Case Management Program on Levels of Fasting Plasma Glucose among Type 2 Diabetes Mellitus Patients

Main Article Content

Arunee Chaiyarit


This two-group pre-post/test experimental research aimed to compare levels of fasting plasma glucose between an experimental group and a control group before and after received the case management program for 8 weeks. Sample was 68 type 2 diabetes (DM) patients at an out-patient department of Phraputthabat hospital, Saraburi province. These patients were divided to an experimental group (n=34) and a controlled group (n=34) by using random procedure. An experimental group received the case management program individually that included diet control, medication adherence, alcohol and smoking cessation, exercise, and emotional management from the nurse case managers two hours a week for 8 weeks and monitoring every week by the nurse case manager. A control group received usual care. DM patients were measured for FPG levels at baseline and 8 weeks after experiment. Study data was analyzed using independent t-test procedure. Results showed that the majority of DM patients in a control group was female 67.65% (n= 23). Average age was 65.06 years (SD= 5.92). Average year of diabetes was 9.71 years (SD= 5.95). For an experimental group, the majority was female 67.65% (n= 23). Average age was 64.94 years (SD= 5.11). Average year of diabetes was 10.47 years (SD= 5.28). After DM patients receiving CM program for 8 weeks, levels of FPG in an experimental group was statistically significantly lower than those in a control group at .03


Download data is not yet available.

Article Details

How to Cite
Chaiyarit A. Case Management Program on Levels of Fasting Plasma Glucose among Type 2 Diabetes Mellitus Patients. J Royal Thai Army Nurses [Internet]. 2020Aug.30 [cited 2020Oct.21];21(2):213-21. Available from:
Research Articles


1. Division of non-communicable disease. National strategic health plan for prevention and control non-communicable disease for 5 year (2017-2021). Bangkok: Emotion Art Co., Ltd.; 2017. (in Thai)

2. Soynak C, Punthasee P. A Study of Health Belief Model and The Risk of Type 2 Diabetes in Working Muslim Populations. Journal of The Royal Thai Army Nurses. 2018; 19 (Suppl): 267-277. (in Thai)

3. Phormpayak D, Sattayawong W. Lived Experience of Diabetes Patients Patients Living in Phitsanulok Province. Journal of The Royal Thai Army Nurses. 2017; 18(3): 152-159. (in Thai)

4. Edelman D, Dolor R J, Coffman C J, Pereira R C, Granger B B, Lindquist J,…Bosworth H B. Nurse-led behavior management of diabetes and hypertension in community practice: a randomize trial. Journal of General Internal Medicine. 2015; 30(5): 626-633.

5. Drincic A, Pfeffer E, Luo J, Goldner W S. The effect of diabetes case management and Diabetes Resource Nurse program on readmissions of patients with diabetes mellitus. Journal of Clinical Translational Endocrinology. 2017; 8: 29–34.

6. Sinthu S, Wongrod P. Case management diabetes and hypertension. Bangkok: Nurse case manager Thailand association; 2558. (in Thai)

7. Zeng Z, Shuai T, JuanYi L, Wang Y, MinSong G. Effect of case management on patients with type 2 diabetes mellitus: a meta-analysis. Chinese Nursing Research. 2016; 3: 71-76.

8. Chaiyarit A, Jangsombatsiri W. Significant Roles of Nurse Case Manager to Improve Quality of Care for Chronically Ill Patients: Diabetes and Hypertensive patients. Nursing Journal. 2017; 68(1): 93-101. (in Thai)

9. Chaimai A, Piaseu N, Mekwiwatanawong C. Effects of Nursing Case Management of Buddhist Monks at Risk for Type 2 Diabetes: A Randomized Controlled Trial. Pacific Rim International Journal Nursing Research. 2017; 21(4): 305- 316. (in Thai)

10. Rattanaurai U, Songbutr P. Effects of Case Management Program on Uncontrolled Diabetes Mellitus Patients. Journal of Health Science. 2019; 28 (Special Issue): 146-157. (in Thai)

11. Anaman P, Arom Promdee A. Effectiveness of Case Management among Patients with Diabetes Mellitus in Primary Care Cluster at Mukdahan Hospital. Journal of Health Science Boromarajonani College of Nursing Sulpasitthiprasong. 2019; 3(12): 37-45. (in Thai)

12. Phomseranee T, Yamasun S, Wongsa S. Effects of a Case Management Program on Self-Care Behaviors and Diabetic Retinopathy Clinical Signs among Elderly with Diabetic Retinopathy in Quality Elderly Clinic. Journal of The Royal Thai Army nurses. 2018; 19 (Suppl): 110-118. (in Thai)

13. Chayarut P, Rojanavech S, Sakakhon S. The Effect of Health Risk Communication Program among Diabetic Retinopathy Patients in a Samut Sakhon Province. Journal of The Royal Thai Army Nurses. 2019; 20(3): 206-277. (in Thai)

14. Wagner E H. Chronic disease management: what will it take to improve care for chronic illness?. Effective Clinical Practice. 1998; 1(1): 2–4.

15. Sanitleua N, Satpeth W, Napha-aruk Y. Sample size calculation using G*power program. SVT Journal. 2019; 5(1): 496-507. (in Thai)