รูปแบบการป้องกันและดูแลสุขภาพผู้ป่วยโรคเบาหวาน โดยการมีส่วนร่วมของชุมชน : กรณีศึกษา ชุมชนหนองบัวเหนือ อำเภอสตึก จังหวัดบุรีรัมย์

บทคัดย่อ

abstract in Thai unavailable

Pattern of Preventing and Health Caring for Diabetes Patients with Community Participation: A Case Study of Nongbuanua Community, Satuk District, Buriram Province

This study was a participatory action research (PAR) aiming at: 1) investigating the problems situation, Thai wisdom in preventing and health caring of diabetes patients of community in the past up to the present; 2) exploring the processes, mobilizing, planning, and methods of community and working units in preventing and health caring of diabetes patients; and 3) finding out the appropriate pattern in preventing and health caring of diabetes patients with community participation and relevant working units. The research area was taken place at Nongbuanua community in Satuk District, Buriram Province. The target groups were 49 people included: village public health volunteers, care takers, diabetes patients, vulnerable groups, village headmen, village committees, Satuk hospital staff, and Satuk municipality staff. The research instruments were questionnaire, indepth interview, and group discussion. The statistics used for analyzing the collected data were percentage and descriptive analysis. The findings were as follows:

1. The illness situation of diabetes seemingly tended to be increased because people lacked of diabetes knowledge. They daily took the starched food and carbohydrate, and did not work out which were the factors leading to the diabetes. Moreover, the villagers did not take their instinct traditional wisdom to apply in restoring for preventing and health caring of vulnerable groups, care takers and diabetes patients. Also, the research teams started to conduct the related research. Consequently, the villagers then began to pay interested in taking care of their health by restoring Thai wisdom on traditional foods and working out in preventing and health caring of diabetes patients.

2. The processes, mobilizing, planning, and methods of community and working units in preventing and health caring of diabetes patients were found that before conducting the study, there was no the participatory processes of community and working units. It should also be noted that the villagers of Nongbuanua had not participated in joining brainstorming, planning, making decision, following-up, and evaluating in operating various projects. There were only Satuk municipality, and Satuk hospital who initially made projects for people. Unexpectedly, however, the operation of two organizations were lacked of cooperation, duplication, and wasting the budget.

3. The appropriate pattern in preventing and health caring of diabetes patients with community participation and relevant working units was found that the community, working units, care takers, and vulnerable groups must participate in various activities staring from searching problems, illness causes, problem guidelines, operational plans, controlling and evaluating by taking the wisdom in local to apply, namely exercise, self-massaging mediation, meditation training, and restoring the 6-healthy recipes menus. However, the supplementary activities were also provided: making the joining awareness by setting the training to gain more knowledge, taking the pattern to narrate the illness experiences, and bring the health issues to community public stages; checking the screening diabetes for reducing the numbers of vulnerable groups, and causing complications; and home visiting for making the understanding about self-performance of care takers, and diabetes patients, respectively.