Development of the system for treatment the pulmonary tuberculosis patients with Directly Observed Treatment, Short-Course (DOTS) in Mae Wang hospital, Chiang Mai province

Abstract

This is a research and development study purposes to develop and to evaluate the study outcome of the system for treatment the pulmonary tuberculosis patients with the proper Directly Observed Treatment, Short-Course (DOTS) in Mae Wang hospital. Five Health Officers and the 3 tuberculosis patients were included as a study sample. Five Pulmonary and respiratory experts were selected to do the qualities testing of the system development processes. The research tool was the questionnaire, that Content Validity was confirmed by the experts. The CVI was 0.95. Descriptive statistics are used to summarize data; percentage, means and standard deviation. Results revealed that: the system for treatment of pulmonary tuberculosis patients with the proper Directly Observed Treatment, Short-Course (DOTS) in Mae Wang hospital, consist of 1) the treatment system at first diagnosis 2) discharge and referral system to Tambon Health Promoting Hospital 3) Home Health Care and DOT follow up 4) promoting system of treatment quality by DOTS with the manual medical record 5) the follow up system after diagnosed. The quality of these systems were evaluated by the selected experts and found that a whole figure of this new development system is indicated as Good level ( 3.18±0.17). For the details of quality evaluation of each system indicated that all systems are in Good level. The quality of scope/purpose and participatory of the relevant were 3.38± 0.16 and 3.11± 0.34. The quality of the stepping of system development and the clarification/presentation were 2.88 ± 0.15 and 3.21± 0.19 respectively. The quality of an application use and the independence of teamwork were 3.19 ± 0.16 and 3.29 ± 0.20 respectively. The trial of this system implementation has shown a good level outcome. The advantage of this system development meets a standard criteria in the same direction. The treatment success rate was 100%