ผลการพัฒนาระบบบริการสุขภาพผู้ป่วยโรคหลอดเลือดสมอง จังหวัดอุดรธานี

Kannika Huadlee; Kamonthip Tanglakmankhong; Pitsini Mongkhonsiri; Darawan  Tharapising

Authors

Kannika Huadlee Udonthani Provincial Health office
Kamonthip Tanglakmankhong Boromarajonani College of Nursing Udonthani, Faculty of Nursing, Praboromarajchanok Institute
Pitsini Mongkhonsiri Faculty of Medicine, Praboromarajchanok Institute
Darawan Tharapising Udonthani Provincial Health office

Keywords:

healthcare system, stroke, knowledge, attitudes

Abstract

Introduction: Stroke patients require continuous care. Therefore, developing a care system that extends from family and community levels to the hospital level is essential.

Research objectives: To examine the situation, develop and evaluate the healthcare service system development for stroke patients.

Research methodology: This action research consisted of into three phases: 1) situation analysis, 2) system development, and 3) monitoring and evaluation. A mixed - methods approach was used for data collection. The sample comprised 194 stroke patients and primary caregivers divided into experimental and control groups (97 participants each). Key informants for qualitative data collection included stroke patients or primary caregivers, local administrative organization representatives, village health volunteers, and multidisciplinary healthcare professionals, totaling 40 participants. The tools were questionnaires regarding knowledge and attitudes, ability to perform daily activities, satisfaction, and semi-structured interviews. Data were analyzed using descriptive statistics and Independent t - test, while content analysis was conducted for qualitative data.

Results: The findings indicated that operational challenges included low utilization of the 1669 emergency service and insufficient integration and linkage of treatment information for continuous home care. The developed "Stroke - Smart COC: Udon Model" system enhanced knowledge accessibility and service utilization among patients and their families. Post-implementation, the experimental group demonstrated significantly different knowledge and attitudes compared to the control group (p < .05). The ability to perform activities of daily living improved to an independent level. High satisfaction levels with the system were reported by both the experimental group and service providers (M = 4.01, SD = .61 and M = 3.93, SD = .51 respectively).

Conclusion: The system development enhanced patient preparedness, enabling access
to emergency fast - track services and establishing a more efficient continuous home care system.

Implications: The implementation should be expanded to other areas, incorporating modern technology and innovation in the development of healthcare service systems for stroke patients

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