Development of Intermediate care model for Stroke Inpatients with participation of caregivers and multidisciplinary team in Nam Phong Hospital Khon Kaen Province.

Abstract

     This action research aimed to develop and evaluate the stroke inpatients intermediate care model with participation of caregivers and multidisciplinary team in Nam Phong Hospital Khon Kaen Province. Sample were Ischemic stroke inpatients, caregiver, and a multidisciplinary team. The process was divided into four steps including 1) situation analysis 2) development of care model 3) implement of the model and 4) evaluation of the model. Research instruments were composed of the stroke inpatients intermediate care model with participation of caregivers and multidisciplinary team, Outcome record from intermediate care model, a satisfaction assessment from for the caregiver, and a satisfaction from for multidisciplinary team. Data were analyzed with frequency, percentage, mean, a standard deviation, and paired t-test.

     The study result showed that stroke inpatients in the intermediate care model including 1) goal setting and planning 2) IPD protocol by multidisciplinary team for Intermediate bed/Ward Namphong Hospital 3) a nursing case management and 4) IMC day. After using the intermediate care model, patients had more abilities to perform the daily activities than those before using the intermediate care model both at the date of admit and discharge with a statistically significant difference (p<.01), they haven’t had complication, the rate of readmission within 28 days was 2.50%, The overall satisfaction level of the caregiver and multidisciplinary team are at a highest level. Therefore, this the intermediate care model for stroke inpatients that were developed could improve the patients care phases.