การพัฒนารูปแบบการดูแลผู้ป่วยต่อเนื่องที่บ้านของผู้ป่วยโรคเบาหวานโรงพยาบาลจตุรพักตรพิมาน

Phatcharee   Ketkaew

Authors

Phatcharee Ketkaew Chaturaphak Phiman Hospital

Keywords:

Home-based continuous care, Type 2 diabetes, Chronic Care Model, Self-management behavior, HbA1c

Abstract

Purposes : To explore the context and challenges, design, and evaluate the effectiveness of a continuous home care model for diabetic patients.

Study design : Research and development using a quasi-experimental two-group pretest–posttest design.

Materials and Methods : The sample comprised 60 patients with type 2 diabetes receiving care at Chaturaphak Phiman Hospital, Roi Et Province, and affiliated primary care units. Participants were assigned to an experimental group (n = 30) and a control group (n = 30). The intervention period was three months. The experimental group received care based on the developed home-based continuous care model, whereas the control group received usual care. Data were collected using self-management and family and community support questionnaires, a patient satisfaction questionnaire, and glycated hemoglobin levels. Data were analyzed using descriptive statistics, Wilcoxon signed-rank test, Mann–Whitney U test, and independent t-test at a significance level of .05.

Main findings : After the intervention, the experimental group demonstrated significantly higher self-management and family and community support scores than baseline and the control group (p < .001). Glycated hemoglobin levels significantly decreased and were lower than those of the control group, with mean values of 7.35 ± 0.61 and 8.57 ± 0.72, respectively (p < .001). Patient satisfaction was at a high level and significantly greater than that of the control group.

Conclusion and recommendations : The home-based continuous care model effectively improved self-management, enhanced social support, and reduced glycated hemoglobin levels. Implementation in primary healthcare settings is recommended, along with further long-term evaluation.

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