The Role, Problems, Obstacles and Needs in Caring COVID-19 Patients with Home Isolation by Using the Telehealth

Authors

  • Panisa Boonyaratkalin Srisavarindhira Thai Red Cross Institute of Nursing
  • Sararin Pitthayapong Srisavarindhira Thai Red Cross Institute of Nursing
  • Supabhorn Pengnonyang Institute of HIV Research and Innovation
  • Sataporn Waewklaihong Institute of HIV Research and Innovation

Keywords:

COVID-19, telenursing, home isolation

Abstract

This sequential explanatory mixed-method research aimed to study nurses’ roles, problems, obstacles, and needs of nurses in caring for COVID-19 patients who entered the home isolation system. The samples were purposively selected: 1) 76 professional nurses, 2) 353 COVID-19 patients, and 3) 10 doctors who are in the home isolation system of the Institute of HIV Research and Innovation. The research instrument consisted of a questionnaire on patient care behavior by nurses and a questionnaire on experiences of receiving care by patients. Qualitative data used focus group discussions and semi-structured interviews. All instruments were tested with content validity of 0.98, 0.98, 0.93, and 0.80, respectively
Quantitative data were analyzed using descriptive statistics. and qualitative data by content analysis. Quantitative research results found that the role that nurses perceive most is advocacy. The role that patients perceive most is the manager. The most common obstacle was the restriction of using communication devices to report symptoms. The results of the qualitative research found that support needs include a telephone for monitoring symptoms, conference meetings between doctors and nurses, and guidelines for telehealth. In conclusion, the roles and responsibilities of nurses using telehealth for caring patients are completely. It still needs to be developed to provide care for patients with other infectious diseases.

References

Pinsawas B, Ophakas S, Bedavanija A, Kochasawas W, Jitpun P, Leemongkol S, Phisalprapa P, rivanichakorn W, Chaisathaphol T, Washirasaksiri C, Auesomwang C. Home Isolation and Online Support Strategies during Mild COVID-19 Pandemic Waves in Thailand: A Scoping Review 2023; 3(7):987-98.

Department of Medical Services. Guidelines for medical personnel in giving advice to patients and providing services for patients with Covid-19 in home isolation, dated 1 July 2021, in the case of waiting for inpatient treatment in a hospital or while waiting for the due date of 14 days, or after discharge from the hospital or government facility before the deadline. Nonthaburi: Department of Medical Services; 2020. (in Thai).

Alishan S, Ali F, Iqbal Z, Ammar A, Muhammad AS, Farooq F, Mir A, Salahuddin N, Saghir T, Karim M. Home Management of COVID-19 Patients: A Successful Model in Non-severe COVID-19 Patients in the Developing World. Cureus. 2022;14(1): 1-7.

Xu H, Huang S, Qiu C, Liu S, Deng J, Jiao B, Tan X, Ai L, Xiao Y, Belliato M, Yan L. Monitoring and management of home-quarantined patients with COVID-19 using a We Chatbased telemedicine system: retrospective cohort study. Journal of medical Internet research 2020; 22(7):e19514.

Ministry of Public Health. Announcement of the Ministry of Public Health subject name and importance symptoms of communicable diseases that must be monitored. Nonthaburi: Department of Medical Services; 2022. (in Thai).

Bushnell DS. Input, process, output: a model for evaluating training. Training & Development Journal 1990; 44(3): 41-4.

Lundy KS, Janes S. Community health nursing: caring for the public’s health 3rd ed. Sudbury: Jones & Bartlett Publisher; 2016.

Liu N, Huang R, Baldacchino T, Sud A, Sud K, Khadra M, et. al. Telehealth for noncritical patients with chronic diseases during the COVID-19 pandemic. Journal of Medical Internet Research. 2020; 22(8): 1-4.

Pattarateeranon P, Sriyoha N, Sreeprasarn P, Saowanee R. Role of Community Nurses in Health Promotion and Prevention of Coronavirus 2019 Pandemic in 8 Community Responsible Area, Ramathibodi Hospital. Thai Journal of Health Education. 2021; 44(1): 1-11. (in Thai)

Nadkarni A, Hasler V, AhnAllen CG, Amonoo HL, Green DW, Levy-Carrick NC. Telehealth during COVID-19 does everyone have equal access. American Journal of Psychiatry. 2020; 177(11): 1093-4.

Suara E, Aliyah Z. The effectiveness of telenursing SI KASIH (Daily Patient Condition Information System) on anxiety of the family of isolated COVID-19 Patients. Journal of Medical Surgical Nursing Science. 2022; 5(2): 8-16.

Sungkeaw S, Harnirattisai T, Srisatidnarakul B. Registered nurses’ competency in caring for emerging infectious diseases. Thai Journal of Nursing Council. 2020; 35(3): 69-86.

NeJhaddadgar N, Ziapour A, Zakkipour G, Abbas J, Abolfathi M, Shabani M. Effectiveness of telephone-based screening and triage during COVID-19 outbreak in the promoted primary healthcare system: a case study in Ardabil province, Iran. Z Gesundh Wiss. 2020; 30(5) :1301-6.

Sharma M, P B, Sharma DK, Parashar A, Sevak S, Vyas H & Kalal MH. Telenursing a boon for healthcare in India: a scoping review. 2022.

Heo H, Lee K, Jung E, Lee H. Developing the first telenursing service for COVID-19 patients: the experience of South Korea. International Journal of Environmental Research and Public Health. 2021; 18(13): 1-13.

Mangklakeree N & Mangklakeree T. Telehealth: Alternative Self-Management Promotion in People with Diabetes During Covid Pandemic. Journal of The Royal Thai Army Nurses. 2023; 24(2): 1-9. (in Thai).

Das H, Panigrahi S, Swain D. Telenursing-an emerging concept in reducing COVID-19 hospital occupancy. International Journal of Community Medicine and Public Health. 2022; 9(1): 414-9.

Knierim K, Palmer C, Kramer E, Rodriguez R, VanWyk J, Shmerling A, et al. Lessons Learned During COVID-19 That Can Move Telehealth in Primary Care Forward. Journal of the American Board Family Medicine. 2021; 34(Supplement): 196-202.

Pierce W, Schroeder D, Suchecki R. Telehealth in Latin America: progress, challenges, and opportunities in the face of COVID-19. Telehealth and Medicine Today. 2021; 6(1): 1-8.

Jitbantad W, Fong-ngam P, Samerpop K, Manraden MK, Jitbantad H. The lesson learned on telehealth care model of home isolation in terms of health workforce in the Public Health Region 12. Nonthaburi: Health Systems Research Institute; 2022. (in Thai)

Yongchaiyoot P & Oumtanee A. Nurses’ Experiences of Caring for Patients with COVID-19. Journal of The Royal Thai Army Nurses. 2023; 24(2): 162-70. (in Thai).

Downloads

Published

18-08-2024

How to Cite

1.
Boonyaratkalin P, Pitthayapong S, Pengnonyang S, Waewklaihong S. The Role, Problems, Obstacles and Needs in Caring COVID-19 Patients with Home Isolation by Using the Telehealth. J Royal Thai Army Nurses [Internet]. 2024 Aug. 18 [cited 2024 Sep. 27];25(2):251-60. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/264940

Issue

Section

Research Articles