Factors Associated with Glycemic Control in Type 2 Diabetes Patients at Sub-district Health Promoting Hospitals After Transfer to Khon Kaen Provincial Administrative Organization

Abstract

This cross-sectional analytical study aimed to study the factors associated with the control of blood sugar levels (HbA1c) in type 2 diabetic patients who received services at sub-district health promotion hospitals after the transfer of duties to the Khon Kaen Provincial Administrative Organization. Data were collected from July to October 2024. The sample consisted of 322 people, stratified random sampling. Data were collected using a questionnaire and analyzed using descriptive statistics and inferential statistics, specifically logistic regression analysis.

Study Results: Factors significantly associated with blood sugar control in type 2 diabetic patients receiving services at the sub-district health promotion hospital after the mission transfer to the Khon Kaen Provincial Administrative Organization at the 0.05 level were as follows: type 2 diabetic patients with marital status (OR _adj = 1.80; 95%CI = 1.04 - 3.11, p-value = 0.034), type 2 diabetic patients who were referred to the sub-district health promotion hospital for less than 10 years (OR _adj = 2.55; 95%CI = 1.38 - 4.71, p-value = 0.003), type 2 diabetic patients with an average monthly income of 5,000 baht or more (OR _adj = 1.81; 95%CI = 1.08 - 3.03, p-value = 0.024).

Recommendations: Relevant organizations should integrate patient care and referral systems, organize activities to strengthen family relationships, and provide opportunities to increase income for patients and their families. These measures can support diabetic patients in controlling their blood sugar levels effectively and maintaining a good quality of life in the long term.