Development of a surveillance and care model for stroke disease in working-age at risk of depression, Medical Centre 3 Wat-Bun, Mueang District, Nakhon Ratchasima Province

Abstract

Working-age individuals with stroke are at high risk of developing depression. Nevertheless, there is an absence of a definitive framework for previous operations. This action research aims to development and evaluation the surveillance and care model for stroke disease in working-age at risk of depression. This study focusses on two specific groups: The model development group consists of 15 individuals, which includes doctors, nurses, community health volunteers, and researchers. The study group consists of 6 individuals who belong to the working-age population and are at risk of depression. The process has 3 separate stages: The first stage involves the study of fundamental knowledge about the system and process used for monitoring and providing care for the at-risk population, along with an evaluation of their overall quality of life. 2) The model development process adheres to the principles of action research. 3) The implementation of the model involves assessing the risk of depression and the quality of life. Information is gathered through the utilization of the depression and quality of life evaluation form. Data is analyzed using both quantitative and qualitative statistics.

The research findings indicate that: The surveillance and care model for high-risk groups of depression in working-age individuals with stroke consists of four components: 1) a network of partners, including doctors, nurses, health volunteers, and public health professionals; 2) a self-management skill development program; 3) a community-based "8 types of medicine" learning center; and 4) the operational system and mechanisms of the partner network. The results of using the model showed that all 6 participants with depression were able to stop their antidepressant medication, achieving a 100% success rate. Additionally, their overall quality of life scores were rated as good, and they were able to continuously manage their health at home every day. A new community health station was established, driven by a team of local health volunteers, who were part of the model development group. Therefore, the high-risk groups for depression should have concrete prevention activities, such as home visits for emotional support and continuous activities at the community's “8 types of medicine” learning center. The model should also be expanded to 5 neighboring communities.