The Development of a blood sugar control model for patients with type diabetes, Ban Kham Toei Subdistrict Health Promoting Hospital, Kham Toei Subdistrict, Thai Charoen District, Yasothon Province.

Abstract

     This action research aimed to 1) develop a self-care model for type 2 diabetes patients and 2) study the effect of the self-care model for type 2 diabetes patients by studying the change in self-care behavior of type 2 diabetes patients, knowledge about diabetes, and control of blood sugar level in type 2 diabetes patients. The sample group consisted of 50 diabetic patients with uncontrolled blood sugar level with HbA1c ≥7 mg%, purposively selected. The research instruments consisted of 1) a health literacy promotion program for diabetic patients, 2) an interview form for general information, knowledge about diabetes, and health behavior and 3) a blood sugar level record form before and after participating in the project. Descriptive data analysis included mean, standard deviation, and percentage. The statistics of knowledge, behavior, and blood sugar level were compared before and after the research using paired t-test.
     The results of the study on the development of a blood sugar control model for type 2 diabetes patients at Ban Kham Toei Subdistrict Health Promotion Hospital, Kham Toei Subdistrict, Thai Charoen District, Yasothon Province found that after participating in the program activities for 13 weeks, a knowledge test was performed. The health behavior and blood sugar level (HbA1c) were assessed before and after the research. It was found that the sample group had significantly increased health knowledge (p-value<0.05). They were provided with knowledge by the program staff, communicated and asked about various issues, and exchanged knowledge in focus groups about diabetes in the sample group. They made an appointment to do activities together every week. In addition, they were followed up with home visits by staff and village health volunteers to create motivation to change their health behavior. From the assessment of the health behavior of the sample group, it was found that the sample group had a high average health behavior in all 3 areas (diet control, exercise, medication) and blood sugar level (HbA1C) of the sample group decreased significantly (p-value<0.05).