Development of Self-Management Model of type 2 Diabetic Mellitus Patients to Prevent the Occurrence of Diabetic Nephropathy Nakhon Phanom Province

Abstract

     This study is action research. The objective was to develop a self-management model of type 2 diabetic patients to prevent diabetic nephropathy. and to study the results of the development of the image The samples used in this research were 30 health teams who jointly analyzed, synthesized, developed the model, and a group of type 2 diabetic patients who received services in a diabetes clinic. Phonsawan Hospital, 40 people. The research tool was a general information questionnaire. diabetic nephropathy knowledge quiz and a questionnaire on preventive behaviors for diabetic nephropathy The instruments used in the experiment were Self-management guide for the prevention of diabetic nephropathy Evaluation before and after The study was conducted during January - March 2019. Data were analyzed using descriptive statistics to find frequency, percentage, mean and dependent t-test.

     The study found that After the experiment the mean knowledge of kidney disease of type 2 diabetic patients was higher than before the experiment. with statistical significance at the 0.05 level (=18.57, S.D.=0.59; =14.70, S.D.=3.59). After the experiment, the mean scores for preventive behaviors for diabetic nephropathy in type 2 diabetic patients were higher than before the experiment. statistically significant at the 0.05 level (= 94.42, S.D.=4.59; = 72.37, S.D.=6.49) and the mean body mass index Blood glucose, blood pressure, blood lipids and eGFRs were found to be better after the experiment than before. with statistical significance at the 0.05 level (= 21.35, S.D.=1.30, = 23.05, S.D.=1.67, = 6.82, S.D.=0.41, = 7.65, S.D.=0.60, = 123/77 ,S.D.=8.84/4.33, = 138/86, S.D.=13.44/4.03, = 130.60, S.D.=21.57, = 165.87, S.D.=24.31 and = 90.50, S.D.=6.85, = 73.77, S.D.=9.27 respectively).