Effects of Discharge Planning Program in the uncontrolled type 2 diabetes patients at Khamtakla Hospital, Khamtakla District, Sakon Nakhon Province.

Abstract

     This was a quasi-experimental research study using a one-group pretest-posttest design. The objective was to study the effects of a discharge planning program for type 2 diabetic patients with uncontrolled blood sugar levels at Khamtakla Hospital, Khamtakla District, Sakon Nakhon Province. The sample group consisted of 33 type 2 diabetic patients with uncontrolled blood sugar levels who were admitted to the inpatient department between January and April 2024, selected by purposive sampling. The data collection tools included a general information questionnaire, a questionnaire on knowledge about type 2 diabetes, and a self-care behavior questionnaire. The experimental tool was the discharge planning program for type 2 diabetic patients based on the D-METHOD process. Data analysis used descriptive statistics and inferential statistics to compare pre- and post-intervention scores, using the Wilcoxon signed-rank test for knowledge and the paired t-test for self-care behavior and blood sugar levels.
     The research results showed that most of the sample were female (54.50%), with an average age of 60.58 years, primary education level (75.76%), and agricultural occupation (57.57%). 54.55% had a comorbidity of hypertension, and none of the samples were readmitted within 28 days after discharge. The mean scores for knowledge and self-care behavior were significantly higher after the intervention at the 0.05 level, and the mean blood sugar level was significantly lower after the intervention at the 0.05 level.