The Development Palliative Care System Mahasarakham Hospital

Abstract

          The purpose of this study was to study the situation in organizing the palliative care system. To develop a palliative care system in Maha Sarakham Hospital Using the concept of Deming's 4-step development cycle, the sample was randomly selected. In patients diagnosed by doctors as terminally ill patients and everyone should receive palliative care. with rating value Classification of patients receiving palliative care (PPS) 10-70% and consenting to participate in the research, totaling 60 patients during the study period. From 1 October 2022 – 31 July 2023

          The research tools consisted of 1) semi-structured interviews. Palliative care for patients 2) Behavioral observation form for palliative care for end-of-life patients 3) Service provider satisfaction questionnaire and questionnaire family satisfaction Passed the content validity check from 5 experts and tested for confidence by finding Cronbach's Alpha Coefficient. Reliability values were 0.86, 0.96, respectively. Data were analyzed using descriptive statistics, including frequency, percentage, and standard deviation. Qualitative data were analyzed using content analysis.

          Results of the study: The palliative care system for terminally ill patients consists of a manual for palliative care in terminally ill patients. System for transferring terminally ill patients from hospitals to communities in the network Patients receive more holistic care. Family satisfaction with palliative care in terminally ill patients was overall at the highest level ( = 4.66, SD ± .715). In terms of personnel, after the development of the personnel system, happiness increased from 70.78% to 95.42%. and feelings of value increased from 78.42% to 97.26%, consistent with qualitative data which was found Personnel felt happy that there was a team and network to care for patients at home together. The results concluded that the development of a palliative care system for terminally ill patients Causes good results for service recipients. Therefore, such a system should be used to formulate a policy for caring for terminally ill patients with the participation of a multidisciplinary team. In order to provide standard care in the future.