ดาวน์โหลดงานนำเสนอ
งานนำเสนอกำลังจะดาวน์โหลด โปรดรอ
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1 Jitrada Deawpha 5431804015 Thanamat Bunpanya 5431804030 Natthida Malathong 5431804035
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2 The Geography of ChiangSaen district in has located in Chiang Rai province the north of Chiang Rai province. It has four directions ; - North ; Mae Sai district and Laos PDR - East ; Bor kaew district, Laos PDR and Chiang Khong district - South ; Chiang Khong, Doi Luang and Mae Chan district - West ; Mae Chan and Mae Sai district Source: Chiangsaen hospital, Chiang Rai province, Thailand
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3 Locate : Location at 104 Moo 6 Wiang sub- district, Chiangsaen district, Chiang Rai Province Primary & Secondary care level Hospital size : 60 beds Hospital Staff : 229 persons Department : 10 Department
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Chiangsaen hospital are a quality hospital to provide a good service, bring the community and borderland health system through a dedicated health and social network association, satisfied and customer, and healthy people. Provider is valuable and goodness. เราจะเป็นโรงพยาบาลคุณภาพ มุ่งบริการดี สร้างระบบสุขภาพชุมชนและ ระบบสุขภาพชายแดนที่เข้มแข็ง ด้วยหลักสุขภาพพอเพียงร่วมกับภาคี เครือข่ายและ ภาคประชาสังคม เพื่อให้ผู้รับบริการปลอดภัย พึงพอใจ ประชาชนมีสุขภาวะ ผู้ให้บริการมีคุณค่า ความดีงามและความสุข 4 Source: Chiangsaen hospital, Chiang Rai province, Thailand
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5 1. To provide a good service system through the professional and integrating the holistic. 2. To bring the community and borderland health system through a dedicated health and social network association 3. To improve a quality, value, goodness, and happiness of staff by a good governance and self-sufficiency in Chiangsaen is the organization of learning. 1. สร้างระบบบริการที่ดี ตามมาตรฐานวิชาชีพ อย่างผสมผสานและเป็นองค์ รวม 2. สร้างระบบสุขภาพชุมชนและระบบสุขภาพชายแดน ที่เข้มแข็ง ร่วมกับภาค เครือข่ายและภาคประชาสังคม 3. สร้างเสริมบุคลากรให้มีคุณภาพ มีคุณค่า ความดีงาม และมีความสุข ยึด หลักธรรมาภิบาลและความพอเพียงในการดำเนินชีวิตสร้างโรงพยาบาลเชียง แสนให้เป็นองค์กรแห่งการเรียนรู้ Source: Chiangsaen hospital, Chiang Rai province, Thailand
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6 N = 46,631 Source: Chiangsaen hospital, Chiang Rai province, Thailand
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8 DaysClinic Service Monday -ANC -HT -Addiction -Physical Therapy -Thai traditional medicine Tuesday -TB -Anti-HIV drug -COPD -Addiction -Physical Therapy -Thai traditional medicine Wednesday -DM -Family Planning -Addiction -Physical Therapy -Thai traditional medicine Thursday -DM -Addiction -Physical Therapy -Thai traditional medicine Friday -HT -Addiction -Physical Therapy -Thai traditional medicine Every 2 nd Thursday of month Well baby Clinic, Immunization Source: Chiangsaen hospital, Chiang Rai province, Thailand
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9 N = 87,116
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10 Source: Chiangsaen hospital, Chiang Rai province, Thailand
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11 Source: Chiangsaen hospital, Chiang Rai province, Thailand
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12 Source: Chiangsaen hospital, Chiang Rai province, Thailand
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13 Source: Chiangsaen hospital, Chiang Rai province, Thailand
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14 Registration Vital sign & Screening Old patient : ID card New patient : Record profile + ID card Emergency room -Accident with in 24 hour -Blood pressure is too high Out patient department -General health service -Counseling -X-Ray Health promotion -ANC -Family Planning -Well Baby Clinic -Immuniz ation -Physical therapy -Thai Tradition Appointments -NCD clinic -HIV clinic -TB clinic -Addiction Disease prevention and control clinic -Vaccinatio n -New TB case -Dog bite Source: Chiangsaen hospital, Chiang Rai province, Thailand
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15 Visit/Case Year Source: Chiangsaen hospital, Chiang Rai province, Thailand
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16 yea r Visit Source: Chiangsaen hospital, Chiang Rai province, Thailand
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17 year Percentage Source: Chiangsaen hospital, Chiang Rai province, Thailand
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18 year Visit Source: Chiangsaen hospital, Chiang Rai province, Thailand
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year Morbidity rate 19 Source: Chiangsaen hospital, Chiang Rai province, Thailand
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20 Percentage Source: Chiangsaen hospital, Chiang Rai province, Thailand
