The Development of Diabetic and Hypertension Caring Model by Community Participation

Abstract

This participatory action research aimed to study effectiveness of the development in improving diabetes

and hypertensive care model on paticipants in Tombol Banprongpai Health Promoting Hospital NoenMaprang

District, Phitsanulok Province. This research was implemented into 3 phases. 1) To development the effective of

diabetes and hypertensive care model; 2) To implement the effective of diabetes and hypertensive care model;

and 3) To evaluate the effective of diabetes and hypertensive care model after 6-month imp. Data were collected

from family folder and patient's record, including in-depth interview, focus group discussion, questionnaire.

Analysis was utilized by descriptive statistic, including mean, percentage, standard deviation and content analysis

for qualitative data. The result showed that the development the effective of diabetes and hypertensive care model consist of 1) Net work building of patient care in community that including 1.1) Peripheral puncture training, Blood

pressure measure training for Health Volunteers; 1.2) Action plan building by net work cooperation; 1.3) Group

of patients for patient caring; 1.4) Community Activity Leaders; 1.5) Patients's partner for patient caring, 2) Proactive service in community that including 2.1) Preliminary proactive service by health officers; 2.2) Public

announcement by community leader; 2.3)Location Service arrange by Patient Leader; 2.4) Peripheral puncture and Blood pressure measure implement by Health Volunteers; 2.5) Health service and health education both

individual and group service by health officers; 2.6) Patient group activities. The study revealed that the

development the effective of diabetes and hypertensive care model effect to decreased of miss an appointment

from 35.50 percentage to 0.59 percentage, Decrease service time from 8 to 4 hours, Coverage of health

education, Increase Patients's self-care behaviors, Increase Patients's normal peripheral blood sugar from 26.56

percentage to 57.81 percentage, HbA1C is less than or equal 7 that increased from 1.56 percentage to 10.94

percentage and hypertensive patients can control normal blood pressure that increased from 69.50 percentage to

89.36 percentage.