EFFECTS OF THE DEVELOPMENT OF A MANAGEMENT SYSTEM FOR CHRONIC NON-COMMUNICABLE DISEASE PATIENTS USING MECHANISMS OF THE DISTRICT HEALTH BOARD

Abstract

This evaluation research was aims to study of the development of care management system for chronic non-communicable disease patients (NCD), network involvement and predictive factors on quality of life, using mechanisms of the district health board (DHB). Between September - November 2022. Sample group was divided 3 groups, namely 79 personnel, 270 local networks and 158 non-communicable diseases patients. Research instrument was questionnaire. Data were analyzed using frequency, percentage, mean, standard deviation and multiple linear regression.

The results found that the development of the care management system for patients with chronic non-communicable diseases by using the mechanism of the District Health Board in 7 measures: 1) there was a management system for patients with NCD by the DHB, 2) There was
a proactive management, 3) Public relations, 4) Developing the service system, 5) Having a plan to reduce the risk of NCD, 6) Adjusting the environment, 7) Organizing group activities.
The mechanism of the DHB overall, there was a high level of cooperation. (3.59±2.85). Network involvement at high level (4.25±0.43), there was mild stress 98.1% (2.20±1.47) and overall there was no depression (2.59±2.12). Overall quality of life of NCD patients was a good level (49.35±4.31). The predictive factors affecting quality of life with statistical significance at the 0.05 level could be combined to predict the quality of life of 40.8% (adj.R²= 0.408, p<0.001) including depression (adj.R²=0.324) and stress (adj.R²=0.166). According to the equation ý = Constant 1.950+ 0.408X₁ + 0.166X₂