Development of a Care Model for Patients with Chronic Obstructive Pulmonary Disease (COPD) at Khok Samrong Hospital, Lopburi Province.

Abstract

      Research entitled "Development of a Care Model for Patients with Emphysema at Khok Samrong Hospital, Lopburi Province" The objectives of this study are: 1. To examine the problems and needs regarding the care of patients with emphysema at Khok Samrong Hospital, Lopburi Province. 2. Develop a care model for patients with emphysema at Khok Samrong Hospital, Lopburi Province. 3. Evaluate the effectiveness of the COPD care model through self-care behaviors and quality of life of COPD patients after implementation at Khok Samrong Hospital, Lopburi Province.         

      This research is a quasi-experimental study. The sample consisted of 45 patients with emphysema at Khok Samrong Hospital, Lopburi Province. The research instrument was a questionnaire. Data analysis employed descriptive statistics including frequency, percentage, mean, and standard deviation, and inferential statistics for hypothesis testing, namely the Dependent t-test and the One Sample t-test.

            The research findings revealed that: 1. The overall level of problems in caring for patients with emphysema at Khok Samrong Hospital, Lopburi Province, was high (M=4.19, S.D.=1.078). The overall need for a model of care for emphysema patients at Khok Samrong Hospital, Lopburi Province, was high (M=3.88, S.D.=.695). 2. The model of care for patients with emphysema at Khok Samrong Hospital, Lop Buri Province, has 6 steps, which include: (1) Admission to the hospital. (2) Initial procedures, (3) Monitoring procedures in the ward, (4) Multidisciplinary care, (5) Discharge planning to assess readiness to return home, and (6) Post-discharge follow-up. 3. The evaluation results showed that the self-care behaviors of patients before and after the intervention using the care model differed significantly at the .05 statistical significance level, and the quality of life of patients after the use of the care model was also at a high level of significance at the .05 statistical significance level.