Effects of a program to change knowledge and self-management skills in patients with type 2 diabetes who cannot control their blood sugar. Khao Wong Hospital.
Keywords:
Program to change knowledge and self-management skills, type 2 diabetic patients who cannot control blood sugar, behavior changeAbstract
This study was quasi-experimental research. The objective was to study the results of a program to change knowledge and self-management skills in patients with type 2 diabetes who cannot control their blood sugar. Khao Wong Hospital on knowledge, behavior and blood sugar levels, 120 people, divided into a control group of 60 people and an experimental group of 60 people. The control group did not receive the program. The experimental group received the program for a period of 8 weeks. The tools used in the research consisted of 1) a program to change knowledge and self-management skills in patients with type 2 diabetes who cannot control their blood sugar. Khao Wong Hospital 2) Automatic fasting blood glucose measuring device and blood sugar level recording form 3) Knowledge test for diabetic patients There is a reliability value of 0.84. 4) Questionnaire about health behaviors and practices for controlling diabetes. The confidence value was 0.95. Data were analyzed using descriptive statistics, including mean and standard deviation, t-test statistics, including paired t-test, independent t-test, and non-parametric test statistics, including Wilcoxon-signed rank test and Mann Whitney U test.
The results of the research found that 1) after using the circle, it consists of 6 steps: 1) goal setting, 2) data collection, 3) data analysis and evaluation, 4) decision making, 5) practice, consisting of 2 main components: 1) teaching and giving know and behavior modification according to the principles of 3 A. 3 Reduce. 2) Support for behavior modification. By following up with home visits Evaluate your own ability to change health behaviors according to the patient's context. There is a total of 4 program implementation periods and 6) reflection on practice results or self-evaluation. Affecting the average knowledge, behavior and blood sugar levels of patients with type 2 diabetes are better than before using the program. with statistical significance that p-value<.052) after using the program Affects the average knowledge, behavior, and blood sugar levels of patients with type 2 diabetes. The experimental group was better than the control group. Statistically significant at p-value< .05
References
กรมควบคุมโรค กระทรวงสาธารณสุข. (2564, 13 พฤศจิกายน). กรมควบคุมโรค เผยสถานการณ์โรคเบาหวานทั่วโลก มีผู้ป่วยแล้ว 537 ล้านคน มีส่วนทําให้เสียชีวิต สูงถึง 6.7 ล้านคน หรือเสียชีวิต 1 ราย ในทุกๆ 5 วินาที. https://pr.moph.go.th/?url=pr/detail/2/02/181256/
สำนักงานสาธารณสุขจังหวัดกาฬสินธุ์. HDC, 2566
กระทรวงสาธารณสุข. (2565). ทบทวนตัวชี้วัดเพื่อกํากับติดตามคุณภาพบริการด้านโรคไม่ติดต่อ พ.ศ.2563-2566 .นนทบุรี: กรมควบคุมโรค กองโรคไม่ติดต่อ กระทรวงสาธารณสุข.
Akaratanapol, P., Aumaor, T., Khungtumneam, K., Limteerayos, P., Pidet, K., Phuangprasonka, R., Phuthasane, C., ... & Kompayak, J. (2021). Risk to major complicationsamong diabetic and hypertensive Patients in Nong-Prue health promoting hospital, Bangphli, Samutprakan. APHEIT Journal of Nursing and Health, 3(2), 37-52.
Rakchim A, Lerkiatbundit S, Saengcharoen W. Factors affecting blood sugar control among diabetes mellitus type 2 patients in Pak Phanang hospital at Nakhon Si Thammarat province.
Diabetes Clinic Public Health Center 47 Khlong Khwang disease registration. Bangkok: Public Health Center 47 Khlong Khwang; 2017. (in Thai)
Wankham C, Wattana C, Khampalikit S. The effects of a self-management program on hypertension-controlling behaviors and mean arterial pressure among persons with hypertension. Nursing Journal 2015;42(1):49-60. (In Thai).
วิชัย เทียนถาวร. (2556). ระบบเฝ้าระวัง ควบคุม ป้องกัน โรคเบาหวาน ความดันโลหิตสูงในประเทศไทย:นโยบายสู่การปฏิบัติ. (พิมพ์ครั้งที่ 3 ปรับปรุง). กรุงเทพฯ: ชุมนุมสหกรณ์การเกษตรแห่งประเทศไทย จำกัด
Creer, L.T. (2000). Self-management at chronic illness. Handbook at self-regulation. California: Academic.
Kongsakul S. The effects of a self-management skill training program on self-management behaviors regarding glycemic control and blood sugar level among persons with type 2 diabetes mellitus (master’s thesis). Pathumthani: Thammasat University;2009. (in Thai).
Nato S, Vannarit T, Somrarnyart M. Effects of self-management promotion through diabetic camp participation on glycemic control behaviors and hemoglobin A1C level among persons with type 2 diabetes. Nursing Journal 2016;43(4):92-104. (in Thai).
