Case Management Outcomes on Knowledge, Behaviors, and Glycated Hemoglobin level among Patients with Uncontrolled Type 2 Diabetes, Pakphayun Hospital, Phatthalung Province

Abstract

This one group pretest-posttest quasi-experimental research aimed to examine case management outcomes on knowledge, behaviors, and glycated hemoglobin level among patients with uncontrolled type 2 DM. Knowledge, behaviors, and glycated hemoglobin level were compared between before and after receiving case management program in 27 patients with uncontrolled type 2 DM attending DM clinic, Pakphayun hospital. Sample were purposively selected and calculated for sample size using G* power program. Research instruments included manual of case management program which used as guideline of case management, demographic data recording form, assessment form of DM knowledge, questionnaire of health behaviors which had IOC ranging from .67-1.00 and Cronbach alpha coefficient and KR-20 reliability was .71 and .70 respectively. Data were analyzed using descriptive statistics, Wilcoxon Signed Rank test and Dependent t-test. Research results were found as follows; After using case management program, patients with uncontrolled type 2 DM had significantly higher mean score of DM knowledge (M=97.62, SD=3.45) and self-care behaviors (M =4.24, SD=0.25) (p=.001) and lower glycated hemoglobin level (M =6.98, SD=0.93) (p=.001). Therefore, research findings indicated that case management resulted in good caring outcome for patients with DM due to controlled disease leading to reduction in long term complications. From such a good outcome, it can be further used as caring guideline for patients with DM and other non-communicable diseases.