Khon Kaen Medical Journal

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Re-plating : One of Good Methods for Management of Failure Plating in Femoral Shaft Fracture at Mahasarakham Hospital
(Khon Kaen Medical Journal, 2010-02-22) Surakit Yospon; Weerasak Srichuancheunsakul
Background: The study revealed the result of re-operation in 7 male patients with plating failure after the first operation by re-plating during 2004-2007. Plating may still be used by some orthopedists who are unfamiliar with lock nail insertion and suitable for the hospital with limitation of sophisticated equipment. Methods: The treatment method was to use new dynamic compression plates to replace the failed plates and adding bone grafting technique with sufficient iliac cancellous bone graft. Ambulation with weigh-bearing must be avoided until early bone healing was presented radiographically. Results: In all cases, union was achieved without any complications and they were able to walk within 4-6 months after surgery. Conclusion: Re-plating is one of choice to fix the failed plate. The technique is simple,the result is quite good and the complication is low for this study, so it should be suitable for the hospital with a limitation of sophisticated equipments and for the doctor who are unfamiliar with lock nail insertion.
Retrospective Study of Incidence and Treatment Outcome of Deep Neck Infection and Facial Space Abscess for 491 patients at Chaiyaphum Hospital During 1999 to 2007
(Khon Kaen Medical Journal, 2010-02-19) Sathit Kanthong
Deep neck infection (DNI) has referred to an abscess at several potential spaces through the neck such as parapharyngeal space (lateral pharyngeal space), retropharyngeal space and prevertebral space. On the other hand, facial space infection (FSI) has either mandibular space abscess or maxillary space abscess. The objective of this retrospective study was to evaluate the incidence of DNI and FSI of inpatient and outpatient case at Chaiyaphum Hospital, Department of Otolaryngology during 1999 to 2008. The outcome study allocated by treatment results, complication and underlying diseases were also included. The major findings characterized by descriptive statistic. At Chaiyaphum Hospital, Department of Otolaryngology, it was dramatically high incidences rate in upward trend from 2004 to 2007 (43, 45,52patients, 18%, 20 %and 21%). Overall studies, 492 patients classified by 232 males (47.2%) and 259 females (52.7%), and average age based on 42.4 years. The incidence rate of DNI and FSI was 9.1% (45 patients) and 90.8% (446 patients) respectively. Canine space was the most common in children but buccal space were found in adult. The areas of infection such as parapharyngeal space, submandibular space, Ludwig’s Angina, massesteric space, parotid space were found. The most important area of infection was buccal space (129 patients, 26.1%), followed by parotid space (65 patients, 13.2%). There was 97.5% discharge rate within 10 days (479 patients), 0.8 % mortality rate (4 patients). The infection at canine space (37%) and Ludwig’s Angina (40%) effect on upper airway obstruction, periorbital cellulitis. Major life threatening was necrotizing fasciitis (2%), sepsis (1%) and mediastinitis (1%). In summary, DNI and FSI was one of the most important causes of ear, nose and throat tract infection. There were 21% incidence rates at Chaiyaphum Hospital, Department of Otolaryngology. The treatment outcome were generally vulnerable. Most of patients (97%) were discharge without major life threatening complication and mortality rate were 0.8%. It was interesting that the incidence rate at Chaiyaphum was strikingly higher than other region in Thailand. However, epidemiology study and outcome study of DNI and FSI in Thailand is limited researches. Among demographic characteristics effects on differences incidence rate, mortality rate and clinical outcome should be clarified.
A Comparison of Paracervical Block and Pethidine Injection for Pain Alleviation Caused by Intrauterine Curettages
(Khon Kaen Medical Journal, 2010-02-22) Sirirat Muthaporn
Background and Methods: Intrauterine curettage is a common procedure for patient with uterine bleeding. Paracervical block and pethidine injection usually use to relief pain. This study aim to compare the effectiveness of paracervical block and pethidine injection for pain alleviation. The randomized control trial was done with 60 patients who got uterine bleeding under treatment of intrauterine curettage at Mahasarakham Hospital during June 2007 to January 2008. Cases were 30 patients who received pethidine injection and other 30 patients were controls with paracervical block treatment. Both cases and controls were assessed pain by using the Visual Analog Scale (VAS) 4 times: immediately after speculum insertion, during curettage, immediately after curettage, and thirty minutes after curettage.Results: The patients who received pethidine injection had lower mean pain scores than the patients who under paracervical block at the times of immediately after curettage and thirty minutes after curettage (p \< 0.05).Conclusion: This study showed pethidine injection more effectively alleviate pain than paracervical block.
