Developing and using a dengue patient care guideline for patients admitted from households to primary care units and the district hospital: A community participatory approach in Southern Thailand
Background: Dengue has been an important health issue in southern Thailand. However, this area has only a surveillance-prevention system, without step-by-step guidelines on dengue treatment for patients admitted from households to primary care units (PCUs) and district hospitals. Therefore, this stu...
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Elsevier
2020-12-01
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Series: | One Health |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S235277142030269X |
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Article |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Charuai Suwanbamrung Cua Ngoc Le Sarunya Maneerattanasak Ponlapat Satian Chumponut Talunkphet Youwarat Nuprasert Anuson Siwarin Somsri Kotchawat Poungpen Srimoung Chumpron Ponprasert Orratai Nontapet |
spellingShingle |
Charuai Suwanbamrung Cua Ngoc Le Sarunya Maneerattanasak Ponlapat Satian Chumponut Talunkphet Youwarat Nuprasert Anuson Siwarin Somsri Kotchawat Poungpen Srimoung Chumpron Ponprasert Orratai Nontapet Developing and using a dengue patient care guideline for patients admitted from households to primary care units and the district hospital: A community participatory approach in Southern Thailand One Health Dengue patient care guideline Household Primary care unit Hospital KAP |
author_facet |
Charuai Suwanbamrung Cua Ngoc Le Sarunya Maneerattanasak Ponlapat Satian Chumponut Talunkphet Youwarat Nuprasert Anuson Siwarin Somsri Kotchawat Poungpen Srimoung Chumpron Ponprasert Orratai Nontapet |
author_sort |
Charuai Suwanbamrung |
title |
Developing and using a dengue patient care guideline for patients admitted from households to primary care units and the district hospital: A community participatory approach in Southern Thailand |
title_short |
Developing and using a dengue patient care guideline for patients admitted from households to primary care units and the district hospital: A community participatory approach in Southern Thailand |
title_full |
Developing and using a dengue patient care guideline for patients admitted from households to primary care units and the district hospital: A community participatory approach in Southern Thailand |
title_fullStr |
Developing and using a dengue patient care guideline for patients admitted from households to primary care units and the district hospital: A community participatory approach in Southern Thailand |
title_full_unstemmed |
Developing and using a dengue patient care guideline for patients admitted from households to primary care units and the district hospital: A community participatory approach in Southern Thailand |
title_sort |
developing and using a dengue patient care guideline for patients admitted from households to primary care units and the district hospital: a community participatory approach in southern thailand |
publisher |
Elsevier |
series |
One Health |
issn |
2352-7714 |
publishDate |
2020-12-01 |
description |
Background: Dengue has been an important health issue in southern Thailand. However, this area has only a surveillance-prevention system, without step-by-step guidelines on dengue treatment for patients admitted from households to primary care units (PCUs) and district hospitals. Therefore, this study were to develop and use a dengue patient care guideline (DPCG), and to evaluate knowledge, attitude, practice (KAP) of dengue patient care. Methods: 26 health care providers (13 nurses, and 13 public health officials) from eight PCUs and the district hospital developed the DPCG. The study design was based on the community participatory action research that integrated the Iowa model involving the following steps: preparation, guideline development, use and monitoring, evaluation and conclusion, and referring technology. We assessed the improvement between before and after using the DPCG regarding the participants' KAP on patient care and preparedness of equipment. McNamara's test was used to compare the changing results before and after using the DPCG. Qualitative data collection was performed in two meeting discussions with six open-end items. Using a thematic analysis technique, we extracted conclusions and suggested solutions. Results: The guideline included four steps for patients' care provision at households, PCUs, outpatient departments, emergency rooms, and inpatient departments. After using the DPCG in 39 dengue patients of which 30 patients were admitted to the inpatient department1 and two patients were referred to the tertiary care hospital without mortality. The overall participants' knowledge and attitude, two of six aspects of patients' care, and three of eight types of equipment management were significantly improved (p < 0.05). Eleven themes were evaluated which were associated with the quantitative data. Conclusion: The DPCG instructed dengue patient's care for health care providers from households to the PCUs and district hospital. All participants improved KAP, and equipment management. Step-by-step of DPCG use and participation of all stakeholders are needed. |
