Developmentmodels of theterminal cancer patient’s care atWarinrak center, WarinChamrab Hospital, UbonRatchathani

Abstract

ABSTRACT

Background: Warinrak center is a palliative care center under multidisciplinary team at the warin charmrab hospital. It was and It was found in structure management, support system, coordination, practice, evaluation system and under the directorship of palliative care. It was processes are base on appreciation, influenced, and control (A-I-C) processes which development model of the terminal Cancer patient’s Care  at  warinrak center standard and satisfaction of multidisciplinary.

Objective: 1.To explore and development the module of the terminal cancer patient’s care at warinrak center. 2. To compare performance outcome and the satisfaction of multidisciplinary team of module before and after intervention.

Methods: This action research study, the population of the multidisciplinary team at warinrak center. The development of the model spanned from april to june 2019. Develop to the model which applied an A-I-C process. Mean, percentage, standard deviation, and paired-sample T-test was used to analyzed the data.

Results: Among 54 members of the multidisciplinary team at warinrak center. The results showed fair level of structure management (57.1%), fair level of support system (64.7%), good level of coordination (63.1%), good level of practice (66.7%), good level of evaluation (55.0%) and overall performance,  before the development study  the overall results were in the poor level (98.1%). After the study, the overall results were in the fair level (57.1%). The satisfaction of multidisciplinary team was in the poor level (70.3%) and good level (55.4%) after the study.

Conclusion: This study found that: After the developed models and multidisciplinary team member’s satisfaction of practitioners is in fair level. There are also increase in as compared to the level before the model, with statistical significance (p=<0.05)

Keywords:  multidisciplinary team,  (A-I-C) process  ,Terminal Cancer Patient’s Care, Warinrak center