A Case Study : Nursing Care in Dengue Shock Syndrome with Multi-Organ Failure
(Khon Kaen Medical Journal, 2010-02-19) Pinrat Chomphet
Dengue infection can be found in all age groups. Severity of disease depends on viral virulence and host factor. Primary dengue infection in infant under 1 year old may result in severe form similar to secondary infection in older children or adults. Patient with severe dengue infection may develop shock (dengue shock syndrome) and prolong shock may lead to multiple organ failure. This severe form of the disease can be fatal without appropriate treatment. This case report describes a 7 - month old infant who suffered from prolong shock due to severe plasma leakage into pleural and abdominal cavity. She had gastrointestinal and pulmonary hemorrhage from disseminated intravascular coagulation (DIC), hepatic failure, acute renal failure and acute respiratory failure. She developed recurrent hospital acquired infection because of multiple procedures and prolong hospital stay. Nursing care played important role in multidisciplinary team by providing continuous assessment and nursing plan using holistic approach. This approach focused on family - centered care. The result of treatment was excellent. The patient could be safely discharged and returned to the family after spending 83 days in hospital.
The Study of Influence of Developed Dental Public Health Programs in Primary Care Unit on Decreasing the Number of Patients in Banphai Hospital (tooth filling, extraction and scaling)
(Khon Kaen Medical Journal, 2010-02-05) Sirichai Orith
The retrospective study of dental patient (tooth filling, extraction, scaling) was conducted at Banphai Hospital for 3 years. The aimed was to study the influence of developed dental public health programs at primary care units on decreasing the number of patients in dental department, Banphai Hospital. The result revealed that number of dental patients had decreased. The ratio of decreased tooth filling-patients is 1 (year 2005, 2981 cases) : 0.708 (year 2006, 2312 cases) : 0.638 (year 2007, 1902 cases). The ratio of decreased extracted-patients is 1 (year 2005, 5930 cases) : 0.917 (year 2006, 5442 cases) : 0.798 (year 2007, 4738 cases). The ratio of scaled-patients is 1 (year 2005, 2357 cases) : 0.705 (year 2006, 1663 cases) : 0.566 (year 2007, 1335 cases). The finding was caused the attempt to provide dental units and dental services such as tooth filling, extraction and scaling at primary care units.
Antenatal Breast Preparation by Siriraj’s Test at Khon Kaen Hospital
(Khon Kaen Medical Journal, 2010-02-19) Rungruedee Jeerasap
Breastmilk is the best natural first food for infants. WHO recommended for exclusive breastfeeding for 6 months. One of the causes for short duration of breastfeeding were inverted and non – protractile nipples. For the good start in post-partum breastfeeding, the aim of this article was to evaluate the results of antenatal breast preparation by Siriraj’s test at Khon Kaen Hospital since 1 January 2006 to 31 December 2007. About 8% of all pregnancy women had abnormal nipples and areola and were corrected by various technique such as Hoffman’s exercise, syring puller, nipple puller or breast cups. The success rate was about 90% with low side effects.
Factors Related to the Health Status of People at Chaturapakpimarn District, Roi-Et Province
(Khon Kaen Medical Journal, 2010-02-19) Choochai Temtanakitpisal
This cross-sectional descriptive research was carried out in February 2008 to study the factors that affected health status in 15-60 years old 63,764 persons in amphur Chaturapakpimarn Roi-et province. Samples were drawn by multiple-stage cluster sampling. Sample size had from the formula of Yamane that had 398 persons. The total samples of 765 persons were interviewed by questionnaire and Thai Happiness Indicators (THI-15) of the Department of Mental Health, Ministry of Public Health. The data were analyzed using frequency, percentage, mean and Chi-square test. The association analysis of all variables that age over 40 years old, body mass index over 30.0, high blood pressure level, family history of diabetes and family history of hypertension were statistically significant related to blood sugar over180 mg./ml. Age over 40 years old, primary education level, agriculturist, not member of community and body mass index equal and over 23.0 were statistically significant related to high blood pressure level. Female, age over 40 years old, status couple/widow/divorce/separate, primary education level, agriculturist, income 1,000-9,999 baht/month and no smoking were statistically significant related to body mass index equal and over 25.0. Family history of hypertension was statistically significant related to body mass index equal and over 30.0. Right health insurance other than universal coverage and received health information were statistically significant related to Thai Happiness Indicators over normal. Family history of hypertension and no exercise were statistically significant related to Thai Happiness Indicators under normal.
