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Caring for Patients with Uncontrolled DM Living in Urban Community

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P. Sodsaritkul, I. Chomcheun, N. Narongchai, K. Chompoo, 1
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S. Turien, J. Srichairattanakull, P. Thammaraksa, and K. Chosivasakul 2
1 Graduate student in the Master of Nursing Science Program in Community Nurse Practitioner, Faculty
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of Nursing, Praboromarajchanok Institute, Ministry of Public Health, Thailand, Thailand, and Faculty of
Nursing, Praboromarajchanok Institute, Ministry of Public Health, Thailand, Thailand

Background: Patients with uncontrolled diabetes mellitus (DM) is typically found in urban community. The
risk factors related to uncontrolled DM including lacking of knowledge, eating sweetie foods, no exercising,
no taking medicine continuously, and no following up the doctor. Supporting the self-management to
patient with uncontrolled DM and the effective health system are important. However; analyzing the health
system based on 6 building blocks found the limitation comprising of accessing to care, no linkage of
patient’s health information system in each level, and less participating in patient care from the
communities. These limitations lead to ineffective and discontinuously care.

Objective: 1. To promote the knowledge and self-management skills for patient with uncontrolled DM
2. To encourage the community participating to take care of patient with uncontrolled DM 3. To
develop the health information system for continuing care of patient with uncontrolled DM in the
community.

Methods: 1. Nurse Practitioners promoted the knowledge and self-management skills for patient Oral Presentation Abstracts
with uncontrolled DM based on the self-management theory and evidence-based. 2. Promoting the
ability of health care volunteers for screening and taking care of the patient with uncontrolled DM.
3. Conducting the family folders and health books for recording the patient’s health information.

Results: 1. Patients with uncontrolled DM had ability to self-management for maintaining normal
blood glucose level. 2. Health care volunteers had ability to screen blood glucose level and take care
of the patients. 3. Nurse practitioners had the patient’s health information recorded in the family
folders and health books for taking care of the patients with uncontrolled DM leading to continuously
care.

Conclusion: Taking care of the patients with uncontrolled DM by supporting the self-management
and conducting the Health information system are necessary for controlling their blood glucose level.
Additionally, the community participation will increase the efficiency and continuity of care.

Keywords: health system, uncontrolled DM, self-management, 6-building blocks

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Correspondence: Jeamjai Srichairattanakull, Faculty of Nursing, Praboromarajchanok Institute, Ministry
of Public Health, Thailand, Thailand
E-mail: jeamjai.s@pi.ac.th

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