Effectiveness of Home Care Service for Patients with Stage 4 and 5 Chronic Kidney disease in Wanon Niwat Primary Care Cluster, Wanon Niwat Hospital, Sakon Nakhon Province : ประสิทธิผลการเยี่ยมบ้านผู้ป่วยโรคไตเรื้อรังระยะที่ 4 และ 5 ของคลินิกหมอครอบครัววานรนิวาส โรงพยาบาลวานรนิวาส จังหวัดสกลนคร

ผู้แต่ง

  • Prapha Suwannathen

บทคัดย่อ

          The stage 4 and 5 of chronic kidney disease (CKD) are complex and have high treatment cost. Wanon Niwat Primary Care Cluster, Wanon Niwat hospital launched a home care service for the patients with stage 4 and 5 CKD, however, the service has not been monitored or assessed. Thus, the objective of this study was to assess the effectiveness of home care service for patients with stage 4 and 5 CKD by Primary Care Cluster. This assessment included the out-patients department (OPD) utilization, Emergency room (ER) utilization, hospitalization, length of stay in hospital and overall cost during 1 year before and after the home care service provided. The research methodology was retrospective pretest-posttest one group design in patients with stage 4 and 5 CKD living in the responsibility area of Primary Care Cluster. The first home visits of 51 patients were provided during 1st May, 2017 to 30th April, 2018. Data were analysed using Frequency, Percentage, Mean, Standard deviation, Median, Inter-quartile range, Wilcoxon signed-rank test and Chi-square test by statistical software. The results showed that 64.7% of patients received home care service at least 3 times per year. Number of OPD utilization, ER utilization, hospitalization, length of stay in hospital and overall cost were insignificantly increased (p >0.05)

          Keywords : Home Care Service, Stage 4 Chronic Kidney Disease, Stage 5 Chronic Kidney Disease, Effectiveness

 

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เผยแพร่แล้ว

2020-03-05

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Original Article