The Effect of Evidence-Based Nursing Practice Guidelines for Patients Under Abdominal Surgery

Monday, July 11, 2011

Sung-Jung Hong, PhD
College of Nursing, Kyungpook National University Hospital, Daegu, South Korea

Learning Objective 1: The learner will be able to know adopting effectiveness of the evidence-based nursing practice guidelines.

Learning Objective 2: The learner will be able to be challanged on applicaiton of the evidence-based nursing practice guidelines on peri-operative care.

Purpose:  The purpose of the study was to examine the effect of the evidence-based nursing practice guidelines(EBPGs) of te pst operative pain, nausea and vomiting, and body temperature for the patients undergoing abdominal surgery.

Methods:   EBPGs were developed at web-based and connected to the hospital information system for the easy accessibility during patient care and educated for the nurses before the data collection of experimental group. Data were collected before the EBPGs and both 2weeks and 4 weeks after the installation of EBPGs. Total of 128 patients was assigned to the experimental or control group. The data were analyzed using χ²-test, and repeated measures of ANOVA.

Results:   The experimental group showed significantly lower level of pain and nausea/vomiting than the control group. Body temperature in theexperimental groups was significantly higher than the control group from right induction of anesthesiato 24 hours after surgery. Time was considered as a significant factor for enhancing patient outcomes.

Conclusion: EBPGs were effective in reducing pain, nausea and vomiting, and maintaining body temperature. Therefore, Evidence-Based nursing guidelines should be recommended as a peri-operative nursing management to improve the quality of care.