Development of a screening model for diabetic retinopathy

Abstract

     This action research The objective is to develop a model and study the results of using the diabetic screening model for retinopathy. Using the concept of Kemmis & McTaggart (1988), proceeded in 4 steps: 1) Planning 2) Implementing the plan 3) Observing And 4) reflecting the process, results of changes and adapting to the action plan and using the Chronic care model (Wagner, 1999). The target group was diabetic patients. Duration of the study January- December 2018, the research instruments consisted of 1) form in the fogus group 2) Retinal screening test form 3) Retinal imaging device Analyze quantitative data with descriptive statistics. Qualitative data from interviews Participatory observation, content analysis

     The results showed that the developed diabetes retinal screening model consists of 6 components as follows: 1) Health service system management Changing services in the district Health Promotion Hospital. 2) Supporting selfmanagement. Organize group and individual education activities 3) decision support Establish guidelines for screening and referrals for abnormal patients receiving treatment. 4) Adjustment and linkage of service systems Establishing a consultation system for ophthalmologists and eye nurses Follow up on patient care after referrals. 5) Clinical information system Develop data integrity records in the medical record program. 6) Community resource support to publicize the target group. Public health volunteers distributed letters of invitation and public relations leaders in the village, found that 68.19% of the target diabetic patients received retinal screening (5,184 people). 7.97% of diabetic retinopathy (413 people) were reported. Suggestions should focus on self-management support of diabetic patients in order to see the importance of retinal screening and abnormal cases for continuous treatment.