The Effects of Self-Efficacy Promotion Program on Health Behaviors, HbA1C Level, and Glomerular Filtration Rate of Type 2 Diabetic Patients with Chronic Kidney Disease.
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Abstract
This quasi-experimental research examined the effects of self-efficacy promotion program on health behaviors, HbA1C level, and glomerular filtration rate of diabetic patients with chronic kidney disease. The study’s sample consisted of 60 patients with type 2 diabetes with chronic kidney disease from Chumtabong Hospital, Nakhonsawan Province. The participants were simple random sampling to either the experimental group (n=30) or the control group (n=30) based on the inclusion criteria. The experimental group received a Self-Efficacy Promotion Program based on Bandura’s Self-efficacy theory (Bandura, 1997) which included four components. The program was administered over 12 weeks. Data collection instruments included health behavior questionnaires and measures of HbA1C levels and glomerular filtration rates. The questionnaire's content validity was reviewed by five experts, and its reliability was confirmed with a Cronbach's alpha of 0.78. Data were analyzed using frequency, percentage, mean, standard deviation, paired t-tests, and independent t-tests. The results indicated the following: Experimental group after receiving the self-efficacy promotion program Health Behavior Average Score Accumulated sugar levels in the blood and glomerular filtration rate Different from before the experiment and the control group (p<.05). The study’s findings suggest that the Self-Efficacy Promotion Program may effectively improve health behaviors, reduce A1C levels, and increase glomerular filtration rates in type 2 diabetic patients with chronic kidney disease. The program may serve as a valuable tool for professional nurses and other healthcare providers in patient care.
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References
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215.
Chumtabong Hospital. (2021). Statistical plan and patient registry of Chumtabong Hospital. Nakhon Sawan:Chumtabong Hospital. [In Thai].
Diabetes Association of Thailand. (2017). Clinical practice guideline for diabetes 2017. Phathum Thani:Romyen Media Company Limited. [In Thai].
Department of Disease Control. (2016). Annual report 2014. Bangkok: The War Veterans Organization of Thailand Under Royal Patronage Hismajesty the King. [In Thai].
Department of Disease Control. (2022). Department of Disease Control Publishing House, Ministry of Public Health. Retrieved from https://www.ddc.moph.go.th/dncd/news.php?news=39911.[In Thai].
Jaiyungyuen, U., Voraroon, S., & Siriphonwuttichai, S.(2021). Effect of health-promoting program on self-care behaviors of diabetic patients. Journal of Public Health Nursing, 35(2), 94-108.[In Thai].
Khammapun, G. (2020). The education program and promoting self-efficacy on food consumption behavior of diabetic patients in Maepuem Sub District, Mueang District, Phayao Province.Academic Journal of Community Public Health,6(1), 110-124. [In Thai].
Monnaibuntham, A. (2019). The Results of a health behavior change program on health literacy and empowerment. blood sugar control and renal impairment of diabetic patients type 2 in Samran Sub-District Health Promoting Hospital.Journal of Khon Kaen Provincial Health Office,1(2), 121-132. [In Thai].
Nakhonsawan Provincial Public Health. (2022a).HDC database report 2021. Retrieved from https://www.ctb.go.th/ctb/. [In Thai].
Nakhonsawan Provincial Public Health. (2022b).HDC database report 2022. Retrieved from https://www.ctb.go.th/ctb/. [In Thai].
Qiu, T., Huang, J., & Wang, W. (2020). Association between diabetes knowledge and self-efficacy in patients with type 2 diabetes mellitus in China: A cross-sectional study. International Journal of Endocrinology, 46(2), 1-8.
Sanglert, W. (2021). The effect of dietary behavior modification on slowing renal impairment in stage 3 chronic kidney disease patients, Sribunruang Hospital. Journal of Health and Environmental Education, 6(4), 28-35. [In Thai].
Sanitpol, W., Jaratham, N., & Prayong, C. (2018). Effects of the self-efficacy enhancement program on disease control behaviors among chronic kidney disease with stage 3 and 4 at kidney department,Lamphun Hospital. Lanna Public Health Journal,13(2), 48-63. [In Thai].
Srisatidnarakul, B. (2010). The methodology in nursing research (5th ed.). U & I Inter Media. [In Thai].
Thongsang, P., Oba, N., & Tipwareerom, W. (2022).Effects of the self-efficacy program for nutrition management on dietary behaviors and body mass index of overweight grade 11th students. Journal of Nursing and Health Sciences, 16(2), 111-124.[In Thai].
Wangsri, P. (2016). The effects of supporting self-efficacy program in nephropathy control for diabetic type 2 patients. (Unpublished).Master Thesis, Christian University of Thailand,Bangkok [In Thai].
Wongprakob, N., Munsakeat, K., Tuicharoen, J., &Selavattanakul, S. (2020). Change health behavior to delay degeneration of the kidneys in diabetic patients by self-efficacy theory. Journal of Boromarajonani College of Nursing, Surin,10(2), 93-104. [In Thai].
