Development of a Care Model for Patients with Stroke during Rehabilitation Stage in Krasaesin Hospital
Nanvalai Chaisawat
Keywords:
Care model, Patients with stroke, Rehabilitation stageAbstract
Participatory action research was conducted with the aims to analyse the current situation, develop a care model for patients with stroke during rehabilitation stage, and evaluate the efficacy of a care model for patients with stroke during rehabilitation stage in Krasaesin Hospital. The four steps were as follows: phase 1, scenario analysis; phase 2, development of the care model; phase 3, application of the care model; and phase 4, evaluation of the care model. The sample for this study was chosen using a purposive sampling strategy. Three sample groups ware 5 patients and 5 caregivers. Patient care providers 15 people, total 25 people’s new cases of patients with stroke, and 10 participants were selected for the study using a purposive sampling technique with new cases of patients with stroke using inclusion and exclusion criteria. Instruments of this study were focus group discussion questionnaires, and in-depth interview questionnaires. The contents of instrument were validated by three experts. The first part's content validity index was 0.88, while the fourth part's was 0.82. Data collection was conducted by focus group discussion, and in-depth interview. Data was analysed by using percentages, average scores, and content analysis. The findings showed that a care model for patients with stroke during rehabilitation stage comprised of patient admission, a home visitation strategy, a multidisciplinary team, and continuity care. Every new case of patient with stroke received a home visit. The home visit team had the highest satisfaction rating (91.78%). Patients with strokes received faster rehabilitation as a result of the care model's clarity, simplicity, and viability in actual practice.Recommendation: The care model for patients with stroke should be applied during the rehabilitation stage in order to encourage patients to obtain rehabilitation and improve their quality of life.
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