Development of a rehabilitation model with empowerment through telehealth home visits for dependent patients requiring continuous home care in Phra Nakhon Si Ayutthaya District, Phra Nakhon Si Ayutthaya Province.

Abstract

     This research aimed to study the situation of home care for dependent patients requiring continuous home care in Phra Nakhon Si Ayutthaya District, Phra Nakhon Si Ayutthaya Province. This research aimed to develop a rehabilitation model combined with empowerment through telehealth home visits for dependent patients requiring continuous home care in Phra Nakhon Si Ayutthaya District, Phra Nakhon Si Ayutthaya Province. Furthermore, to study the effects of implementing a rehabilitation model combined with empowerment through telehealth home visits for dependent patients requiring continuous home care in Phra Nakhon Si Ayutthaya District, Phra Nakhon Si Ayutthaya Province. This research was an action research with four phases. The sample consisted of 25 purposively selected dependent patients requiring continuous home care based on their ability to perform daily activities, i.e., their scores on daily activities between 0 and 11 points. Data were collected through questionnaires and the Barthel ADL Index (Barthel Activities of Daily Living: ADL) assessment. Quantitative data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation. Paired t-test was used to compare mean scores.

     The results revealed: 1) Primary care professional nurses and network nurses were informed by their supervisors and understood the policies and operational directions of the Ministry of Public Health. The main operational problems encountered included a lack of skills in promoting self-management, an increasing number of patients, and a lack of skills in using the telehealth program. 2) Rehabilitation and empowerment via telehealth home visits for dependent patients requiring continuous home care. Developed in accordance with the Telenursing and Nursing Division guidelines, the model consists of three phases: 1) the pre-service phase, 2) the phase during telenursing, and 3) the post-service phase. The content is clear, comprehensive, and easy to follow, resulting in a high level of nurse compliance with the model. 3) The competence of caregivers of dependent patients requiring continued home care after using the model was significantly higher than without using the model.