4

6

12

19

23

33

3845

52

Case Report5863

6870

74

76

80

4

5

6

Effectiveness of Multidisciplinary Team Approach Technique on Controlling HbA1C

in Diabetes Mellitus Type 2 Patients

7

2

3

Abstract

1

8

1C)

Mean SD Mean SD P-value Mean SD Mean SD P-value

9

1

10

11

7

8

4

11

12

Preliminary Survey Report

13

14

15

95

16

17

18

19

Waist circumference value used for diagnosis metabolic syndrome

Abstract

1

2

3 4

5

20

6

7

8

9

10

11

12

ROC Curve

Sens

itivi

ty

ROC Curve

Sens

itivi

ty

21

22

23

24

1 2

3

4

5,6

7

8

9

25

10

Allocation

26

27

p-value

2)

p-value

28

p-value

29

30

p-value

11

p-value

31

12

32

33

1

34

Abstract

1

2

7

3,4

5,6

35

1

36

3

4

37

38

1

2

3

Patient-Centred Care

PATIENT PRESENTS CUES OF UNWELLNESS

DOCTOR SEARCHESTWO PARALLEL AGENDAS

DOCTOR’S AGENDAHistory Physical Examination

Laboratory Investigation

PATIENT’S AGENDAExpectations Feelings Fears

DIFFERENTIALDIAGNOSIS

UNDERSTANDINGILLNESS EXPERIENCE

INTEGRATION

39The Thai Journal of Primary Care and Family Medicine

The primary care consultation7 (1976)

The patient-centred clinical method: a model for the doctor-patient interaction in family medicine8 (1984)

(History of patient-centred care)

Client-centred therapy4 (1951)

Patient-centred medicine with illness-centered care5 (1957)

Total person approach6 (1972)

40

9

10

11

10

12

13

14

15

41The Thai Journal of Primary Care and Family Medicine

(Components of Patient-centred care)

16

disease and illness)

17

(understanding the whole person)

42

20

(an awareness of the potential for a power dynamic)

21

Paternalistic :

Consumeristic :

Default :

Mutuality :

X XX X

X XX X

prevention and health promotion)

18

19

(enhancing the patient-doctor relationship)

43The Thai Journal of Primary Care and Family Medicine

23

realistic)

(a focus on healing) 22

23

23

44

45The Thai Journal of Primary Care and Family Medicine

Dyspnea palliation: The review

1,2

3

4 5

1-6

6

6

7

8,9,44-46

46

8-11

2,10

10

10

1,9,10

5,9

(Burden and Coping)

9

9

47The Thai Journal of Primary Care and Family Medicine

12

13

13

(Dyspnea assessment)

14,15

16

(pharmacologic management)

Strong opioids

9

17,18

17,18

19,20

21

22 23,24

25

48

25 25

9

4,5,8,9,22

9,22,26

27

27

27

27

28

29

29

30

Oxygen therapy

31

31

32,33

32

33

34

35

31,36

37

37

49The Thai Journal of Primary Care and Family Medicine

(non-pharmacologic management)

9

38

39,40

4

1,41

42

43

34

37

31

50

Reference

11.

51The Thai Journal of Primary Care and Family Medicine

35.

52

The Metabolic syndrome

1

53The Thai Journal of Primary Care and Family Medicine

2

3-4

5-6

7

54

8

5.

Random Plasma glucose as a Screenting test

Random Plasma glucose (mg/dl)

Sensitivity (%) (%)

55

44

55The Thai Journal of Primary Care and Family Medicine

Random BG

DIABETESOGTT

NORMAL

BEHAVIOR MODIFICATION

IFG IGT IGT+IFG

2hGB>200

2hrBG140-199FBG

100-12

5

BG>200BG 140-199 BG<140

56

57The Thai Journal of Primary Care and Family Medicine

58

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60

61The Thai Journal of Primary Care and Family Medicine

62

63The Thai Journal of Primary Care and Family Medicine

2

3

64

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67The Thai Journal of Primary Care and Family Medicine

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69The Thai Journal of Primary Care and Family Medicine

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71The Thai Journal of Primary Care and Family Medicine

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73The Thai Journal of Primary Care and Family Medicine

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75The Thai Journal of Primary Care and Family Medicine

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77The Thai Journal of Primary Care and Family Medicine

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79The Thai Journal of Primary Care and Family Medicine