Health Management of Diabetes Risk Group in Ban Muang Whan : A Qualitative Research Perspective

Main Article Content

Arissara Sukwatjanee
Anchaleeporn Amatayakul

Abstract

Purpose: To explore health management of diabetes risk group


Design:  Qualitative research


Methods: The research participants comprised of 75 people, including people, who were diabetes risk group and their families, sub-district health promoting hospital staff, community leaders, village health volunteers, monks, teachers and food vendors in Ban Muang Whan community. The research instruments included 1) the in depth-interviewed guideline, 2) the group discussion guideline, 3) the brain storm guideline, 4) the observation guideline, and 5) the field note. Data were analyzed using content analysis method.


Findings: People, who were diabetes risk group, provided self-care including controlled diet, controlled body weight, exercise, stress management, decreased alcohol consumption, reduced smoking, and annual diabetes screening. Family members supported the participants who were diabetes risk group by reducing burden, joining exercise, encouraging and reminding them to change unhealthy behaviors. Other community members provided suggestions and information on health care. Nevertheless, there were some problems and barriers, including inaccessible diabetes screening services, lack of facility, no leaders, lack of motivation, and interrupted exercise.


Conclusion: Diabetes risk groups and their families were responsible for their health management. Sub-district health promoting hospital staffs provided health check-up services. Community leaders recognized the problems, provided support to solve the problems, and were role models for healthcare. Village health volunteers provided monitoring and information on health care for participants who are at risk.

Downloads

Download data is not yet available.

Article Details

Section
Research articles

References

World Health Organization. Global report on diabetes. World Health Organization;2016.

International Diabetes Federation. IDF Diabetes Atlas, 8th ed. Brussels, Belgium: International Diabetes Federation; 2017.

American Diabetes Association. Classification and Diagnosis of Diabetes. Diabetes Care 2017; 40 (Suppl. 1): S11-S24; DOI: 10.2337/dc17-S005

Miot A, Ragot S, Hammi W, Saulnier PJ, Sosner P, Piguel X, et al. Prognostic value of resting heart rate on

cardiovascular and renal outcomes in type 2 diabetic patients: a competing risk analysis in a prospective cohort.

Diabetes Care 2012; 35(10): 2069–75; DOI: http://dx.doi.org/10.2337/dc11-2468.

Yau JW, Rogers SL, Kawasaki R, Lamoureux EL, Kowalski JW, Bek T, et al. Global prevalence and major risk factors of diabetic retinopathy. Diabetes care 2012; 35(3): 556-64.

Chronic Kidney Disease Prevention Project in Hypertension and Diabetes Patients 2559. Nonthaburi, Thailand: Department of Disease Control, Ministry of Public Health; 2016.

Lima VC, Cavalieri GC, Lima MC, Nazario NO, & Lima GC. Risk factors for diabetic retinopathy: a case-control study. International journal of retina and vitreous 2016; 2(1): 21-7; DOI 10.1186/ s40942-016-0047-6

Chatterjee S, Riewpaiboon A, Piyauthakit P, Riewpaiboon W, Boupaijit K, Panpuwong N, et al. Cost of diabetes and its complications in Thailand: a complete picture of economic burden. Health Soc Care Community 2011; 19(3): 289-98. (In Thai)

Thai National Health Examination Survey V Study Group. Thai National Health Examination Survey, NHES V.

Nonthaburi, Thailand: National Health Examination Survey Office, Health System Research Institute; 2016.

Zhang P, Zhang X, Brown J, Vistisen D, Sicree R, Shaw J, et al. Global healthcare expenditure on diabetes for 2010 and 2030. Diabetes research and clinical practice 2010; 87(3): 293-301.

National 5-Year NCD Disease Prevention and Control Strategy Plan for 2017- 2021. Bureau of Non-Communicable Diseases, Department of Disease Control, Ministry of Public Health; 2017.

Mahapram Sub-district. Mahapram Subdistrict [Internet]. 2014 [cited 2019 Jan21]. Available from: http://www.thaitambon.com/tambon/ttambon.asp?ID=140505.

Nakhamin K, Chomnirutana W, Limtragool P. Diabetes prevention strategies by community participation. Journal of nurses’ association of Thailand, NorthEastern Division 2013; 31(1):43-51.(In Thai)

Lincon,Y.S., Guba, E.G. Naturalistic Inquiry. New Yoek ; SAGE Publication. 1985

Kerdonfag P, Wongsunopparat B, Udomsubpayakul U, Nuntawan C. Perceived risk, criteria-based risk to

Diabetes Mellitus, and health-promoting lifestyles in the first degree relatives of persons with Diabetes Mellitus. Rama Nurs J 2010; 16(2): 169-84. (In Thai)

Suwattanakul T. Factors related to blood sugar control among Diabetes Mellitus type 2 patients. Journal of Health Systems Research 2018; 12(3): 515-22.(In Thai)

Puttaruk U, Bumrerraj S. Factors related to control blood sugar among diabetes mellitus type 2 patients, treated at Kang Pla Health Promoting Hospital, Loei province. Community Health Development Quarterly Khon Kaen University 2015; 3(1): 19-35. (In Thai)

Buraphunt R, Muangsom N. Factors affecting uncontrolled type 2 diabetes mellitus of patients in Sangkhom Hospital, Udonthani province. KKU Journal for Public Health Research 2013; 6(3): 102-9. (In Thai)

Sawangsri W, Intaranongpai S. The development of health promotion model for prevention new cases of

Diabetes Mellitus in community. Journal of the Royal Thai Army Nurses 2015; 16(1): 116-22. (In Thai)

Eticha T, Mulu A, Gebretsadik H, Kahsay G, Ali DYR. Factors associated with poor glycemic control in type 2 diabetic patients investigated at Ayder referral hospital, Mekelle, Ethiopia. Ijppr Human 2016; 6(3): 160–71.

Kurnia AD, Amatayakul A, Karuncharernpanit S. Predictors of diabetes selfmanagement among type 2 diabetics in Indonesia: Application theory of the health promotion model. International Journal of Nursing Sciences 2017; 4(3):260-65.

Kurnia AD, Amatayakul A, Karuncharernpanit S. Diabetes self-management among adults with type 2 Diabetes Mellitus in Malang, Indonesia. International Journal of Tropical Medicine 2017; 12(2): 25-8.