Evaluation of the Comprehensive Care Program for Patients with Cleft Lip-Palate and Craniofacial Deformities
Suteera Pradubwong MSN1, Pattama Surit DNSc2, Bowornsilp Chowchuen MD, MBA3
Affiliation : 1 Surgical and Orthopedic Department, Division of Nursing, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. 2 Adult Nursing Department, Faculty of Nursing, Khon Kaen University, Khon Kaen, Thailand. 3 Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Khon Kaen University, Thailand
Objective : To evaluate the program: the comprehensive care for patients with cleft lip-palate [CLP] and craniofacial deformities
[CFD] treatment program at Tawanchai Center, Srinagarind Hospital.
Materials and Methods: This is the descriptive study by used CIPP model as the essential principle. The evaluation was based on
the program’s context, input, process, and product. The subjects of evaluation were documents, participants, and the program
committee. The tools were a questionnaire and an evaluation form. Means and standard deviations were utilized in the data
analysis.
Results : There were 144 patients participated in the program with the majority being male (99, 68.75%). The most presented
condition was RCLP (56, 38.88%). The evaluation results of the program’s context, factors of input, process, and product showed
that overall, all four aspects had a high level of suitability (x + SD = 4.22+0.64; x + SD = 4.14+0.36; x + SD = 3.93+0.71 and x
+ SD = 4.45+0.66 respectively). Satisfaction was expressed in their outcome of the following aspects: quality of life, image, speech
and communications, teeth alignments and occlusion, obtaining the pre-surgery information, and the treatment protocol (x + SD
= 4.22 + 0.78; x + SD = 4.00+0.66; x + SD = 4.11+0.73; x + SD = 3.55+0.83; x + SD = 4.22 + 0.62; x + SD = 4.44+0.49,
respectively). The clinical outcomes revealed that there were cheiloplasty in 3 to 6 months old, palatoplasty in 10 to 18 months
old; in obtaining the pre-surgery information and follow-up with multidisciplinary team they showed 94.95, 96.96, 84, and
92.31%, respectively.
Conclusion : The evaluation of this program responded to the objective of the program in the comprehensive care covering five
aspects. It concretely benefited for the patients and families, therefore it should be continued to cover all age ranges and extended
to the other specific care centers.
Keywords : Project evaluation, CIPP model, The comprehensive care for patients with cleft lip-palate and craniofacial deformities program, Tawanchai center, Srinagarind Hospital
