Development of Nursing care Model for Monks with Diabetic Retinopathy In The Priest Hospital
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Abstract
Abstract
This research and development study aimed to develop and evaluate a nursing care model for monks with diabetic retinopathy (DR) at the Priest Hospital. The study was conducted in three phases: (1) situation analysis and needs assessment, (2) development and pilot implementation of the model, and (3) outcome evaluation using a quasi-experimental two-group pretest–posttest design. Ten professional nurses participated in Phases 1 and 2. In Phase 3, the sample included 62 monks with DR, divided into an experimental group (n = 31) and a control group (n = 31).
The developed model consisted of four components: (1) promoting awareness and healthy behaviors, (2) improving nursing service systems and standards, (3) strengthening nursing staff competencies, and (4) establishing mechanisms for implementation and evaluation. After the intervention, the experimental group showed significantly better HbA1c levels and visual acuity (LogMAR) than the control group (p < 0.05). They also had higher levels of knowledge, self-care behaviors, and quality of life (p < 0.05).
These findings suggest that the nursing care model is effective in improving self-care and health outcomes among monks with DR and is appropriate for use in the Priest Hospital setting.
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