Effectiveness of a Care Model for Achieving Diabetes Remission among Patients with diabetes at the Subdistrict Health Promoting Hospital

Authors

  • Kasama Chiangtong Khok Yae Subdistrict Health Promoting Hospital, Nong Khae District Public Health Office

Keywords:

Diabetes, Diabetes Remission, Lifestyle Medicine

Abstract

This preliminary experimental study employed a one-group pretest-posttest design and was conducted at the Subdistrict Health Promoting Hospital. The objective was to establish whether a care model for diabetic patients could achieve diabetes remission.
Thirty-two purposively selected type 2 diabetic patients who were attending the non-contagious disease were the study sample. Instruments used in the research were (1) the experimental tool was the care model for diabetes remission based on lifestyle medication, (2) data collection methods, including health record, knowledge interview, self-care practice interview, and satisfaction interview that were validated by experts, and the knowledge tool’s reliability was tested by using the KR20 formula with a reliability coefficient of .668.
The results showed after applying the care model for diabetic patients, the patients had a statistically improvement in knowledge and self-care (p-value < .001). Body Mass Index (BMI) also reduced significantly (p-value < .001). There was no significant difference in Hemoglobin A1c compared to baseline (p-value = .138). 37.50% discontinued medication, 50.00% reduced dosage, and 12.50% had blood glucose control without reducing medication. Furthermore, patient satisfaction with the diabetes remission care model was high (equation = 4.70).

Downloads

Download data is not yet available.

References

International Diabetes Federation. IDF Diabetes Atlas. 11th ed. Brussels: International Diabetes Federation; 2025

World Health Organization. Guidance on global monitoring for diabetes prevention and control: framework, indicators and application. Geneva: World Health Organization; 2024.

Division of Noncommunicable Diseases, Department of Disease Control. Guidelines for the management of diabetes remission service. Nonthaburi: Ministry of Public Health, Thailand; 2023. (in Thai)

Department of Disease Control. Report on the situation of NCDs: diabetes, hypertension, and related risk factors, 2019. Bangkok: Ministry of Public Health; 2019. (in Thai)

Faculty of Education, Chulalongkorn University. Bloom’s taxonomy of learning. Bangkok: Faculty of Education, Chulalongkorn University; 2024. (in Thai)

Sant J. Textbook of lifestyle medicine. 1st ed. Bangkok: Mor Chao Ban Publishing; 2024. (in Thai)

Julawong O, Munsil J, & Taweewanich S,. Application of Evidence-Based Practice in Nursing Professions. Journal of The Royal Thai Army Nurses, 2018; 19(2): 8-14. (in Thai)

Phuntavee R. Satisfaction of service users toward the services of the Office of the Dean, Faculty of Humanities and Social Sciences, Chiang Mai Rajabhat University (thesis). Chiang Mai: Chiang Mai Rajabhat University; 2017. (in Thai)

Phungdee T, & Sirisopon N,. Diet Consumption Behavior Modification to Control Blood Sugar Levels of Type 2 Diabetes Mellitus Patients. Journal of The Royal Thai Army Nurses, 2022; 23(3): 48–54. (in Thai)

Phungdee T. The Effectiveness of Exercise Behaviors Promotion Program of Diabetes Mellitus Type 2 Patients. Journal of The Royal Thai Army Nurses, 2017; 18(Supplement): 291-8. (in Thai)

Downloads

Published

06-05-2026

How to Cite

1.
Chiangtong K. Effectiveness of a Care Model for Achieving Diabetes Remission among Patients with diabetes at the Subdistrict Health Promoting Hospital. J Royal Thai Army Nurses [internet]. 2026 May 6 [cited 2026 May 9];27(2):318-26. available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/283019

Issue

Section

Research Articles