DEVELOPMENT OF A PALLIATIVE CARE MODEL TO ENHANCE QUALITY OF LIFE FOR END-OF-LIFE PATIENTS BASED ON WHO GUIDELINES IN PATTANI PROVINCE

Abstract

     This study aimed to develop a palliative care model for end-of-life patients based on the World Health Organization (WHO) guidelines in Pattani Province. This research followed a three-phase design, including: 1) situational analysis and problem assessment, 2) design and development of an appropriate care model, and 3) evaluation of the model’s implementation. The sample consisted of 30 end-of-life patients, 30 family caregivers, 15 medical personnel, and 10 public health administrators. Data collection tools included questionnaires and interviews Data analysis employed percentage, mean, standard deviation, and paired t-test statistics.
      The results indicated that in Phase 1, major issued in current palliative care included caregivers’ lack of basic knowledge, limited healthcare resources, inconsistent coordination between healthcare facilities and families, lack of psychosocial support, limited access to health services, and insufficient caregiver training. In Phase 2, the care model developed consisted of five main components: enhancing caregivers’ knowledge, ensuring adequate resource allocation, communication via the LINE application, psychosocial support, and the continuous use of technology for symptom monitoring. In Phase 3, evaluation findings revealed high levels of satisfaction among patients and their families, with a statistically significant improvement in caregivers’ knowledge and understanding (P-Value < .01).