The development of home-bound elderly care through community participation Patong Subdistrict, Kathu District, Phuket Province

Abstract

          This research aimed to study of problems and needs of caring and development of home-bound elderly care through community participation Sub-district area, Kathu District, Phuket Province. The participants consisted of 28 home-bound elderly individuals and their respective family caregivers. Key stakeholders involved in driving the development of healthcare include community leaders, village health volunteers, municipal officials and public health officer with purposive sampling. The study tool consisted of interview guideline, WHOQOL–BREF–THAI, questionnaires of knowledge for home-bound elderly, in-depth interview and focus group. Content Validity was approved by 5 experts; the questionnaires of knowledge for home-bound elderly 0.90. It was tried out with 10 persons and calculated for reliability of KR₂₀ Coefficient 0.85 and Cronbach’s Alpha- Coefficiency which WHOQOL–BREF–THAI 0.73. The quantity data was analyzed by descriptive statistics; percentage, mean and standard deviation. The quality data was analyzed by content analysis. 

          The results show that the process occurs of care aging through community participate for design and plan activity. Show activity of plan, reflect and develop activity of care  corresponds to context area. The development of activity home-bound elderly has high score level of quality of life 71.43% to 89.36%.  The village health volunteers has high score level of knowledge in caring for the home-bound elderly 55% to 100%. Model of health care home-bound elderly consisted 1) Innovation “spoon handle” for aging lack of arm muscle 2) practice movement for aging 3) The develop potential of village health volunteers 4) Improve the envelopment for safety of aging. Suggested should follow up continuously and support by policy care of home-bound elderly subdistrict.