Development of long-term care systems in public health For the elderly with dependency Nakhon Phanom Province.

Abstract

     This research was action research aimed to study the results of the development of the long-term public health care system. For the elderly who are dependent Nakhon Phanom Province. The sample group is Elderly people who are dependent who receive services in the public health long-term care system For the elderly who are dependent Nakhon Phanom Province, 313 people who were willing to participate in the research. The research tools were a general information questionnaire. Assessment of the ability to perform daily living according to the Barthel ADL Index (Activity Daily Living: ADL). Assessment of the quality of life of the elderly who are dependent. and a satisfaction assessment form for the elderly who are dependent. The study was conducted between January and June 2023, using a total period of 6 months. Data were analyzed using descriptive statistics including frequency, percentage, mean, and standard deviation. Compare the ability to carry out daily activities according to the Barthel ADL Index (Activity Daily Living: ADL), quality of life of dependent elderly people. and satisfaction of dependent elderly people using inferential statistics to analyze t-values ​​(t-test) type dependent Sample t-test
     Results of the study : It was found that 1) the ability to carry out daily living according to the Barthel ADL Index (Activity Daily Living: ADL) of the volunteer sample Elderly people who are dependent It was found that after development, the average ability to carry out daily activities increased than before development. Statistically significant at the 0.05 level. 2) Quality of life of the elderly who are dependent. of the volunteer sample Elderly people who are dependent It was found that after development, the average quality of life increased than before development. Statistically significant at the 0.05 level and 3) satisfaction of the elderly who are dependent of the volunteer sample Team of stakeholders It was found that after the development there was an increase in the mean satisfaction of the dependent elderly than before the development. Statistically significant at the 0.05 level.