The development of a care model for dependent elderly patients with a continuum of care process Ubonrat Hospital

Abstract

     This research was action research. by developing a care model for dependent elderly patients with continuous care processes Ubonrat Hospital The purpose of this study was to study the situation of continuation of care for dependent elderly patients. and assess the results of the study The sample group was 30 pairs of dependent elderly patients and their caregivers. The research was conducted from February 2021 -December 2021. Data collection tools including a semi-structured questionnaire Team Satisfaction Assessment Form for Model Development Activity Daily Living (ADL) assessment form and home health care behavior assessment form Statistics used in data analysis were frequency, percentage, mean and standard deviation. and the inferential statistics were paired t-test statistics.

     The research results showed that the development model in 5 issues was as follows: 1) Development of the discharge planning model with the UBR model (U= Universal hygiiene care for dependent elderly patients/D-Method) (B=Believe in Team work) (R=Respect and customer Focus) 2) Develop a home self-care handbook 3) Increase channels for accessing and receiving services in the hospital 4) Phone follow-up When using the model, the model development team was satisfied with the mean = 3.5. The average score of home health care behavior of elderly patients in dependency was at a high level, mean = 2.57. And assessing the performance of daily activities (ADL) by measuring before and after it was found that dependent elderly in the age range of 60-69 years and 70-79 years had a statistically significant increase in ADL scores ( p<.05) For the age of 80-89 years, it was found that ADL scores were normal and those aged 90 years and over ADL scores declined. =2.57 and assessing the results of daily activities (ADL) by measuring before and after it was found that the elderly who were dependent in the age range of 60-69 years and 70-79 years had significantly increased ADL scores. Statistically (p<.05), for age 80-89 years, ADL scores were normal and those aged 90 years and over ADL scores declined.