The Development of Care Model for Buddhist Monks with Diabetic Foot Ulcer
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Abstract
This research aimed to develop care model for Buddhist monks with diabetic foot ulcer and assess the outcomes. The sample consisted of 40 diabetic monks who had foot ulcers and 20 multi-disciplinary team. The research was divided into three phases: 1) a study of diabetic monks' situation with conventional foot ulcers; 2) a development of care model for Buddhist monks with diabetic foot ulcer together with a multidisciplinary team and review literature; 3) an evaluation of care model for Buddhist monks with diabetic foot ulcer. The research instruments comprised 5 sections: 1) a personal information questionnaire; 2) a self-management questionnaire; 3) a wound healing evaluation form; 4) self management support; and 5) satisfaction assessment form. Descriptive statistics and independent t-test were used for data analysis.
The results in phase 1, situation analysis found that HbA1C level of Buddhist Monks with diabetic foot ulcer was over 7 mg% and a care model for Inpatient department was not clear. Phase 2, care model development which based on chronic care model concept and self-management support, consisted of development of a handbook for caring the diabetic monk with foot ulcers and a foot care guide for diabetic monks. Phase 3, the evaluation results revealed that the mean score of wound healing of the monks in the experimental group was significantly better than the monks in the control group (t 2.90, p <.05). The mean cumulative glucose level and the mean score of self-management of the monks in the experimental group was significantly better than the monks in the control group at p <.05 (t 2.43 and t -20.53, respectively).
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