การพัฒนาคุณภาพบริการในการสนับสนุนการจัดการดูแลตนเองและครอบครัวที่มี ผูปวยเบาหวานโรงพยาบาลชุมชน QUALITY DEVELOPMENT OF FAMILY MANAGEMENT SUPPORT SERVICES AMONG DIABETES MELLITUS PATIENTS AT A COMMUNITY HOSPITAL

บทคัดย่อ

This action research was developed in order to improve the quality of health services supporting self and family management among diabetes mellitus patients. The Chronic Care model was applied in the study which was divided into 3 phases, namely; 1) analysis of the situation 2) planning of strategies 3) assessment of outcomes and continuous planning for further improvement. The results showed that there were many problems arising from analysis of the situation such as; 1) lack of planning 2) lack of cooperation between health care teams 3) an unidentified management program 4) an unidentified education program for patients 5) an inappropriate self-management program 6) a lack of support from families and communities. Thus, the researcher implemented the aforesaid strategies so as to improve the service of the health care team by planning a service strategy and by improving the practical plan of action. In terms of improving self-management for families and patients, theresearcher set a camping activity and home visited. At the conclusion of these activities, it was found that there was an improvement of the health care service and also an improvement in the patients’ hemoglobin blood sugar levels.