The Health Care Situations of Diabetes Mellitus Patients with Uncontrolled Blood Sugar Levels In Nadee Sub-District, Yang Talat District, Kalasin Province.

Abstract

The purpose of this descriptive research was to analyze the health care situations of diabetes mellitus patients with uncontrolled blood sugar levels in Na Di Subdistrict, Yang Talat District, Kalasin Province. The target groups were diabetes mellitus patients with uncontrolled blood sugar levels, caregivers, community leaders, service providers a total of 50 people. By purposive sampling. Data collection tools consisted of in-depth interview, Self-management Behavior Questionnaire and focus group. A content analysis was used to examine qualitative information. Quantitative data was analyted to obtain descriptive statistic. The research was Implementation period from May to October 2021.

The results showed that 1) most of the patients had self-management in 4 aspects, 1. In terms of food, it was at a moderate level (=3.12, S.D.=0.40). They had inappropriate self-care behaviors for eating food. 2. In terms of exercise, at the Moderate intensity level (=3.26, S.D.= 0.66), they had physical activity that was inappropriate for age and disease, 3. In terms of drug use, it was at the highest level (=4.75, S.D.=0.38) by taking the medication according to the treatment plan. 4. In terms of stress management, at a moderate level (=3.26, S.D.=0.59). 2) The main caregiver lacked knowledge about diabetes and inappropriate care for patients. 3) Community leader unclear the role of participating.
4) Service provider groups lacked guidelines to self-management support for diabetes mellitus and the guidelines for enhancing the potential of community leaders to help diabetes mellitus in the community.

Recommendations from this research, which should be developed to self-management support of diabetes mellitus patients with uncontrolled blood sugar levels with the participation of the caregivers and community leaders.