Development of Health Care Model For Homebound Elderly by Community Involvement in Nhong-Seng Village, Sub-district Wang-Nang, Muang District, Maha Sarakham Province

Abstract

Homebound elderly care was a problem what need to accelerate finding the solutions for elderly to help themselves normally. The purpose of this operational research was to study about the development of health care model for homebound elderly by the participation of Baan Nong Seng, Sub-district Vang Nang, Muang District, Maha Sarakham Province. A sample of this study was selected by criteria with 20 involved people including 10 of the representatives of elderly caretaker, a health service provider, 2 of Sub-district municipality officials, 4 of community leaders, 2 of public health volunteers, a Buddhist priest, and 31 homebound elderly people. The data were collected by quantitative and qualitative approaches. After that the data were analyzed by descriptive statistics such as, frequency, percentage, mean, standard deviation and qualitative data used content analysis. The findings indicated that after 5 steps of the development process including context analysis, planning the operation, operating by action plans, supervision, and evaluation. The result showed the development of health care model for homebound elderly influenced knowledge in a good level of simple health care by themselves and a good level of routine capability. Therefore, there is a higher level of ADL and self-help skills, then, this changed status to be social elderlies for 2 people. The main factors that contributing to this success caused from strong community leaders, the support and main host by the local government, the mentors from Sub-district Health Promoting Hospital, and the continued coordination all processes both formal and informal ways.