The Development of a Diabetes Mellitus Self-Caring Model at Lao Khwan Hospital

Abstract

The objectives of this research and development were to develop caring model for diabetic mellitus patient, study effectiveness of caring model for diabetic patient (regarding to diabetes knowledge, self-care behavior, and fasting blood sugar level), and to study satisfaction with diabetic caring model that has been developed at Lao Khwan Hospital. The samples of the development of diabetic caring model were diabetic patients who couldn't control blood sugar level, had no complication with diabetes mellitus, and agreed to cooperate in research, amount 80 people, which were divided into 2 group: a used model group and unused model group, each group consisted of 40 people. The developed caring model was to educate and evaluate self-care behaviors, provide advice on self-care practices, give medicine, follow up by phone after each treatment in the first 2 months, In the third month, if the patient was not able to control blood sugar, it will be sent to the doctor for appropriate drug adjustment, and visit home to find the cause and encourage relatives care. For the group used traditional care (unused model group) was to treatment, give advice on the condition of the patient, give medicine, and appointments to check. Data was collected of experiment between July – December 2017. Research tools were diabetic caring model, pre- and post-test, satisfaction questionnaire and blood sugar level record. Data was analyzed by descriptive statistic, Chi-square test, Independent t-test and Paired sample t-test.

The research results found that used model group had average diabetes mellitus knowledge marks and had self-care behavior more than before using this model, and blood sugar level decreased by statistical significance (p-value < 0.05). The comparison of used model group and unused model group revealed that used model group had more average diabetes mellitus knowledge marks and had better self-care behavior than unused model group, and blood sugar level more decreased than unused model group by statistical significance (p-value < 0.05). Moreover, 77.5 percent of users had satisfaction regarding to diabetic mellitus caring model at high level and 22.5 percent satisfied at moderate level to the use of self-care model.

According to the results showed that the diabetic mellitus caring model which had been developed had good effectiveness, patient satisfied it, and It is also possible to implement various levels of health services. There should be extend applying this model with general diabetic mellitus patients.