The Development of Corona virus – 19 Continuous Care Plan in Yasothon Hospital.

Abstract

     This research and development aimed to develop a continuous care plan for COVID-19 patients at Yasothon Hospital. The study was conducted in four phases: 1) studying baseline data and analyzing the situation, 2) developing a continuous care plan, 3) implementing the plan for home-isolated patients, and 4) evaluating outcomes. The study was conducted from January 1 to June 30, 2022. The sample consisted of 12 healthcare personnel and 120 COVID-19 patients undergoing home isolation. Research tools included a continuous care plan and a telephone symptom assessment guide.
     Phase 1 results revealed a lack of common guidelines, inability to follow up on 18.31% of patients, and healthcare personnel's lack of confidence in symptom assessment. This led to inadequate health advice for patients, resulting in issues with medication adherence, equipment usage, infectious waste disposal, and incomplete quarantine periods. In phases 2 and 3, a continuous care plan was developed and implemented. After implementing the continuous care plan (phase 4), 97.50% of patients recovered, 1.67% were referred to the hospital, 96.67% took medication correctly, and 99.16% completed the quarantine period. Family transmission occurred in 1.67% of cases. Healthcare personnel's knowledge and skills increased by 100%. Satisfaction levels of both staff and patients were very high (mean scores of 4.52 and 4.63, respectively), with a 98% adherence rate to the care plan.