Development of self-management program for type 2 diabetes patients uncontrolled blood sugar: Prachasamosorn Medical Center, Khon Kaen Hospital, Khon Kaen Province.

Abstract

     This study was quasi experiment research aimed to study problem context, develop and use self-management program for type 2 diabetes patients who cannot control blood sugar. Study was conducted for 12 months between August 2022 and July 2023. Qualitative sample consisted of 10 health network partners, and the quantitative sample consisted of 30 type 2 diabetes patients. The instruments included in-depth group discussion interviews, a self-management program, a general data collection form, a health behavior assessment form, and a satisfaction assessment form. Data were analyzed by content analysis, using statistics, percentages, means, and standard deviations, and paired t-test.
     Results of study found program development consisted of 6 formats as follows: 1) Providing knowledge about diabetes, 2) Controlling blood sugar levels, 3) Developing self-care skills, 4) Creating motivation about the benefits of self-management and behavior change, and 5) Promoting skills training to decide to change their own behaviors, 6) Training in writing daily diaries to set goals and self-management plans. Development results found that sugar HbA1C level, self-management behavior, and satisfaction level increased significantly after the development at p <.05, t = -6.86, 8.42, 9.21, respectively. Conclusion is that the implementation should be done in collaboration with the network partners, promoting self-management and satisfaction together to be successful.