topic |
Dengue patient care guideline Household Primary care unit Hospital KAP |
url |
http://www.sciencedirect.com/science/article/pii/S235277142030269X |
work_keys_str_mv |
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doaj-28f430b8ccd548c58854e89ce899e9352020-11-25T03:36:10ZengElsevierOne Health2352-77142020-12-0110100168Developing and using a dengue patient care guideline for patients admitted from households to primary care units and the district hospital: A community participatory approach in Southern ThailandCharuai Suwanbamrung0Cua Ngoc Le1Sarunya Maneerattanasak2Ponlapat Satian3Chumponut Talunkphet4Youwarat Nuprasert5Anuson Siwarin6Somsri Kotchawat7Poungpen Srimoung8Chumpron Ponprasert9Orratai Nontapet10School of Public Health, Walailak University, Nakhon Si Thammarat Province, Thailand; Excellent Center for Dengue Research and Academic Service (EC for DRAS), Walailak University, Thailand; Corresponding author at: School of Public Health and Excellent Center for Dengue Research and Academic Service (EC for DRAS), Walailak University, Thailand.School of Public Health, Walailak University, Nakhon Si Thammarat Province, Thailand; Excellent Center for Dengue Research and Academic Service (EC for DRAS), Walailak University, ThailandSchool of Public Health, Walailak University, Nakhon Si Thammarat Province, Thailand; Excellent Center for Dengue Research and Academic Service (EC for DRAS), Walailak University, ThailandLansaka Hospital, Nakhon Si Thammarat Province, ThailandLansaka Hospital, Nakhon Si Thammarat Province, ThailandLansaka Hospital, Nakhon Si Thammarat Province, ThailandLansaka Hospital, Nakhon Si Thammarat Province, ThailandMaharaj Nakhon Si Thammarat Hospital, Nakhon Si Thammarat Province, ThailandMaharaj Nakhon Si Thammarat Hospital, Nakhon Si Thammarat Province, ThailandPublic Health Official of Lansaka District, Nakhon Si Thammarat Province, Thailand; Excellent Center for Dengue Research and Academic Service (EC for DRAS), Walailak University, ThailandSchool of Nursing, Walailak University, Nakhon Si Thammarat Province, Thailand; Excellent Center for Dengue Research and Academic Service (EC for DRAS), Walailak University, ThailandBackground: Dengue has been an important health issue in southern Thailand. However, this area has only a surveillance-prevention system, without step-by-step guidelines on dengue treatment for patients admitted from households to primary care units (PCUs) and district hospitals. Therefore, this study were to develop and use a dengue patient care guideline (DPCG), and to evaluate knowledge, attitude, practice (KAP) of dengue patient care. Methods: 26 health care providers (13 nurses, and 13 public health officials) from eight PCUs and the district hospital developed the DPCG. The study design was based on the community participatory action research that integrated the Iowa model involving the following steps: preparation, guideline development, use and monitoring, evaluation and conclusion, and referring technology. We assessed the improvement between before and after using the DPCG regarding the participants' KAP on patient care and preparedness of equipment. McNamara's test was used to compare the changing results before and after using the DPCG. Qualitative data collection was performed in two meeting discussions with six open-end items. Using a thematic analysis technique, we extracted conclusions and suggested solutions. Results: The guideline included four steps for patients' care provision at households, PCUs, outpatient departments, emergency rooms, and inpatient departments. After using the DPCG in 39 dengue patients of which 30 patients were admitted to the inpatient department1 and two patients were referred to the tertiary care hospital without mortality. The overall participants' knowledge and attitude, two of six aspects of patients' care, and three of eight types of equipment management were significantly improved (p < 0.05). Eleven themes were evaluated which were associated with the quantitative data. Conclusion: The DPCG instructed dengue patient's care for health care providers from households to the PCUs and district hospital. All participants improved KAP, and equipment management. Step-by-step of DPCG use and participation of all stakeholders are needed.http://www.sciencedirect.com/science/article/pii/S235277142030269XDengue patient care guidelineHouseholdPrimary care unitHospitalKAP |