Guidelines for Improving the Work of Family Care Team and Satisfaction of Long-Term Care (LTC) Patients in NongBuaRawe District, Chaiyaphum Province

Abstract

This research aimed to assess perception and satisfaction to operation of family care
team (FCT) among long term care (LTC) patients according to family care project, and to study
operational guidelines and performance to develop FCT in Nong Bua Rawae District, Chaiyaphum
Province. This evaluation research used both quantitative and qualitative methods for collecting
data. The quantitative method used to collect data by interview with structured questionnaire in
212 LCT patients in Nong Bua Rawae District. Qualitative method was used in five patients who
were purposive selected for in-depth interview. Data were analyzed association by Chi-square,
Pearson product-moment correlation coefficient and content analysis. The results showed that
LTC patients highly satisfied with the FCT service of all seven aspects; treatment (58.02%), health
promotion (57.55%), care when sickness (57.02%), information of family health status (52.83%),
people empowerment to understand their health (52.36%), advise health information (51.89%),
and Care of referred case (50.00%). Mean score of satisfaction ( ) was 80.72, in range of 35-105 of
minimum and maximum. The high level satisfaction was 56.13% and followed by moderate level,
24.53%. Two factors, status of interviewers and location of the patient homes were associated significantly
with satisfaction. (p<0.05). Moreover, the qualitative data showed that LCT patients and caregivers
knew FCT composing of multidisciplinary team via village broadcast tower, TV, village volunteers,
relatives, and phone. Overall, they satisfied with LCT service both body and mind and they need
FCT to consistency visit and follow up with several communication channels such as phone. The
suggestions were linkage of FCT to do team work effectively both concept and practice, develop
all level personnel to have knowledge family care term at district level improve the family care
term at sub-district/village, have multidisciplinary knowledge and skills, and be a good role model
in health work and spirituality, and systematic management.