The Effect of Health Behavior Modification Program on the Blood Glucose and HbA1c Level among Diabetic Patients Sawanpracharak Hospital

ผลของโปรแกรมปรับเปลี่ยนพฤติกรรมสุขภาพต่อค่าระดับน้ำตาล และน้ำตาลสะสมของผู้ป่วยเบาหวาน โรงพยาบาลสวรรค์ประชารักษ์

  • Jirapon Seepíboonbat Boromarajonani College of Nursing, Sawanpracharak, Nakhon Sawan
  • Tamapon Suksawan Boromarajonani College of Nursing, Sawanpracharak, Nakhon Sawan
  • Teerísa Sìnakom Boromarajonani College of Nursing, Sawanpracharak, Nakhon Sawan
Keywords: Health Behavior Modification Program, Diabetic Patients



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.


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