Factors Affecting Uncontrolled Type 2 Diabetes Mellitus of Patients In Thalang Hospital, Phuket Province

Abstract

          This descriptive research study aimed to study either selected factors association or jointly predict  factor effected to blood sugar level control a- mong diabetic mellitus type 2.    Population in this study consisted of 1,769 diagnosed diabetic mellitus type  2 who had fasting plasma glucose higher than 140 mg/dl drawn from name list which be registered in diabetic mell- itus clinic at Thalang district,  Phuket Province in fiscal year 2016,  and the sample size calculating used Daniel formula for  330 cases,  and systematic random sampling was determine for collecting data. Data collected by que stionnaires composed of 5 parts including, characteristics, health behavior, heath service system,  health perception, and blood sugar level. In addition to check questionnaire standardization,   validity was checked by 3 experts and try out testing reliability by Cronbach’s coefficient alpha about 0.86. D- ata analyzed using statistical as Pearson product moment correlation coef- ficient and Stepwise multiple regression analysis.  An association analyzed found that, marital status, take the medication after meals, take both insul- in injections with medicine, doctor appointment, structure, monitoring an- d evaluation were positively association with blood sugar level control am- ong diabetic mellitus type 2 with statistic significant level  0.05.   Moreover, negative association including; perceived barrier treatment,  dyslipidemia, and food control were significantly.  Prediction model analyzed reported t- hat overall selected factors accounted for 17.6% of the variance blood suga r level control.  Six selected factors including; take the medication after me als, take both insulin injections with medicine,  perceived barrier treatme- nt, dyslipidemia, monitoring and evaluation,  and food control still signifi- cantly predicted blood sugar level control among diabetic mellitus type  2. However,  marital status,  doctor appointment,  and food control could not significantly explain variance blood sugar level control among diabetic me llitus type 2.