New Operative Record for Obstetric and Gynecologic Operations at Uthaithanee Hospital During 1 May 2004 - 31 May 2005
(Khon Kaen Medical Journal, 2010-02-19) Permkiat Tangcharoensilp
One problem that frequent seen in Obstetric and Gynecologic practice was the patients could not remember type of previous Obstetric and Gynecologic operations of themselves. Because Obstetric and Gynecologic operations varied in type, there were many types of oprations in uterus, tube, ovary and cervix include left or right side or both in operations. So it was difficult for the patients to remember and it may be a problem in the future. An innovation to solved this problem was new operative record by using digital camera and computer add to routine operative record. A prospective study was conducted in 40 patients of Department of Obstetrics - Gynecology who were operated at Uthaithanee Hospital from 1 May 2004 to 31 May 2005, divided equally in to two groups. The first group received the new operative record add to routine operative record and one copy of new operative record was given to each patient, the second group were recorded only routine operative record as in the past. The result revealed that the patients in the first group could answer the questions in questionnaire about type of operation, post operation behavior correctly 95.6%. But the patients in the second group could answer correctly only 46.2%.
Prevalence of Metabolic Syndrome in Chronic Disease Clinic, Samrongthap Hospital
(Khon Kaen Medical Journal, 2010-02-22) Tawan Polsracoo; Suradet Chawadet
A cross-sectional analytic study was conducted to estimate the prevalence of Metabolic Syndrome (MetS) among patient in chronic disease clinic, Samrongthap Hospital, 196 participants (61 men and 135 women) aged between 17-85 years, average age 59.96 years, between 1st January and 29th February 2008. American Heart Association (AHA) / National Heart Lung and Blood Institutes (NHLBI) criteria with Asian-Pacific waist criteria were used to estimate the prevalence of MetS.The overall prevalence of MetS was 61.2 %, men 52.5% and women 65.2%. There were only 4 risk factors identified as statistical significant risk factor of MetS (p-value \< 0.05) as follow: occupation, education, income and BMI. The prevalence rate of these 4 risk factors would be benefit for chronic disease screening and patient education improvement.
Factors that Influence on Reliability of 3D-Endorectal Ultrasonography in the Preoperative Staging of Rectal Cancer
(Khon Kaen Medical Journal, 2010-02-22) Somchai Ruangwannasak; Aileen Seah; Charles B. Tsang
Background: Preoperative clinical staging of rectal tumors is very important to allow surgeons make informed decisions about the types of surgeries that should be performed. Endorectal ultrasonography (ERUS) is one of the tools that has been commonly used in clinical staging of rectal tumors. The aim of the present study was to evaluate the accuracy of endorectal ultrasonography in preoperative staging of rectal tumors and evaluate the factors that influence on the reliability of endorectal ultrasound staging such as experience of ultrasonographer, Characteristics of the tumor and tumor site (in terms of height) Methods: Fifty-three patients with rectal adenocarcinomas underwent an endorectal ultrasonography evaluation during a period of three years. The evaluation was performed by three surgeons. We compared the endorectal ultrasonography staging with the pathology findings based on the surgical specimens. Patients with preoperative chemoradiation were excluded from the study. Results: Overall accuracy in assessing the level of rectal wall invasion was 55%, with 19% of the tumours overstaged and 26% understaged. Accuracy in assessing nodal involvement in 44 patients treated with radical surgery was 45%, with 41% overstaged and 14% understaged. If focus on experience of ultrasonographer that show learning curve for good progression in accuracy of assessing tumor invasion from 42% in 2005 to 87% in 2007. Accuracy for Characteristics of the tumor that show better progression in accuracy for ulcerative tumor from 25% in 2005, 62% in 2006 and 100% in 2007 but for polypoid tumor that show poorer accuracy rate only 50% for all three years. Whether tumour site (in terms of height) found a significantly poorer accuracy rate for tumours of the distal third (2-6 cm from anal verge) that show accuracy only 48% ,on the other hand significantly better for tumours of the middle third (7-12 cm from anal verge) that show accuracy 62%. Accuracy depended on the tumor stage, ultrasonographer experience , characteristics of the tumor and tumor site (in terms of height). Conclusions: The accuracy of endorectal ultrasonography in assessing the depth of tumor invasion, particularly for early cancers, is lower than previously reported. Endorectal ultrasound is more operator dependent and accuracies improve with experience and characteristics of the tumor and tumor site (in terms of height) that influence on the reliability of accuracy.
