The evaluation of the developed of TB patient care system in Chiang Yuen hospital,Chiang Yuen district, Mahasarakham province

Abstract

This evaluation research aimed to evaluate the development of TB patients care system in Chiang Yuen hospital by CIPP model. The study designed a qualitative and a quantitative study. The investigator conducted with 68 persons and purposive sampled from the TB committee in Chiang Yuen hospital and the TB undertaker in Tumbon health promoting hospital. The study collected data during 1-30 June 2014. The data were analyzed using descriptive by frequency distributions, percentage and mean.

The result of the study was the CUP TB committee and Tumbom, had the agreement signed between Subdistrict Administrative Organization and hospital for TB operation in the community. But there were 4 tumbon only, which had the TB patients care pattern send to the Tumbon health promoting hospital, the clinic development to standardised, the TB screening system, the TB patients care hotlink system, DOT system by 3 health volunteers and the undertakers  changes always which made the development of discrete. Another, the forward data and the coordination in the hospital had no good. The patients received the TB education from the health officials and health volunteers. However, the most patients had the moderate of the TB education after the development (66.91%). While the most  patients (87.45%) had the self care behavior to good. In 2013, had the successfully ratio of the pulmonary TB treatment, was 82.89%. The secretion changing ratio from positive to negative was 83.33%. Because the patients was died for 9.62% and the quality of secretion evaluation for diagnosis was low (61.37%). Therefore, it should be coordination and forward the data for internal and external system in the hospital. Some patients also lack of accurate education about the cause of TB, TB prevention and the people who are risk of TB. So it should be to educate for patients and care giver and DOT by health officials and health volunteers in all cases. Including a review of all deaths in TB patients to seek futher prevention