The Effect of Home Visit Model in Patients with Post-Operative Hip Fracture in Contracting Unit for Primary Care Maharaj Nakhon Si Thammarat Hospital

Abstract

Background: The incidence of hip fractures was found among the elderly. Increased from 180 per 100,000 population per year to 450-750 per 100,000 population by 2015. According to statistics of Maharaj Nakhon Si Thammarat Hospital in 2017-2019, 169, 182 and 263 hip fracture patients received surgery, respectively and found complications after surgery, namely pressure ulcers, repeated fractures, inability to perform daily activities and being bedridden patients.

Objective: To develop a home visit model and study the effectiveness of the home visit model in hip fracture patients undergoing network surgery at Maharaj Nakhon Si Thammarat Hospital.

Materials and Methods: This research is a pre-experimental research with a single group measuring the results before and after. The sample consisted of hip fracture patients undergoing surgery in the Maharaj Nakhon Si Thammarat Hospital network. By selectively selecting 30 people, the tools used in the research were: The researcher's self-developed home visit model and the tools used to collect data are questionnaires, which consist of 5 parts of information, namely personal data. Daily Activity Assessment (ADL) Complications Record at Home Health care behavior assessment form and satisfaction of service users which were verified for content validity by experts and confidence test by Cronbach's Alpha method, knowledge was 0.61, attitude was 0.72. 2021. Data were analyzed using descriptive statistics such as percentage, mean, standard deviation. and inference statistics such as Wilcoxon Signed Ranks Test

Results: A home visit pattern was obtained in hip fracture patients undergoing surgery. There were 5 home visits in 8 weeks, the 1st after the patient was discharged 7 days from the hospital, and followed up at home in the 4th and 8th weeks, using the INHOMESS home visit principle in conjunction with the use of video and manuals. patient identification the week part 2nd week 6 Follow up home visits via phone. After every home visit, data will be recorded in Smart coc and Hosxp programs to pass on to them. The Ministry of Health followed up with the patients and found that after using the developed home visit model, the patient's level of ability to perform daily activities, knowledge, attitude, and practice were statistically significantly increased at the 0.000 level and there were no complications. They were satisfied with the form of home visits at a high level.

Conclusion: The developed home visitation model is effective. It can be used to care for hip fracture patients who are undergoing ongoing surgery at home and in the community.

Keywords: home visit form Hip fracture patients undergoing surgery Complications in hip fracture patients undergoing surgery daily routine healthy behavior