HOME WARD FOR BED BOUND PATIENTS AT FANG DISTRICT, CHIANG MAI

Abstract

ABSTRACT

BACKGROUND

                Bed bound patient care should be planned systematically from hospital admission, rehabilitation period at hospital to home care. In order to provide health care in the same direction and patients are provided with adequate health service. There must be clear and practical guidelines.

OBJECTIVE

To study the implementation of Home Ward for bed bound patient at Fang district, Chiang Mai.

METHODS

                The study was Case-control study. Study group 39 people were bed bound patients during October 1^st - December 31^st 2017 and control group 25 people were bed bound patients during October 1^st - December 31^st 2016. Data were collected from Continuing of Care center (COC center) report of Fang Hospital. Statistics used for the analysis include frequency, percentage and chi-square test.

RESULTS

                    Most of study and control group were male 51.28% and 52.00%, got less than 5,000 baht per month and insurance were universal coverage (UC). The average age was 47.54 and 56.88 years old, were divorced 38.46% and married 52.00% in study group and control group respectively. The test of hypothesis showed the relationship between home visit guideline and the outcomes of home visit in coverage (X²=4.910, P value = 0.027), clinical change (X²=14.486, P value = 0.001), complication at home (X²=4.910, P value = 0.027) and revisit rate (X²=0.104, P value = 0.747)

CONCLUSION AND DISCUSSIONS

                    The results of this study indicate that Home Ward was the effectively guideline for bed bound patients and better than previous implementation of home visit as follow: 100% coverage (within 7 days), clinical change with 82.05% of stable level and 7.69% getting better, and no complication at home at 0.05 statistical significant levels. Thus Home Ward should be implemented to home visit of bed bound patient.