Effect of Care Management Model on Glycosylated Hemoglobin (HbA1C) Level of Diabetes Mellitus Type 2 Patientsin Health Network,Kasetwisai District, Roi-Et

Abstract

Purposes :To study effects of  care management model on glycosylated hemoglobin (HbA₁C) level of  diabetes mellitus type 2 patients  in health  network Kasetwisai district, Roi -Et.

 Study design : Quasi-experimental group ; two –group pretest-posttest design

Materials and Methods : 60 of participants included persons which divided into experimental group and control group of 60 persons per group. The control group received home health care program as usual, and the experimental group received the development of care management model.Instruments in this study were a test, intervention development of care management model and glycosylated hemoglobin(HbA₁C ) level of diabetes mellitus type patients .Data were analyzed using descriptive statistics, independent t-test to compare between groups.

Main findings : Revealed that after completed of the implementation, the experimental Group had significantly higher mean difference score of knowledge and practice than the control group perceived development of care management model (p<.001, 95%CI;4.491,6.274 and p<.001,95%CI;3.758,5.807) and the glycosylated hemoglobin (HbA₁C) level in  experimental group was lower than before experimental group was lower than before experimental and control group (p<.001,95%CI;-1.144,-.372)

Conclusion and recommendations : This result for controlled level of glycosylated hemoglobin (HbA₁C) in diabetic type 2 patients, as well as development of health promotion behaviors in the aspects of metabolic control. Therefore,those involving intaking care of diabetic patients should implement the development of health promotion behaviors for uncontrolled group diabetic type 2 patients .