Nursing Care System Development for Patients with Cleft Lip-Palate and Craniofacial Deformities in Srinagarind Hospital: Pre-Post Operation
Darawan Augsornwan MPH*, Pantamanas Pattangtanang BNS*, Kritsana Pikhunthod BNS*
Affiliation : * Surgical and Orthopedic Department, Division of Nursing, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Background : Cleft lip and palate are the most common craniofacial anomalies. Srinagarind Hospital has 150-200 cases
each year. The operating process of care requires continuity of care involving a multidisciplinary team. When the patients go
to hospital to have operation, pain, limited activity and food are very different from normal life. During pre and post operative
care nurses who work continuously and closely with the patients should have knowledge, experience and ability to take
excellent care of their patients and families. This can prevent complications and help their decision process, decrease parents
stress and encourage better co-operation.
Objective : To develop a nursing care system for patients with cleft lip-palate undergoing operation.
Material and Method: This is an action research divided into 3 phases. Phase1, situation review: review of nursing care
process by interview, focus group, observation and nursing documents. Phase2, nursing system management: developing
guidelines, composing nursing manual, handbook for parents, VCD for patients and family and story telling. Following that
announcement and implementation. Phase 3: evaluation.
Result: The authors found that guidelines, nursing manual, handbook for parents, VCD for patients and family and story
telling are appropriate and have good utilization, but the pictures in handbook for parents and storytelling were not clear, too
small and not attractive.
Conclusion : Nursing manual for giving information about pre-post operative care, handbook for parents, story telling and
VCD about pre-post operative care provide optimal care for patients and family with cleft lip and palate, but need to evaluate
further the nursing outcome after this nursing system development.
Keywords : Nursing care system, Cleft lip and palate, Pre-post operation.
