Problems and Needs of Elderly Patients with Type 2 Diabetes at Ban Ped Subdistrict, Mueang District, Khon Kaen Province

Abstract

This qualitative research aimed to explore the problems and needs of elderly patients with type 2 diabetes in Ban Ped Subdistrict, Mueang District, Khon Kaen Province. Data were collected through in-depth interviews and focus group discussions with 55 cases, including key informants 14 elderly diabetic patients, 12 family caregivers, 13 village health volunteers, 2 healthcare professionals, 8 representatives from community organizations and 6 general informants. The instruments were content validated by three experts and content analysis was used to analyze data.

The findings found that the problems of the participants had 3 main dimensions: Firstly, health problems and complications from diabetes, which affect both physical and mental health. These problems were primarily attributed to unhealthy behaviors, such as poor dietary habits and medication non-compliance, as well as non-accessibility. Secondly, the social dimension highlights that most elderly patients live alone or with an elderly spouse, leading to limited participation in social activities. Finally, economic burdens, particularly for families facing frequent hospital visits. The study highlighted the need for comprehensive care, including self-care support, family involvement, caregivers, and integrated government intervention from healthcare units and local administrative organizations to integrate interdisciplinary care for the complex cases. These insights may contribute to developing a culturally appropriate elderly care model for diabetes management in this region.