Development of a care model for Stroke Patient on Intermediate care, Continuously at home, Srisomdej District Health Service Network

Abstract

     This research and development aimed to 1. Study the situation of cerebrovascular disease 2. To study the care of stroke patients receiving intermediate care. 3. To develop a care model for stroke patients who receive intermediate care and 4. to study the effect of using a care model for stroke patients. who received Intermediate care to home. The subjects were purposively selected as new stroke patients in the first 6 months, 34 patients with ADL scores.  less than 15 or greater than or equal to 15. but there are disabilities that are obstacles to the rehabilitation of 2 or more systems, 1 main caregiver in each family, 34 people, community volunteers 34 people, and a multidisciplinary team taking care of 30 patients, totaling 132 people. Study period from December 2019 to March 2021. Model development using Kemmis & McTaggart's 4-step PAOR cycle. The data collection tools were group discussion questions. brainstorming record form in-depth questionnaire a caregiver's practical skills assessment form,an ADL assessment form, a complication assessment form, and a satisfaction assessment form. Data were analyzed by content analysis. Descriptive statistics and comparison of results before and after using the model by paired t-test. an ADL assessment form, a complication assessment form, and a satisfaction assessment form. Data were analyzed by content analysis. Descriptive statistics and comparison of results before and after using the model by paired t-test.

     The study found that after using the mode of care The main caregiver in the family of mid-stroke patients Community volunteerism and multidisciplinary work have the correct understanding and skills Stroke patients who received intermediate care had higher scores for ability to perform daily activities than before development (p<0.05). Symptoms improved by 91.17%. There was one pressure ulcer complication. Representing 2.94% were assessed and diagnosed as disabled at the end of 6 months, 2 cases, representing 5.88%. Patients and families had good quality of life, main caregivers, volunteers and multidisciplinary teams were satisfied. per mode of care at the highest level.