Development of nursing model for stroke patients in mission of nursing group Lamphun Hospital

Abstract

     This research is an action research aim to developing and using a nursing model for stroke patients of nursing mission group Lamphun Hospital. conducted during May 2023 - May 2024, a total of 12 months, sample group of stroke patient care staff 19 and stroke patients 223 people, totaling 2 groups of 242 people. Tools used consisted of a nurse competency assessment form. Qualitative interview form for staff and patients in the care of stroke patients. Data were analyzed using descriptive statistics, percentages, medians, and qualitative content analysis.
     Results:  1. Development consists of 11 important measures as follows: 1) Reducing the death rate of stroke patients 2) Increasing the number of beds. By meeting with the team caring for stroke patients, bringing patient information Let's calculate the number of beds to be sufficient to accommodate patients admitted to the hospital. 3) Reducing Door to Operation time, Door to needle time 4) Developing the competency of community district hospitals 5) Developing a clinical supervision system. 6) Developing a hospital patient assessment system 7) Developing a system for notifying and caring for stroke patients in the community 8) Developing a referral system in the community 9) Providing knowledge about stroke in the community 10 ) Process of caring for stroke patients with a multidisciplinary team 11) Develop a system for signing relatives' consent for treatment. 2. The competency scores of professional nurses in nursing stroke patients after the development increased significantly at the .05 level (t = 12.06). 3. The average door-to-needle time It was found that the pre-development period was related to Door-to-needle The latter period developed with statistical significance at the .05 level (x²=3.91).