Effects of a Health Behavior Development Program on Non-Insulin Dependent Diabetes Mellitus Patients for Delaying Kidney Deterioration Nam Pad Hospital, Uttaradit Province
Keywords:
Non-insulin-dependent diabetes mellitus, Kidney disease, Health behavior development programAbstract
This research aimed to 1) compare knowledge and self-care behaviors for delaying kidney deterioration in non-insulin-dependent diabetes mellitus patients before and after participating in the program, and 2) compare clinical outcomes before and after program participation. The study employed a one-group pretest-posttest quasi-experimental design. The sample consisted of 30 non-insulin-dependent diabetes mellitus patients with stage 1-2 kidney disease. Research instruments included knowledge and self-care behavior questionnaires, and a 10-week health behavior development program. Data were analyzed using descriptive statistics and paired t-tests.
The results showed that after program participation, patients' knowledge scores increased from 16.23 to 20.10 (p<.05), self-care behavior scores increased from 3.62 to 3.96 (p<.05), fasting blood sugar (FBS) levels decreased from 133.03 to 128.53 mg/dL (p<.001), HbA1C levels decreased from 8.56% to 7.52% (p<.001), and glomerular filtration rate (GFR) increased from 74.47 to 78.73 mL/min/1.73m2 (p<.001). This program effectively improved knowledge, modified behaviors, and enhanced clinical outcomes in non-insulin-dependent diabetes mellitus patients with kidney disease. It is recommended to apply this program in caring for these patients, with long-term follow-up and studies on larger sample sizes to confirm its effectiveness.
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