Development of Care Model for Children with Pneumonia, Sikhio Hospital, Nakhon Ratchasima Province

Abstract

This research and development aimed to develop a care model for children with pneumonia at Sikhiu Hospital, Nakhon Ratchasima Province and to study the results of using the care model for children with pneumonia at Sikhiu Hospital, Nakhon Ratchasima Province. The target group included 30 caregivers of children with pneumonia aged 1 month and over to less than 15 years and 14 health personnel.              The research and development process consisted of 2 stages: stage 1: model development and stage 2: model development results study. There were 4 steps: 1) Situation analysis, 2) Model development,             3) Model trial, and 4) Model evaluation and improvement. The research instruments used were a medical record check form, a structured group discussion form, a knowledge test for nurses and caregivers,            a nurses' skills assessment form, a caregivers' satisfaction assessment form, and a health team satisfaction assessment form. The research data were analyzed using descriptive statistics, presented with frequency, percentage, mean, standard deviation, comparative statistics using paired t-test, and content analysis.

            The study results found that the care model for pediatric pneumonia patients at Sikhiu Hospital, Nakhon Ratchasima Province, consisted of 4 components: 1) roles and responsibilities of                             the multidisciplinary team, 2) nursing practice guidelines for pediatric pneumonia patients, 3) family participation, and 4) discharge planning. The results of the evaluation of the implementation of the care model for children with pneumonia found that patients had 1.70 fewer in hospitalization days, 724.10 baht less in medical expenses, no respiratory failure was found, and they were readmitted within 28 days. Caregivers had increased knowledge (p <0.001) and caregivers were highly satisfied. In addition, it was found that nurses have higher knowledge and skills in caring for patients. (p <0.001). Nurses and multidisciplinary teams were most satisfied with the care models using.