Abstract
Since the number of diabetic patients has been dramatic increasing in Thailand year by year, so the
good medical care is needed for serving all patients’ requirement. In the present, the medical care for
diabetic patients in Pua district still has many problems.Most patients could not meet the standard outcomes
on controlling the plasma glucose. This problem has been found to relate on the obstacle of transportation
to DM clinic in hospital and the confidence in the service of intermediate facilities. The aim of
this research was to develop primary care for diabetic patient by Nurse Practitioner. The period of quasiexperimental
research was started from 1st October 2010 to 30th September 2011. The study was focused
on the 418 patients that had well control of plasma glucose from 70 - 130 mg/dl and had level of HbA1C<
7%. The patients were divided into two groups. The first group was the 98 patients that received service at
the Subdistrict health promoting hospital. The second was the 320 patients that received service at Pua
Crown Prince Hospital. The result showed that the DM patients from Subdistrict health promoting hospital
could control the level of plasma glucose better than those from Pua Crown Prince Hospital. The level
of HbA1c< 7% of the DM patients from primary medical care and Pua Crown Prince Hospital were 72.55%
and 54.37% respectively. In conclusion, the developing primary care for diabetic patient by Nurse Practitioner
had found to be suitable for applying in Pua Contracting Unit Care. This concept is better to put
more effort and need simultaneous development for keeping fast track on the observation.
