Developing a participatory palliative care model of Dong Hong Hae Health Promoting Hospital, Muang District, Ubon Ratchathani Province

Abstract

The objectives of this action research were 1) to develop a palliative care model by participating in Dong Hong Hae Health Promoting Hospital, Muang District, Ubon Ratchathani Province, 2) to investigate the outcomes of palliative care model based on the participation of Dong Hong Hae Health Promoting Hospital. Using the PAOR process concept of Kemmis & McTaggart which consists of 3 phases as follow: researching the palliative care circumstances, developing a participatory palliative care model, and evaluating the model's application's outcome. The participants consisted of 1) 16 service recipients, 2) 6 service providers, and 8 community network members, selected purposively according to the inclusion criteria. Research instruments include semi-structured interview used in-depth interview and questionnaires used to evaluate the palliative care model. Qualitative data were analyzed with content analysis and quantitative data analysis include frequency, percentage, average, and Wilcoxon sign ranks test. The results showed that: the participatory palliative care model of Dong Hong Hae Health Promoting Hospital consists of people, communication, network and management on the budget, materials, and medical supplies. Regarding the measure of the satisfaction of relatives to the care model overall at the highest level (x̄=4.81, S.D.=.36). (p<.05) increased substantially in comparison to it did before to applying the model (Z=3.07, P<.05). According to the service team, the care model can be consistently followed at the practice level. The statistical significance (Z=2.21, P<.05) of the model was seen to have grown from previously (x̄=3.91, S.D.=.28) more than prior to employing the statistically significant model (Z=2.21, P<.05). The outcomes of this study comprised the village health volunteer buddy on the home visit and its lead to the experienced group in palliative care, an advance care plan, and the center of essential medical equipment for patient loan for use at home.