The Development of Dependent Elderly Care Systems for the Elderly in Sri Songkhram District, Nakhon Phanom Province

การพัฒนาระบบการดูแลผู้สูงอายุที่มีภาวะพึ่งพิง อำเภอศรีสงคราม จังหวัดนครพนม

Abstract

This action research (mutual collaboration action research) aimed to 1) develop a care system, and 2) evaluate the development of the care system for dependent elderly in Si Songkhram district, Nakhon Phanom Province, Thailand. The study period was from January-September 2023. Th research participants included 1) a group of 30 system developers, 2) a group of 250 research participants consisting of 125 elderly caregivers and 125 dependent elderly. Purposive sampling was used for selecting the participants. The tools used in the research included: Assessment of the daily activities of the elderly, a knowledge test, skills assessment form, and satisfaction assessment form for elderly caregivers. The data were analyzed by finding the frequencies, percentages, means, and standard deviation, comparative analysis of the knowledge average scores and skills average scores in caring for the dependent elderly. A t-test (paired samples) was used before and after developing the system, and comparative analysis of the satisfaction average score of the caregivers was compared to the criterion of 4.0 points (80%), after the development of the system using t-test (one sample). The research results found that the process results, a system for caring for the dependent elderly was initiated. There were guidelines for caring for the dependent elderly together (CPG). There was data connectivity, a network of care groups for the dependent elderly, caregivers, and equipment borrowing systems, and medical equipment for patients to take home and use. A multidisciplinary team worked together to advance the care plan to take care of the patients from the beginning of their treatment until the end of their lives with fundraising to help the dependent elderly. The results showed that the dependent elderly received continuous care according to the developed indicators After the development of the system, the caregivers had an average score of knowledge and skills in caring for the dependent elderly higher than before the development of the system development, which was statistically significant (p< 0.05). After the development of the system,the caregivers had an average satisfaction score in caring for the dependent elderly, which was higher than the threshold of 4.00 points (80.00 percent) with a statistical significance (p< 0.05).