Results of the rehabilitation program for intermediate care elderly patients at home using the telemedicine service system In Mueang Sakon Nakhon District, Fiscal year 2024

Abstract

          This research is a quasi-experimental study with a two-group design, consisting of an experimental group and a control group, with pre- and post-intervention measurements. The objective is to examine the effects of a rehabilitation program for homebound elderly patients in intermediate care using telemedicine services in Mueang Sakon Nakhon District. The study focuses on homebound elderly patients diagnosed with the following conditions: stroke, traumatic brain injury, spinal cord injury, and hip fractures. The experimental group consisted of 30 participants, as did the control group. Research Tools: The tools used in the study are divided into two parts: Tools used for the intervention:1.1) A practical rehabilitation program for homebound elderly patients in intermediate care. Tools used for data collection: 2.1) An assessment form for daily living activities.2.2) A questionnaire on motivation for daily care routines.2.3) A knowledge questionnaire about elderly care for caregivers (CGs).2.4) A questionnaire on attitudes toward elderly care for caregivers (CGs). All tools were validated for content accuracy by three experts and tested for reliability using Cronbach's alpha coefficient, yielding reliability scores of .92, .92, .94, .92,  and .92, respectively. Data Analysis: Data were analyzed using descriptive and inferential statistics, including Paired Sample t-tests and Independent t-tests. Results: After the intervention, there were statistically significant differences (p-value < 0.05) in the motivation for daily care routines, quality of life of homebound elderly patients, knowledge about elderly care, and attitudes of caregivers (CGs) in the experimental group (30 participants). Key findings include: Motivation for daily care routines and quality of life showed significant differences before and after the intervention within the experimental group (p-value = 0.00).Timed Up and Go Test (TUGT) results showed significant improvement (p-value < 0.001).Comparing the experimental group (30 participants) and the control group (30 participants) after the intervention, significant differences were observed in motivation for daily care routines, quality of life, and the use of the rehabilitation program (p-value = 0.000), as well as in TUGT results (p-value < 0.001).Comparing the experimental group (30 participants) and the control group (30 participants) after the intervention, significant differences were observed in motivation for daily care routines, quality of life, and the use of the rehabilitation program (p-value = 0.000), as well as in TUGT results (p-value < 0.001).Satisfaction with the use of Telemedicine Rehabilitation among healthcare teams was rated as high (x̄ = 4.34, S.D. = 0.729).Satisfaction with the use of the rehabilitation program for homebound elderly patients was rated as very high (x̄ = 4.67, S.D. = 0.506). Conclusion: The results demonstrate that the rehabilitation program for homebound elderly patients in intermediate care using telemedicine services in Mueang Sakon Nakhon District successfully achieved its objectives.