The Outcome of Network Development for Diabetic Patients Care at Health Promoting Hospital, Mueang Chaiyaphum District

Abstract

Background: Diabetes mellitus was chronic disease which a major problem of public health and affect to economic development. Some group of DM patients in Mueang Chaiyaphum had continuous visit for treatment in Tambon Health Promoting Hospital, mainly of them had poor blood sugar control (HbA1C≥7%).   

Objectives: The  objective  of  this  study  was  to  compare  the  means  of  HbA1C  among  DM patients  at Tambon  Health Promoting Hospital in Mueang Chaiyaphum District, between 2016 and 2017.

Method: This Research and Development had procedure as follows : analyzed problem, planning with Tambon Health Promoting Hospital participation, producing DM manual, lab checked up and result feed back, training personnel, health education and empowerment for patient’s self care, Modifying drugs by doctor, line group and telephone for consults, refer system, empowerment for family and community participation.

  Sample sizes were 1,488 cases of DM patients who had lab examination in 2016 and 2017 by purposive sampling, collected data from lab result in chaiyaphum hospital. Data analyzed by descriptive statistical and analytical statistics by paired t-test at p-value<0.05.

Result: 82.0% were females, means of age was 62.3±9.9 years, 56.0% were more than 60 years old. In 2016 and 2017; means of HbA1C were 7.6±1.9% and 7.2±1.7% respectively, which significant difference (p-value< .001). In good control group (HbA1C<7%) showed that ; 643 cases(43.2%) in 2016 and increase to 733 cases (49.3%) in 2017. In poor control group (HbA1C≥7%) showed that ; 845 cases(56.8%) in 2016 and decrease to 755 cases (50.7%) in 2017, means of HbA1C were 8.9±1.4% in 2016 and 8.1±1.5 % in 2017, that decrease which significant statistics (p-value<.001).

Conclusion: The continuous of network development and participation plan for DM care, had effect to improve blood sugar control among DM patients at Health Promoting Hospital, Mueang Chaiyaphum District.