The results of the development of diabetes care networks in sub-district health promoting hospitals and primary care unit networks, Renu Nakhon District, Nakhon Phanom Province

Abstract

     The purpose of this research and development was to study the results of the development of a diabetic care network in sub-district health promoting hospitals and a network of primary care units in Renu Nakhon District, Nakhon Phanom Province. The samples were 20 diabetic patients/sites, 200 people were randomly drawn by simple random sampling and met the specified criteria. The research tools consisted of: 1) Guidelines for caring for diabetic patients in sub-district health promoting hospitals. Renu Nakhon Hospital 2) Behavior form Assessment food consumption, exercise and medication. data analysis The general data were analyzed by using the number, percentage, the behavioral assessment using the mean. Clinical results of accumulation of blood sugar (HbA1c), triglycerides (TG), bad cholesterol (LDL) and renal function rate (eGFR) were compared by the number, percentage, mean, independent t-test.

     The Development of Diabetes Care Networks in Tambon Health Promoting Hospitals and Primary Care Unit Networks in Renu Nakhon District, Nakhon Phanom Province According to the concept of chronic care model (Chronic Care Model) Behavior of diabetic patients Meal rating average (M=2.31-3.04) exercise average score (M=2.34-2.64) and the mean score of drug use (M=1.24-2.18) The study of treatment outcomes according to standard criteria, the goal of treatment for diabetic patients in sub-district health promotion hospitals in primary care networks was higher than that of sub-district health promotion hospitals, namely, accumulation of blood sugar (HbA1C < 7%)  42%, bad cholesterol (LDL). < 100 mg/dL) 51% And the comparison results of accumulation of blood sugar (HbA1C) were significantly different at the .05 level, while triglyceride (TG) and LDL cholesterol levels were not statistically different.