The Development of a Nursing Service Model for Bedridden Patients with Tracheostomy Tubes in the Community of Mueang District, Mahasarakham Province.

Abstract

Objective : To develop and examine the effect of a nursing services model designed to care for bedridden patients with tracheostomy tubes in the Mueang Mahasarakham District of Mahasarakham Province.

Method : The action research participants included 21 system developers of care, 19 bedridden patients with tracheostomy tubes, and 19 caregivers. The research tools consisted of a knowledge/skills assessment for caring for bedridden patients with tracheostomy tubes, a satisfaction assessment of nursing services and innovations for bedridden patients with tracheostomy tubes, and focus group discussions. Data were analyzed using frequency, percentage, average, and content analysis. The research period was from April 2022 to March 2023.

Results : The development of the nursing services model for bedridden patients with tracheostomy tubes was based on the 7 aspects model of care, which included 7 activities: 1) assessment; 2) symptom distress management; 3) provision for patient safety; 4) prevention of complications using the "B&TT-D-METHOD"; 5) continuation of care via Smart continuum of care (Smart COC); 6) facilitation of patient and family self-care via Tele-nursing and the LINE application; and 7) enhancement of patient satisfaction. Results showed that caregivers' knowledge increased from 57.89% to 91.21%, and their patient care skills increased from 59.87% to 90.79%. Caregivers were highly satisfied with the nursing services and community care centers.

Conclusion : Developing a nursing service model for caring for bedridden patients with tracheostomy tubes in the community involves a process that encourages caregivers and community networks to participate in using the program to care for bedridden patients with tracheostomy tubes at home, which includes 11 steps (11-B&TT-MSKH).