Effectiveness of Public Health Volunteer Engagement Program in Home Care for Stroke Patients in Bo Thong District Chonburi Province, Thailand

Uten Sutin, Srimuang Paluangrit, S. Dangkrajang, W. Sutthinarakorn, V. Prasert
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Abstract

This research aimed to study the effectiveness of the Public Health Volunteer Participation Program in the home care of stroke patients. Methods: This was quasi-experimental research; the samples consisted of 30 public health volunteers in each comparison and experimental group by simple sampling. The experimental group participated the Public Health Volunteer Engagement Program that consisted of 1) improving the environment at home and supporting the physiotherapy by increasing movement to improve the body balance, 2) Stress management and social support of stroke patients at home, 3) Taking care the nutritional status among stroke patients at home, 4) Following on a daily within 12 weeks by nurse and public health volunteer. Data were collected by using the knowledge interview form on stroke and care of stroke patients. Data were analyzed by using frequency, percentage, mean, standard deviation, pair-sample t-test, and independent-sample t-test. Results: The results found that the knowledge average score and the home care practice score of the health volunteers were significantly higher than the comparison group (p < 0.001). When comparing the results before and after program implementation, the cerebrovascular disease care in public health volunteers were significantly higher than before program implementation. (P < 0.001). Conclusion: The Public Health Volunteer Engagement Program in Home Care for Stroke Patients was effective. This program was suitable for promoting the public health team to care stroke patients at the community level.
泰国春武里省博通区公共卫生志愿者参与项目对中风患者家庭护理的效果
本研究旨在探讨公共卫生义工参与计划对脑卒中患者家庭照护的效果。方法:准实验研究;样本采用简单抽样法,分为对照组和实验组各30名公共卫生志愿者。实验组参与公共卫生志愿者参与计划,包括1)改善居家环境,通过增加运动来支持物理治疗,以改善身体平衡;2)居家卒中患者的压力管理和社会支持;3)居家卒中患者的营养状况;4)护士和公共卫生志愿者在12周内每天跟进一次。采用卒中及卒中患者护理知识访谈表收集数据。数据分析采用频率、百分比、均值、标准差、对样本t检验和独立样本t检验。结果:健康志愿者的知识平均分和居家护理实践分均显著高于对照组(p < 0.001)。对比项目实施前后的结果,公共卫生志愿者的脑血管疾病护理水平明显高于项目实施前。(p < 0.001)。结论:公共卫生志愿者参与项目对脑卒中患者的家庭护理是有效的。该项目适合推动公共卫生团队在社区层面护理脑卒中患者。
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