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Diabetes is a major public health problem in many countries. In Thailand, the mortality rate for diabetes is increasing every year. High blood sugar levels associated with high blood pressure will increase the frequency of complications from diabetes and the risk of stroke. The purpose of this quasi-experimental research was to examine the effects of Self-regulation with Home Health Care on fasting blood sugar among patients with uncontrolled diabetes and hypertension. The experimental group received the program applying self-regulation. Participants fasting blood sugar was analyzed; questionnaires included participant’s behavior regarding eating, exercise, and medication. Data were collected pre- and directly post-experimentally, with a 4-week follow-up. Data were analyzed using Chi-square tests, Wilcoxon signed-ranks test, Mann-Whitney U test, Independent t-test and Repeated measure ANOVA.
In the experimental group, the scores for eating, exercise, and medication behaviors were significantly higher than in the comparison group (p<.05) indicating improvement. In addition the mean fasting blood sugar of the experimental group significantly decreased (p<.05) being lower than that of the comparison group (p<.05).
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