Development of Caring for Alcohol dependent patients system at Na Chueak Distric, Mahasarakham Province

Abstract

Purposes : 1) To study the clinical characteristics of alcoholic patients in Na Chueak District. Maha Sarakham Province 2) to develop a care system for patients with alcohol addiction and 3) to evaluate the results of care for patients with alcohol addiction.

Study design : Action research

Materials and Methods : This research were 3 phases: Phase 1 was a study of clinical characteristics and care planning for alcoholic patients in Na Chueak Hospital. Maha Sarakham Province, Phase 2, Operation according to plan, Phase 3, Evaluation. Those who participated in providing information in the study were divided into 2 groups: 1) medical records of alcoholic patients who received treatment and admit in Na Chueak Hospital has a total of 45 people. 2) Medical personnel involved in caring for alcoholic patients. Which consists of 5 doctors, 5 pharmacists, 15 nurses, totaling 25 people. The research period is between 1 February 2023 and 31 December 2023. Data collection tools include 1) data recording forms for caring for alcoholic patients 2) in-depth questions for medical personnel. To develop a care model for patients with alcohol addiction and 3) the ASSIST-Thai and CIWA-Ar score assessments.

Main findings : 1) Study of the clinical characteristics of alcoholic patients. By retrospectively reviewing the medical records of alcoholic patients hospitalized at Na Chueak Hospital, problems were found: 1) not using the CIWA-Ar score assessment, 2) patients developing complications after being hospitalized, 2) development phase using the cycle. PAOR by Kimmis and MC Taggart. It consists of 4 steps using the planning process (P=Plan), meeting to find the cause to plan the Act, following the plan, Observer observing, Reflect, reflecting the results after performing in the cycle. There are important activities, including training to develop personnel's competency in caring for patients with alcohol addiction. Developing guidelines for caring for alcoholic patients 3) Evaluation phase by following up on the care of patients with alcohol addiction according to guidelines designed and developed jointly by multidisciplinary professionals, including the use of the ASSIST-Thai and CIWA-Ar score assessments in alcoholic patients hospitalized is increased.

Conclusion and recommendation : Development of a care system for patients with alcohol addiction As a result, patients with alcohol addiction receive more comprehensive care. Good results in work development Patients have access to a good and effective treatment system.