Results of the Self-regulation development of Uncontrolled Type 2 Diabetes Patients in Mueang District, Yasothon Province.

Abstract

     This research and development (R&D) aimed to study the results of the Self-regulation development of Uncontrolled Type 2 Diabetes Patients in Mueang District, Yasothon Province.The study was conducted by the multi-disciplinary team of Yasothon Province and the community health team, totaling 15 people, and uncontrolled type 2 diabetes patients, totaling 32 people. The process involved 4 phases, including 1) analyzing the problem situation, 2) developing a model of self-regulation, 3) trialing the model, and 4) data evaluation. The data were collected using a conversational form and questionnaire on perceptions of self-regulatory ability, health behaviors and clinical outcomes, with a reliability of 0.87 The descriptive statistics and the inferential statistics were used with Paired Sample T-test and content analysis.
     The study found that most of the uncontrolled type 2 diabetes patients were female (81.3%), aged 60 years and older (75.0%), had an average age of 64.4 years (S.D.= 10.17), had a duration of diabetes less than 12 years (56.30%), and had a history of direct relatives with diabetes (71.9%). The self-regulation skill enhancement model in the community consists of 1) health assessment, providing knowledge, and setting goals together 2) home visit to develop skills, review problems, and change goals together 3) Village Health Volunteers (VHVs) follow up on sugar drilling once a week 4) follow up and evaluate self-regulation manual, and 5) evaluate self-efficacy, behavior and clinical outcomes. After the trial, the patients had significantly increased perceptions of self-regulatory ability and health behaviors (p-value<.001). While weight, body mass index, waist circumference, and blood sugar levels decreased significantly (p-value<.001).