital for preventing infections and improving recovery.
Background:
The Northeast of Thailand has patients with craniofacial anomalies about 2.5: 1,000 children birth. Ward 3C Srinagarind Hospital has about 150-200 cases of patients with craniofacial anomalies each year. Some of them have an operation about 10 times. When the patients go to hospital to undergo operation, patients and families experience fear and anxiety. They need information about their disease, operation, feeding and wound care. Nurses who work continuously and closely with the patients need to have ability to support patients needs by using nursing process. Nursing outcome will help nurses to measure the quality of nursing care.
Objective:
To study nursing outcome in the patients with craniofacial anomalies who were admitted in 3C ward.
Material And Method:
The present study is retrospective descriptive study. Data was collected from medical records of 27 patients with craniofacial anomalies who were admitted in 3C ward Srinagarind Hospital between June 2010 to May 2011. Medical records were purposively selected for the study and recorded with a data collection form.
Results:
The authors found that 2.36% of patients had wound infection. 100% of parents received information about disease, medication, self care but some information was not received or was received but not understand. 1 case of patients unplanned readmit. Length of stay of patient 2.74 days. Parents satisfaction is 91.81%.
Conclusion:
Patients had wound infection when back home because care giver cannot clean patients wound correctly, parents and care giver did not receive enough information or did not understand all information.
Related Concept Videos
01:22Aneurysm IV: Nursing Management
01:23Peripheral Artery Disease V: Postoperative Nursing Management
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
01:29Suctioning the Nasopharyngeal Airway
Equipment Required
01:17Endotracheal Intubation II: Nursing Management
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...