The Development of A Diabetic Caring CUP Selaphum –Thung Khao Lung Roi-et Province in 2012

Abstract

This participatory action research was conducted to develop a health care system for diabetes mellitus patients and a cooperation of a multidisciplinary team in CUP Selaphum-Thung Kho Lung Roi-et Province in 2555. The participants 100 people (of a multidisciplinary team) and 1,000 diabetes mellitus patients, selected purposively. The development of a health care system for patients by applying a concept of pattern in taking care of management system theory and chronic care model. Data included demographic characteristics, fasting blood sugar, HbA1C blood test. Descriptive
statistics including frequency, percentage, means. The 3rd step was an evaluation and conclusion of the development. Satisfactions of service providers and of diabetes mellitus patients before and after the development were evaluated. The findings Showed that the development of a health care system had covered the community. the patients had poor glycemic control, including the rate of fasting blood sugar < 180 mg% of 72.32%, HbA1C level < 7.0 of 72.32%. The complications were found, including the rate of Acute complication of 30.18%, the renal impairment of 40.62%, the rate of foot ulcer of of 0.1%. the sample after the development was significantly reduced In summary, The Development of A Diabetic Caring CUP Selaphum-Thung Khao Lung Roi-et Province by
applying a concept of pattern in taking care of management system theory and chronic care model, leading to actual practice in diabetes mellitus control and reduced diabetes mellitus complication. These activities should be applied to diabetes mellitus and other chronic diseases in other areas.