Development of a case management model for surgical patients undergoing anesthesia. In One day surgery to Borabue Hospital. Maha Sarakham Province.

Abstract

     The purpose of this research was to develop a case management model for surgical patients receiving same-day anesthesia and to compare the results of using a case management model for patients receiving anesthesia. It feels like a day of action research based on the ideas of Kemmis & Mc Taggart. Participants in the research were 40 patients who came for same-day surgery at specifically selected Borabue Hospital between June 2023 and June 2024. Step 1: Study the operational problems and collect undesired incidents. and complications from giving full-body anesthesia Step 2: Develop an anesthesia service model. By applying the case management system (Case Management) to prepare patients. Visit and consultation before surgery Step 3: Experiment with the anesthesia service model. Step 4: Improve the anesthesia service development model. Step 5: Apply the complete prototype to a larger sample of the group. Service recipients are a real sample group.

     To study the results of case management.The results of the 1st cycle study from reviewing the problems encountered in providing services in the general system can be classified into 3 phases: before, during, and after providing anesthesia. In the past, it was found that Patients were still unprepared for surgery, resulting in the postponement of surgery. Results of the second round of the study were based on problems found in the first round. The researchers analyzed the problems together with the anesthesia team. The format for giving advice and following up with patient visits has been developed online. By using the application line to visit patients 1 day before surgery and follow up with patients 1 day after surgery and allowing relatives to participate in patient care, the results of the experiment did not find an incidence of postponing surgery and did not find an incidence of complications while and after surgery. Results of the 3rd cycle study: Anesthesia incidence decreased. The patient had no complications. During and after surgery Development of a case management model for patients receiving same-day anesthesia. The developed model is BORABUE ๒P Model and received a manual and brochure for caring for patients undergoing same-day surgery and same-day surgery. and satisfaction in receiving anesthesia services At a very good level (=4.65, SD=0.54).