The results of diabetes control among patients with diabetes mellitus who were receiving medical services in Diabetes clinic and General clinic at Nakhonratchasima public health center

Abstract

ABSTRACT

Background: Diabetes mellitus is a chronic disease, That deficiency to generate insulin and unable to utilize glucose that create elevated of blood glucose levels. In thailand, Diabetes mellitus is a civil health problem that increase the number of diabetes patient every year. When the diabetes patient receive improper treatment, they will have diabetes mellitus complication. Nakhonratchasima public health has a lot of diabetes patients and we found some diabetes patients have poor compliance. We decided to establish Diabetes clinic at The second of Nakhonratchasima public health center (Tung Swang) for systemic diabetes care and treatment.

Objective: To compare the results of diabetes control among patients with diabetes mellitus who were received medical services in diabetes clinic and general clinic at Nakhonratchasima public health center

Methodology: Study by cross–sectional retrospective cohort study. The sample were separated for two groups. The first group was diabetes mellitus patients who received medical services in diabetes clinic, The second group was diabetes mellitus patients who received medical services in general clinic. Duration of the study was 8 months. The data was collected in 1 Jun 2021 to 31 Jan 2022. Study instrument consisted of 2 part : part 1, General information query and part 2, The results of diabetes control query. The data analyses by used descriptive statistics with Chi-Square Test and inferential statistics with non-parametric Mann-Whitney U-test, because the data do not have a normal curve distribution.

Result: The data analyses of behavior, attitude, knowledge and HbA1c by the Mann-Whitney U-test were 12540.50 (p-value = 0.00), 13501.50 (p-value = 0.00), 12183.00 (p-value = 0.00), and 11004.00 (p-value = 0.00). From the data of Mann-Whitney U-test, we found the diabetes clinic has a more efficacy diabetes control than general clinic with statistical significant (p<0.05). The diabetes patient who received medical services form diabetes clinic have more efficacy to change behavior, change attitude, improve the diabetes knowledges and improve the results of diabetes control than general clinic.

Conclusion: Diabetes patient who received medical services from diabetes clinic will receive the treatment form multidisciplinary diabetes team, improve about diabetes knowledges, encourage to change attitudes and behaviors, so they will have a good diabetes control. In addition to the pattern of diabetes clinic services can be use to develops services of the other clinic for more efficacy treatment, protect complications and improve quality of patient life.