Model for Nursing Service Provision for Type 2 Diabetes Patients with Participation from a Health Network of a University in Maha Sarakham Province

Abstract

This study is participatory action research. The objectives are to study the diabetes situation, create and evaluate the nursing service model for diabetic patients with the participation of health network partners. The research process is divided into 3 phases: (1) situation analysis, (2) implementation phase, and (3) evaluation phase. The sample group consists of 40 type 2 diabetic patients, public health personnel, network partners, and 30 student leaders. Quantitative and qualitative data were collected. Data were analyzed using descriptive statistics, percentages, means, and standard deviations. The mean values ​​before and after development were analyzed using Paired t-test and content analysis.

The results of the study found that the majority of the target group were female, 57.17 percent, with an average age of 23.22 years (S.D. = 4.72). The average duration of diabetes was 3.12 years. The results of the development of the nursing service model for diabetic patients with the participation of health network partners are: (1) There is a diabetes control model in the community, promoting diabetes control principles according to the nursing process guidelines for care and community participation, consisting of 9 activities. (2) A health network and a diabetes control committee in the university were established to develop the quality of life of patients. (3) Patients were developed knowledge and skills in self-care for diabetes. Receiving health services from medical personnel that are consistent with the patient's lifestyle, the average before and after the model development found that blood sugar levels and stress levels were significantly reduced (p-value <0.001). Public health personnel, multidisciplinary professionals, and health network partners emphasized the application of nursing process principles in patient care, using conversation to create motivation and help patients find inspiration to control their blood pressure levels, and allowing the community and family to participate in patient care.