Effectiveness of A Model of Nursing care for Critically ill Patients with Acute Kidney Injury Receiving in the Medical Intensive Care Unit at Chaiyaphum hospital, Chaiyaphum province
Keywords:
Effectiveness, ; Nursing, Acute Kidney Injury, Receiving, CRRTAbstract
This research aimed to study the effectiveness of a nursing care model for critical patients with acute kidney injury undergoing continuous renal replacement therapy (CRRT) in the intensive care unit (ICU) at Chaiyaphum Hospital, Chaiyaphum Province with a quasi-experimental research design was employed. The sample size was calculated using G*Power analysis program. Participants were divided into two groups: the experimental group, consisting of 30 professional nurses who followed the newly developed nursing care model, and the comparison group, consisting of 30 professional nurses who followed conventional methods. A two-group pre-test/post-test design was used to measure the levels of knowledge, skills, and competencies of the nurses in caring for critical patients with acute kidney injury before and after the intervention. A total of 60 nurses were purposively selected from the ICU at Chaiyaphum Hospital. Data were collected using evaluation forms and analyzed using descriptive statistics, paired t-tests, and independent t-tests, with a 95% confidence level.
The results show that after implementing the nursing care model, the experimental group showed significantly higher mean scores in knowledge, practical skills, and professional competencies compared to both their pre-intervention scores and the comparison group. The differences were statistically significant at p < 0.05. The findings demonstrate that the developed nursing care model is effective and can be applied in practice to improve the quality of care for critical patients with acute kidney injury receiving CRRT in the ICU.
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