Effect of self-regulation with clinical information via telemedicine program on glycemic control in poorly controlled type 2 diabetes mellitus patients
Keywords:
Glycemic control, Telemedicine, Clinical information, Self-regulation program, Type 2 diabetes mellitusAbstract
This quasi-experimental study aimed to evaluate the effects of aself-regulation program that used clinical information, including fasting capillary glucose levels, weight, and waist circumference, delivered via telemedicine on controlling blood sugar levels in patients with poorly controlled type 2 diabetes mellitus. The study was conducted within the primary healthcare network of Wangluek Health Promotion Hospital, Sri Samrong District, Sukhothai Province. Purposive sampling was used, participants were divided into two groups: an experimental group of 18 patients that participated in a 24-week self-regulation program via telemedicine, and a control group of 19 patients that receivedstandard care at primary care units. Data collection involved interviews and data recording forms. Data was analyzed using descriptive statistics including frequency, percentage, mean, and standard deviation, and inferential statistics including the Chi-square test, Paired t-test, and Independent
t-test.
The results indicated that after the intervention, patients in the experimental group exhibited a significant reduction in glycated hemoglobin (HbA1C) levels compared to baseline and to the control group (p-value = 0.006). The experimental group significantly improved blood sugar management behavior scores than compared to baseline and to the control group (p-value < 0.001). Although fasting capillary glucose levels, body mass index, and waist circumference decreased more in the experimental group than in the control group, these differences were not statistically significant. Thus, healthcare personnel should implement this program for patients with poorly controlled type 2 diabetic mellitus to improve their behaviors and blood sugar levels, by applying for patients or families with access to telemedicine services.
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