Developing a Model of Diabetes Care under the COVID-19 Pandemic Situation Choenchom District, Maha Sarakham Province

Abstract

Abstract

            Objective : To develop and study the outcomes of the model of diabetes care under the COVID-19 pandemic situation.

            Methods : Action research from October 2021 to May 2022, with a sample group consisting of: 1) A care team of 15 individuals, and 2) 276 diabetes patients. Research tools included care plans, service operation manuals, health status recording forms, and satisfaction questionnaires. The research was conducted in three phases: 1) Preparation, 2) Model development, and 3) Implementation and evaluation. Quantitative data analysis was performed using statistical inference, including percentages and mean values.

            Results : The care model for diabetes patients is divided into 3 groups, utilizing 3 doctors for self-management support as follows: 1) Well-controlled group, cared for by public health volunteers who deliver medication to their homes. 2) Moderately controlled group, cared for by sub-district health promoting hospital staff. 3) Poorly controlled group, cared for by physicians who provide advice and monitor compliance using Line application and telemedicine systems. The results showed a reduction of 10-12 patients per day in congestion, a decrease in average waiting time from 112.56 to 53.47 minutes, and a reduction in average HbA1c levels from 9.96 to 8.32. Both the care team and the patients expressed a high level of satisfaction.

            Conclusion: This diabetes care model under the COVID-19 pandemic situation has the potential to reduce congestion and lead to improved blood sugar control in diabetes patients.

            Keywords : care model, diabetic patients, COVID-19 virus