The Development of Learning to a Community-Based on Home Ward Care and Rehabilitation

Abstract

Purposes : To development of learning to a community-based on home ward care and Rehabilitation.
Design:  Research and Development Research.
Materials and methods : 94 of village health volunteers (VHV) and 253 of paralysis patients, home-bound and bed-bound chronically ill patients, and elderly in community who were met the inclusion criteria. The research was divided two phases: The first phase was the development of a model and the second phase assessed an effectiveness  learning to a community-based on home ward care and rehabilitation. Data were coollected using a test, self-care skills test, and a quality of life assessment form. Data were analyzed using frequency, percentage, mean, standard deviation,and paired t-test.
Main findings : 1)The overall  problems of  health were  at a high level (mean = 3.82, SD = 0.49)  2) Learning to a community-based on home ward care  and  rehabilitation  were  condition analysis of operational problems, development of home care and rehabilitation skills, Implementation of action plan, and monitoring, evaluation and transcription of lessons. The validityand  feasibility  study overall were high (mean = 4.30, SD = 0.62). After intervention, village health volunteers had  higher mean scores of knowledge, skills, home care and rehabilitation and quality of life than before intervention, and 3) Paralysis patients, home-bound and bed-bound chronically ill patients, and elderly in community had a good overall quality of life. (46.7%)
Conclusion and recommendations : The results of study indicated that a learning process resulted in village health volunteers  have  a knowledge and and care skills and also affect the patient's quality of life.