Development of a Nursing Model for Care of Pediatric Ventilated Patients at Home at Khon Kaen Hospital

Abstract

This study is an action research. The sample consisted of 26 multidisciplinary teams, 45 patients and their families. The instruments used for the study consisted of observation form, questionnaire, satisfaction questionnaire. Situation Information Form, Interview Form, Group Chat Record Assess the problem, care needs And assess satisfaction Data was collected by observing inquiries, interviews, problems, needs. Analyze quantitative data with frequency, percentage statistics and qualitative data analysis by content analysis.

          The results of the study showed that the nursing model development for home care of pediatric ventilator use consisted of four steps: pre-hospital preparation. Preparing the receiving team for information transfer and patient care Continued care at home And monitoring and evaluation of home care After adopting a nursing model for home care of pediatric ventilator patients at home in 2017, three patients were found in all neurological and musculoskeletal disease groups and found that 1) readmission rates. Within 28 days in wards, older children were reduced from before the study. Decreased from 50% (2 cases) to no readmission patients. Sleep days in the older wards decreased. From 2 years to 6 months prior to the study and could reduce the cost of treatment approximately 20 times. 2) Participation of caregivers and families It was found that the satisfaction of the caregivers was 100%. 3) The participation of the multidisciplinary team. The satisfaction of the multidisciplinary team was 98.