The Development of a Care Model for Home-bound and Bed-bound Chronically ill Patients

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ณิสาชล นาคกุล


       The purpose of this action research was to develop the care model for home-bound and bed-bound chronically ill patients in Suratthani Municipality. The research had three phases, 1) analyze the situation of the chronically ill patient who was home-bound and bed-bound, 2) develop a care model and 3) evaluation of the implementation of the model before and after.  The samples were135 home-bound and bed-bound patients and 22 members of the team provided care for chronically ill patients. The tool  of the study was a semi-structured interview questionnaire which was used to interview and a focus group. The Barthel’s ADL and the patients’ perception of health questionnaires were used to evaluate before and after the development of the care model.  The reliability of questionnaires were .76 and .97. Descriptive statistics were used such as percentage, mean and SD. Inferential statistics including Wilcoxon Matched pairs signed rank test were used.  The results of the team development showed five topics that developed the care model for chronically ill patients who were home-bound and bed-bound. These were 1) The development of the potential care team 2) The development of a follow-up system 3) The implementation of participation of the patient care network 4) Self care support and 5) Social support.

         The results of the care model’s development for 135 chronically ill patients who were home-bound and bed-bound found capable of performing basic tasks at the significance level of .05 (w=-2.122).



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นาคกุลณ. The Development of a Care Model for Home-bound and Bed-bound Chronically ill Patients. Nursing Journal of The Ministry of Public Health [Internet]. 31Dec.2018 [cited 24Mar.2019];28(3):36-0. Available from:


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