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

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 1^st May, 2017 to 30^th 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