Development of Care Model for Diabetes Mellitus Type2 Patients in Diabetes Clinic on the Chronic Care Model of Sub-District Health Promotion Hospital, Surin Province

Abstract

This research aimed to evaluated the effect of a care model for diabetes type 2 patients in a diabetes clinic using on the chronic care model. The research was conducted In four stage: 1) study situation analysis and needs 2) analysis of associated factors 3) model development and implementation and 4) outcome evaluation. The sample consisted of 1) 3 public health personnel, two village health volunteers and community leaders and 105 diabetes type 2 patients. Data were collected using focus group discussions, interviews, questionnaires. The research instruments included interview forms, questionnaires and the developed of care model for diabetes type 2 patients. Data were analyzed using content analysis, descriptive statistics,  Pearson Product-Moment Correlation, and Paired t-test.

            The results showed 1) Only 23.8% of patients were able to achieve adequate glycemic control. 2) Factors related to the self-care behavior of diabetes type 2 patients in the diabetes clinic were health systems organization of health care (r =.236, p = .05), self-management support (r =.311, p < .01), clinical information systems (r =.237, p < .05) and the overall care of diabetes patient care in the diabetes clinic (r =.262, p <.05). And 3) After implementing the developed model, the research results found that diabetes type 2 patients who received the chronic care model had significantly lower FBS and HbA1c levels after the experiment than before the experiment at a statistical level of p < .001.

            Conclusions the developed care model based on the chronic care model significantly improved glycemic control and supported appropriate self-care behaviors among patients.