Abstract
This study was aimed at evaluating the clinical practice guidelines for the management
of dengue hemorrhagic fever by evaluating the knowledge of doctors, nurses and
subdistrict health officers in Nonthai district and by evaluating the care map of dengue hemorrhagic fever patients in Nonthai Hospital. The results showed that the knowledge
accuracy rates of doctors, nurses and subdistrict health officers concerning dengue hemorrhagic
fever were 87.5, 81.0 and 78.7 percent, respectively. Incorrect knowledge concerned
the proper time to order a tourniquet test, the proper type and volume of intravenous
fluid to administer to patients in the febrile stage, the proper volume of intravenous
fluid to administer to patients in shock.
Conformity to the clinical practice guidelines for dengues hemorrhagic fever was
89.6 percent and the non-conformity with the guidelines was as follows: the order of
tourniquet test, 73.9 percent correct; the order of intravenous fluid in the febrile stage, 67
percent correct. The frequency of recording the vital signs in the shock stage was 68.2
percent correct; that of intake/output in the shock stage, 60.2 percent and urine specific
gravity, 3.4 percent correct.
The treatment outcomes of dengue hemorrhagic fever were 94.3 percent recovery,
5.7 percent referral, 4.5 percent complication, and zero deaths. The research found that
the main problems in the management of dengue hemorrhagic fever were incorrect knowledge
and non-conformity with the clinical practice guidelines by the Patient Care Team.
The research findings will be used as baseline data for improving the clinical practice
guidelines and the teaching programme in Nonthai district and Nakhon Ratchasima Province.
