The Effect of Health Behavior Modification Program on the Blood Glucose and HbA1c Level among Diabetic Patients Sawanpracharak Hospital
ผลของโปรแกรมปรับเปลี่ยนพฤติกรรมสุขภาพต่อค่าระดับน้ำตาล และน้ำตาลสะสมของผู้ป่วยเบาหวาน โรงพยาบาลสวรรค์ประชารักษ์
This per- post quasi experimental study aimed to compare blood sugar and HbA1C levels of patients with diabetes before and after participating in a health behavior modification program. The program was based on the Trans-Theoretical Model (TTM) and the health belief model. 30 patients in a diabetic clinic at Sawanpracharak hospital were recruited by Purposive sampling. Seven weeks of Health Behavior Modification Program was a research tool. Content validity of this Health Behavior Modification Program was checked by 3 experts (IOC=0.75). A health behavior modification content validity was used to gather data from 30 patients with diabetes. The instrument comprised of 3 parts: participants’ personal information, blood sugar and HbA1C record, and daily energy received and burned. Data were analyzed by descriptive statistics and paired t-test.
The results of the comparison before and after the experiment showed that after the experiment, the sample group had significantly lower blood sugar levels (Mean±S.D. = 122.27± 27.27 and189.73±66.18 mg / dL, respectively) (t = 6.229, p<.01) and the cumulative glucose average decreased significantly (Mean±S.D. = 8.00 ± 0.908 and8.51±0.941%, respectively).
Conclusion: The results of the present study led to recommendations that the health behavior modification program caused diabetic patients to change their behavior according to Trans-theoretical model (TTM) and health belief model. These affected the reduction of diabetic patients’ blood sugar and HbA1C levels. Further study with a comparison group was recommended. Health behavior modification program, it is a decision to change behavior and health beliefs by using a review of one's own behavior exchange of knowledge, review of dietary practices, Exercise, how to relieve stress and the perception of the risk of making the disease more severe. Resulting in diabetic patients adjusting their behaviors to the point where sugar and sugar levels decrease. Therefore, it should be used to encourage patients to see the importance and awareness of self-care.
1. International Diabetes Federation: IDF. Issue of Campaigning Campaign for Diabetes Day 2014 (Fiscal Year 2015). Copies, 2014.
2. Strategy and Planning Group Bureau of Non-Communicable Diseases Department of Disease Control. Strategic Plan for Prevention and Control National Non-Communicable Diseases, 5 Years (2017 - 2022): Emotion Art Co., Ltd.,2018.
3. Johnson SS, Paiva AL, Cummins CO, Johnson JL, Dyment SJ, Wright JA, Prochaska J O, Prochaska JM, & Sherman K.Transtheoretical Model-Based Multiple Behavior Intervention for Weight Management : Effectiveness on a Population Basis. Preventive Medicine. 46: 238-246: 2008.
4. Diabetes Association of Thailand. Diabetes Practice Guidelines 2011: Sri Muang Company Printing, 2011.
5. Munshi, M.N., et al.,. Joslin’s Diabetes Desk Book A guide for Primary Care Providers. Boston: Joslin Diabetes Center; 2010.
6. Provincial Health Nakhon SawanProvince.Report of the Provincial Level Inspection Report for Fiscal Year 2018.
7. Thai Diabetes Association.Diabetes Guidelines for 2017.Bangkok: Romyen Media, 2017.
8. Prochaska, J.O., & Velicer, W. F. The Transtheoretical Model of Health Behavior Change. American Journal of Health Promotion, 12, 38-48:1997.
9. Janz, N. K., & Becker, M. H. The Health Belief Model: a Decade Later. Health Education Quarterly, 11(1), 1-47:1984.
10. Cohen, J. Statistical Power Analysis for the Behavioral Sciences. Hillsdale, NJ.: Lawrence Erlbaum Associate:1988.
11. Kaweekorn, P., Prasomruk, P. A Model Development of Self - Care Behavior for Blood Sugar Control among Type 2 Diabetic Patients, In Loengnoktha Crown Prince Hospital. Community health, 4(3): 307-324:2016. (in Thai).
12. Pechsombut, R. Reducing Stresses in Type 2 Diabetes Patients Atients Using A Modified Brain Fitness Program. Research and Statistics in Cognitive Science. Brapha University, 2018.
13. Phermsin, S., Duangsong, R. The Effects of the Application by Health Belief Model and Social Support to Control Blood Sugar Among Diabetes Mellitus Type 2 Patients, Ubolratana District, Khon Kaen Province .KKU Res J (GS) 2011; 11 (4):89-100. (in Thai)
14. Kessin, J., Wiruchagool, P.,Lonil, A. Self-management, Knowledge, Quality of life in New Cases with Type II Diabetes Mellitus, Pre-Post Type II Diabetes Patients Self- Management Program in Urban Areas, Uthaithani Province. Journal of Nursing Division 2013; 40(1). (in Thai).
15. Pethchit,R.Self-Care Behaviors and Blood Sugar Control among Patients with Diabetes Mellitus at Khiensa Hospital, Suratthani Province.The Southern College Network Journal of Nursing and Public Health 2014; 2(2):15-28. (in Thai)
16. Pornprayut, C., Toonsiri, C., Rattanagreethakul, S. Effects of Coaching Program on Diabetes Behavioral Control and HbA 1 C among Persons with Type 2 Diabetes Mellitus. The Journal of Faculty of Nursing Burapha University 2017; 25(4). (in Thai).
17. Sutanakoh C. and Sohta C. Effects of Self Management Program on Glycemic Control in Patients with Type 2 Diabetes. Journal of Nursing and Education 2017; 9(2). (in Thai).