DEVELOPING A CARE MODEL FOR SCHIZOPHRENIC PATIENTS IN THE AREA UNDER THE RESPONSIBILITY IN NONG PHOK HOSPITAL, NONG PHOK DISTRICT, ROI ET PROVINCE

Abstract

This action research aimed to develop a care model for patients with schizophrenia in the catchment area of Nong Phok Hospital, Roi Et Province, and to assess changes in patient satisfaction and quality of life. The study was conducted over 24 weeks in two cycles (October 2024-March 2025). Context and needs were explored through document review, in-depth interviews, and focus group discussions with 63 stakeholders. The developed model was then implemented with 30 purposively selected patients with schizophrenia. Outcomes were measured before and after implementation using a 15-item satisfaction questionnaire and the WHOQOL-BREF-THAI (26 items). Data were analyzed using descriptive statistics and paired t-test. The study produced the NPH Care Model comprising four components: network-based care, empowerment, capacity building, and integrated management. After implementation, mean satisfaction scores increased from 10.43±2.28 to 13.50±1.22 (p-value < 0.001), and mean quality-of-life scores increased from 74.40±7.59 to 92.06±3.74 (p-value < 0.001). The findings suggest that the NPH Care Model improves continuity of care through community networks and enhances patient-reported outcomes. Further scale-up and long-term evaluation are recommended.