The problems and needs when caring for stroke patients at their homes under Primary Health Service System of Chonburi Province, Thailand.

Uten Suten, Srimuang Paluangrit, Supika Dangkrajang, Wandee Sutthinarakorn, Vanida Prasert

Abstract


In Thailand, government announce the health policy that aim to develop the patient care system in a community-level. This policy focus on home rehabilitation program for stroke patients to reduce all health dimension problems. Currently, stroke patients have long term disabilities and recurrent stroke within the first 1-3 months leading to the serious life-threatening and death. The objective of this study was to investigate the problems and needs of caregivers for taking care stroke patients after hospital discharge and caring for patients at home. Our study evaluated the health outcomes of stroke patients and the level of coordination between the family care team and the health workers in community. Methodology: The study conducted a qualitative research study. Purposive sampling was employed based on inclusion criteria to select 88 key informants comprised of 25 post stroke patients, 25 caregivers, 10 local health care officers at the community level, eight community leader, and 18 health volunteers who took care of survivors of stroke. The data collection consisted of in-depth interviews and focus group discussions, based on the data in Bothong District, Chonburi Province. The results revealed that caregivers had the problems about the experiences in the physical, mental, and social-economic aspects. Those were not confident about their ability and skill to caring stoke patients during the first month of caring patients at home. Additionally, they were not understand the policy and health care service system process of the local health care officers. For health volunteers, they lacked of experience for supporting stroke patients in the community. The community leader and local health care officer needed more knowledge and skills for taking care of the patients. They also requested more resources, healthcare tools, and equipment in order to care for the stroke patients. The findings presented the problems and needs of health care team in community for taking care stroke patients. Ability, knowledge, skill and experience for caring stoke patients of the health care team should be addressed. Moreover, all resources, facilities, equipment and budgets must be properly supported. Based on these results will be useful to design the community-level vascular rehabilitation program for better outcomes and sustainability.




DOI: http://doi.org/10.11591/ijphs.v11i2.21013

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International Journal of Public Health Science (IJPHS)
p-ISSN: 2252-8806, e-ISSN: 2620-4126

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