Development of a Care Model for Promoting Glycemic Control and Progression Toward Diabetes Remission Among Patients with Type 2 Diabetes Mellitus at Kantarawichai Hospital, Maha Sarakham Province, Thailand
บทคัดย่อ
Abstract
This research and development study aimed to: 1) investigate the current situation and problems in the care of patients with type 2 diabetes mellitus; 2) develop a care model for promoting glycemic control and progression toward diabetes remission; and 3) evaluate the effectiveness of the developed model. The study was conducted from February 1 to December 1, 2025, at Kantarawichai Hospital, Maha Sarakham Province, Thailand. The research process consisted of four phases: situation and problem analysis, model development, implementation and evaluation, and model refinement. In Phase 1, 282 patients with type 2 diabetes mellitus and healthcare personnel were included. In Phase 3, the Kantarawichai Diabetes Remission-Oriented Care Model (KDR Model) was implemented among 79 patients with type 2 diabetes mellitus for 12 weeks. Research instruments included a health behavior assessment questionnaire and a clinical data record form. Data were analyzed using descriptive statistics and paired sample t-test.
The results revealed that the KDR Model consisted of four key components: target patient identification, diabetes behavior modification, reinforcement and self-management support, and monitoring and evaluation. Following implementation, the mean HbA1C level significantly decreased from 8.71 ± 1.32% to 6.48 ± 0.94% (t = 15.84, p < .001). Additionally, 35.44% of participants achieved an HbA1C level below 6.5%. The overall health behavior score significantly increased from 94.74 ± 11.85 to 130.48 ± 9.27 (t = 18.63, p < .001).
In conclusion, the KDR Model effectively improved glycemic control and health behaviors among patients with type 2 diabetes mellitus. The model may serve as a practical approach for enhancing diabetes care services in community hospitals.
Keywords : Type 2 diabetes mellitus, Glycemic control, Diabetes remission, Self-management