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21 Father & Mother school Blood test Urine Test Dental Care Palpation and measure high of fundus Fetal Heart Sound
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22 Child development, observed and practiced for Immunization in responsibility area
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24 Health screening & Visit elderly home Home visits the disabled
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27 Infectious waste General waste
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28 infectious waste way Food and equipment sterile
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THE EFFECTIVENESS OF INNOVATION “CALENDAR BAG” FOR COMPLETE DRUG COURSE IN TB PATIENT ON TREATMENT 2014-2015 IN CHIANGSAEN HOSPITAL CHIANG RAI PROVINCE ( ประสิทธิผลของนวัตกรรม “ ปฏิทินกิน ยา ถุงผ้ากันลืม ” เพื่อให้ผู้ป่วยวัณโรคที่รักษาในช่วง 2014-2015 กินยาได้ครบในโรงพยาบาลเชียงแสน จังหวัด เชียงราย ) 30
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Source: Chiangsaen hospital, Chiang Rai province, Thailand Morbidity rate 31
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Results of treatment TB in 2012 - 2014 PROBLEM Source: Chiangsaen hospital, Chiang Rai province, Thailand 32
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PROBLEM Percentage Source: Chiangsaen hospital, Chiang Rai province, Thailand 33
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22 Peoples of TB patient on treatment 2014 -2015 have take corrected drug 4 peoples from TB registration is 18.1% PROBLEM 34
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PROBLEM Source: Chiangsaen hospital, Chiang Rai province, Thailand 35
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Research Question Research Hypothesis Did the innovation “Calendar bag” enhance the percentage of complete drug course? The innovation “Calendar bag” makes complete drug course of TB patients. 36 Objectives 1. To complete drug course of treatment in TB patient. 2. To development of innovation “Calendar bag”
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Target group TB patient on treatment in 2014-2015 from registration in TB clinic. Criteria : The registries in TB clinic to consent Questionnaire and participant of intervention. Included : Patient consent with Questionnaire and participant of intervention. (22 peoples) Excluded : 8 peoples 37 Study design & Statistic
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Methodology TB patient on treatment in 2014-2015 (30 persons) Measure after 2 week Provide innovation “Calendar bag” Measure satisfaction of innovation “Calendar bag” Data from registration in TB clinic Questionnaire of satisfaction 38 Exclude (8 persons) -Transfer out (2) -Cure (2) -Work in other province (1) -Closer patient (2) -Admission (1) Included (22 persons) - On treatment - Consent 22 persons Count the number of sachets and look in the checkbo ok
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Calendar Bag 39
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Gender Age Education 41 FrequencyPercentValid PercentCumulative Percent ValidMale 1150.0 Fem ale 1150.0 100.0 Total 22100.0 FrequencyPercentValid Percent Cumulative Percent Valid15-60 years 1777.3 More than 60 years 522.7 100.0 Total22100.0 Result Frequenc yPercentValid Percent Cumulative Percent Valid No education 1881.8 Primary education 418.2 100.0 Total 22100.0
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Result Percentage 42
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NoQuestion Tot al averag e Level of satisfac tion SD 1 Calendar bags are convenient to use 98.004.27The most.63109 2 Calendar bags can improve the behavior of taking medicine 91.004.14 Good.46756 3 calendar bags have the beautiful patterns for usage 98.004.45 The most.50965 4 calendar bags use sufficient resources and effective 91.003.86 Good.56023 5 This innovation is applicable and help patient to take medicine for the full course 106.00 4.82 The most.39477 Total94.804.31The most.22868 Result 43
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TB's patients have complete course of treatment. To reduce the workload of care for the patient's family. Patient can take drug easily and convenient. The effectiveness of innovation “Calendar bag” can evaluate from sputum and chest X-RAY. The measure of 2 month and 5 month The hospital to be continues and sustainable project. Recommendation Limitation of study 1.Elderly person 2.Foreigner person 3.People who are not receive an education. Expected Outcome 44
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Chiangsaen Hospital Saran Intawan (Professor of Chiangsaen Hospital) Petcharee Manasuk (Professor of Chiangsaen Hospital) Chareerat Fongnuan (Responsible department of TB clinic) Acknowledgement 45
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46 ลุงหนาใจ้ กระเป๋าแกนนี่ แล้วดีแต๊ๆเลย ใจ้แล้วบ่ ลืมกิ๋นยาเลย ผ่อไปตี้ฝาผนัง บ้านหันละเตือน ใจ๋ตลอด ดีแต๊ๆ เลย
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