Buajaroen Hathaichanok, Photangtham Darin, Chankham Wariya, Simalaotao Paisan, Sirisukpoca Ubonrat, Kongkamsook Monchai, Timtab Pantip, Suasangei Tapanee
Community Nursing, Faculty of Nursing, Nakhon Pathom Rajabhat University, Nakhon Pathom, Thailand.
General Management Program, Faculty of Management Sciences, Nakhon Pathom Rajabhat University, Nakhon Pathom, Thailand.
JMIR Nurs. 2025 May 29;8:e65310. doi: 10.2196/65310.
Patients with post-COVID-19 continue to experience lingering physical and psychological symptoms, requiring coordinated and continuous care. Addressing these needs is essential, especially in resource-limited settings.
The objectives of this paper are to study the issues and needs, as well as the nursing and continuous care systems for residents living with COVID-19, to design and develop a database system, develop continuous care guidelines, and evaluate the effectiveness of the database system for continuous monitoring and care for residents living with COVID-19 in Nakhon Pathom Province, Thailand.
Participatory action research was used to engage stakeholders and guide the development process.
A total of 375 patients and family members affected by post-COVID-19 symptoms reported that symptoms persisted for approximately 6 months, with common symptoms including persistent cough and easy fatigue. These patients experienced reduced access to health care services, relying mainly on symptomatic treatment at local facilities and using telehealth nursing systems. They expressed a need for continuous care support from 50 professional nurses and village health volunteers. As a result, health care guidelines for post-COVID recovery were developed, comprising 5 core components: (1) self-care through digital information retrieval, (2) care via telehealth nursing systems, (3) physical health care services postrecovery, (4) mental health services postrecovery, and (5) continuous care for referral in case of postrecovery incidents. These guidelines were used to design a database system for continuous monitoring and care, which was evaluated as highly effective (mean 4.51, SD 0.59).
This research highlights the critical need for a proactive and comprehensive approach to managing post-COVID-19 care in Nakhon Pathom Province. By developing and implementing a database system for continuous monitoring and care, along with clear guidelines, the study effectively addresses the ongoing needs of individuals recovering from COVID-19. The integration of technology, along with continuous care provided by professional nurses and village health volunteers, has been shown to be highly effective in improving the quality of care. The findings suggest that adopting these strategies, along with implementing supportive policies on data management and communication systems focused on home visits, will significantly enhance health service management and better prepare the region for future public health challenges.
新冠康复患者仍持续经历身体和心理症状，需要协调一致的持续护理。满足这些需求至关重要，尤其是在资源有限的环境中。
本文的目的是研究新冠患者的问题与需求以及护理和持续护理系统，设计并开发一个数据库系统，制定持续护理指南，并评估该数据库系统对泰国佛统府新冠患者进行持续监测和护理的有效性。
采用参与式行动研究让利益相关者参与并指导开发过程。
共有375名受新冠后症状影响的患者及家属报告称症状持续约6个月，常见症状包括持续咳嗽和易疲劳。这些患者获得医疗服务的机会减少，主要依靠当地医疗机构的对症治疗并使用远程医疗护理系统。他们表示需要50名专业护士和乡村健康志愿者提供持续护理支持。结果，制定了新冠康复后的医疗护理指南，包括5个核心部分：(1) 通过数字信息检索进行自我护理；(2) 通过远程医疗护理系统进行护理；(3) 康复后的身体健康护理服务；(4) 康复后的心理健康服务；(5) 康复后出现问题时的转诊持续护理。这些指南被用于设计一个持续监测和护理的数据库系统，该系统被评估为非常有效（平均4.51，标准差0.59）。
本研究凸显了泰国佛统府对新冠康复护理采取积极全面方法的迫切需求。通过开发和实施一个持续监测和护理的数据库系统以及明确的指南，该研究有效满足了新冠康复者的持续需求。技术的整合，以及专业护士和乡村健康志愿者提供的持续护理，已被证明在提高护理质量方面非常有效。研究结果表明，采用这些策略，同时实施侧重于家访的数据管理和通信系统支持政策，将显著加强卫生服务管理，并使该地区更好地应对未来的公共卫生挑战。
