Effectiveness of Case Management among Patients with Diabetes Mellitus in Primary Care Cluster at Mukdahan Hospital

Abstract

Patients with diabetes mellitus that is a chronic disease have to continuing care. Case management is an important concept that is used to systematically and continuously manage diabetes problems.The purpose of this quasi- experimental research were to compare patients with diabetic mellitus between before and after receiving case management about levels of knowledge; medication adherence; the blood sugar levels; and the systolic blood pressure and diastolic blood pressure level. The purposive samples comprised 32 patients with fasting plasma glucose >130 mg%, treated at health care services at the Primary Care Cluster Mukdahan Hospital. The instruments were management manual and information record including general data, laboratory record, medication adherence of patients, and knowledge assessment about diabetic mellitus Data were analyzed by frequency, percentage, average, standard deviation, and paired t-test. The findings showed three parts. First, after receiving case management, mean score of knowledge about the medication was higher than that before receiving case management. It was significant (t=10.5, p< .001). Second, higher medication adherence was 75.0 %. Third, comparing between before and after receiving case management, there were significant about average blood sugar level, systolic blood pressure, and diastolic blood pressure (t=7.21, p< .001;t=3.05, p< .001;t=6.59, p< .001 respectively). This study suggested that the case management is effective that is information to broadly care patients with Diabetes Mellitus in Primary Care Cluster at Mukdahan Hospital in future.