Development of treatments for patients with antimicrobial resistance infection at Kusuman Hospital, Sakonnakhon.

Abstract

      This study was a participatory action research study (Participatory Action Research). Objectives : 1) To study the situation of patients with antimicrobial-resistant infections in the Kusuman Hospital Health Network; 2) To develop a care system for patients with antimicrobial-resistant infections in the Kusuman Hospital Health Network; and 3) To study the results of developing a care system for patients with antimicrobial-resistant infections in the Kusuman Hospital Health Network. A total of 21 participants from Kusuman Hospital were purposively selected based on their qualifications and willingness to participate in the study. The research instruments included a general information questionnaire, a questionnaire on the problems and situation of patients with antimicrobial-resistant infections, a knowledge test on caring for patients with antimicrobial-resistant infections, an observation form on preventing the spread of antimicrobial resistance, a satisfaction assessment form, and a patient data recording form. The study was conducted between February and September 2025. Descriptive statistics were used to analyze frequencies, percentages, means, and standard deviations. Paired t-tests were used to compare differences.

      Results : 1) The situation of patients with antimicrobial resistance infection in Kusuman Hospital Health Network found that there was no clear system for caring for patients with antimicrobial resistance infection. There was a lack of network guidelines. Operators lacked knowledge and practice in caring for patients with antimicrobial resistance infection. There was a lack of supervision and control of the service system. 2) The system for caring for patients with antimicrobial resistance infection in the Health Network consisted of (1) screening and surveillance system, (2) measures to prevent the spread of infection, (3) communication and coordination in the hospital and health network, (4) competence in knowledge and skills of personnel, and 3) the results of the development of the system for caring for patients with antimicrobial resistance infection in the Health Network found that (1) nurses’ knowledge in preventing the spread of drug-resistant infection after system development was significantly higher than before system development, p < .05. (2) nurses’ practice in preventing the spread of drug-resistant infection after system development was significantly higher than before system development, p < .05. (3) nurses’ satisfaction with the development of the system for caring for patients with antimicrobial resistance infection in the Health Network. It was at the highest level and (4) the incidence of antimicrobial-resistant infections after system development decreased from 1.49 to 0 times per 1,000 hospital days.