Development of Children with Thalassemia in Receiving a Blood Transfusion Care System On One stop service in Kumpawapi Hospital

Abstract

Purposes : To study the situation, develop systems and evaluate results  of children with Thalassemia in receiving a blood transfusion care system on one stop service in Kumpawapi Hospital.

Study design : Action Research.

Materials and Methods : Eight of key informants were a multidisciplinary team of    and 23 of pediatric patients diagnosed by doctors as having thalassemia anemia. Data were collected using a data recording form, observation form, and results evaluation form. Data were analyzed using frequencies, percentages, means, standard deviations, % differences, and content analysis.

Main findings : 1) Both of service providers, service recipients, and service systems were problems were found. 2) The children with Thalassemia in Receiving a Blood Transfusion Care System On One stop service consisted of: (1) developing the potential of personnel and networks (2) establish a thalassemia clinic open every Tuesday and Friday (3) develop a health screening system. (4) develop guidelines for patient care, including having CPG, TDT patients care, having standing order admit, being able to admit to see a pediatrician at the ward (5) Developing a support Lab system (6) Developing a one-stop screening system service and (7) follow up on continuous treatment and after development, and after the development, the researcher evaluated the results of developing a system for caring for children with thalassemia patients with regular blood transfusions, a One stop service, using 8 success indicators. It was found that patients who received blood transfusions regularly had Hb typing values (<9.0%), performance decreased from 53.44% to 18.12% percentage differences decreased 98.71%; patients who have been examined SF(100.0%) increased 67.45% to 100.0% percentage differences increased 38.88% ; patients who regularly received blood with Hct <30% decreased from 26.0% to 18.0%, percentage differences decreased by 36.63%, and new patients being tested increased from 3 people (6.18%) to 14 people ( 23.72%) percentage differences increased 117.32%.

Conclusion and recommendations : The results of this research resulted in increased operational results, and service recipients receive convenience and can reduce the waiting time.