Corresponding Author: Ratiorn Pornkuna, Email: ratiornpornkuna@gmail.com The care model of self-management for preventing vascular dementia of post stroke older adult

Abstract

This study is a research of development which aimed to develop the care model of self-management for preventing vascular dementia of post stroke older adult at the semi-critical period in the hospital to the long term period from March 2019 to December 2021. The sample groups were 60 post stroke older adult specifically selected semi-critical elderly stroke patients in Khon Kaen Hospital. The research was conducted into 3 phases: 1) to study current situations 2) to develop the care model 3) to assess the results of the form of care model. The tools used for collecting data were: 1) Focus group interview questionnaire 2) the assessment of the activity of daily living barthel’s index (ADL), 3) the assessment of health risk behavior of comorbidity 4) dementia prevention knowledge, 5) the assessment of cognitive ability, and 6)the assessment of satisfaction. The qualitative data was analyzed by content analysis, comparing the results before and after being developed and using percentage, mean, standard deviation, and Paired t-test. The forms of care model of self-management which consisted of 2 phases as follow: Phase 1 within 12 weeks; 1) Goal setting 2) Self-assessment 3) Self-monitoring by hand book of disease control 4) Operation to the goal 5) Home visit and telephone visit.  Phase 2 after 12 weeks to 36 weeks ;1) Brain training program at the Geriatric clinic once a month for 6 times to develop cognitive and physical health skill in 6 aspects such as attention, memory, language, visuospacial, executive function, orientation, naming, and physical exercise. The results reveal after developing were better than the ones before on health risk behavior.  The average score of ADL, cognitive skill such as Abstraction, Orientation , Memory and knowledge were statistically significant at p<0.001. The satisfaction score was very high level.