The Experiences of Self-Management of Type 2 Who Could Control A1C Level by Without Taking Oral Hypoglycemic Drugs

Authors

  • Navarat Chutipuyaporn Barakam Hospital
  • Nongnut Oba

Keywords:

Self-management experience, Type 2diabetes mellitus

Abstract

This qualitative research aimed to describe self-management experiences among type 2diabetes
who could control A1C level by without taking oral hypoglycemic drugs. Purposive sampling was used to
select 12 people with type 2 diabetes mellitus,whohad attending Bang Rakam Diabetes Academy PUWADOL
Model, had A1C level lower than 7% and can quit oral antihyperglycemic drugs. Semi-structured in-depth
interview was used for data collection whilethe contentanalysis wasused for data analysis. The findings
revealed that the participants reflected theexperiences of self-management in 3 themes: 1) medical
management experience: (1) knowledge from participating in diabetes academy activities, (2) self-adjusted
management behaviors, and (3) supports for self-management behavior modification, 2) role management
experience: (1) continue working in the same occupation, and (2) family is more interested in taking health
care togetherand 3) emotional managementexperience: (1) feelings about the diagnosis of diabetes mellitus,
(2) trying to reduce stress, and (3) commitment to continuous practice self-management behaviors.
Theseexperiences of self-management of type 2diabetesshould be informed health carepersonnel to
effectively contribute glycemic control model development.

References

Andriyanto, A., Rekawati, E., & Rahmadiyah, D.C.

(2019). Increasing knowledge, attitudes, skills,

and glucose control in type-2 diabetic patients

through EMAS interventions. Nurse Media

Journal of Nursing, 9(2), 2019, 141-150. from http://

ejournal.undip.ac.id/index.php/medianers DOI:

14710/nmjn.v9i2.22989

Baiphimai, J., Leelukkanaveera, Y., & Srisuriyawet, R.

(2017). The effects of self-regulation by clinical

information program to glycemic control

behaviors score and glycosyted hemoglobin

level on uncontrolled type 2 diabetes. Journal of

Public Health Nursing, 31(3), 123-143. [In Thai].

Bennich, B.B.Roder, M.E., Overgaard, D., Egerod, I.,

Munch, L., Knop,F.K., Vilsboll, T., …Konradsen,

H. (2017). Supportive and non-supportive

interactions in families with a type 2 diabetes

patient: An integrative review. Diabetol Metab

Syndr,9,57. DOI 10.1186/s13098-017-0256-7

Butler, K., Schatz, D., & Hathaway, K. (2014).

Workplace checkup: Keeping patients with

diabetes employed and safe on the job. Clinical

Diabetes, 32(1), 44-48.

Chiangkhong, A., Duangchan, P., & Intarakamhang, U.

(2017). Health literacy in diabetic adult: Experience of diabetic patient and perspective on

health literacy. Kuakarun Journalof Nursing,

(2), 162-178. [in Thai].

Denduangjai, S. (2020). Diabetes and work. Retrieved

from:https://www.aoed.org/articles/2020/october/

ncd/

Guba, E., & Lincoln, Y. (1985). Naturalistic inquiry.

Newbury Park, CA: Sage.

Health Data Center. (2021). KPI report NCD clinic plus:

Percentage of controlled diabetes. Retrieved

from https://hdcservice.moph.go.th/hdc/main/

index. php [in Thai].

Jaisit, J., Meetam, R., & Kamkan, P. (2017). Effect of

self-management supporting programon self-management behaviors and hemoglobin A1C level

among persons withtype 2 diabetes. Journal of

Nursing Science & Health, 40(2), 65-73. [in Thai].

Kaiwikaikoson, A., Wanchai, A., Kaewsasri, A., &

Kuariyakul, A. (2018). Stress management of

patients with diabetes in Thailand: A systematic

review. Boromarajonani College of Nursing,

Uttaradit Journal,10(2), 1-16. [in Thai].

Lorig, K. R., & Holman, H. R. (2003). Self-management

education: History, definition,outcomes, and

mechanisms. Annals of Behavioral Medicine,

(1), 1-7.

