Model of development of multi drug reaction on tuberculosis care model at Takeanram health center, Phue Sing District, Sisaket Province

Abstract

           Tuberculosis is an infectious disease that is important. Most often, pathology occurs in the lungs. It can be spread through the air through coughing, sneezing, or talking. People who breathe in air contaminated with TB are more likely to become infected. This action research was aimed at studying the development of a patient care model for drug-resistant tuberculosis at Takeanram Health Promoting Hospital, Phue Sing District, Sisaket Province. A research tool was a questionnaire for caregivers of tuberculosis patients; quantitative data were analyzed using descriptive statistics and inferential statistics, and qualitative data used a content analysis.
             The results found that the process of developing a care model for patients with drug-resistant tuberculosis consists; 1) meeting with stakeholders via a participatory process, 2) training on tuberculosis patient care for relatives who live in the house with the patient and Village Health Volunteers, 3) care for tuberculosis patients by relatives who live in the house with the patient and Village Health Volunteers together with staff at the Health Promoting Hospital, 4) supervision of medication taking for tuberculosis patients by relatives who live in the home with the patient, 5) communication between relatives who live together with the patient and the staff of the Health Promoting Hospital via the online system every day, 6) evaluate knowledge scores, behaviors, and attitudes in caring for tuberculosis patients, 7) extract lessons, summarize operational results, problems, obstacles, and solutions and 8) Return information to the community and related agencies. 60 caregivers of tuberculosis patients had a statistically significant increase in tuberculosis knowledge scores (p-value < 0.001). Behavior scores in caring for drug-resistant tuberculosis patients, it was a statistically significant increase (p-value < 0.001) in attitudes to caring for patients with drug-resistant tuberculosis, statistically significant increase (p-value < 0.001) attitudes in caring for patients with drug-resistant tuberculosis statistically significantly increased (p-value < 0.001) participation in developing a care model for patients with drug-resistant tuberculosis, statistically significant increase (p-value < 0.001) success factors developing the potential of relatives who live in the home with patients as caregivers for tuberculosis patients. The staff of this Health Promoting Hospital follow up and supervise the taking of medicines and inquire about the patient's condition through relatives who live in the house everyday.