Developing a care model for new diabetic patients in Somdet District, Kalasin Province.

Abstract

     This study on developing a care model for new diabetic patients in Somdet District, Kalasin Province, aims to investigate the current situation of diabetic patient care in Somdet District, Kalasin Province, and to develop a care model for these patients. It is a research and development (R&D) project with the following timeframes: Phase 1: Research phase, October 2023 to September 2024 (12 months); Phase 2: Development phase, October 2024 to September 2025 (12 months). The participants are new diabetic patients in Somdet District, Kalasin Province, with inclusion criteria being: newly diagnosed with diabetes, voluntarily participating in the project, under 60 years of age, and with an HbA1C level not exceeding 9 or a blood glucose level between 120-180 mg/dL. The study is divided into two phases: Phase 1: Experimental phase, focusing on new diabetic patients. The study focused on two phases: Phase 1, the development phase, involving 68 new diabetic patients in Somdet Subdistrict, Somdet District, Kalasin Province; and Phase 2, the development phase, involving 262 new diabetic patients in Somdet District, Kalasin Province. Data was collected from blood sugar recording forms and questionnaires. Data was analyzed using content analysis (frequency, percentage, mean, and standard deviation). Inferential statistics included dependent t-test and F-test using One-Way ANOVA, and F-test using One-Way MANOVA.

     The study results showed that health literacy, health behaviors, and HbA1C levels of new diabetic patients in Somdet Subdistrict, Somdet District, Kalasin Province, before the intervention in November 2023, were at a moderate level overall and in each aspect. After the intervention in August 2024, these levels were at the highest level overall and in each aspect. Health literacy, health behaviors, and HbA1C levels of new diabetic patients in Somdet Subdistrict, Somdet District, Kalasin Province, after the intervention (August 2024) were significantly better than before the intervention (November 2023). When the program was expanded to another 9 subdistricts, the results showed that health literacy, health behaviors, and HbA1C levels of new diabetic patients in Somdet Subdistrict, Somdet District, Kalasin Province, before the intervention in November 2024, were at a moderate level overall and in each aspect. After the intervention in August 2025, these levels were at the highest level overall and in each aspect. Health literacy, health behavior, and HbA1C levels of new diabetic patients in Somdet Subdistrict, Somdet District, Kalasin Province after the intervention (August 2025) were better than before the intervention (November 2024). A comparison of overall and specific aspects of health literacy and health behavior of new diabetic patients after the intervention (August 2025) between areas showed no significant difference.