ASSOCIATED WITH MISSED APPOINTMENT AND CLINICAL INDICATORS OF DIABETES MELLITUS CARE AMONG THE DIABETES MELLITUS PATIENTS IN BANSUAN HEALTH PROMOTION HOSPITAL

Abstract

This descriptive study was done among diabetic patients with regular treatment in Bansuan Health Promotion Hospital moung Sukhothai Province. This study aimed to 1) determine missed appointment of regular diabetic patients in Bansuan Health Promotion Hospital and 2) determine relationship between missing appointment and clinical indicators of diabetes mellitus care among the diabetic patients in Bansuan Health Promotion Hospital. The sample group of regular diabetic patients were during September, 2019 - October, 2020, diabetic patients 139 were used. Collected data by using data recording tools were reviewed from medical records Diabetic Patients. Data were analyzed by descriptive statistics included frequency, percentage, median, interquartile range and the analytical statistics included Chi - square test and 95% Confidence interval. The results found that 139 patients, 8.6 percentage of the subjects did not miss any appointment and 38.1 percentage missed 1 - 30 percentage and 53.2 percentage missed more than 30 percentage. The majority were women 69.1 percentage. The median age was 65 years, the interquartile range was 13, 59 percentage mostly had a job, 47.5 percentage had level primary education. The right to medical treatment was 83.3 percentage of health insurance with gold patents and those who regularly missed appointment there was a blood sugar level (Hba1c) ≥ 7 in 78.4 percent and a mean blood sugar level at the fingertip (DTX) ≥ 130 in 85.1 percent,
a systolic blood pressure value ≥ 130 in 52.7 percent, while a diastolic blood pressure value ≥ 80 36.5 percentage and LDL cholesterol levels at ≥100, accounting for 81.1 percentage, This research shows that Frequently missed appointments were associated with Hemoglobin A1C; HbA1C, Dextrostix DTX and Low - density Lipoprotein (LDL) Cholesterol Statistically significant (p - value < 0.05). There should be further study more reason missing appointment and. Further prospective, longitudinal studies may be required.