The Development of Care for Bedridden Patients by Using The 3-Doctor Mechanism Udon Thani Province

Abstract

This research is an action research to study the development process of caring for bedridden patients by using the ‘‘3 doctors’’ mechanism in Udon Thani Province. The population and sample were 259 bedridden patients, 45 village health volunteers and doctors’ teams. The study was divided into 4 phases: Phase 1: Planning (Plan). The situation was analyzed. Assess the condition of the problem. and needs of bedridden patients Udon Thani Province. There was a knowledge measurement of VHVs and quality of life of bedridden patients. Before implementation, Phase 2: Operational (Do) has developed the potential of village health volunteers, defined roles and responsibilities, guidelines for conducting home visits, guidelines for caring for bedridden patients of a team of 3 doctors and organizing activities for caring for bedridden patients home visit, Phase 3: Follow-up and Evaluation (Check) There is an evaluation of the process of caring for patients by a team of 3 doctors, measuring the knowledge of village health volunteers and measuring the quality of life of bedridden patients. After the implementation and conclusions, the 4^th stage, the improvement step (Act), reflects on the performance. Collect data after development, comparison of pre-and post-development action. In order to analyze strengths and weaknesses in the operation that need improvement for improvement of the system in the next round. The tools used were the questionnaire for bedridden patients VHVs and the interview form for the 3-doctor team, which were checked for content validity by 3 experts and further analyzed for validity of the questionnaires. The quality of life measurement scale equals 0.84, and the satisfaction assessment form for bedridden patients equals 0.94. The difficulty of the knowledge questionnaire about taking care of bedridden patients of village health volunteers (VHVs) was determined by using the KR20 method. The value was 0.82. The data were analyzed using descriptive statistics and Paired t-test.

            The research results showed that the mean quality of life scores of bedridden patients After the operation was significantly higher than before. At the statistical significance level of 0.05 (p-value<0.001), the 95%CI ranged from 1.99 to 4.66. The overall satisfaction of bedridden patients towards receiving services from the 3-doctor team was at a high level ( =4.00, S.D.=0.54). Health status improved 72.59%, followed by stable/same as 26.25%, and the mean score of knowledge in caring for bedridden patients of VHVs found that the mean knowledge score after the operation was higher than before performed statistically significant at the statistical significance level of 0.05 (p-value = 0.001), the 95%CI ranged from 0.54 to 2.22.