Develop a Nursing Model for Pediatric Thalassemia Patients Yasothon Hospital

Abstract

          This research is a research and development with the objective of developing a nursing model for thalassemia children at Yasothon Hospital. The study was conducted from January 2022 to October 2022. There were 4 phases; Phase 1: Study the situation; Phase 2: Develop a nursing model; Phase 3: Trial and Phase 4: Evaluation. The sample groups were purposively selected as follows: 1) Service recipients: 60 caregivers of thalassemia children and thalassemia children; 2) Service providers: 10 professional nurses. The research instruments were: 1) The new manual for nursing standards for thalassemia children; 2) the instruments used for data collection were: (1) a recording form for nursing indicators before, during and after blood transfusion. (2) Personnel satisfaction questionnaire (3) Knowledge measurement form for caregivers of thalassemia children (4) Patient satisfaction questionnaire. Data were analyzed using descriptive statistics and inferential statistics to compare the difference in mean scores before and after providing knowledge using paired t-test statistics.

          The results of the study found that 1) Nursing care model for pediatric thalassemia patients consists of nursing standards for children with thalassemia and health education videos for thalassemia 2) The effectiveness of the system consists of service provider results, including overall personnel satisfaction at a very high level ( = 4.97, S.D. = 0.37) and compliance with nursing standards It was in the range of 88.7-100 percent. Results for service users included complications from blood transfusions. The knowledge of caregivers after development was significantly higher than before development ( before = 8.52, after = 14.67) significantly at the .01 (p-value= .000), and patient satisfaction. The overall level is at a very high level ( = 4.98, S.D. = 0.04)