การพัฒนารูปแบบการบริการ การผ่าตัดผู้ป่วยโรคต้อกระจกแบบไม่ค้างคืนโรงพยาบาลเทพรัตน์นครราชสีมา

Abstract

                  System providing for cataract patients inOphthalmology clinic, DebaratanaNakhonRatchasima Hospital was not in a pattern of proactive service. As a result, patients had less access to the service, long waiting period of surgery queue and delayed treatment.

                 The objective of this study were to study the situation of cataract treatment service and to improve the service providing for cataract patients receiving treatment at DebaratanaNakhonRatchasima Hospital.

                 This action research was study in cataract patients of DebaratanaNakhonRatchasima Hospital and neighboring districts from 1 January 2012 to 30 November 2013. 1,499 cataract patients were screened, 1,499 patients had been diagnosed by Opthalmologist, 639 were male and 860 were female. 803 patients had lens replacement surgery without post surgery infection, 100% of patient had better vision in 30 days. The results of this study found that patients had more access to the cataract surgery service, shorten of the waiting time of surgery from 6 months to 1 month, 85% of patients were satisfied with the service and the development of effective one day cataract surgery service.

                This one day cataract surgery service can be adapted to use in a hospital which had limited nursing staff to reduce waiting period of surgery in cataract patients. As a result, patients had faster back to everyday life.