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

• Published in: One health 2020-12, Vol.10, p.100168-100168, Article 100168
• Main Authors: Suwanbamrung, Charuai, Le, Cua Ngoc, Maneerattanasak, Sarunya, Satian, Ponlapat, Talunkphet, Chumponut, Nuprasert, Youwarat, Siwarin, Anuson, Kotchawat, Somsri, Srimoung, Poungpen, Ponprasert, Chumpron, Nontapet, Orratai
• Format: Article
• Language: English
• Subjects: Dengue patient care guideline; Hospital; Household; KAP; Primary care unit; Research Paper
• ISSN: 2352-7714; 2352-7714
• DOI: 10.1016/j.onehlt.2020.100168

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. 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. 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