THE EFFECTS OF DEVELOPING A CARE MODEL FOR PEDIATRIC PATIENTS USING NON-INVASIVE VENTILATION IN THE PEDIATRIC INTENSIVE CARE UNIT, MAHARAJ NAKHON SI THAMMARAT HOSPITAL
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Abstract
This research article aimed to investigate the effects of developing a clinical care model for pediatric patients receiving High Flow Nasal Cannula (HFNC) therapy on clinical outcomes, as well as to compare registered nurses’ knowledge, nursing practices, and satisfaction before and after the implementation of the developed guideline. The study employed a one-group pretest-posttest design and was conducted in the Pediatric Intensive Care Unit (PICU) at Maharaj Nakhon Si Thammarat Hospital between June - November 2025.The study sample consisted of 45 patients aged 1 month -15 years who received HFNC therapy, 14 registered nurses working in the PICU. Research instruments included a clinical data recording form, a nurse knowledge test, a nursing practice evaluation form, and a nurse satisfaction questionnaire. Data were analyzed using descriptive statistics, Wilcoxon Signed-Rank Test, paired t-test, and McNemar’s test. The results revealed that following the implementation of the developed care model, the incidence of clinical complications significantly decreased from 46.7% to 15.6% (p < .05). In addition, the average duration of HFNC use was reduced from 4.5 days to 1.8 days, and the average length of stay in the PICU decreased from 4.5 days to 1.5 days, with statistical significance (p < .001). Furthermore, registered nurses demonstrated a significant increase in knowledge scores after implementation of the guideline (p = .005). Nursing practice performance also showed significant improvement (p = .001). Nurses reported the highest level of satisfaction with the developed guideline across all dimensions. The findings of this study indicate that the developed clinical care model effectively enhanced the quality and safety of pediatric patient care by reducing complications and shortening the duration of HFNC use and PICU stay. Moreover, the guideline strengthened nurses’ knowledge and clinical competence, promoted standardized nursing practice, and supported evidence-based nursing care in pediatric critical care settings.
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References
สมาคมโรคระบบหายใจและเวชบำบัดวิกฤตแห่งประเทศไทย และราชวิทยาลัยกุมารแพทย์แห่งประเทศไทย. (2562). แนวทางปฏิบัติการใช้ High Flow Nasal Cannula ในผู้ป่วยเด็ก. (พิมพ์ครั้งที่1). กรุงเทพมหานคร: สมาคมโรคระบบหายใจและเวชบำบัดวิกฤตแห่งประเทศไทย.
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