การพัฒนารูปแบบการจัดการการเฝ้าระวังการติดเชื้อในกระแสเลือดในผู้ป่วยมะเร็งเม็ดเลือดขาวในหอผู้ป่วยอายุรกรรมโรคเลือดและมะเร็งโรงพยาบาลสุราษฎร์ธานี

Abstract

This action research aimed to develop a management surveillance of bacteremia model for leukemia patients and evaluate the outcome of the management surveillance model in the Hemato-Oncology ward Suratthani Hospital. The 25 participants included the infection control committee and healthcare workers involved in bacteremia surveillance. Kemmis & McTaggart's action research design was used including 2 cycles of 4-phase implement, which were planning, action, observation and refection. Data were collected by semi-structured interview and observation record. Qualitative data were analyzed by content analysis and quantitative observation record was analyzed by frequency and percentage. Result of study showed that: 1. A. management surveillance of bacteremia model involving multidisciplinary team was composed of 4 elements: 1) planning among the multidisciplinary team, 2) responsibility, 3) communication, and 4) controlling. This model was implemented into practice following the guideline in 4 phases: 1) admission, 2) low immunity, 3) bacteremia, and 4) discharge. 2. The outcome of Surveillance Bacteremia Management Model was followed by 98.5% of practitioners overall, and by 100% in admission phase, by 96.4% in low immunity phase, by 97.2% in bacteremia phase, and by 100% in discharge phase. The model developed in this study could be used to manage surveillance of bacteremia in other similar contexts.