Rehabilitation for Bedridden Patient by Using Telehealth

10.30207/AHLA.202312.0014

Ngamnetr Eiamnakha；Chureeporn Sianglam；Jirot Sindhvananda；Salin Ruengsri

bedridden patient ； rehabilitation ； telehealth

The Proceeding of the 9th AHLA International Health Literacy Conference: Health Literacy and Social Resilience

2023（2023 / 12 / 01）

14 - 15

英文

Background: A study of the rehabilitation for bedridden patient or dependency by using remote health technology aimed to propose the utilization of telehealth technology for physical rehabilitation of bedridden patients or those with household or community dependence together with the practice guidelines at the Tambon Health Promoting Hospital and extending the utilization of remote health technology for long-term care by promoting self-reliance through the community wisdom. Methods: A research design was a mixed methodology by quantitative method integrated with qualitative and practical methods through telehealth technology to develop a learning program based on the guidelines of the Sirindhorn Institute for Rehabilitation of the National. A research was conducted in 3 steps: Phase 1 was developing content, knowledge and guidelines on health care for bedridden patients or those with dependence on 5 symptom groups, namely malnutrition, sepsis, difficulty in movement, constipation and insomnia. Phase 2 was a trial of a rehabilitation program through remote health technology, and phase 3 was a follow-up and assessment of health care and rehabilitation through telehealth. Results: The results showed that a learning program tailored to the ability to learn and utilize telehealth for the care of bedridden patients or those with household or community dependency may be divided into two programs: the telehealth program for the rehabilitation and standard practice learning programs. The quantitative study found that personal factors and opinions of caregivers who do take care of bedridden patients or those dependence have a significant correlation. An action study found that caregivers lack holistic health care skills and knowledge. The ability to use technology is a limitation of remote learning in remote areas, internet connection stability is a constraint of accessing. However, in a group of family members or caregivers with access to technology, there were good learning and practice outcomes in all 5 syndromes of bedridden patients or those dependence as well as being satisfied with the use of remote health technology. Research has shown that learning via a portable computer (tablet) is more effective than learning via a smartphone and telehealth technology is suitable for learning and use at the community level. The follow-up and evaluation of using telehealth technology found that, the components of care at the household or community level were the cost of care, health personnel, multidisciplinary team, community participation and caregivers. Conclusion: Policy recommendations such as integration of multilateral public-private partnerships, strengthening mechanisms to decentralize local government in the administration of Tambon Health Promoting Hospitals including the information technology structures to connect healthcare seamless systems. Academic recommendations such as, developing skills and enhancing long-term care giver attitudes through telehealth learning, content analysis of health media for learning through Telehealth technology.