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Background: Discharge planning prepares patients and caregivers ensuring continuity of care; reducing return hospitalization and relieving patient anxiety. Studying about discharge planning model for brain tumor surgical patients is very important to provide the data for developing the best model and also will lead to excellent service. Objective: We evaluated the 'discharge planning model' for brain tumor surgery patients at Srinagarind Hospital. Method: 30 patients and caregivers were interviewed about needed knowledge, information and skill. Results: The level of patients and caregivers needs responded to, and activities received by them, was high. Knowledge among patients and caregivers was high (4.56+0.72) and 4.06+0.99). Information factors among patients and caregivers was high (4.71+0.52) and (3.87+0.88). Skill factors among patients and caregivers was high (4.50+0.71) and (3.96+1.02). Conclusion: Better coordination of the interdisciplinary team and management of knowledge and skills for activities for both patients and caregivers are needed.
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Background : High turnover of nurses affect the quality of patient care and the cost of healthcare. Nurses' tranformational leasership and work experiences correlate to their retention or change of employment status.Objective: To study the relationship among tranformational leadership , work experiences and organization commitment.Design : Descriptive correlation research Setting Surgery and Orthopedic Department in Srinagarin Hospital, Faculty of Medicine, Khon Kaen UniversitySubjects : A sample of thirty professional nurses with working experiences more than year.Measurements : Using the questionaire consisted of four parts : personal data, transformation leadership, work experiences and organization commitment. Analyse the data were used frequency, percentage, mean, standard deviation, Peason's Product Moment Correlation.Results : Mean scores of tranformational leadership (`X =3.99 , S.D.= 2.51) , work experiences (`X =4.05 , S.D.= 3.29 ) and organization commitment (`X =3.8 , S.D.= 0.66 ) were at high levels. Tranformational leadership and work experiences were moderately positive correlated to organizational commitment ( r = 0.436, r = 0.648 ) respectively. Conclusion : Tranformational leadership and working experiences were essential factors that enhance organization commitment. Nurse administrators should help their staff to build leadership and should establish a good organizational climate.
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Background and Objective: The holistic care of treatment by multidisciplinary is a necessesity for care giver to provide good care to some patients with cleft lip and cleftpalate for sending to the hospital and follow them up. The factor of the care givers are, age, gender, education, marital status, income, member of family, relationship, knowledge and awareness of source of help, timing for taking them to the hospital are so important for the success rate of treatment. The objective of this study was to survey the factors.Methods: Descriptive study of 242 care givers of patients with cleft lip /cleft palate by questionnaires were done and data were analyzed using frequencies, percent, medium, Pearson’s product moment correlation coefficient.Results: The response rate of the questionnaires was 57%. The mean average age a gender was of the important care giver was 33 years which 85% were female. Most respondents had only grade school education (43%). Marital status was predominantly married (90 %) and income was under 5,000 Baht/month (51 %). Family size was between 5 and 8 persons (52%) and included extended family (69%). The mean knowledge score was 3.6 and the perception of sources of help was 3.3. Patients had cheiloplasty at the age of 3-4 months (61%) and palatoplasty at the age of 9-18 months (72%). The age of care giver was found to associate with period of treatment (p=0.006). Conclusion: The caregiver is so important in that one must look after the patient for a long time after surgeries. The age factor of caregiver in 33 years to make good decision, who could learn and take care to the best quality and well being of them.Keywords: Cleft lip and palate, Care giver, knowledge, perception source to help
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Background and Objective: Srinagarind Hospital is a tertiary hospital with high potential for medical care of patients with cleft lip and cleft palate so we need to study about statistic and trend of the types of the patients who receive the medical care which depends on the age and illness in order to prepare to be a center of medical care, to have excellent researches in the Northeast and the nearest regions, to plan for giving the medical care and to have complete service which will benefit for patients with cleft lip and cleft palate. This study aim to determine statistics and trend of admitted patients with cleft lip and cleft palate in Srinagarind Hospital regarding types of the disease, distribution, frequency and age of the operated patients.Methods: A retrospective descriptive study was done. All admitted patients with cleft lip and cleft palate in Srinagarind Hospital, Faculty of Medicine, Khon Kaen University during 1984-2007 were included. Results: The study result is found that the most patients is male patients with cleft lip and cleft palate were 56%. There were 32% cleft lip patients, 22% cleft palate patients and 46% cleft lip with cleft palate patients from 1,950 in patient cases that came 3,342 visits, the patient can came to received the treatment many time. The majority of the patients live in Khon kaen, Mahasarakham, and Kalasin were 55%, 25% and 17% respectively. During 1984-1992, the patients to received cheiloplasty treatment age 3-4 months were 14%, to received palatoplasty treatment age 9-12 months were 29%, and during 1993-2001, the patients to received cheiloplasty treatment age 3-4 months were 32%, to received palatoplasty treatment age 9-12 months were 52% and the patients received correction of cleft lip and cleft palate age 4-5 years were 15%. The trend of patients has been increasing by patient’s age; because of the mutidisciplinary team has developed a medical care tendency and work together to the concrete. In 2002, the referral system was developed and the treatment by multidisciplinary team and treatment protocol has absolutely and efficiency. Therefore, a patient to received cheiloplasty treatment aged 3-4 months were increasing 57%, to received palatoplasty treatment aged 9-12 months were 63%, and the patients received correction of cleft lip and cleft palate aged 4-5 year were 11%. Conclusion: The study result is found that cleft lip with cleft palate patients has come to received medical treatment by patient’s age increasing as follows Nation Health Security system plan. However, some patients received medical treatment late, such as to send a patient late, an intervening disease, to be in need a knowledge for the authorities, and the many patients to wait for treatment. This reason might be effect to patients who received the treatment late.Keywords: Cleft lip and cleft palate