Model of Driving Care for Bedridden Older Patients in the Suburban Area: A Case Study in Phitsanulok Province

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Prapaporn Muangkaew
Napadon Leaudnakrob
Anantaya Jantaramanee

Abstract

          This Qualitative research aimed to study the model of driving care for  bedridden older patients in a suburban area at Phlai Chumphon  sub-district, mueang district, Phitsanulok province. Informants were twenty-one stakeholders in Phlai Chumphon  sub-district , selected by specific qualifications, consisting of the a director of Phlai Chumpon Sub-district Health Promotion Hospital, a nurse taking responsibility for the elderly job, a village head of  the Phlai Chumphon  sub-district, a mayor of  municipality, a director of the division of Public Health and Environment , chairman and secretary of the elderly Club, a chairman of the volunteer Club, four trained elderly caregivers, a  headman of the village,   a head of  Wang Hin temple, and  seven main caregivers of the elderly  bedridden group. The instruments were group discussion guidelines, in-depth interviews guidelines, and a draft model of driving care for bedridden older patients. Data were analyzed using Thematic analysis.


             The results found that the model of driving care for bedridden older patients consists of 5 components: 1) building network for partnership and cooperation 2) establishing cooperation policies 3) preparation of public health workers, community and network leaders 4) health care implementation for bedridden older patients with community network 5) performance evaluation. The success factors are partnerships, value each other, and using local wisdom. The obstacles are cooperation, clarity of the implementation plan, caregivers and community network 's knowledge, attitudes, skills and confidence in the holistic care of bedridden older patients. The suggestion is the working group to drive caring for the bedridden older patients should arrange practical plan and strengthen the confidence of trained caregivers by enhancing their knowledge, attitudes, skills in providing holistic care of the bedridden older patients that take into account individual differences.


 

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บทความวิจัย (Research articles)

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