Development of self-management models to promote the health of homebound elderly who are at risk of falling in Nhong Wang Village, Tambon Wang-Nang, Muang district, Maha Sarakham Province.
Abstract
Abstract
This action research aimed to study the development procedure of a self-management model for the health promotion of home-bound elderly at risk of falling. Evaluate before and after the development and the factors affecting based on the theory of self-management Creer (2000). The samples used purposive sampling were 30 home-bound elderly at risk of falling with the Thai Falls Risk Assessment Test (Thai-FEAT). Collected data from both quantitative and qualitative then analyzed by descriptive statistics, including frequency distribution, numbers, percentage, mean, standard deviation, and quantitative data analysis by categorizing, linking, and concluding.
The results of the development procedure of a self-management model for the health promotion of home-bound elderly at risk of falling consisted of 6 elements 1) Setting a goal, 2) Collecting the data, 3) Processing, 4) Decision making, 5) Making a process and 6) Reflection revealed that the
self-management model for the health promotion of home-bound elderly at risk of falling in Nhong Wang Village, Tambon Wang-Nang, Muang district, Maha Sarakham Province under the concept of CHAIR Model consists of C : Community, there was a meeting of senior citizens club to reflect the problem data of home-bound elderly for allocate caring area divided into 5 clusters. H : Heart, 15 pairs by health care paired up with other elderly for promoting physical activities and modifying feeding behavior to reduce sweet, oil, and salty alongside information exchanging to support each other. A : APPRECIATE, there was a mentoring team to follow, reinforce, and empower for elderly and self-health recording in the health record book. I : Implement, to build self-confidence in home-bound elderly to participate in activities. Health Makers in each cluster provide knowledge and practice exercise skills for the elderly by using a chair. Stretching with folk songs 5 days a week for 3 months. Health conditions assessment and proper food consumption by reducing sweet, oil, and salty. Also reduced the risk of falling by arranged household conditions through cooperation between Health Makers and kin. R : Resource sharing,
by sharing the combined resource from Health Security funds and Thai Health Promotion Foundation.
In conclusion, the success factors consisted of 4 factors : 1) home-bound elderly have self-confidence and self-esteem to participate in community activities after achieving a thorough assessment of self-management of falling prevention. 2) The local Administrative was the host and budget supported. 3) Sub-district health promotion hospitals contribute and be mentors. 4) The members of the community cooperate in every process.
Keywords : Home-bound elderly, Development Model, Self-Management, Risk of Falling
