Development of a Diabetes Care Model in Lampang

Abstract

The aim of this research and development was to develop a diabetes care model, and to evaluate the diabetes nursing care in Lampang province in 2018. Research was divided in 3 phases. Phase 1 was the analysis of diabetes care in Lampang by studying the practices of 57 health personnel in focus groups. Phase 2 consisted in the development of a model from the 57 health personnel analysis, creating a self-management manual for diabetic patients and then to apply it to 548 diabetic participants. Phase 3 was an assessment of the developed model (the 3 Change Model) with 57 health personnel, and then its implementation with 548 uncontrolled diabetic patients, using questionnaire and focus group for data collection. Data were analyzed by percentage, mean, standard deviation. Pearson Chi-square correlation coefficient and the statistic Paired t-test were applied for data quality analysis. Results revealed as follows.1. The diabetes care model in Lampang province was successful for the 3 Change Model, including 1) Mindset Change, 2) Health Service Change, 3) Patient’s Behavior Change.2. After the plan of the diabetes care patient showed that health personnel have changed mindset in high level (µ=4.09, σ=0.23) and changed health service in the middle level (µ=2.74, σ=0.61) changed patient’s behavior in self-management in higher level of self – management in food , exercise, mood and drug with the statistical significance at .001 (p<.001). The average blood sugar level was also decreased with the statistical significance at .001 (t=7.880).The suggestion was to develop the necessary skills of health personnel for supporting self-management, encourage the use of self-management guides and support for individual blood glucose monitors, provided and supervised by family doctors in community.