The Results of Development of care for patients with diabetes mellitus and hypertension using telemedicine technology, Non Suwan District Health Network Buriram Province

Abstract

          Research and development aims to develop a model and study the effectiveness of caring for people with diabetes mellitus and hypertension using telemedicine technology. Non Suwan District Health Network Buriram Province Applied in conjunction with the World Health Organization health system concept. Study the problems and context of developing telemedicine guidelines. Use multidisciplinary participation processes in every process. The sample group consisted of personnel caring for patients with diabetes mellitus and hypertension. There are a total of 15 people and diabetes mellitus patients. Hypertension treated with telemedicine between    1 October 2023 and 31 March 2024, a total of 350 people, 194 people with diabetes mellitus, 156 with hypertension were purposively selected. Results were measured using the Telemedicine Patient Care Effectiveness Assessment Scale. Using the Doctor Prom program along with medical examinations via Zoom. Data were analyzed using percentages, means, standard deviations, paired t tests, and effectiveness was evaluated using one sample t tests. The results of the study found that Patients need support from health workers. Lack of information forwarding. The patient cannot control his sugar and blood pressure. When developing a care model. It was found that diabetes mellitus patients had the average FBS decreased from 197.70 to 156.60 mg/dl.            The average HbA1C decreased from 9.03 to 7.30%, reducing from before development. Mean systolic blood pressure decreased from 143.22 to 135.62 mmHg. Mean diastolic blood pressure decreased from 87.45 to 77.18 mmHg, a decrease from before development. Statistically significant at the 0.05 level (p-value < 0.001) and satisfaction with the service system is at the highest level (= 4.62, SD = 0.48). Therefore, this form of development can reduce blood sugar levels and high blood pressure. Convenient access to services the patient is very satisfied.