Model Development of Community Health Care for the CVD Risk Population and Coronary Heart Disease Patients, Ubon Ratchathani

Abstract

The purpose of the action research is to improve the model of community health care for the CVD risk population and coronary heart disease patients by the participation of networks in Ubon Ratchathani. The studied areas are chosen specifically to be risk areas and ones that are voluntary to participate in the research in Ubon Ratchathani. The target population is chosen as follows: 1) Cooperated group on model development including 15 people for academics, 2) Twenty - six people for personnel’s and volunteers, 3) Twelve people for local representatives, and 4) Sixteen people for coronary heart disease patients and caregivers; and target group for community health care including 461 people with the age above 35 years old. The data was collected for both qualitative and quantitative. The result shows that model of community health care consists of 1) the encouragement of participation of every network 2) the return of data to the community 3) the creation of the system and progressing process 4) the coverage of community health care to every group and holding important activities including establishing health station, “Volunteer for Heart Care”, blood pressure screening, blood sugar checking, education on 3 learning base; CVD risk assessment, how to call 1699 via application, and resuscitation. For the risk group and the patients, proactive operation was applied which includes recording home addresses on google map and putting information on the application called Rak Kudyalua in order to connect to emergency medical services 1669 for both provincial and municipal level simultaneously. As for the outcome evaluation, it is clearly that the average post-test scores of healthcare service officers in community and subdistrict hospitals were significantly higher than the pre-test scores in terms of skills and activities for CVD risk and coronary heart disease patients (p<0.05). The result is that 390 people who are above 35 and haven't been diagnosed with Diabetes Mellitus and hypertension have been screened for CVD risk which equals 88.46 percent. For coronary heart disease patients, they will receive continuous home visit. The result shows that the risk group has decreased to 58.82 percent. In this number, there are people who quit smoking within 6 months at 100 percent rate and quit drinking at 60 percent rate and there are 3 persons with symptoms similar to coronary heart disease getting helps via application, Rak Kudyaluan. Therefore, community participation in taking care of their own health, relevant network partners should communicate and publicize to people access in health checking services at community health stations. It could get data about the numbers, the risks, the status and lead to health behaviors modifying that are appropriate to their risk level and age group. To reduce health, economic, and social losses in the future.