Development of integrated health care model for Long-Term Care elderly people in Su-ngai Padi District, Narathiwat Province.

Abstract

     This study is research and development. Aim to study the problem context, develop and use health model for elderly long-term care. Data were collected between January and December 2023. The qualitative sample was 22 health network partners. The quantitative sample used 104 dependent elderly people. The tools include in-depth interviews in group discussions, general data collection forms, assessment of daily living abilities (ADL), depression screening forms (2Q, 9Q), and satisfaction assessment forms. Data were analyzed by content analysis, using statistics, numbers, percentages, means, and standard deviations, and paired t-tests.
     The results of the study found that group of 104 elderly people, mostly female (55.77%), mostly aged 65-70 years (45.19%), mostly married and living together (49.04%), primary school (54.81%), unemployed (91.35%), most of the caregivers are children (80.77%), have cerebrovascular disease (68.27%), and are weak and cannot help themselves (34.62%). The development of the model consists of 1) Developing a screening model for the elderly, 2) Developing a case manager (CM) system, 3) Recording home visits and sending them to the CM every month, 4) Integrating data transmission via LINE groups in the network, 5) Instructing the CM to assess home visits, 6) Promoting home visits with a multidisciplinary team to visit every patient, 7) In the case of elderly dependents with urgent problems, urgent coordination will be made immediately, 8) Developing criteria for applying for CG training to enable them to perform their duties, 9) Developing a CG training system. According to the curriculum 10) Form groups with caregivers to inform the day and time according to the care plan. 11) CG visits according to the care plan, teaches and demonstrates the prevention of complications from pressure sores. The results of using the model found that the ability to perform daily life increased, satisfaction increased after the development with statistical significance p <.05, t = -5.63, -6.46, -5.78, 8.97, respectively.