Delvelopment of a care model for tuberculosis patients Phayakkhaphumphisai District Mahasarakham Province

Abstract

Objective : To develop and study the result of the development of care model for tuberculosis patients. Phayakkhaphum phisai District Mahasarakham Province.

Methods : This study was action research for the period from October 2020 to September 2021 The sample group was 1. service providers, including multidisciplinary teams, 53 people 2. 97 tuberculosis patients. Tool used to correct data 1. Behavioral scale for TB patients. 2. TB patient satisfaction questionnaire and 3.Multidisciplinary teams satisfaction questionnaire. Implementation process 3 phases 1. Preparation 2. Implementation 3. Evaluation Quantitative data analysis using descriptive statistics such as number and percentage, Inferential statistics used paired t-test and qualitative data. Use content analysis

Result : 1. Preparatory phase found problems, follow-up screening in risk group is not yet covered. Patients received treatment late. Lack of community involvement The DOT system is not effective. The system for tuberculosis control and prevention in the community is not yet concrete. 2.Operation phase by holding a meeting to review the guidelines hold a workshop brainstorming small group meeting and organize s forum to exchange knowledge Prepare guidelines for the care of tuberculosis patients. 3. Evaluation phase was found that the development of care model for tuberculosis patients. Phayakkhaphum phisai District consisted of : service organization data transmission coordination and continuous follow-up by a nanny to supervise medication intake follow up home visit Out comes of self-care behaviors of tuberculosis patients show that there was an increase in adherence to the tuberculosis treatment plan. As for clinical result, it was found that the treatment success rate was 91.76, the drugs withdrawal rate was 1.2, and the mortality rate of tuberculosis patients was 8.26 Patients and the multidisciplinary teams were more satisfied.