Development of SRIRAT MODEL with Smart Warning Watch for Hypoglycemic in Type1 Diabetic Patients
Main Article Content
Abstract
This research and development aimed to develop and evaluate outcomes of SRIRAT MODEL with Smart Warning Watch for Hypoglycemic in Type1 diabetic patients. The study was divided into 4 phrases: 1) situation analysis 2) SRIRAT MODEL development 3) implementation and 4) outcomes evaluation. A purposive sampling technique was applied to recruit 70 participants who were Type1 diabetic patients with risk to hypoglycemia and 38 multidisciplinary healthcare staff. In addition, a sample of 70 Type1 diabetic patients was equally divided into control and study group (35 participants per group). The research instrument consisted of SRIRAT MODEL and questionnaires asking about personal information and outcomes evaluation: 1) success rate of access to services, 2) time of service delivery, 3) quality of diabetic care, 4) health literacy and 5) satisfaction rate of relevant stakeholders. Data were analyzed using frequency, percentage, mean, standard deviation and independent t-test.
Results revealed that SRIRAT MODEL consisted of 6 elements: S : Self-care and Family support, R : Rapid Response, I : Innovation, R : Resource sharing, A : Accessibility and T : Teamwork. Comparing the outcomes of using SRIRAT MODEL indicated that the average scores of the outcomes variables in the study group were significantly better than the control group (p <.05) evidenced by increasing numbers on: 1) success rate of access to service, 2) quality of diabetic care, 3) health literacy and 4) satisfaction rate. In addition, the average time of service delivery in the study group were significantly less than the control group (p <.05). However, the development of SRIRAT MODEL with smart watch for type 1 diabetic patients who were at risk of hypoglycemia and its outcomes should be monitored and evaluated continuously.
Article Details
References
Guideline for Diabetes 2017. 3rd ed. Bangkok:1-220. Thai.
2. Department of Medical Services. Annual Report 2017 Department of Medical Services, Ministry of Public Health. Bangkok:2017;1-122. Thai.
3. Diabetes Center Rajavithi Hospital. Statistical Report. 2018. Bangkok:1-262. Thai.
4. Likitmaskul S, Wekawanich J, Wongarn R, et al. Intensive diabetes education program and multidisciplinary team approach in management of newly
diagnosed type 1 diabetes mellitus: a greter patient benefit, experience at Siriraj Hospital. J Med Assoc Thai. 2002;85(Suppl 2): S488-95.
5. Niramitmahapanya S, Chawla R, Yotha D. The study of parameters of smart watch in predicting risk of hypoglycemia in Diabetes Mellitus patient comparing to
continuous glucose monitoring system between 1 March to 30 September, 2016. Thai.
6. Rajavithi Hospital. Master Plan Strategy Rajavithi Hospital 2017-2021. Bangkok:2018. 1-16. Thai.
7. Somchit H. Nursing Research: Self-Care Among Persons with Diabetes in Thailand. Journal of Research Methodology. 2002;15(2):191-222. Thai.
8. Ratanaporn J, Apinya S. Development of Self-care Agency in Diabetic Patient with Fear of Hypoglycemia from Insulin Administration: A case study. Rama Nurs
J. 2016;22 (3):233-246. Thai.
9. Diabetes Association of Thailand, National Health Security Office, Faculty of Medicine Siriraj Hospital, Thai Society for Pediatric Endocrinology, Endocrine
Disease Association of Thailand, Department of Medical Services, et al. Type 1 Diabetes and Diabetes diagnosed at Age less than 30 years old Registry.
2018.Thai.
10. Health Education Division. Department of Health Service Support. Health Literacy and 3A 2S
Health Behaviors of People 15 years later, Revision 2018. Nonthaburi:2017. Thai.
11. Wagg AJ, Callanan MM, Hassett A. The use of computer mediated communication in providing patients support : a review of the research literature.
International Journal of Nursing Studies. 2019;82:68–78.
12. Usanee B, Yaowalak A, Chukiat P. Quality of Care for Diabetes Patient in Tambon Health Promotion Hospital of Phrachomklao Hospital Services Network.
Veridian E-Journal, Silpakorn University. 2017;10(2):1990-2008. Thai.
13. Pornvijit P, Suteeporn M, Chettha K. The Effectiveness of a Program for Health Literacy Development of the Patients with Uncontrolled Type 2 Diabetes at
Bangwua District, Chachoengsao Province. Nursing Journal of the Ministry of Public Health, 2017;27(3):91-106. Thai.
14. Patjamontri S, Khemaprasit K, Santiprabhob J, et al. The effect of Early Diabetes Self-Management Education on Glycemic Control in children with Type 1
Diabetes . Southeast Asian J Trop Med Public Health. 2018;49(2):304-13.
15. Mulvaney SA, Lybarger C, Wallston KA, et al. An Internet-based Program to Improve Self-Management in Adolescents With Type 1 Diabetes. Diabetes Care.
2010;33(3):602-4.