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Development of Information System for Patients with Cleft Lip and Palate undergoing Operation

Darawan Augsornwan MPH*, Pantamanas Pattangtanang BNS*, Palakorn Surakunprapha MD**

Affiliation : * Surgical and Orthopedic Department, Division of Nursing, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand ** Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand

Background : Srinagarind Hospital has 150-200 patients with cleft lip and palate each year. When patients are admitted to hospital for surgery patients and family feel they are in a crisis of life, they feel fear, anxiety and need to know about how to take care of wound, they worry if patient will feel pain, how to feed patients and many things about patients. Information is very important for patients/family to prevent complications and help their decision process, decrease parents stress and encourage better co-operation.
Objective : To develop information system for patients with cleft lip-palate undergoing operation. Material and Method: This is an action research divided into 3 phases. Phase 1 Situation review: in this phase we interview, nursing care observation, and review nursing documents about the information giving. Phase 2 Develop information system: focus groups, for discussion about what nurses can do to develop the system to give information to patients/parents. Phase 3 evaluation: by interviewing 61 parents using the structure questionnaire.
Results : 100 percent of patients/parents received information but some items were not received. Patients/parents satisfaction was 94.9 percent, no complications.
Conclusion : The information system development provides optimal care for patients and family with cleft lip and palate, but needs to improve some techniques or tools to give more information and evaluate further the nursing outcome after.

Keywords : Nursing care system, Information, Cleft lip and palate


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