Self-management and family participation in reducing blood sugar levels of uncontrolled diabetic patients at Sai Ngam Hospital Kamphaeng Phet Province

Abstract

The purpose of this study is to evaluate the effectiveness of self-management with family involvement in modifying self-care behaviors of diabetes patients who have poor glycemic control (measured by HbA1c levels). The study focuses on a sample group of diabetes patients with poor glycemic control at Sri-ngam Hospital in Kamphaeng Phet Province, totaling 70 individuals. They were randomly divided into an experimental group and a control group, each consisting of 35 participants. The experimental group received a self-management promotion program with family involvement, while the control group received regular care. Research tools included questionnaires and programs aimed at promoting self-management and family involvement. Data analysis was performed using descriptive statistics, independent t-tests, and paired t-tests. The study found that the majority of participants in both the experimental and control groups were female, and had high levels of knowledge, moderate attitudes, and self-care behaviors. Among these, stress management had the lowest average score, and family support was at a high level. After the intervention, the experimental group showed significant improvements in self-care behaviors and family support, as well as a statistically significant reduction in HbA1c levels (p<0.05). No statistically significant differences were observed in the control group. Recommendations from the study suggest enhancing the capacity of home visiting teams for service provision, developing community-based participatory service systems, and establishing continuous monitoring of self-management progress and family involvement for diabetes patients with poor glycemic control. This support aims to enable patients to effectively manage their blood sugar levels.