Network Participation in Prevention and Surveillance of Severe Community Acquired Sepsis Among Illnesses Elderly, Nong Bua Subdistrict, Muang Udonthani Province

Abstract

The objective of this participatory action research to study the situation/related factors/  developing and evaluate the surveillance and prevention of severe community acquired sepsis by network participation. The participants were 17 people for group discussions and in-depth       interviews, 30 people for study of community acquired sepsis model. The study Implemented during February 2019 - September 2020; divided to 3 steps; 1) study the situation/related factors 2) developing the model 3) evaluation the model. The research instrument was model of       surveillance and prevention of severe community acquired sepsis among the illnesses elderly with participation of a network. The data collection were 1) in-depth interview and focus group discussion 2) non-participant observation 3) the knowledge questionnaire on surveillance and  prevention of community acquired sepsis, reliability by Cronbach's alpha coefficient was 0.71. The data was analyzed using descriptive statistics and paired T-test, using content analysis in qualitative data.

Result: (I) Community acquired sepsis was found in all age groups, mortality was high in the elderly with underlying diseases. The related factors are people lack of knowledge for symptoms and inappropriate decisions making to timely medical care, village health volunteers had insufficient knowledge and proper media to advice people. (II) The surveillance model was 1) training village health volunteers to observe suspected community acquired sepsis symptoms and made good decision to timely medical access and pass it on illnesses elderly and people. The pre-post training score were statistically different (p< 0.001). 2) Wall stickers/ banners quote of suspected community acquired sepsis symptoms had made for village health volunteers to accompany with advisory to the illnesses elderly and people. (III) Evaluate the results by collected data on accessing medical care either by private vehicles or 1669 emergency medical services (EMS). The mortality rate after 6 months project implementation in the first cycle decreased from 66.66% to 40.00% and mortality rate after wall stickers/ banners had added for 6 months in the second cycle was 44.44%.

Conclusion: training village health volunteers to advise the illnesses elderly and people  observing sepsis-suspected symptoms and timely access to medical care can reduce the mortality rate.