Learning of Patients with Type 2 Diabetes in Achieving Glycemic Control
Keywords:
Learning, Glycemic control, Type 2 diabetesAbstract
This qualitative research aimed to explore learning of patient with type 2 diabetes in relation to achieving glycemic target by using descriptive qualitative method. Data were collected by in-depth interviews in 23 patients with type 2 diabetes, who were registered to be patients of a diabetes clinic in a district hospital of Uttaradit Province and achieved glycemic control. Data were analyzed by applying Colaizzi’s method. The findings indicated that patients’ learning to achieve glycemic control was composed of three major themes including (1) acknowledgment of having diabetes, (2) learning through different channels, and (3) modifying behaviors and adopting a new lifestyle to live with diabetes. The findings provide knowledge about learning of patients with type 2 diabetes to achieve glycemic control. Nurses and other health professionals can apply the knowledge of patients’ learning to assess and design diabetes education that supports patients to modify their behaviors and achieve glycemic target.
References
Aekplakorn, W. (Ed.). (2014). The fifth national
health examination survey 2014. Nonthaburi:
Health System Research Institute. [In Thai].
Agborsangaya, C. B., Gee, M. E., Johnson, S. T.,
Dunbar, P., Langlois, M. F., Leiter, L.
A…Johnson, J. A. (2013). Determinants of
lifestyle behavior in type 2 diabetes: results of
the 2011 cross-sectional survey on living with
chronic diseases in Canada. BMC Public
Health, 13(1):451 Retrived from http://www.
biomedcentral.com/1471-2458/13/451
American Diabetes Association. (2017). Standards of
medical care in diabetes-2017. Diabetes Care,
40(suppl. 1), S1-S135.
Boren, S. A., Fitzner, K. A., Panhalkar, P. S., &
Specker, J. E. (2009). Costs and benefits
associated with diabetes education: a review of
the literature. The Diabetes Educator, 35(1),
72-96.
Cooper, H. C., Booth, K., & Gill, G. (2003). Patients’
perspectives on diabetes health care education.
Health Education Research, 18(2), 191-206,
Diabetes Association of Thailand (DAT), Endocrine
Society of Thailand, & National Health Security
Office. (2017). Clinical practice guidelines for
management of diabetes 2017. Pathum Thani:
Rom Yen Media. [In Thai].
Driscoll, M. P. (2000). Psychology of learning for
instruction. (3rd ed.). Boston: Allyn and Bacon.
Dube, L., Van den Broucke, S., Housiaux, M., Dhoore,
W., & Rendall-Mkosi, K. (2015). Type 2
diabetes self-management education programs
in high and low mortality developing countries:
a systematic review. The Diabetes Educator,
41(1), 69-85.
Eknithiset, R., Hongsranagon, P., & Havanond, P.
(2010). Knowledge, attitude, and practice
(KAP) of diabetes mellitus type 2 patients in
multidisciplinary program at diabetes mellitus
clinic, Phanomphrai Hospital, Phanomphrai
District, Roi-Et Province, Thailand. Journal of
Health Research, 24(suppl 2), 87-92.
Espeland, M. A., Glick, H. A., Bertoni, A., Brancati, F.,
Bray, G., Clark, J. M… Look AHEAD
Research Group. (2014). Impact of an intensive
lifestyle intervention on use and cost of medical
services among overweight and obese adults
with type 2 diabetes: the action for health in
diabetes. Diabetes Care, 37(9), 2548-2556.
Fan, L., & Sidani, S. (2009). Effectiveness of diabetes
self-management education intervention
elements: a meta-analysis. Canadian Journal
of Diabetes, 33(1), 18-26.
He, X., Li, J., Wang, B., Yao, Q., Li, L., Song, R…
Zhang, J. A. (2017). Diabetes self-management
education reduces risk of all-cause mortality in
type 2 diabetes patients: a systematic review
and meta-analysis. Endocrine, 55(3), 712-731.
Htoo, Z. W., Hsu, W. W., & Rosenkranz, R. (2016).
Systematic review and meta-analysis: is
lifestyle modification effective for glycemic
control among adults with type II diabetes in
Southeast Asia? Diabetes Research and
Clinical Practice, 122, 148-153.
