ผลของการพยาบาลโดยใช้ทฤษฎีของ Neumanในผู้ป่วยเด็กวิกฤตที่ใช้เครื่องช่วยหายใจ ต่อปริมาณยานอนหลับ ยาแก้ปวด และอาการถอนยา

  • ทิพวรรณ เชษฐา Nursing faculty, Chulalongkorn university
  • สุรศักดิ์ ตรีนัย
Keywords: the Neuman model, respiratory failure in critically ill children, sedative, analgesic, drug withdrawal symptoms

Abstract

The purpose of this quasi experimental research was to compare total dose of sedative, analgesic used and drug withdrawal symptoms between participants received the nursing intervention base on the Neuman model and the usual nursing care.  The research subjects composed of 30 participants  as inclusion criteria. We randomly assigned the participants into intervention group and control group. Research instruments used including 1) Experimental instrument was nursing care program base on Neuman model  linked to the nursing intervention for preventing and reducing withdrawal symptoms including adminstration of sedative and analgesic drug, promotion  of sleep, and comforting touch. 2) Data collecting instrument was Sophia Observation Withdrawal Scale. 3) Monitoring instruments were the nursing activities observation forms including  3.1)  Adminstraion of drug for preventing and reducing drug withdrawal symptoms  observation form.3.2) Teaching comforting touch to parents and caregivers with demonstraion method observation form 3.3) Promoting sleep observation form. These instruments were tested  for content validity by five experts. Total dose of sedative, analgesic used were collected by researcher and drug withdrawal symptoms   were collected by research assistants every eight hours. Data was analyzed by descriptive, Mann - whitney U test and repeated measures ANOVA.

            The findings were as follows:total dose of sedative, analgesic used of critically ill children who received the nursing intervention base on  the Neuman model was not different than that  critically ill children who received the usual nursing care; and drug withdrawal symptoms of critically ill children who received the nursing intervention base on  the Neuman model was significantly less than  that of critically ill children received the usual nursing care at the level .05

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Published
2019-06-26
How to Cite
1.
เชษฐาท, ตรีนัยส. ผลของการพยาบาลโดยใช้ทฤษฎีของ Neumanในผู้ป่วยเด็กวิกฤตที่ใช้เครื่องช่วยหายใจ ต่อปริมาณยานอนหลับ ยาแก้ปวด และอาการถอนยา. HCU Journal [Internet]. 26Jun.2019 [cited 21Nov.2019];23(1):60-6. Available from: https://www.tci-thaijo.org/index.php/HCUJOURNAL/article/view/176534
Section
Research article