Development of Tele-nursing Model for Older Patients with Chronic Disease in Sansai District, Chiang-Mai Province
Keywords:
Chronic disease, Older adult patients, Tele-nursing modelAbstract
This research involved research and development. The objective was to study a tele-nursing model suited to the specific context for older patients with chronic diseases utilizing the concepts of Tele-nursing and the nursing process. The study was structured into two phases. Phase 1 aimed to explore the concept of tele-nursing by employing principles and examining the problems and needs of the older patients with chronic diseases utilized a tele-nursing selected by simple random sampling of 397 people with Quantitative questionnaires and conducted in-depth interviews with executive people selected by purposive sampling. Data were collected during December 2022 to May 2023.
The results showed that 1) traveling problems to the Sub-District Health Promoting Hospital were at a high level (M = 3.50, SD = 1.29). There were moderate levels: 2) uncovering nursing care problems (M = 2.56, SD = 1.03); 3) receiving chronic health care knowledge problems (M = 2.56, SD = 1.02); 4) expend travel to service units problems (M = 2.87, SD = 1.26); and 5) communication with nurses problems (M = 2.69, SD = 1.12). As identified in-depth interviews concluded, the provision of services through tele-nursing is suitable for the current situation in structured policy for nurses regarding the nursing process with the guidelines set by the nursing council. Maintaining confidentiality during tele-nursing is crucial, particularly for older patients with chronic illnesses. Budgetary theme considerations require the establishment of a clear policy originating from the host hospital system. Therefore, the tele-nursing model comprises 1) a tele-nursing system. 2) Line application facilitating nursing care tailored to the needs of the elderly with chronic diseases according to a 5-step nursing process 3) a handbook outlining nursing practices and a specialized training program designed to enhance skills in caring for older patients with chronic diseases.
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