Kneck, A., Fagerberg, I., Eriksson, L. E., & Lundman,
B. (2014). Living with diabetes-development
of learning patterns over 3-year period.
International Journal of Qualitative Research
Studies on Health and Well-being, 9(1). https://
doi.org/10.3402/qhw.v9.24375
Koonce, T. Y., Giuse, N. B., Kusnoor, S. V., Hurley,
S., & Ye, F. (2015). A personalized approach
Eknithiset, R., Hongsranagon, P., & Havanond, P.
(2010). Knowledge, attitude, and practice
(KAP) of diabetes mellitus type 2 patients in
multidisciplinary program at diabetes mellitus
clinic, Phanomphrai Hospital, Phanomphrai
District, Roi-Et Province, Thailand. Journal of
Health Research, 24(suppl 2), 87-92.
Espeland, M. A., Glick, H. A., Bertoni, A., Brancati, F.,
Bray, G., Clark, J. M… Look AHEAD
Research Group. (2014). Impact of an intensive
lifestyle intervention on use and cost of medical
services among overweight and obese adults
with type 2 diabetes: the action for health in
diabetes. Diabetes Care, 37(9), 2548-2556.
Fan, L., & Sidani, S. (2009). Effectiveness of diabetes
self-management education intervention
elements: a meta-analysis. Canadian Journal
of Diabetes, 33(1), 18-26.
He, X., Li, J., Wang, B., Yao, Q., Li, L., Song, R…
Zhang, J. A. (2017). Diabetes self-management
education reduces risk of all-cause mortality in
type 2 diabetes patients: a systematic review
and meta-analysis. Endocrine, 55(3), 712-731.
Htoo, Z. W., Hsu, W. W., & Rosenkranz, R. (2016).
Systematic review and meta-analysis: is
lifestyle modification effective for glycemic
control among adults with type II diabetes in
Southeast Asia? Diabetes Research and
Clinical Practice, 122, 148-153.
Kneck, A., Fagerberg, I., Eriksson, L. E., & Lundman,
B. (2014). Living with diabetes-development
of learning patterns over 3-year period.
International Journal of Qualitative Research
Studies on Health and Well-being, 9(1). https://
doi.org/10.3402/qhw.v9.24375
Koonce, T. Y., Giuse, N. B., Kusnoor, S. V., Hurley,
S., & Ye, F. (2015). A personalized approach
health examination survey 2014. Nonthaburi:
Health System Research Institute. [In Thai].
Agborsangaya, C. B., Gee, M. E., Johnson, S. T.,
Dunbar, P., Langlois, M. F., Leiter, L.
A…Johnson, J. A. (2013). Determinants of
lifestyle behavior in type 2 diabetes: results of
the 2011 cross-sectional survey on living with
chronic diseases in Canada. BMC Public
Health, 13(1):451 Retrived from http://www.
biomedcentral.com/1471-2458/13/451
American Diabetes Association. (2017). Standards of
medical care in diabetes-2017. Diabetes Care,
40(suppl. 1), S1-S135.
Boren, S. A., Fitzner, K. A., Panhalkar, P. S., &
Specker, J. E. (2009). Costs and benefits
associated with diabetes education: a review of
the literature. The Diabetes Educator, 35(1),
72-96.
Cooper, H. C., Booth, K., & Gill, G. (2003). Patients’
perspectives on diabetes health care education.
Health Education Research, 18(2), 191-206,
Diabetes Association of Thailand (DAT), Endocrine
Society of Thailand, & National Health Security
Office. (2017). Clinical practice guidelines for
management of diabetes 2017. Pathum Thani:
Rom Yen Media. [In Thai].
Driscoll, M. P. (2000). Psychology of learning for
instruction. (3rd ed.). Boston: Allyn and Bacon.
Dube, L., Van den Broucke, S., Housiaux, M., Dhoore,
W., & Rendall-Mkosi, K. (2015). Type 2
diabetes self-management education programs
in high and low mortality developing countries:
a systematic review. The Diabetes Educator,
41(1), 69-85.
Eknithiset, R., Hongsranagon, P., & Havanond, P.
