The model development for caring dependent elderly in Phayao Province.
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Abstract
BACKGROUND: The dependent elderly are a group of people stuck at home and in bed. They cannot help themselves in their daily activities, some may require rehabilitation, nursing care, social services include assistance in daily life. If they receive care and rehabilitation by a potential health team, they will have a better quality of life.
Objective: To develop a model for caring dependent elderly living in Phayao Province and assess the results of developing a care model for dependent elderly in Phayao Province.
METHODS: It is action research. The sample group is those who are responsible for the elderly dependency. Purposive sampling was used to recruit 112 people included public health personnel, network partners in the community and the elderly dependency. Research tools used for conducting data consists of demographic data, interviewing questionnaire and group discussion guideline, questionnaire on perception of ability to care for the elderly dependency and social support. The research period was from December 1, 2022 to August 31, 2023. Data were analyzed using descriptive statistics and paired t-test.
RESULTS: The developed model for caring the dependent elderly is called the SKILL model. Its components are S=social support, 2.K=kindness, I=Integration, L= living house and L=Learning. After using the model, it was found that the care givers’ perception on their ability to care the dependent elderly in eight key areas, including:ability to assess INHOMESSS, pressure sore dressings, feeding, assisting the elderly in transferring from bed to wheelchair, urinary catheter care, medication recommendations, mental health assessment and counseling had a significantly higher than before implementation (p<.05). Also, the dependent elderly had significantly higher of their social support than before implementation (p<.05).
CONCLUSIONS AND RECCOMMENDATIONS This SKILL model is appropriate to care the dependent elderly. It can be used to expand results to other areas by relying on the potential of the community and social capital within the community context in order to develop the quality of life of the dependent elderly.
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References
World report on ageing and health. Geneva: World Health Organization; 2015.
Phayao Provincial Public Health Office. Health Data Center [internet]. Phayao: Phayao Provincial Public Health Office; 2021 [cited 2021 Mar 27]. Available from: https://pyo.hdc.moph.go.th/hdc/reports/page.php?%20hcat_id=%206966b0664b89805a484d7ac96c6edc48
National Health Security Office. The manual of long term care for the dependent elderly in community (Long term Care) under universal health coverage scheme, fiscal year. Bangkok; 2016. (In Thai)
National Health Security Office. Handbook for supporting the management of the public health long-term care service system, for the elderly who are dependent on the national health insurance system. Bangkok; 2016. (In Thai)
Srithamrongsawat S, Suriyawongpaisarn P, Kasemsap W, Ekkaplakorn W, Leeraphan B. Complete report of a research project to develop a long-term care system for the elderly. having a state of dependency under the National security system. Bangkok: Department of Community Medicine Faculty of Medicine Ramathibodi Hospital; 2018. (In Thai).
Boontong T, Nuntaboot K. Model of the development of long-term care system for the elderly. Nonthaburi: Thailand Nursing and Midwifery Council; 2019. (In Thai)
Chokwiwatana W. Learning from Japan. System for caring for elderly people stuck at home and bedridden. Bangkok: Samdee Printing Equipment; 2019. (In Thai).
Kemmis S, Mc Taggart R. The Action Research Planner. 3rd ed. Geelong: Deakin University Press; 1988.
Ratanasuwan W, Opasanan P. Development of the capacity building model for caregivers of dependency elderly persons in the community. Journal of Nursing and Education 2018;11(4): 156-74. (In Thai).
Yapradit P, Kongtan O. Development of long-term care services for dependent
elderly people. Nong Sim subdistrict, Borabue district, Maha Sarakham province. Journal of Research in Nursing-Midwifery and Health Sciences. 2020;40(3);48–65.(In Thai)
Kanyakarn K, Kosalavit T, Boonyaniwarawat N. Long-term care model. Integrated with
community participation for elderly people who are dependent on Dong Bang subdistrict health promotion hospital Mueang district Ubon Ratchathani province. Journal of Humanities & Social Sciences 2019;17(1): 1-19. (In Thai)
Phorawat R. Guidelines for developing care for the elderly who are dependent on
elderly in Nakhon Chum subdistrict, Muang, Kamphaeng Phet province. Journal of Humanities
and Social Sciences. 2019;25(4):76-85. (In Thai).
