Development of care system for patients with uncontrolled diabetes In Ban Don Yanang Sub-district Health Promoting Hospital Don Somboon Subdistrict, Yang Talat District, Kalasin Province.

Abstract

     This research focuses on the study of health conditions and contextual factors affecting diabetes patients in the Don Somboon Subdistrict, Yang Talat District, Kalasin Province. Additionally, it aims to develop an improved care system for patients with a new type of diabetes within the context of Ban Don Ya Nang Subdistrict Health Promotion Hospital. The study spanned a period of 8 months, commencing from October 2565 B.E. to May 2566 B.E. The research group comprised diabetes patients registered at Ban Don Ya Nang Subdistrict Health Promotion Hospital. A total of 253 individuals were included, and their data, primarily related to accumulated sugar levels (HbA1C) exceeding 7%, were collected and analyzed. The data analysis encompassed content analysis, frequency distribution, averages, standard deviations, and Paired sample t – test.

     The results of the study showed that before the implementation The group of diabetic patients whose blood glucose levels were not controlled by age had major health problems. that These challenges encompassed severe issues like class 2 overweight-obesity, hypertension, HbA1C exceeding 7.01%, and a limited grasp of holistic self-health management. Responding to these concerns, researchers engineered a novel diabetic care system that transcends glycemic control. The multifaceted system embodies: 1) Enhancing patient and family skills in self-health management while fostering collaboration with the healthcare team. 2) Empowering Village Health Volunteers (VHVs) to assume the role of health coaches, curating patient health records and forwarding them to NH Hospital ahead of medication collection. 3) Pioneering risk assessment, diagnosis, and patient categorization. 4) Tailoring the diabetic care model to accommodate patients unable to regulate blood sugar, establishing a transformative new norm. Subsequent to implementation, patients grappling with poor glycemic control demonstrated a notable upswing in their grasp of self-health management. Notably, statistically significant discrepancies in blood glucose (HbA1C) emerged before and after the intervention, with a discernible post-intervention decrease in HbA1C levels (indicated by a positive t value). Evidently content, participants expressed high satisfaction with the revamped diabetes care system designed for refractory glucose levels.