Development of A Care Model for Patients with Parkinson’s Disease at Chiang Mai Neurological Hospital
DOI:
https://doi.org/10.14456/jdms.2023.25Keywords:
Patients with Parkinson’s disease, Care model for patients with Parkinson’s disease, Research and developmentAbstract
Background: Parkinson’s disease (PD) is a chronic neurodegenerative disease, that poses incurable threat to thepublic health and to the quality of life of people living with PD . In this regard, having an appropriate caring processfor patients with PD could be helpful to reduce the complications and improve their quality of life. Objective: Themain objective was to develop a care model for patients with PD. The specific objectives consisted of exploring 1) the situation of nursing care for patients with PD, 2) the components and model of nursing care for patients with PD, and 3) the feasibility of model implementation. Method: There were 4 phases of Research and Development Method of this research, namely 1) situational analysis, 2) model development, 3) model implementation, and 4) evaluation and conclusion of the feasibility of the model implemented from November 2021 to July 2022. Results: 1) the challenges of nursing care provision to patients with PD included patients’ limited knowledge of PD and self-care, low quality of life among patients with PD, caregivers’ inadequate knowledge of PD and caregiving skills, healthcareproviders’ insufficient caregiving skills, and lack of a multidisciplinary care system; 2) the components of care and caremodel for patients with PD comprised promoting patients’ health literacy encouraging family members’ participationin providing care for the patient with PD, and increasing healthcare providers’ competencies in patient care; and 3) the feasibility study of model implementation revealed that the scores on knowledge of PD, medication adherence,and quality of lifeof patients with PD; and the scores on knowledge of PD and readiness of being caregiver of familymembers; as well as the scores on knowledge of PD of nurses significantly increased. Conclusion: The applicationof this nursing care model helped increase the efficiency of care for patients with PD. It enabled the patients withPD to gain more knowledge and understanding on the disease and self-care procedure. It also enhanced familymembers’ as well as healthcare providers’ abilities to provide proper care to the patients with PD
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