Development of Diabetic Care Management System for Surin Hospital Network

Abstract

Background: Diabetes is a major public health problem in present day. Incidence of the disease is increasing in which affects several organs and systems. Providing one-stop service at out-patient clinic in collaborated with multi-disciplinary team including continuous community care is considered as key role to enable patient’s accessibility, behavior changing, normal blood sugar controlled and decrease diabetic complications.
Objective: To study rate of controlled blood sugar level, diabetic complica­tions, patient’s satisfaction and patient’s knowledge after apply­ing the developed diabetic care system.
Methods: This participatory action research used specific random sampling in patient diagnosed with diabetes mellitus for at least one year. The study was conducted from October 2015 to September 2016 which consisted of three phases 1) survey of diabetic patient’s problems in out-patient clinic 2) development of diabetic care system. 3) outcome evaluation after the developed diabetic care system was applied. Mean, paired t-test and content analysis were used for data analysis
Results: After implementation of developed diabetic care system, rate of controlled fasting blood sugar patient (FBS 70-130 mg/dl) increased from 45.9% to 58.9% and patient with HbAlc less than 7% increased from 48.9% to 55.4%. Diabetic foot and finger ampu­tation rate also decreased from 0.5% to 0.2%. Patient had high level of satisfaction to the diabetic care system and patient had better knowledge in both diabetes and self-care management with statistical significant.
Conclusion: The developed diabetic care system resulted in better blood sugar control and decreased diabetic complication. Moreover patient had more satisfaction and knowledge.