Results of Diabetic Patients Treatment at Maptaphut Hospital Health Service Network in Rayong

Abstract

This research was to access results of diabetic patients treatment and evaluate level of service satisfaction at Maptaput Hospital, Rayong, Thailand. The population were 1,780 diabetic patients who had been treated since 1 October 2012 – 30 September 2013. The participants were 1,647 cases. They were recruited from diabetic clinic in hospital 40.50 % and that from primary care unit 59.50 %. The instruments were used to record caring outcomes data form and  electronic patient records. The statistic used to analyse data were frequency, percentage, mean, standard deviation and independent t-test. The results of the study showed that diabetic patients  were female  (66.8%), age between 51-60 years old (30.8 %, mean 56.21 years old, SD 12.51), uneducated and finished primary school subjects, (72.6%), employee (60%), DM type 2 (90.5 %), time of illness < 5 years (67.3 %, mean 5.56 years, SD 4.69),  BMI level obese class 1(37.2%), HbA1c level 6- 7. 5% (43.8 %),fasting blood sugar < 130 mg/dl (46.0 %), cholesterol level < 200 mg/dl (57.3%), triglyceride level 151-400 mg/dl (48.3%),  LDL level > 100 mg/dl (75.3%), creatinine clearance level > 60 ml/min/1.73 m2 (71.9%) , serum creatinine level < 1.2 mg/dl (71.3%), systolic blood pressure < 130 mmHg (50.3%) and diastolic blood pressure < 80 mmHg (58.2%). Complication of eyes was Non-Proliferative Diabetic Retinopathy at mild NPDR level (3.27%). Complication of cardiovascular disease was low risk level (90.0%). Drug treatment expense for all diabetic patients total 3,108,931.00 baht was mostly paid for glibenclamide (27.2%) whereas satisfaction of service is high (88.93%). No significant difference between mean of HbA1c, cholesterol, triglyceride and serum creatinine levels of DM patients in diabetic clinic in hospital and in primary care unit. Additionally, means of  FBS, LDL, creatinine clearance, systolic pressure and diastolic pressure of DM patients between diabetic clinic in hospital and in primary care unit were statistically significant (p.<001).