Development of diabetes care systems in Sisaket Hospital Network

Abstract

     This study is research and development for developing a diabetes care system. The study was between October 2015 - September 2018. The sample consisted of 3 groups multidisciplinary of 46 people, patients of diabetic type 2 676 people and 62 people with uncontrollable diabetes. The process of development including analyze the situation, Practice, and evaluation by using P-A-O-R ( P = Planning, A = Acting, O= Observing, R = Reflecting ) and the Chronic Care Model as a conceptual framework.

     Resul: the situation before the system developed, Sisaket Hospital Network Diabetic care system is complex and difficult service access. When studying the situation data, the predicting factors of HbA1C levels of diabetic patients. The variable can enter the prediction equation with statistical significance at the level of 0.01 (the Sig. Of F value is 34.21), the multiple correlation coefficient (R) = 0.498 and R2 = 0.248 can be written as an equation HbA1C = -.353 + 0.006 X1 + 0.017 X2 +0.155 X3 + 0.291X4 +0.003 X5 - 0.003X6. Definitions X1 = FBS, X2 = Hemoglobin, X3 = UA Albumin, X4 =Hypoglycemia, X5 = LDLCholesterol, X6 = eGFR. Average self-management scores of Diabetes patient was significantly higher than before the development, P-value .000. The mean satisfaction of the multidisciplinary team towards development was significantly higher P-value .000. Diabetes patients have good control of HbA1C 34.91% , Diabetes patients enter the treatment system 71.49%. The percent of admit with acute complications is 4:24. Overall improvements in diabetes care with the percentage of patients with glycosylated hemoglobin <7% rising from 28.82 % in 2016 to 34.91 % in 2017