ผลของโปรแกรมการจัดการแบบบูรณาการต่อความเหนื่อยล้าหลังผ่าตัดของผู้ป่วยสูงอายุผ่าตัดทางศัลยกรรมกระดูก / พัชราภรณ์ ศรีคะชินทร์ = The effect of integrative management program on postoperative fatigue of orthopedic elderly patients / Patcharaporn Srikachin
The objective of this quasi-experimental research was to examine the effects of an Integrative Management Program on postoperative fatigue in elderly orthopedic patients having undergone major surgery. The Integrative Management Program was based on Piper’s Integrated Fatigue Model (Piper, 1987) and Fatigue Reduction Program (Robinson et al., 2003). The subjects consisted of 40 elderly orthopedic patients having just undergone major surgery, who were assigned in equal number to the control and experimental groups. Subjects from the two groups were matched in terms of age, gender, type of operation, type of anesthesia, and social support. The control group received routine nursing care while the experimental group received the Integrative Management Program together with routine nursing care. The instruments for this study comprised two parts: 1) The Integrative Management Program consisting of the guided implementation of the program and handbooks on post-operative orthopedic fatigue; 2) The data collection instrument was the Fatigue Questionnaire which had been tested for content validity by five experts, whereby a CVI of 0.91 was obtained with a reliability value of 0.93. Data were analyzed using mean scores, percentage, standard deviation, and t-test statistics.
The findings can be summarized as follows: 1. The posttest mean score on fatigue for the experimental group was significantly lower than that of the pretest at the .05 level, and the posttest mean score on hand grip strength was significantly higher than that of the pretest at the .05 level. 2. The posttest mean score on the fatigue of the experimental group was significantly lower than that of the control group at the .05 level. There were no differences in the posttest mean score on hand grip strength between the experimental and control groups.
