The Development Care System for Diabetes MellitusPatients: a Case Management Model Saraphi Hospital Saraphi, District Chiangmai Province

Abstract

Research for development, Purpose for studying result of development care system for diabetic by management by case management model Since December 2016 – May 2017 sample were type2 Diabetic patients (DM) 40 people. Process of research divide in 2 state. First, state of develop format of care system by nursing by case. Second, state bring format of care system by nursing and mange by case to study insample. Divide in studying before and after. Tool of research are questionnaire, daily record, frequency, percentage, mean, standard deviationand paired t – test.

Result : Forty patients mostly were female, average 60.05 years old (SD 12.98). Onethird had monthly income between 5,000 - 10,000 Thai Bath. Seventy five percent had duration of DM for 6-15 year with 85% had other disease as comorbid. Point of behavior take care themselves after and before using format of management by case. Static t-test find mean of sample group overall after using format of management by case (42.90%) more than before using format of management by case. Retinal degeneration result normally before and after using format of management by case, the result 35 case (87.5%) equally. PDR Result after using format of management by case 2 case (5%) less than before using format of management by case 3 case (7.5%). Renal impairment 2nd stage after using format of management by case is 22 case (55%) more than before using format of management by case 12 case (30%) and no result of 3^rd stage after using format of management by case that less than before using format of management by case 9 case (22.5%). Foot complication low risk after using format of management by case 21 case (52.5%) more than before using format of management by case 16 case (40%). And no result of high risk patient after using format of management by case lese than before using format of management by case 1 case (2.5%). Benefit of using is primary department and other department in hospital can bring the result of study to apply