Development of diabetes mellitus with hyperglycemia care process in special NCD clinic of primary care units, Mueang district Mahasarakham province.

Abstract

Objective: This study aimed to examine development of diabetes mellitus with hyperglycemia care process in NCD clinic of primary care units Mueang district Mahasarakham province.       

Method: This study was an action research that conducted in 21 primary care units. The participants were 157 diabetes mellitus patients who had HbA1C > 10 mg% and 21 multidisciplinary teams. The research precess consisted of 3 phases including situation analysis, model development and evaluation phases conducting from November 2016 to April 2017. The data were obtained by created questionnaires, focus group and in-dept interview. The statistical analyses were frequency, percentage, means, standard deviation and content analysis.       

Results: The results revealed 8 steps of the development included 1) context survey and analyses, 2) patient care management by Multi-disciplinary team meetings, 3) training program about chronic disease care for professional nurses, 4) established a special clinic for chronic non-communicable diseases of primary care units (Special NCD clinic, 5) organize the annual complication monitoring, 6) preparing the CPG for each unit, 7) follow-up care, and 8) after action review. It was found that after the care development, 50.96% of diabetes patients had a high level of knowledge. The average of cognitive factors was 4.17 at the high level. The mean of self-care behaviors was 3.59. The mean blood glucose level (HbA1C) of 128 patients (81.52%) had decreased. Multidisciplinary team had a mean of 2.80 on the role of diabetes care. Mean scores of patients’ satisfaction was 2.78.      

Conclusion: Blood glucose control of diabetic patients requires self-care of patients including diet control, medication, exercise, foot care and general health. Multidisciplinary teams must educate people about disease severity and self-care to prevent complications. 

 Key words : Diabetes Mellitus with Hyperglycemia, Primary care units.