A Model of Intermediate Care in Stroke Patients, Uthai Thani Province

Abstract

The objectives of this research and development were to 1) study situation of intermediate care in stroke patients, Uthai Thani Province 2) develop the pattern of intermediate care in stroke  patients, Uthai Thani  Province, and 3) study the effectiveness of intermediate care model  in stroke  patients, Uthai Thani Province . The research was divided into 3 steps including: 1) study situation of intermediate care in stroke patients, Uthai Thani Province. Focus group discussion was conducted among 9 informants. Data were analyzed using content analysis; 2) developing the intermediate care model in stroke patients. The researcher used the findings from the first step to develop the intermediate care model in stroke patients namely UTHAI model; 3) study the effectiveness of the UTHAI model. Sample was 27 stroke patients. The research instruments were the UTHAI model, and the questionnaire.  Data were analyzed using repeated measure ANOVA and Paired t-test. The results revealed as follows;

1. Situations of intermediate care in stroke patients, Uthai Thani Province included

1) Referrals for continuing care are not covered yet, 2) The patient received intermittent rehabilitation, 3) Some of the rehabilitation models and visitation guidelines were inconsistent with the problem and context of the patient, and 4) The frequency of visitation did not meet the intermediate care visit criteria.

1. The UTHAI model included 1) U: Unit 2) T: Team 3) H: Home health care 4) A: Assistance from community and 5) I: Implementation
2. After using the UTHAI model 1 month and 3 months , the sample group  had  barthel index of activities of daily living  and quality of life higher than before using the model  with statistical significance (p<.01)