Development of service models for the elderly with dependency Participation in Phrathatbangphuan Subdistrict Health Promotion Hospital Nongkai Province.

Abstract

     This participatory action research (Participatory Action Research: PAR) aims to analyze the situation. Develop a model and study the results of developing a service model for dependent elderly people. Participation in the community, carried out in 3 phases: 1. Analyzing the situation 2. Develop formats and 3. Results of model development The sample was purposively selected and divided into 2 groups: 1) Qualitative target group of 27 people, namely service providers, including 8 primary care health service teams and 19 community health service teams. Data were collected through focus group discussions and in-depth interviews. 2) The quantitative target group is 50 dependent elderly service recipients. Data were collected using questionnaires. Barthel ADL Index Health Assessment Form and quality of life assessment for the elderly Processing period: May 2023 - April 2024. Qualitative data was analyzed using content analysis. and quantitative using descriptive statistics and Paired t-test statistics.
     The research results found that The service model is “Prathat Bang Phuan Subdistrict Primary Health Care Program (Prathat Primary Digital Health: PPDH)” divided into 2 issues as follows: 1) Primary Health Service Team Provide care with a home visit record form according to IN HOMES SS guidelines. 2) Community Health Service Team Provide care according to the care plan form (Care Plan) after developing a model for dependent elderly people receiving services. It was found that 1) the average ability to perform daily activities after the operation increased significantly at the p-value <001 level compared to before the operation. 2) Quality of life score (WHOQOL-BREF -THAD) after operation increased with statistical significance at p-value<0.001 Compared to before operation and 3) there was a good level of satisfaction at 94.2%.