The Development of a Social Support Model to Promote Health Care Behaviors of Uncontrollable Diabetes Patients

Abstract

This research and development is to study 1) Factors for success in controlling blood sugar levels 2) Developing a model and 3) Effectiveness of a social support model to promote health care behavior among diabetic patients who cannot control their blood sugar levels. The research was conducted in 3 steps: Step 1: Study good strategies for social support that affect self-care behavior. From 13 diabetic patients whose sugar levels were well controlled, data were collected using conversational analysis. and analyze the content data. Step 2: Develop the model by drafting the developed model through examination by experts. Step 3: This step uses a quasi-experimental research method, a type of group. Measurement before and after the experiment in patients with type 2 diabetes who receive services in the diabetes clinic Outpatient department Singhanakhon Hospital, 27 people, calculated using the G* Power program, research tool, SINHA Model, self-care behavior questionnaire. Blood sugar level recording form The content validity (IOC) was obtained between .67 - 1.00 and the Cronbach's alpha coefficient was .805. Data were analyzed using descriptive statistics, paired sample t-test and Wilcoxon signed ranks test. The research found that

1. Factors for success in controlling blood sugar levels include avoiding sugary foods, fatty foods, coffee, and walking and exercising. Taking time to attend the temple and listen to Dhamma Cooking for yourself emphasizes eating fish and vegetables. Finding information related to diabetes from television and eating herbs.
2. The social support model to promote health care behavior of diabetic patients who cannot control their sugar levels is the SINGHA Model, consisting of 1) S: Social Media, meaning social media, 2) I: Information Support, meaning providing Knowledge and advice 3) N: Nurturing of Local wisdom means local wisdom 4) G: Good Role Model means role model 5) H: Home means family ties 6) A: Administration means management.
3. The effectiveness of the model was found to be After using the model, diabetic patients whose blood sugar levels cannot be controlled have increased self-care behavior and accumulated blood sugar levels decreased at a statistical significance of .001.

          Therefore, the developed model should be applied to promote health behavior in other patient groups and expand the results to subdistrict health promotion hospitals.