The Development of a Care Model for Patients Receiving Warfarin Drug in PhonPhisai Hospital Nong Khai Province The Development of a Care Model for Patients Receiving Warfarin Drug

Abstract

          This action research aimed to development of a Care Model for Patients Receiving Warfarin Drug in Phon Phi sai Hospital, Nong Khai Province. The sample was obtained through purposive selection of 30 patients in the warfarin clinic. The study was carried out in three phases; situational analysis of the care patients receiving warfarin, implementation of the care model, and evaluation. Data were collected using in-depth interviews, group discussions, knowledge assessments on warfarin uses, a satisfaction assessment form, and a form for recording blood test results and INR values. Quantitative data were analyzed using frequency, percentage, mean, standard deviation, and paired t-test statistics. A content analysis was used to examine and interpret qualitative data.

         The results found that the model for caring for warfarin clinic patients consists of:                     1) Development of a service system in the Warfarin clinic 2) Implementation of an interdisciplinary team care 3) Establish guidelines for viewing patients receiving warfarin for all diseases with clear indications for use 4) Individual medication counseling by pharmacists 5) Providing media to advise about food 6) Home visits 7) There is a system for providing advice to clients. The results from the development of the model found that: patients have learned the principles of correct medication use and had appropriate behavior in using the medicine until they could manage themselves well, causing the INR value to be in a range that positively affected treatment and reduced the incidence of adverse reactions. The patients were more satisfied with the improved service, and when comparing their knowledge about the use of Warfarin before and after the development of the model, there was a significant difference (p < 0.001)