title: Nursing care system development for patients with cleft lip-palate and craniofacial deformities in Srinagarind Hospital: pre-post operation.
abstract: BACKGROUND
  Cleft lip and palate are the most common craniofacial anomalies. Srinagarind Hospital has 150-200 cases each year. The operating process of care requires continuity of care involving a multidisciplinary team. When the patients go to hospital to have operation, pain, limited activity and food are very different from normal life. During pre and post operative care nurses who work continuously and closely with the patients should have knowledge, experience and ability to take excellent care of their patients and families. This can prevent complications and help their decision process, decrease parents stress and encourage better co-operation.
  
  
  OBJECTIVE
  To develop a nursing care system for patients with cleft lip-palate undergoing operation.
  
  
  METHODS
  This is an action research divided into 3 phases. Phase 1, situation review: review of nursing care process by interview, focus group, observation and nursing documents. Phase 2, nursing system management: developing guidelines, composing nursing manual, handbook for parents, VCD for patients and family and story telling. Following that announcement and implementation. Phase 3: evaluation.
  
  
  RESULTS
  The authors found that guidelines, nursing manual, handbook for parents, VCD for patients and family and story telling are appropriate and have good utilization, but the pictures in handbook for parents and storytelling were not clear, too small and not attractive.
  
  
  CONCLUSIONS
  Nursing manual for giving information about pre-post operative care, handbook for parents, story telling and VCD about pre-post operative care provide optimal care for patients and family with cleft lip and palate, but need to evaluate further the nursing outcome after this nursing system development.
authors.affiliation: Surgical and Orthopedic Department, Division of Nursing, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. darawana@hotmail.com
authors.forename: Darawan
authors.initials: D
authors.lastname: Augsornwan
authors.forename: Pantamanas
authors.initials: P
authors.lastname: Pattangtanang
authors.forename: Kritsana
authors.initials: K
authors.lastname: Pikhunthod
mesh_terms: D002971:Cleft Lip / Q000451:nursing / Q000601:surgery*; D002972:Cleft Palate / Q000451:nursing / Q000601:surgery*; D019465:Craniofacial Abnormalities / Q000451:nursing / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D009732:Nursing Care / Q000458:organization & administration*