https://he04.tci-thaijo.org/index.php/hciyasohos <p style="margin: 0cm;"><strong>วัตถุประสงค์</strong></p> <p>เพื่อเผยแพร่และฟื้นฟูผลงานทางวิชาการและงานวิจัยทางการแพทย์และสาธารณสุข</p> โรงพยาบาลยโสธร th-TH YASOTHON MEDICAL JOURNAL 2985-0525 <p>บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของยโสธรเวชสาร</p> https://he04.tci-thaijo.org/index.php/hciyasohos/article/view/3439 <p><strong>Background: </strong>Hip fracture is a significant health problem that requires internal fixation surgery along with clear care planning to promote rehabilitation and improve quality of life.</p> <p> <strong>Methods: </strong>This research and development study consisted of 4 phases: situation analysis, model development and quality validation, implementation, and evaluation. The sample consisted of 13 registered nurses and 60 patients, divided into pre-development and post-development groups of 30 patients each. Research instruments consisted of focus group discussion guidelines, general data, patient outcome recording forms, knowledge assessment tools, nursing practice competency evaluation forms, nurse satisfaction questionnaires, and patient satisfaction questionnaires. Data were analyzed using descriptive statistics, paired t-tests, chi-square tests, and content analysis.</p> <p> <strong>Results: </strong>The situation analysis phase revealed that the nursing care model for patients with hip fractures undergoing internal fixation surgery was unclear and lacked concreteness, and nursing practices varied depending on individual skills and experience. The development phase resulted in a concrete nursing care model aligned with the organizational context, called the HIP CARE model, comprising 7 activity categories: 1) holistic care, 2) interprofessional team, 3) pain management, 4) continuity of care, 5) early mobilization, 6) rehabilitation, and 7) patient education and discharge planning. The model was validated by expert reviewers. Following implementation within the organizational context, patient outcomes in the post-development group showed statistically significant reductions in pressure ulcers, pulmonary embolism, and pain levels compared to the pre-development group. Nursing outcomes showed that nurses had statistically increased knowledge, competency, and satisfaction.</p> <p> <strong>Conclusion: </strong>The developed HIP-CARE model effectively enhanced the care of hip fracture patients and is suitable for implementation in hospital contexts.</p> Nitwipa Ounsrong Anucha Taiwong Rutsamee Katetanee Napat Wannomai Copyright (c) 2025 YASOTHON MEDICAL JOURNAL https://creativecommons.org/licenses/by-nc-nd/4.0 2025-11-25 2025-11-25 27 3 2733439 2733439 https://he04.tci-thaijo.org/index.php/hciyasohos/article/view/3581 <p>This quasi-experimental study aimed to examine the effects of the “Three Doctors System” elderly care program on reducing fall risk among older adults in Ban Thung Kasem Subdistrict Health Promoting Hospital, Ubon Ratchathani Province. Participants were older adults at risk of falling, identified using the Thai FRAT screening tool with a score of ≥ 4. A total of 68 participants were divided equally into experimental and comparison groups (34 per group). The experimental group received the elderly care program based on the “Three Doctors System,” developed by the researchers, while the comparison group received standard health services from the Ministry of Public Health. The intervention lasted 12 weeks. Data were collected before and after the intervention between February and April 2025 using a validated questionnaire assessing health perceptions, self-efficacy, and fall-prevention behaviors (reliability &gt; 0.7), together with assessments of fall risk, mobility, balance, and lower limb strength. Data were analyzed using descriptive statistics and t-tests at a significance level of 0.05.</p> <p> The results indicated that the experimental group showed a significant increase in knowledge regarding fall prevention (p &lt; 0.001) and improved understanding of risk identification and safe home environments. According to the Health Belief Model, perceived severity, susceptibility, benefits, barriers, and self-efficacy all improved significantly (p &lt; 0.05), demonstrating greater confidence in self-care. Furthermore, fall-prevention behaviors improved markedly (p &lt; 0.001), including engaging in regular exercise, using bathroom handrails, and wearing suitable footwear. Muscle strength, mobility, and balance also improved significantly (p = 0.001), while the overall fall risk decreased substantially.</p> <p> In conclusion, the “Three Doctors System” Elderly Care Program effectively enhanced knowledge, health perceptions, and preventive behaviors, and improved physical performance, thereby reducing the risk of falls among older adults.</p> Jaipet Ninbaran Sukhontip Arunkamonphat Copyright (c) 2025 YASOTHON MEDICAL JOURNAL https://creativecommons.org/licenses/by-nc-nd/4.0 2025-11-03 2025-11-03 27 3 2733581 2733581