Application of self-management support concepts to delay kidney deterioration in patients with type 2 diabetes

Abstract

     This action research aimed to develop the model and results of applying the concept of self-management support to delay kidney deterioration in patients type 2 diabetes, Diabetes Clinic. Nathom Hospital Nakhon Phanom Province. The sample group consisted of 40 patients type 2 diabetes selected Purposive Sampling and specified criteria. The tools used to collect data include a health behavior questionnaire. The Cronbrach's alpha coefficient reliability was obtained as 0.79, Data analysis: General data using numbers and percentages. Health behavior and clinical results using numbers, percentages, averages, and standard deviations. Compare before-after Participate in activities using paired t-test statistics.
     Results of the study: Before and after participating in the activity, the average blood sugar level (A1C) decreased from 7.7% to 7.2%, the average glomerular filtration rate increased from 87.9 to 96.2 ml/min/1.73m2/yr., triglyceride levels The average dropped from 177 mg/dl to 152 mg/dl, LDL levels. The average increased from 97 mg/dl to 102 mg/dl, Comparing Hemoglobin A1C, glomerular filtration rate (eGFR), the differences were statistically significant at the .05, triglyceride and LDL cholesterol were not statistically different. Health behavior before and after participating in the activity It was found that food consumption had an average score of high (=37.93, SD=4.554) to the highest level (=43.10, SD=3.128), exercise had an average score of low (=12.70, SD=2.544) increasing to moderate level (=16.88, SD=3.368). Drug use has an average score at a high level (=18.72, SD=2.396) increasing to highest level (=24.05, SD=2.229) and were significantly different at the .05 level.