Labour Pain Relief and the Side Effects of Epidurally Injected Single-Shot 0.25% Bupivacaine
(Khon Kaen Medical Journal, 2010-02-22) Nipon Dokchan
Painful relief during labour pain of epidurally injected with 0.25% Bupivacaine was investigated. Following epidurally block for normal labour 262 cases with no complication and want to relief pain during attend labour of 0.25% Bupivacaine 13 ml. in L3-4 when cervix dilatation 4-5 cms. for primigravidarum and 3-4 cms. for multigravidarum with true labour pain; uterine contraction interval 3 minutes and duration 35-50 seconds and head engagement.The pain during attend labour was absent in the average duration of 5-20 minutes with no side effect 172 cases (65.65%), Minor complication such as nausea vomiting 12 cases (4.58%), chill 40 cases (65.65%), Post Puncture headache 2 cases (0.76%), urinary retention 7 cases (2.67%), prolong labour 2 cases (0.76%), anxiety and discomfort 1 cases (0.38 %). Major Complication such as maternal hypotension 23 cases (8.78%), fetal distress 3 cases (1.14%).High level satisfaction in service 195 cases (74.43%), modurate level satisfaction in service 67 cases (25.57%).Epidurally injected with 0.25% Bupivacaine can relief pain during attend labour with no serious complication and satisfaction in service is high.
The Surveillance of Avian Influenza in Khon Kaen Province, 2003-2007
(Khon Kaen Medical Journal, 2010-02-19) Suwan Kotchum; Prayong Satchapong
This study was based on descriptive study. The objective was to confirm diagnosis and epidemiology of bird flu. Epidemiological characteristics in bird flu patients, admitted at Khon Kaen Hospital, based on individuals, time and place were investigated to explore preventive measures and control of bird flu distribution. The data was collected during 2004-2007, derived from the disease-investigating form, the avian flu and pneumonia- investigating form (A.I.1 and A.I.2 report form) OPD and IPD card recording.Results of the study: According to the collected data, in 2004 the patient as many as 71.9 percent admitted at Khon Kaen Hospital were bird flu patients. 35.9 percent were referred from community hospitals. 48.4 percent of the patients were admitted only at Khon Kaen Hospital. In-patients and out-patients accounted for 21.8% and 78.2%, respectively. They were male and female, 59.4 and 40.6%, respectively. The median age of the patients was 23.7 years. The occupation of the patients was as follows; children (29.7%), employee (21.8%) and students (20.3%). The onset of symptom from avian flu began in January (29.7%), February (18.8%), August (18.8%) and October (12.5%), respectively. The patients were admitted and treated in January (23.4%), February (32.8%), August (18.8%) and October (14.1%), respectively. Eigthynine percent of the patients were found in Khon Kaen province, 43.9 percent of whom resided in Muang district. In term of the characteristic symptoms, it was found that 23.5 percent of the patient had normal flu (fever, cough, mucous), and 14.1 percent had symptom in respiratory system (fever, cough, muscular pain, harmful breath). According to the results of the rapid test, it revealed that positive result was 12.5 percent and negative result was 87.5 percent. In addition, according to the result confirmed by PCR, it was found that 14.1 percent showed a positive result and negative result for 85.9 percent. The physical diagnosis showed that 39.1 percent showed R/O suspected avian flu and 14 percent showed pneumonia suspected, 31.3 percent of the patients were treated by Tamiflu®. After being treated, 95.3 percent recovered and three cases passed away. One was diagnosed and confirmed of death by avian flu.Comment and conclusion: To be prepared for epidemic of avain flu, it is critical to come up with system for surveillance, report, investigation and treatment. Therefore, this descriptive epidemiology may make contribution to prevent and control the disease as well as treat patients effectively.
