Development of nursing service model among patients with Non-Communicable Diseases, King Narai Hospital, Lop Buri province

Abstract

This study of research and development design aimed to develop Nursing service model among patients with Non-Communicable Diseases by using Evidence based practice concept of Soukup (Soukup, 2000). The objectives were to development of Nursing service model among patients with Non-Communicable Diseases and to study effect of Nursing service model among patients with Non-Communicable Diseases, King Narai Hospital. The sample included 114 patients with Diabetes and Hypertension in each group; control group was receiving routine nursing care and experimental group was receiving Nursing service model among patients with Non-Communicable Diseases. The instruments were Knowledge of Diabetes and Hypertension diseases, results of care. The quantitative data were analyzed by using descriptive statistic, Independent T-Test and Mann-Whitney U – Test. The results showed that 1) Nursing service model among patients with Non-Communicable Diseases, King Narai Hospital that was developed comprising 6 components: directions and policies, information system, system adjustment and service process, self-management support system, decision support system, arranging linking service to the community, 2) results of Nursing service model among patients with Non-Communicable Diseases showed that control and  experimental groups of Knowledge of Diabetes and Hypertension diseases, fasting plasma glucose, systolic and diastolic blood pressure, patients satisfaction, and quality of life were different significantly at the .05 level. In contrast, body mass index, LDL level, and kidney function were not different significantly at the .05 level. Conclusion: Nursing service model among patients with Non-Communicable Diseases was developed that improved outcomes of care, should be extended to treat in another with Non-Communicable Diseases.