การพัฒนาระบบการแพทย์ทางไกลสำหรับผู้ป่วยความดันโลหิตสูง ผู้ป่วยนอกอายุรกรรมเฉพาะโรค โรงพยาบาลยโสธร

Klinphaka Phahuphan; Jiraporn  Salangha; Jinatta  Prongprasert; Sirirat   Intharakasem

Authors

Klinphaka Phahuphan Yasothon Hospital
Jiraporn Salangha Mukdahan Provincial Public Health Office
Jinatta Prongprasert Yasothon Hospital
Sirirat Intharakasem ์์Nurse instructor,Boromarajonani College of Nursing Nakhon Phanom, Nakhonphanom University

Abstract

Introduction: Telemedicine improves healthcare access, particularly for managing chronic conditions like hypertension that require ongoing monitoring, reducing hospital overcrowding and optimizing patient outcomes.

Research Objectives: This research designed and development of a telemedicine service system for managing hypertensive patients.

Research methodology: Research methodology: Research and development was conducted in 4 phases: Phase 1 (R1) to study the situation; Phase 2 (D) to design and develop a telemedicine service management model; Phase 3 (R2) to implement and apply the telemedicine service management model; Phase 4 (D2) to evaluate the results of using the service management model. The sample consisted of 60 hypertensive patients who received services at the outpatient department of specialized internal medicine at Yasothon Hospital between January and June 2023, divided into an experimental group of 30 and a control group of 30, selected according to the criteria of patients diagnosed with hypertension by a doctor, BP ‹ 140/90 mmHg, aged 40-65 years. Data were analyzed using descriptive statistics using frequency, percentage, mean, and standard deviation. Compare the mean difference with multivariable mean difference regression.

Results: At month 6, there was a significant difference in systolic blood pressure (SBP) between groups. The telemedicine group had a mean SBP of 124.93 (S.D.=12.29) mmHg, while the OPD follow-up group had a mean SBP of 135.56 (S.D.=13.42) mmHg (p=0.002). Additionally, the waiting time was reduced by 196.06 minutes (95% CI=-214.55, -177.56) (p<0.001) in the telemedicine group.

Conclusion: The telemedicine system for patients with hypertension resulted in improved clinical outcomes.

Implications: It is recommended that telemedicine systems be applied to the follow-up care and management of other chronic diseases to reduce the time required for continuous treatment visits.

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