Main Article Content
The purpose of this descriptive research were: 1) to analyze the situations and expectations of care management for patients undergoing continuous ambulatory peritoneal dialysis (CAPD). 2) To develop a care management model for these patients, and 3) to evaluate the appropriateness of the developed model. The purposive sampling technique was used samples were 15 health care providers and clients for analyzing the situations and expectations, and 10 experts for evaluating the developed model. Research tools consisted of a semi-structure interview and the guidelines for evaluating an appropriateness of the developed model. The tool was verified by 5 experts and the content validity index was 0.87. Data were analyzed by using percentage and content analysis.
The research findings were as follows; (1) After analysis the situations and the expectations of care management for the patients, 4 issues were found: 1) the hospital policy and health care services structure were unclear, 2) health care design and procedures of services as health care provider role were ineffective, 3) patients did not participate in a self-care and treatment program, and 4) the hospital, the community and primary care units were not connected. It was also expected to be more effective management for these patients, (2) The developed model comprised 3 components: 1) focusing on patients and caregivers center, 2) clear policy and cooperation of a health care team, and 3) community cooperation and coordination with primary care units, and (3) The appropriateness of care management for the patients undergoing CAPD was at the high level (Mean=4.80, SD=0.40, Min= 4.60, Max=4.90).
2. Chuasuwan A, Praditpornsilpa K, editors. Annual report Thailand renal replacement therapy Year 2014. Bangkok: The Nephrology Society of Thailand; 2014. (in Thai).
3. Bureau of Epidemiology, Department of Disease Control, Ministry of Public Health. Kidney disease threats around them [Internet]. 2017 [cited 2017 Jul 7]; Available from: http://126.96.36.199/ boe/viewddcw.php. (in Thai).
4. Artiwitchayanon A, Keeratiyutawong P, Duangpaeng S. Predictors of self-management in patients with chronic kidney disease undergoing continuous ambulatory peritoneal dialysis [Non-Publish]. Chonburi: Faculty of Nursing, Burapha University; 2015.(in Thai).
5. Wagner EH, Austin BT, Davis C, Hinmarsh M, Schaefer J, Bonomi A. Improving chronic illness care: Translating evidence into action. Health Aff (Millwood). 2001;20(6):64-78.
6. Buno-pash M, Nilphat T. The development of a caring model for patients with end-stage renal disease on continuous ambulatory peritoneal dialysis by registered nurses in region 11, shealth care network. Region 11 Medical Journal. 2015;29(1):1-11. (in Thai).
7. Setboonsrang K, Prasomrak P. The care model development for end stage renal disease patient who had renal replacement therapy on self-care and quality of life in Loengnoktha Crown Prince Hospital, Yasothon Province. Community Health Development Quarterly Khon Khan University. 2016;4(4):485-503. (in Thai).
8. Ukati K, Chantajirakhovit N. Self-care agency and quality of life in end stage renal disease patients undergoing continuous ambulatory peritoneal dialysis. Songklanagarind Medical Journal. 2007;25(3):171-7. (in Thai).
9. Hanmontree T, Moolsart S. Service quality based on patient-centered care as perceived by professional nurses at community hospitals under Ministry of Public Health, the Inspection Region 1. Thai Journal of Nursing. 2014; 63 (4):49-56. (in Thai).
10. Petchroung N, Priyatruk P, Thongkeang V. The study of continuing care for patients with cerebrovascular disease in primary care unit. Journal of The Royal Thai Army Nurses. 2013;14(1):25-34. (in Thai).
11. Annapanurak R, Manit A. Development of nursing service system among chronic kidney disease patients receiving continuous ambulatory peritoneal dialysis by using case management concept at King Narai Hospital, Lop Buri. Thai Journal of Cardio-Thoracic Nursing. 2015;26(1):133-84. (in Thai).
12. National Health Security Office. National health security fund management manual. Bangkok: Moonlight Publishing; 2009. (in Thai).
13. Cherngyooth K, Oba N, Laksomya T. Caring outcomes of patients with type 2 diabetes by contracting unit of primary care, Naresuan University Hospital. Journal of Nursing and Health Sciences. 2012;6(2):110-21. (in Thai).
14. Uengtrakul S, Tangpukdee S, Kaewmafai J. Development care services model for patients with end stage renal disease who received the continuous ambulatory peritoneal dialysis at Roi-Et Hospital. Journal of Nursing and Health Care. 2014;32(4):49-59. (in Thai).
15. BernsteinSJ. A new model for chronic care delivery. Front Health Serv Manage. 2008;25(2):31-8.
16. Tantivichitvej R. A development of peritoneal dialysis with community networks at Photharam District, Ratchaburi Province [Dissertation]. Bangkok: Mahidol University; 2015. (in Thai).
17. Phinyo P, Phinyo K, Limtragool P, Tiamkao S, Worawong C, Chuasuan W, et al. Care improvement for patients with stroke through community participation. Songklanagarind Journal of Nursing. 2015;35(2):93-111. (in Thai).