Development Model of Care for Stroke in Nonkhun District Sisaket Province

Abstract

Model Development of Stoke Care in Nonkhun District Sisaket Province aimed to investigate context of care, the process of model development and the finding of the model developing of Stoke care in Nonkhun area. The processing time was from July 2018 – July 2019. Subjects and the examples were two groups of 195 totally. Both consisted of 1) 27 multidisciplinary of care takers 2) 24 steck-holders were diagnosed to be Ischemic Stroke patients and 24 care takers and these were included 120 risk patients. The steps of study were four phases 1) the phase of document study analyzed from situation of patients statistic and the support systems. 2) Developing Phase to investigate the way of caring 3) Phase of following and using system 4) Evaluation phase.Tools and collecting data were from statistic of patients, questionnaires in Express way service, multidisciplinary of care takers interviewing, questionnaires of recognition in stroke for care takers and steck-holders. The finding found that context of patients care in emergency case had been provided guidance books for care takers (2nd time revision) by adding more detail and time limited in each step, setting suitable target value related to the context. Promote refer system through house visiting program, Thai COC and Line refer. Using Thai CV risk to screen, set the risk register, change behavior in middle risk group, high risk group, and in danger group. Following time was every three months. The process of care taking was set Nurse Manager Stroke in care taking point, improve the capacity of multidisciplinary. Monitor and Management followed CPG. Provided enough material and used case following. The improving found that recognition in prevalence of emergency stroke was in high level at 95.83 percent. Onset to door time was < 2 hours start from 88.33 to 91.66. Door to door time refer was 30 minutes (from 22.22 to 37.5) The patients of house following care were higher from 82.35 to 86.96. Suggestions for next study were needed support from the policy and capacity of disciplinary care takers, support system in rehabilitation both prevention and rehabilitation. Patients will receive high performance care and good quality of life.