Development of Community Care Model for Pulmonary Tuberculosis by The Health Network of Thatpanom District, Nakhon Phanom Province

Abstract

This action research aims to study the development of care for pulmonary tuberculosis patients in the community by the Thatpanom District Health Network Nakhon Phanom Province. Target group are totally 97 people which contain new TB patients, TB patient caregivers, Community health networks whose are community leaders and village health volunteers, the responsible staff for tuberculosis whose are tuberculosis clinic staffs in subdistrict health promoting hospital, Thatpanom City Community Health Center, district public health office, and local administrative organization Officers. Methods of this study are collective quantitative and qualitative data by using an interview and activities participation observation form, by the questionnaire interview, and the observation form. Content validity was analyzed using index of congruence (IOC). The research instrument was between 0.67–1.00. Confidence was analyzed using the alpha coefficient. Questions were selected. with a confidence coefficient of 0.75 or higher, the selected questionnaires were 0.76. The data were analyzed using descriptive statistics such as frequency, percentage, average and standard deviation.

The results of the study showed that 1) the care of tuberculosis patients in That Phanom District Operated by the tuberculosis committee at that Phanom district level. Provided by a multidisciplinary team Patients are cared for by health networks, including health workers. Village Health Volunteer Local Administrative Organization and community leaders according to the context and daily lifestyle of the patient. 2) Care model for pulmonary tuberculosis patients diagnosed with pulmonary tuberculosis, sputum infection was detected. And was referred to the staff responsible for tuberculosis work in the area to know for follow-up at home. and coordinate the health network follow up on patient care Volunteers in the area responsible for DOT follow-up for a period of 2 months when patients are treated for intensive tuberculosis. If there is a problem, you can contact the public health officer for advice via online channels. 3) The follow-up results showed no patients lacking medication. and DOT was followed up in all TB patients. Found 1 patient with sputum examination after the end of the intensive treatment. The infection was detected. pulmonary tuberculosis patients and caregivers of pulmonary tuberculosis patients There was a high level of satisfaction in caring for pulmonary tuberculosis patients in the community of That Phanom Health Network (M=4.33, SD=0.28) 4) The success factor was that there were agencies that cooperated in the care of pulmonary tuberculosis patients in Patients have the confidence and channels to receive advice on any issues immediately from the doctor.

That Phanom District should adopt a model of care for pulmonary tuberculosis patients in the community by the That Phanom District Health Network, Nakhon Phanom Province to care for all pulmonary tuberculosis patients registered for tuberculosis treatment. and increase the follow-up of continuous treatment of patients until 6 months.