(2010). Knowledge, attitude, and practice
(KAP) of diabetes mellitus type 2 patients in
multidisciplinary program at diabetes mellitus
clinic, Phanomphrai Hospital, Phanomphrai
District, Roi-Et Province, Thailand. Journal of
Health Research, 24(suppl 2), 87-92.
Espeland, M. A., Glick, H. A., Bertoni, A., Brancati, F.,
Bray, G., Clark, J. M… Look AHEAD
Research Group. (2014). Impact of an intensive
lifestyle intervention on use and cost of medical
services among overweight and obese adults
with type 2 diabetes: the action for health in
diabetes. Diabetes Care, 37(9), 2548-2556.
Fan, L., & Sidani, S. (2009). Effectiveness of diabetes
self-management education intervention
elements: a meta-analysis. Canadian Journal
of Diabetes, 33(1), 18-26.
He, X., Li, J., Wang, B., Yao, Q., Li, L., Song, R…
Zhang, J. A. (2017). Diabetes self-management
education reduces risk of all-cause mortality in
type 2 diabetes patients: a systematic review
and meta-analysis. Endocrine, 55(3), 712-731.
Htoo, Z. W., Hsu, W. W., & Rosenkranz, R. (2016).
Systematic review and meta-analysis: is
lifestyle modification effective for glycemic
control among adults with type II diabetes in
Southeast Asia? Diabetes Research and
Clinical Practice, 122, 148-153.
Kneck, A., Fagerberg, I., Eriksson, L. E., & Lundman,
B. (2014). Living with diabetes-development
of learning patterns over 3-year period.
International Journal of Qualitative Research
Studies on Health and Well-being, 9(1). https://
doi.org/10.3402/qhw.v9.24375
Koonce, T. Y., Giuse, N. B., Kusnoor, S. V., Hurley,
S., & Ye, F. (2015). A personalized approach
Eknithiset, R., Hongsranagon, P., & Havanond, P.
(2010). Knowledge, attitude, and practice
(KAP) of diabetes mellitus type 2 patients in
multidisciplinary program at diabetes mellitus
clinic, Phanomphrai Hospital, Phanomphrai
District, Roi-Et Province, Thailand. Journal of
Health Research, 24(suppl 2), 87-92.
Espeland, M. A., Glick, H. A., Bertoni, A., Brancati, F.,
Bray, G., Clark, J. M… Look AHEAD
Research Group. (2014). Impact of an intensive
lifestyle intervention on use and cost of medical
services among overweight and obese adults
with type 2 diabetes: the action for health in
diabetes. Diabetes Care, 37(9), 2548-2556.
Fan, L., & Sidani, S. (2009). Effectiveness of diabetes
self-management education intervention
elements: a meta-analysis. Canadian Journal
of Diabetes, 33(1), 18-26.
He, X., Li, J., Wang, B., Yao, Q., Li, L., Song, R…
Zhang, J. A. (2017). Diabetes self-management
education reduces risk of all-cause mortality in
type 2 diabetes patients: a systematic review
and meta-analysis. Endocrine, 55(3), 712-731.
Htoo, Z. W., Hsu, W. W., & Rosenkranz, R. (2016).
Systematic review and meta-analysis: is
lifestyle modification effective for glycemic
control among adults with type II diabetes in
Southeast Asia? Diabetes Research and
Clinical Practice, 122, 148-153.
Kneck, A., Fagerberg, I., Eriksson, L. E., & Lundman,
B. (2014). Living with diabetes-development
of learning patterns over 3-year period.
International Journal of Qualitative Research
Studies on Health and Well-being, 9(1). https://
doi.org/10.3402/qhw.v9.24375
Koonce, T. Y., Giuse, N. B., Kusnoor, S. V., Hurley,
S., & Ye, F. (2015). A personalized approach
Downloads
Published
2019-03-20
How to Cite
Supametaporn, P. (2019). Learning of Patients with Type 2 Diabetes in Achieving Glycemic Control. NU Journal of Nursing and Health Sciences, 12(4), 73–87. Retrieved from https://he01.tci-thaijo.org/index.php/NurseNu/article/view/178741
Issue
Section
Articles