The Best Effective of Cut Point with Fasting Capillary Blood Glucose for Detected Undiagnosed Diabetes
(Khon Kaen Medical Journal, 2010-02-22) Attakhon Pawarangkoon
Background: Cut point of fasting capillary blood glucose used in screening for detected undiagnosed diabetes was difference in performanced. Objective: The objective of this study was to determine the best effective of cut point with fasting capillary blood glucose in screening for detected undiagnosed diabetes. Study design: Action research study. Material and methods: A total of individuals were screened, men and woman aged between 35-93 years old without knowledge of diabetes in Banphaeng Nakhonpanom from January 2007-December 2007. Results: The result of the study showed 92 people(3.9%) who had met the criteria to be diagnosed with diabetes. Fasting capillary blood glucose cut point at 100mg/dl, 126mg/dl, 140mg/dl with sensitivity 13.10%, 62.82%, 68.89% specificity 100%, 99.57%, 98.44% and area under the receiver operating characteristic curve (AUC) 0.57, 0.83 and 0.84. Conclusion: Fasting capillary blood glucose cut point at 140mg/dl was the best effective in screening for detected undiagnosed diabetes.
Thyroid Screening and Congenital Hypothyroidism at Khon Kaen Hospital
(Khon Kaen Medical Journal, 2010-02-19) Chatchai Suesirisawad
Background: Thyroid hormone is critical for normal cerebral and growth development in the early postnatal months. The diagnosis must be made soon after birth and effective treatment must be initiated promptly to prevent irreversible brain damage. Objective: To study of abnormal thyroid screening and incidence of congenital hypothyroidism including average age of onset of initial treatment in newborn admitted at Department of Pediatrics, Khon Kaen Hospital was carried out from October 1, 2002 to September 31, 2007. Research design and methods: A retrospective study. Results: There were 19,521 live births of which, 18,798 cases were screened (96.30%). Fifty nine newborns had abnormal thyroid screening, 13 of these were congenital hypothyroidism. The incidence of congenital hypothyroidism was 1:1,501 live births. The average age of onset of initial treatment was 49.54 ± 30.73 days. Conclusion: There was high incidence of congenital hypothyroidism and most of newborn had delay hormone replacement therapy.
The Compliance of the Clinical Practice Guideline of Dengue Hemorrhagic Fever in Chlidren Patients at Kranuan Crown Prince Hospital, Kranuan District, Khon Kaen Province, 2007
(Khon Kaen Medical Journal, 2010-02-19) Wisuthipong Promkote
The proposes of this retrospective study were to study the compliance and the result of applying clinical practice guideline for treatment of Dengue Hemorrhagic Fever(DHF) in children patients at Kranuan Crown Prince Hospital, Kranuan District, Khon Kaen Province. The data had been collected from the medical records of 144 Dengue Hemorrhagic Fever patients at the age of 0-15 year old who were admitted to Kranuan Crown Prince Hospital from March 2007 to December 2007. The instrument was clinical practice guideline evaluation form; comprised of demographical data, clinical practice guideline record form and outcome of the treatment. The statistic analysis were frequency and percentage. Results of this study are the following: Most of DHF patients were female (50.69%). The age group of 11-15 year old was accounted for 40.97%, 52.08% of the patients graduated from primary school. Lastly, 35.72% of the patients lived in Doonsad sub-district, Kranuan District, Khon Kaen province. The compliance of the clinical practice guideline was found that most of them follow the guideline of the treatment. The first priority was patient assessment and sign and symptom observation (98.26%). The second is health education and health care (79.09%) and intravenous fluid resuscitation (79.17%). The outcome of treatment was found that all the patients were survived (100%). The majority of them were discharged from Kranuan Crown Prince Hospital (89.58%) and 10.42% of them was referred to Khon Kaen Regional Hospital. In cases of the referred cases, they were found that 86.67% of the them caused by volume overload. This study showed that following clinical practice guideline for treatment of Dengue Hemorrhagic Fever was contributed to the quality of care for Denque Hemoorhagic Fever.
Awareness During Anesthesia from 2006-2007 at Chiang-Rai Hospital : A Retrospective Study
(Khon Kaen Medical Journal, 2010-02-22) Yoardchy Plod-on; Jongkolnee Daovijit
Objective: To determine self of awareness in the patients during anesthesia at Chiang Rai Prachanukroh Regional Hospital. Material and Method: Retrospective descriptive study was conducted by reviewing records data, anesthetic records, and pre-post visit of the operation form in 9,724 patients who underwent general anesthesia at Chiang Rai Prachanukroh Regional Hospital between October 2006 to September 2007 Results: The awareness occurred in 40 patients (0.41%). Age between 40-50 years old (0.15%), ASA status 2 (0.24%). The risk factors were general surgery (0.14%), obstetric surgery (0.08%) and gynecologic surgery (0.08%). The incidence of awareness in patients who had no premedication were 37 patients (0.38%). Induction with propofol occurred 25 patients (0.06%) that more than induction with other induction agent. The onset of awareness occurred 30-59 min (0.17%). The patients reported that they could listened, felt but could not moved, listened and felt but could not moved. This phenomenon did not impact to mental health and dissatisfy of the patients. Conclusion: Considering to use premedication and sedative drug for keep in depth of anesthesia to prevent awareness during anesthesia.
