Development of Care Model for Type 2 Diabetes Patients with Who be Treated at Dong Mun Lek Health Promoting Hospital, Muang District, Phetchabun Province

Abstract

This study is action research. Aimed at developing the diabetes care in a community under responsibility of the Dong Mun Lek Health Promoting Hospital, Muang District Phetchabun Province. The sample was stakeholder participant diabetes patient care in a community, diabetes patient, member of the sub district administrative organization council, village headman, teachers and education personnel, monk, and health officer, 170 from purposive sampling. Regarding quantitative data was using created questionaire to collect and applied in-depth interviews and observation for qualitative data. Data were analyzed using descriptive statistics such as frequency, percentage, average, and standard deviation, and Including inferential statistics by paired t-test and 95% confidence interval (95%CI).

The result was found that development process of the diabetes care in a community under responsibility of the Dong Mun Lek Health Promoting Hospital in 6 phases: 1) To analyze the context and the problems 2) workshops and planning with participatory 3) Formulate an action plan 4) Implement of program / project 5) Monitor and evaluate to support 6) organizing seminars and lessons learned. The statistic results showed that the level of knowledge of diabetes, practices conduct care for patients with diabetes, and participate in diabetes care, Score increases before developing the model. With the mean of knowledge differences 10.28 scores (SD=0.23, 95%CI=9.81 - 10.74, p-value<0.001), mean of practices differences 1.06 scores (SD=0.56, 95%CI=0.97 – 1.14, p-value<0.001), mean of participate differences 1.53 scores (SD=0.73, 95%CI=1.42 - 1.64, p-value<0.001), and Most of them were satisfied with the model development at the highest level 62.94 percentage.

 In summary, the key success factors in the implementation of this model were comprised 1) strategy to enhancing stake-holder involvement 2) capacity building system for the community volunteers for the diabetes patient care 3) activities for friendly care taker in each other in the community and 4) determining concrete key responsible operation center activity driven in the community. These factors were influenced to community care methods for achieving the goals in the end.