Development of a Care Management Model for Dependent Older Adults in the Community Health Center of Kantang Hospital, Trang Province
Keywords:
management model for caring for the elderly, elderly with dependency, quality of lifeAbstract
This action research aimed to develop a care management model for dependent older adults by family caregivers and caregivers in the Community Health Center of Kantang Hospital, Kantang District, Trang Province. The study was conducted from October 2023 to September 2024 and was divided into three phases: (1) situation analysis, (2) model development, and (3) model evaluation. The sample was divided into two groups: (1) 16 family caregivers and 3 caregivers, totaling 19 participants, and (2) 16 dependent older adults. Data collection included both quantitative and qualitative methods. The research instruments consisted of a personal information questionnaire for dependent older adults, a survey on problems and needs of dependent older adults and their caregivers for problem analysis in collaboration with community networks, the World Health Organization Quality of Life (WHOQOL-BREF) questionnaire, knowledge and skill assessment tools for caregiving, in-depth interviews, and focus group discussion guidelines. Data analysis was conducted using frequency, percentage, mean, standard deviation, paired t-test, and content analysis.
The study found that the developed care management model for dependent older adults in the Community Health Center of Kantang Hospital, Kantang District, Trang Province, was called the PCT Model. It consisted of three key components: P (Process), C (Care Management), and T (Technology). After implementing the model, the caregiving knowledge, and skills of caregivers, as well as the quality of life of older adults, significantly improved, with statistical significance at the 0.05 level. The key factors contributing to the success of this care management model included teamwork and collaboration with community networks, problem analysis, and identifying the needs of older adults. The model was developed to align with the local context, allowing the community to apply it effectively in managing and improving the care system for dependent older adults.
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