The Management for Control Diabetes and Hypertension by Nurse Freelance Home Visit: The Case Study at Nonthaburi City Municipality
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Abstract
Abstract
The management of diabetes and hypertension in Thailand has not been as successful as it should be. Approximately about one in three patients can control their condition. The number of doctors and nurses in the public healthcare system remains the same or decreases every year. Diabetes and hypertension care is still reactive, with staff lacking sufficient time to provide counseling on lifestyle modifications and healthy behaviors for sustainable disease management. Implementing a management system by hiring nurse freelances for home visit to care with diabetes and hypertension patients specifically, using decision-making tools for these nurses freelance, and integrating information systems to support patient care has helped nurses provide patient care standards, safely, and up-to-date. In Nonthaburi City Municipality, around 40% of diabetes and hypertension patients do not have their control disease, despite the readiness to lead in employing independent nurse freelances for home visit to enhance traditional care services.
The results of the management system and the employment of independent nurse freelances for home visit for diabetes and hypertension patients care show a decrease blood sugar level, as well as a reduction in average upper (SBP) and lower (DBP) blood pressure levels. The workload of community health nurse has decreased, while nurse freelances have gained confidence and flexibility in managing the health problems of diabetes and hypertension patients whose conditions are uncontrolled at home.
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