The Effect of Case Management on Outcomes Among Insulin Dependent Type 2 Diabetes Patients in Sungaikolok Hospital, Narathiwat Province

Abstract

 The quasi-experimental research aimed to examine the effect of case management on patient outcomes in patients with type 2 diabetes using insulin Samples were 60 patients with type 2 diabetes using insulin; 30 patients in an experimental group and 30 patients in a control group. An experiment group received a series of activities for 12-week. A series of activities included knowledge training, self-care training, health assessment, problem analysis, planning with professional team, counseling, home visitation and follow-up, called a case management process based on a 6-step process. The research instruments consisted of a diabetes knowledge questionnaire, a self-care competency questionnaire, and a blood glucose log form. The instruments were verified by 3 experts and received reliability 0.96. Data were analyzed using frequency, percentage, mean, standard deviation, Wilcoxon Match-paired Sign Rank and Mann-Whitney U test.
The results revealed that after the case management, patients with type 2 diabetes who used insulin in the experimental group had higher scores on diabetes mellitus knowledge than before receiving the case management, and the experiment group had sugar blood level better than before the experiment and better than the control group with a statistical significance at .05.
The results showed that case management had a positive effect on patient outcomes. Increasing knowledge about diabetes affects the ability to take proper care of yourself leading to good disease control. Nurses can use it as a guideline for caring for people with diabetes and other chronic diseases.