Evidence map›Paper›PMID 33117880›Full record

ArticleOne health (Amsterdam, Netherlands)2020

Developing and using a dengue patient care guideline for patients admitted from households to primary care units and the district hospital: A community participatory approach in Southern Thailand.

Charuai Suwanbamrung, Cua Ngoc Le, Sarunya Maneerattanasak, Ponlapat Satian, Chumponut Talunkphet, Youwarat Nuprasert, Anuson Siwarin, Somsri Kotchawat, Poungpen Srimoung, Chumpron Ponprasert and 1 more

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Article in One health (Amsterdam, Netherlands), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Charuai SuwanbamrungSchool of Public Health, Walailak University, Nakhon Si Thammarat Province, Thailand.
Cua Ngoc LeSchool of Public Health, Walailak University, Nakhon Si Thammarat Province, Thailand.
Sarunya ManeerattanasakSchool of Public Health, Walailak University, Nakhon Si Thammarat Province, Thailand.
Ponlapat SatianLansaka Hospital, Nakhon Si Thammarat Province, Thailand.
Chumponut TalunkphetLansaka Hospital, Nakhon Si Thammarat Province, Thailand.
Youwarat NuprasertLansaka Hospital, Nakhon Si Thammarat Province, Thailand.
Anuson SiwarinLansaka Hospital, Nakhon Si Thammarat Province, Thailand.
Somsri KotchawatMaharaj Nakhon Si Thammarat Hospital, Nakhon Si Thammarat Province, Thailand.
Poungpen SrimoungMaharaj Nakhon Si Thammarat Hospital, Nakhon Si Thammarat Province, Thailand.
Chumpron PonprasertPublic Health Official of Lansaka District, Nakhon Si Thammarat Province, Thailand.
Orratai NontapetSchool of Nursing, Walailak University, Nakhon Si Thammarat Province, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDengue has been an important health issue in southern Thailand. However, this area has only a surveillance-prevention system, without step-by-step guidelines on dengue treatment for patients admitted from households to primary care units (PCUs) and district hospitals. Therefore, this study were to develop and use a dengue patient care guideline (DPCG), and to evaluate knowledge, attitude, practice (KAP) of dengue patient care.

methods26 health care providers (13 nurses, and 13 public health officials) from eight PCUs and the district hospital developed the DPCG. The study design was based on the community participatory action research that integrated the Iowa model involving the following steps: preparation, guideline development, use and monitoring, evaluation and conclusion, and referring technology. We assessed the improvement between before and after using the DPCG regarding the participants' KAP on patient care and preparedness of equipment. McNamara's test was used to compare the changing results before and after using the DPCG. Qualitative data collection was performed in two meeting discussions with six open-end items. Using a thematic analysis technique, we extracted conclusions and suggested solutions.

resultsThe guideline included four steps for patients' care provision at households, PCUs, outpatient departments, emergency rooms, and inpatient departments. After using the DPCG in 39 dengue patients of which 30 patients were admitted to the inpatient department

conclusionThe DPCG instructed dengue patient's care for health care providers from households to the PCUs and district hospital. All participants improved KAP, and equipment management. Step-by-step of DPCG use and participation of all stakeholders are needed.

Indexed as

CBC, Complete blood countCPAR, Community participatory actionCVI, Content validity indexDALY, Disability adjusted life yearDAR, Dextrose acetate ringerDEN, Dengue virusDengue patient care guidelineDF, Dengue feverDHF, Dengue haemorrhagic feverDLR, Dextrose lactate ringerDPCG, Dengue patient care guidelineDSS, Dengue shock syndromeEC for DRAS, Excellent Centre for Dengue Research and Academic ServiceER1, Guideline of DPCG at emergency room for hospital discharge for observing at homeER2, Guideline of DPCG at emergency room for admission to in patient departmentER3, Guideline of DPCG at emergency room for serious dengue to province hospitalER, Emergency roomHCT, HematocritHGT/DTX, Haemogluco test/DextrostixHospitalHouseholdIPD1, DPCG at inpatient department for dengue patient grade I and IIIPD2, DPCG at inpatient department for severe dengue and send to province hospital Iowa model: The Model was developed at the University of Iowa Hospitals and Clinics in 1990s to serve as a guide for nurses to use research findings to help improve patient care.IPD, Inpatient departmentKAPLansaka model, the larval indices surveillance system for a sustainable solution to the dengue problem in southern ThailandNSAIDs, Non-steroidal anti-inflammatory drugsNSS, Normal saline solutionOPD1, DPCG at outpatient department for continuous observation at homeOPD2, DPCG at outpatient department for admission to inpatient department, district hospitalOPD3, DPCG at outpatient department for serious dengue case and send to province hospitalOPD, Outpatient departmentPCU1, DPCG at primary care unit for dengue case with fever>48 h and send to district hospitalPCU2, DPCG at primary care unit for dengue case with fever<48 h for observation at home/communityPCUs, Primary care units (PCUs)Primary care unitSecondary hospital, the district hospital that mean secondary care level of health care system in ThailandSRRT, Surveillance and Rapid Response TeamTertiary hospital, the province hospital that mean tertiary care level of health care system in ThailandVital signs, BT (Body temperature), PR (Pulse), RR (Respiratory rate), and BP (Blood pressure)WA, Warning signsWBC, White blood count (Dengue infection WBC ≤ 5000 cells/mm3.)WHO 1997, Guideline for classification dengue DF/DHF/DSS by WHO regional publication, SEARO No. 29WHO 2009, Guideline for classification dengue, dengue with or without signs (WS) and severe dengue (D, D ± WS, SD)WHO, World health organization

Identifiers

PMID33117880
PMCPMC7582214

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.