Development of a group appointment system for servicevisits by appointment date of non-communicable diseases patients fishermen Paknam Chumphon Hospital.

Abstract

     This research was action research aimed to group appointment system on receiving services according to appointment date for patients with chronic non-communicable diseases of fisheries and compare level of knowledge in controlling chronic non-communicable diseases, self-care behavior and quality of life of patients with non-communicable diseases were fishermen, between before and after development in Paknam Chumphon Hospital, Chumphon Province. Between November 2023 - January 2024. Sample of 71 group non-communicable diseases patients were fishermen. Tools used were questionnaires: knowledge questionnaire KR-20 = 0.97, self-care behavior alpha= 0.89, quality of life assessment form alpha= 0.87. Data were analyzed using descriptive statistics and paired samples T-Test.
     Results: found that group appointment system program for receiving services according to the appointment date for patients with non-communicable diseases were fishermen, activities 5 times as follows: 1) Preparing the appointment schedule to coincide with the day the boat patient out off or according to scheduled boat arrival to shore and use the moon phase calendar in appointment schedule. 2) Educating patients. 3) Practicing to cook their own food. 4) Allowing patients to summarize their own problems. 5) Allowing patients to review knowledge and exchange experiences. Before joining the program, 54.9% of patients missed appointments less than 10 times. The most common reason was forgetting the appointment date and having medicine left 36.6%. After joining the program, patients came to their appointments every time 100.0%. Patients had results laboratory was better than before developed were statistically significantly different (p<0.05), including: Body mass index from 29.03±5.74 to 25.58±4.45, systolic blood pressure from 150.48±6.959 to 142.76±13.51, diastolic blood pressure from 86.45±8.61 to 82.72±9.70, accumulated sugar HbA1C from 8.52±2.10 to 7.38±1.30 and cholesterol from 205.71±18.7 to 169.93±37.0. Patients' overall knowledge in controlling chronic non-communicable diseases after development increased to a high level from 87.3% to 100.0%. After development, patients had overall self-care behavior at a moderate level, increasing more than before development from 51.34±4.38 to 60.86±8.05, statistically significant difference (mean difference -9.521, 95%CI: 7.01-12.02, p<0.001). After improving patient's quality of life overall was moderate level, increasing more than before development. It was found that patients' mean quality of life increased from 65.82±3.76 to 80.87±3.84, statistically significant difference (mean difference -15.056, 95%CI: 14.06-16.05, p<0.001).