Abstract
Care-taker behavior and Glycemic control of elderly Non-Insulin Dependent diabetic patients , Amphur Khaowong , Kalasin Province This Survey Research was a Cross-Sectional study. The purpose was to study the relationship between care-taker behavior and glycemic control of elderly non-insulin dependent diabetic patients, Amphur Khaowong, Kalasin Province. Quantitative data and Qualitative data were collected from 127 elderly diabetic patients and 127 care takers during November 1998-February 1999. Percentage, Mean, Standard deviation, Chi-square test, Odd ratio at 95% and Multiple logistre regression were used to analyse quantitative data and qualitative data were analysed by content analysis. The results showed that the following five factors of care-taker had significantly related to glycemic control of elderly diabetic patients (p ( 0.05) :-Age : care-taker who 60 years old up had better glycemic control of elderly diabetic patient than care-taker who were 30-59 years old for 18 times (95% CI = 1.4-136.3; p-value = 0.02).Marriage status : the single care-taker had better glycemic control of elderly diabetic patient than the married person for 1.9 times (95% CI = 1.2-94.9; p-value = 0.03).Family annual incomes: the incomes less than 10,000 bath had better glycemic control of elderly diabetic patient than the incomes between 10,000-90,000 bath for 7.4 times (95% CI = 1.6-36.3; p-value = 0.01).Duration of daily care : the duration more than 12 hours had better glycemic control of elderly diabetic patient than the duration less than or equal 12 hours for 9.6 times (95% CI = 1.7-55.1; p-value = 0.01).Attitude scores : the scores equal or higher than Mean had better glycemic control of elderly diabetic patient than the scores lower than Mean for 4.8 times (95% CI = 1.2-19.9; p-value = 0.02). Deep interview showed that care-taker who take cared well and poorly controlled diabetic patients had inadequate knowledge about glycemic control in diabetic patients. Most of their knowledge were received from their diabetic patients and neighbourhoods. However, care-taker who take cared well controlled diabetic patients had better care-giving than care-taker who take cared poorly controlled diabetic patients especially dietary control, exercise and appointment with the doctor.
