The process of driving activities to solve chronic disease problems of the Kalasin Provincial Public Health Office.

Abstract

     This study was participatory action research (PAR) with the objectives to study the situation of chronic disease problem solving and the process of driving activities to solve chronic disease problems in the Kalasin Provincial Public Health Office. The study was conducted between March 2024 and November 2024, a total of 9 months. Data were collected from health record forms and understanding measures of personnel involved in using online systems to monitor behavioral changes in diabetic and hypertensive patients. Data were analyzed using content analysis, frequency, percentage, mean, and standard deviation, and Dependent t-test.
     The results of the study found that the understanding of the personnel involved in using the online system to monitor behavioral changes in diabetic and hypertensive patients before and after the process was significantly different at a statistical level of 0.05. After the process, the understanding of the personnel involved in using the online system to monitor behavioral changes in diabetic and hypertensive patients was higher than before the process. The behavioral changes that the patients chose included diet control, exercise, medication use as recommended, meditation therapy, effective sleep, carbohydrate counting, and alternative medicine. Diabetic patients changed their behaviors by 40.59 percent more than before. Hypertensive patients changed their behaviors by 44.13 percent more than before. Diabetic and hypertensive patients were able to control their blood sugar and blood pressure levels better.