Development of a Care Model for High-Risk Pregnancy using Digital Media for Self-Care at Pathumrat Hospital, Roi-Et Province

Abstract

Purposes : To develop a care model for high-risk pregnancy using digital media for self-care and study the effectiveness of the care model.

Study design : Research & Development (R&D).

Material and Methods : The target group was 33 high-risk pregnant came to receive services at the antenatal clinic. Between January - September 2025. The research was conducted in 2 phases. Phase 1: developing a model to study the situation and observe the environment in high-risk pregnant. Group discussion with the multidisciplinary team that provides care, draft a model using design thinking, and validate the model before testing it out. Phase 2: Evaluate the model's effectiveness by testing knowledge of high-risk pregnancies-behavior before and after using the model, including evaluating satisfaction after using the format. Tools include tests, interviews, and satisfaction surveys. Data using descriptive statistics and Wilcoxon signed-rank test.

Main finding : A model for caring high-risk pregnant using digital media for self-care from group discussions has 5 steps [AICLK] which are: 1) Evaluate high-risk pregnant. (Assessment) 2) Laboratory analysis and ultrasound. (Investigation) 3) Communicate knowledge. (Communication) 4) Learn from digital media (Learning) and 5) Evaluate knowledge (Knowledge) After using the model, it was found that pregnant had more knowledge to prevent complications during pregnancy than before using the model, with statistical significance at the 0.05 level. Satisfaction was a very good level.

Conclusion and recommendation : Knowledge in digital media allows one to learn on their own through their smartphones and repeat the learning. Reduce limitations on service hours. Providing personalized education is easy, increasing the quality of in-depth care for specific and unique problems.