Naowwan, W., & Iamprasert, A. (2020). Stress

managment and related factors of work life

quality management. Journal of Management

Science Review, 22(1), 223-232. [in Thai].

Norabin, N., Chanpen, U., & Sowat, C. (2020). The

experience in controlling blood sugarlevels for

type 2 diabetic patients, Journal of Preventive

Medicine Associationof Thailand, 10(2), 351-365.

[in Thai].

Panyathorn,K., Tajang, S., Sriboonpimsuay, W., &

Trongsri, C. (2020). Life style of diabetes patients:

A comparative study of good controlled and

uncontrolled group in Chiangyuen Health

Promoting Hospital, Udonthani Province.

Udonthani Hospital Medical Journal, 28(1),

-29. [in Thai].

Peimania, M., Monjazebib, F., Ghodssi-Ghassemabadic,

R., & Nasli-Esfahanic, E. (2017). A peer support

intervention in improving glycemic control in

patients with type 2 diabetes. Patient Education

and Counseling, https://doi.org/10.1016/j.pec.

10.007

Polpuak, P., & Chutipanyapron, N. (2018). Developments

of health behavior promotionmodel for controlling

blood sugar levels in diabetic patients.

Buddhachinaraj Medical Journal,35(3), 348-360.

[in Thai].

Saeedi R., Petersohn, I., Salpea, P., Malanda, B.,

Karuranga, S., Unwin, N., Colagiuri, ., ... Williams,

R. (2019). Global and regional diabetes

prevalence estimates for 2019 and projections

for 2030 and2045: Results from the International

Diabetes Federation Diabetes Atlas (9th ed.).

Diabetes Researchand Clinical Practice

Journal,157,1-8.

Srisaket, J., Chaisa, P., Wanchai, A., Meeboonmak Y.,

& Phokhwang-Just, W. (2017). Dietconsumption

behavior modification patterns to control blood

sugar levels ofpatientswith diabetes in Thailand:

A systematic review. EAU Heritage Journal

Science andTechnology, 11(2), 156-170. [in Thai].

Suparee, N., McGee, P., Khan, S., & Pinyopasakul,

W. (2014). Life-long battle: Perceptions of type

diabetes in Thailand. Chronic Illness 0(0) 1-13

DOI: 10.1177/1742395314526761

Suthinarakorn, W. (2013). Qualitative research:

Researchin alternative paradigm. Bangkok:

Siam-parithas publishing co., ltd. [in Thai].

Suwattanakul, T. (2018). Factors related to blood sugar

control among diabetes mellitus type 2 patients.

Journal of Health Systems Research, 12(3),

-522. [In Thai].

The Royal Colleague of Physicians of Thailand,

Diabetes Association of Thailand, The Endocrine

Society of Thailand, Department of Medical

Services & National Health Security office.

(2019). Clinical practiceguideline for diabetes

(3nded.). PathumThani: Romyen Publishing.

[in Thai].

Wanchai, A., Totharung,P., & Meebunmak, Y. (2020).

Self-management experiences ofpatientswith

type 2 diabetes mellitus living in rural area.

Nursing Journal of Ministryof PublicHealth, 30

(1), 69-81. [in Thai].

Wannasiri, T. (2016). Families relationship in self-care

promotion for uncontrolling blood sugar in type 2

diabetes. Kuakarun Journal of Nursing, 23(2),

-50. [in Thai].

Wungrath, J., & Autorn, N. (2021). Effectiveness of line

application and telephone-based counseling to

improve medication adherence: A randomized

control trial study among uncontrolled type 2

diabetes patients. Health Promotion Perspectives,

(4), 438-443.doi: 10.34172/hpp.2021.55 https://

hpp.tbzmed.ac.ir

Downloads

Published

2022-08-23

How to Cite

Chutipuyaporn, N., & Oba, N. . (2022). The Experiences of Self-Management of Type 2 Who Could Control A1C Level by Without Taking Oral Hypoglycemic Drugs. NU Journal of Nursing and Health Sciences, 16(2), 81–95. Retrieved from https://he01.tci-thaijo.org/index.php/NurseNu/article/view/255343