Healthy Behavior Modification Program for Annual Physical Examination Clients at Loei Hospital
(Khon Kaen Medical Journal, 2010-02-19) Sutthiwan Preecha; Jiraporn Khunthothong
The purpose of this study was to determine the effect of healthy behavior modification program for annual physical examnination clients from Anubanloei School. The sample were 50 teachers who applied to develope a conceptual frame work such as health education, nutrition, exercise and group discussion. The data were collected by questionnaires, physical fitness test records, daily exercise records, daily nutrition records. Evaluation by compared weight, body mass index(BMI), body fitness before and after implementation of the program. The data were analyzed by descriptive statistics : frequency distribution, percentage, mean, standard deviation and inferential statistics : paired t-test, independent t-test 0.05 level of significance. The results revealed as follows : after the program the teachers reduced weight, BMI, and body measurement significantly (p-value \< 0.05). The leg muscle’s strength, flexibility, lung capacity gained significantly higher mean (p-value \< 0.05). The hand muscle’s strength before and after the program had no statistically significant difference (p-value \< 0.05).
Acute Flaccid Paralysis Surveillance at Khon Kaen Hospital
(Khon Kaen Medical Journal, 2010-02-22) Wipaporn Kongsriyattra
Poliomyelitis caused disability and mortality in pediatric population. Acute flaccid paralysis (AFP) surveillance was the mainstay of polio eradication program. AFP was a syndrome from several causes and should be considered in the differential diagnosis of poliomyelitis. The aim of this study was to present about the coverage of AFP reports and the evaluation of AFP surveillance at Khon Kaen Hospital. The data was retrospectively collected from June 2005 to May 2007. For the total amount of 83 cases from ICD-10 lists had AFP patients 20 cases, but were officially reported only 8 cases. Half of the total AFP reported patients lived outside Khon Kaen. Total of them were diagnosed and investigated within 48 hours after admission. In conclusion, the coverage of AFP reports was low, these reflected disadvantages of AFP surveillance at Khon Kaen Hospital. The most important of AFP surveillance strategies should be emphasize and had to improve knowledge in physician that might be benefit to achieve effectiveness in polio eradication program.
Efficacy of Metoclopramide in Prevention of Nausea – Vomiting after Laparoscopic Cholecystectomy
(Khon Kaen Medical Journal, 2010-02-05) Khomkrit Tiamklang
Patients undergoing laparoscopic cholecystectomy (LC) may be especially at risk of experiencing postoperative nausea and vomiting (PONV). The aim of the study was to evaluate the antiemetic efficacy of metoclopramide when administered prophylactically for prevention of PONV after LC. 5 minutes prior to induction of anesthesia, 60 patients received in a randomized, double blind manner, injection metoclopramide 10 mg (metoclopramide group) or non injection metoclopramide ( control group ) , ( n = 30 per group) intravenously. Patients were then observed for the next 24 hr after operation. During 0 – 6 hours after LC, the percentage of patients free of nausea vomiting were 70% with metoclopramide and 60% with control group. During 6 - 24 hours after LC, the percentage of patients free of nausea vomiting was 96.6% with metoclopramide and 86.6% with control group. There were no significant differences between the groups. The risk of adverse events did not differ in any of the groups. The results in our study suggest that metoclopramide when administered prophylactically before induction of balanced general anesthesia were not significantly effective to control PONV in LC.
Nursing Record Assessment In-Patient Department, Wangsaphung Hospital, Loei Province
(Khon Kaen Medical Journal, 2010-02-19) Chanchai Payomrat
Objective: The aims of this study were to assess the nursing record and identify problem of nursing record in In-patient Department, Wangsaphung Hospital, Loei 2007. A target groups of this study were 33 in-patient department nurses who had more than 1 year experience in working. The sample size of the patient chart that were discharged during 1-30 September 2007, 100 charts were selected. There were 3 steps in this study preparation, process and evaluation.Results: 1.) quality of nursing record were 85.2% from 100 charts. 2.) knowledge of nursing record were 81.3%.Conclusion: The study showed assessment and training of nursing record by workshop and group process with brain storming could increase quality of nursing record which refer to efficiency and quality of nursing care.

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