The Results of the Development of a Knowledge Media for People at Risk of Community-Acquired Sepsis by through Network Participation in Kok Sa-at Subdistrict, Mueang District, Udon Thani Province

Abstract

       This action research aimed to analyze the situation, develop educational media, and evaluate the use of knowledge media for people at risk of community-acquired sepsis. The study was conducted from December 2023 to October 2024. The research areas were selected specifically based on the highest morbidity and mortality rates in 2022. The sample group was selected through purposive sampling, totaling 457 people. The research tool consisted of educational media for people at risk of sepsis in the community through network participation. Data were collected using in-depth interview questions, group discussions, and a community-based public knowledge test on sepsis. The IOC value of the instrument was 0.67 - 1. The community-based public knowledge test on sepsis had a Kuder-Richardson reliability of 0.78. Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed using content analysis.
            The results showed: (1) Most community-acquired sepsis were found in the elderly, those with underlying diseases, regular alcohol consumption, and poor personal hygiene practices. The cause was that when experiencing pain in the body, a wound, and a fever, they waited to observe the symptoms, thinking that it was a minor illness. Some people treated themselves with herbal plants, folk medicine, or bought medicine to take on their own. They sought treatment only when symptoms became severe. Most infections were from wounds and the digestive tract. Prevention included teaching how to wash hands before eating, eating freshly cooked food, cleaning wounds correctly, avoid buying medicine for self treatment, and entering the treatment system immediately when suspecting community-acquired sepsis; (2) The knowledge media consisted of severity, meaning, causes, symptoms and prevention, decision-making to enter the healthcare system, and details in the QR Code; (3) Using educational media for the sepsis risk group after 4 months of implementation showed that the sample group was able to take care of their health, reduce the mortality of sepsis from 38.18 percent to 17.86 percent, and reduce the mortality of severe sepsis/septic shock from 52 percent to 22.22 percent.
            Conclusion: The development of knowledge media for people at risk of community-acquired sepsis through network participation, enabled people to take care of their health and decide to enter the medical treatment system, thereby reducing the mortality rate in the community.