Development of participatory of home health care model for palliative patients Of Phuwiang Hospital, Phuwiang District, Khon Kaen Province.

Abstract

     This research is participatory action research (PAR). Aim to develop and results of using participatory home health care model for palliative patients of Phuwiang Hospital, Phuwiang District, Khon Kaen Province. Sample group consisted was doctors, pharmacists, professional nurses, nutritionists, physical therapists, Thai traditional medicine doctors, staff of sub-district health promotion hospital, community leaders, and village health volunteers in a focus group, quantitative sample was palliative patients 218 people. Research tools was included qualitative instruments, including open-ended questions for focus groups, and quantitative tools including general data forms, home-based continuous care monitoring records, assessment of daily activities (ADL), patient self-help assessment forms (PPS), and pain severity assessment forms (ESAS). Statistics were percentages, standard deviations, and paired t test.
     Results found of 218 people, most of whom were male (57.34%), aged between 60-70 years (38.53%) mostly liver cancer (32.57%). The development of the model 8 process as follows: 1) Training to enhance potential of terminal patient caregivers 2) Developing clear and up-to-date patient care guidelines 3) Managing patient's home environment 4) Involving patients and caregivers in treatment planning 5) Supporting home assistance devices 6) Home care according to Buddhist principles and Isan traditions 7) Caring for terminal patients by a multidisciplinary team 8) Promoting training in terminal patient care. Statistical difference test found mean score of pain intensity was significantly reduced at p <.05, t = 6.36.