Development of a Community Participation Caring Model for People with Diabetes Mellitus

Abstract

This developmental research study aimed to develop a community participation caring model for peoples with diabetes mellitus and to study the effectiveness of this model for peoples with diabetes mellitus in terms of knowledge about the disease and their practice. The community participation concept developed by Cohen and Uphoff (1977) was used in this study which includes three phases. the first phase was situational analysis, the second phase was Implementation that develop in the first phase and the third phase was evaluated of the intervention. The study used purposive sampling to select all the participants who have diabetes mellitus. Sample had 4 groups who participated were composed of people with diabetes mellitus, Care givers, nurses, primary care unit personal, health volunteer and municipality personal total 33 person. This sample size was identified from the effect size at 0.50 the level of statistical significance at .05. The researcher considered increasing the sample size by 20% for the loss. There was a total of twenty-seven participants who were included in the study. The instrument in this research study included: knowledge of diabetes mellitus, self-care practice measures, a community participation caring model, the guideline questions for assessment and analyzing for people with diabetes mellitus, , primary care unit  personals, health volunteers,  care givers, and a self-care guideline book for people with diabetes mellitus.

The results of developing a community participation caring model for peoples with diabetes mellitus were as follows: 1) A community participation caring model, self-care practice, home visits by a home health care team, and guideline book for people with diabetes mellitus. 2) The effectiveness of a community participation caring model for peoples with diabetes mellitus showed that a level of  knowledge after following the community participation caring model for peoples with diabetes mellitus, 74% of the participants increased their knowledge about diabetes mellitus; and a level of practice about  self-care after following  the community participation caring model for peoples with diabetes mellitus, 70.4% of the participants increased their self-care practice.

        The development of a community participation caring model for peoples with diabetes mellitus would increase their knowledge and their self-care practice. Therefore, the guidelines of a development of a community participant caring model for peoples with diabetes mellitus could be applied to promote self-care and practice among people with diabetes mellitus in a community for the prevention.