Development of Continuous Patients Care Model in Chronic Patients, Wangsaphung Hospital, Loei Province

Abstract

      This research is a study of research and development (Research and Development) with the objective of studying the results of developing a continuous care model for chronically ill patients. Wang Saphung Hospital, Loei Province. The sample groups were (1) 35 chronic patients in Bed 3 and Bed 4 who were registered in the Long Term Care program at Wang Saphung Hospital; (2) a multidisciplinary team working on patient care. Continuously sick patients at Wang Saphung Hospital, Loei Province, totaling 13 people. Data were collected from questionnaires, consisting of (1) a form assessing the patient's ability to perform daily activities (Barthel ADL Index) of the Neurology Institute, Department of Medical Services, Ministry of Public Health. Consisting of 10 questions (2) Questionnaire on patient perception of health status, consisting of perception of risk of disease. perception of disease severity Perceived benefits of disease prevention and perception of barriers to disease prevention, totaling 20 items (IOC > 0.5, Cronbach's Alpha Coefficient = 0.93) and the tools used to collect qualitative data include focus group recordings and focus group recordings. (Focus Group) Statistics used to analyze data include: Frequency distribution, percentage, mean, standard deviation, median, and paired t-test statistics.

      The results of the study found that The sample group used in this research It is a group of 35 chronically ill patients who need constant care, most of whom are female, 23 people, accounting for 65.71 percent. The most common age range is Age over 70 years, 18 people, accounting for 51.43 percent, followed by age group 61 - 70 years, 8 people, accounting for 22.86 percent. After developing the model, it was found that The ability to perform daily activities (Barthel index of ADL) of patients with chronic diseases is significantly different at the .05 level after using the model. Chronic disease patients had an increase in the average scores for daily activities (t=10.08, p-value <0.001), but were still at a completely dependent level. In terms of awareness of the health status of chronic patients There was a statically significant difference at the .05 level. Before using the model, chronic patients had a moderate level of health awareness. But after using the model, the level of health awareness increased to a high level (t=10.61, p-value <0.001).