การพัฒนารูปแบบการฟื้นฟูสภาพผู้สูงอายุเจ็บป่วยเรื้อรังโดยครอบครัวและชุมชนมีส่วนร่วมบน พื้นฐานแนวคิดเศรษฐกิจพอเพียงและภูมิปัญญาไทย

บทคัดย่อ

Objective To develop a rehabilitation model for chronically ill older adults through family
and community participation, based on the Sufficiency Economy concept from Thai wisdom.
Design, setting, and participants This developmental research study was divided into two
steps: a) to interview a focus group; and b) to hold brainstorming meetings to develop said
rehabilitation model. Sixty samples who were chronically ill older adults (and their caregivers),
an administrator (the Mayor of the City), community leaders, nurses, health volunteers and
district members in this selected community were recruited. Data was gathered through indepth
interviews with the focus group, following effective interview guidelines.Content analysis
was performed for data, with an examination of all collected samples from the brainstorming
techniques.
Results The rehabilitation model consisted of 6 processes: (1) a policy to take care of older
adults by municipality administrators and community leaders (i.e., setting up an elderly care
program into the municipal administration policy and community work plan; (2) planning for
elderly rehabilitation by all relevant persons in the community; (3) the implementation of this
plan by all relevant persons; (4) the evaluation of this plan by the elderly, family members,
community leaders, health volunteers and nurses; (5) to monitor the progress and feedback
from the health volunteers, community leaders and nurses – including the progress of the
rehabilitation presented as feedback to the elders and their families; and (6) to complete
the elderly rehabilitation administration system (which the municipality should manage). This
system should include for each elder, his/her sicknesses and needs of rehabilitation, relevant
personnel supervision, as well as the necessary rehabilitation equipment and necessary support
of said equipment.

Conclusions Findings suggested all relevant personnel responsible for chronically ill older
adults should implement and apply this proposed rehabilitation model for their clients in the
community, so as to promote their health and prevent complications. Additionally, effectiveness
of using this rehabilitation model is recommended for further study.