Development of Self-Reliant Health Care Mechanisms for the Elderly Based on the 4 Es (Emotion, Eating, Exercise, Elimination of Toxicity) and the 8 Elements Guideline in Nong Ngu Luem Subdistrict, Chaloem Phra Kiat District, Nakhon Ratchasima Province

Abstract

This research aimed to; 1) analyze the problems and needs of elderly people in four aspects (physical, mental, social relationships, and environment), 2) develop a self-reliant elderly care management mechanism using the 4 Good principles and 8 Doses of medicine, and 3) develop guidelines for improving the quality of life of elderly people in Nong Ngu Luam Subdistrict. This study employed a mixed methods research approach the population was elderly people in Nong Ngu Luam Subdistrict, with a quantitative sample of 339 elderly individuals. Research instruments included questionnaires, purposive interviews with 14 participants, and focus group discussions with 20 elderly club committee members using structured interview forms. Quantitative data were analyzed using means and percentages, while qualitative data were analyzed using inductive analysis.
The research findings revealed that:
1. The overall health level of the elderly was moderate in all four aspects, with social relationships having the highest mean and mental health having the lowest mean. The overall needs of the elderly were at a high level in all four aspects, with environmental needs having the highest mean and mental health needs having the lowest mean.
2. The elderly care management mechanism through self-reliant healthcare training using the 4 Good principles and 8 Doses of medicine received the highest satisfaction level at 90.24 percent.
3. Guidelines for improving elderly quality of life consisted of six aspects: enhancing elderly care through cultural capital, promoting an aging society of laughter and safety, strengthening policies and support from government agencies, building networks and cooperation, developing communication technology, and training and developing caregiver skills.