Related Experiment Videos
Nursing outcome in patients with cleft lip and palate who underwent operation: follow-up cases
Darawan Augsornwan1, Kritsana Pikhunthod, Sumalee Pongpagatip
1Surgical and Orthopedic Department, Division of Nursing, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. darawana@hotmail.com
Insights
Continuity of care for cleft lip and palate patients is crucial. Regular follow-up improves patient understanding and allows healthcare professionals to address issues, enhancing overall care quality.
Area of Science:
- Craniofacial anomalies
- Pediatric surgery
- Healthcare quality improvement
Background:
- Cleft lip and palate (CLP) are common craniofacial anomalies in North East Thailand.
- Srinagarind Hospital manages 150-200 CLP cases annually.
- Effective CLP care necessitates a multidisciplinary team and continuity of care.
Purpose of the Study:
- To enhance continuity of care for CLP patients.
- To identify and resolve issues impacting care quality.
- To improve patient outcomes through better care coordination.
Main Methods:
- Retrospective descriptive study design.
- Data collected from 205 CLP patient records (June 2010-May 2011).
- Utilized follow-up case forms and a data collection form.
Main Results:
- High follow-up rate: 95.12% of CLP patients returned.
- Identified complications: 2.44% wound infection, 7.69% flap separation.
- Caregiver challenges noted: incorrect patient care and lack of follow-up concern.
Conclusions:
- Follow-up visits are vital for assessing patient understanding and identifying problems.
- Proactive engagement with patients and families improves care.
- Developing targeted strategies can resolve identified issues and enhance the care system.
Background:
Cleft lip and cleft palate are the most common craniofacial anomalies affecting approximately 2.5 of every 1,000 children born in North East of Thailand. Srinagarind Hospital has 150-200 cases of cleft lip and palate each year. The lengthy treatment process of care, requires continuity of care involving a multidisciplinary team. The holistic and interdisciplinary care is very important to patients, family, health care professionals and the health care system. After operation patients stay in hospital about 2-3 days, during this time they will receive information regarding how to take care of the wound,feeding and details about activities to avoid. Before patients leave hospital the nurse will confirm if parents can take care of patients wound, feeding, know about avoiding activities. The Nurses or health care professional can check patients progress again when they come back to hospital for follow-up.
Objective:
To promote continuity care and resolve any problems for developing quality of care.
Material And Method:
The present study is retrospective descriptive study. Data was collected from follow-up case forms using 205 medical records of patients with cleft lip and palate who were admitted in 3c ward Srinagarind Hospital between June 2010 to May 2011. The records were purposively selected for the study and recorded with a data collection form.
Results:
95.12% of patients with cleft lip and palate came back for follow-up. 2.44% of patients had wound infection. 7.69% of patients have flap separation. The authors also found that some care givers could not take care of the patients correctly and were not concerned about follow-up.
Conclusion:
To contracts the patients and family when they visit hospital for follow-up can make health care professional ensure the patients understand what they need to know and do, also can find any uncomfortable points/problem of patients/ family then can develop the strategies or system to solve the problem.
Related Concept Videos
01:23Peripheral Artery Disease V: Postoperative Nursing Management
01:22Aneurysm IV: Nursing Management
01:29Suctioning the Nasopharyngeal Airway
Equipment Required
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management