Development of Carbohydrate Counting Education Model Using by Local Learning Media for Diabetes Mellitus Patients in Phonphang Subdistrict Municipality, Sakon Nakhon Province

Abstract

          This study was a quasi experimental research. The purposes were to development of carbohydrate counting model using local learning media for diabetic patients in Phon Phang Sub-district Municipality, Akat Amnuai District, Sakon Nakhon Province. The research is divided into 3 steps: Step 1; study of situations, state of problems, and the needs for developing carbohydrate counting models using local learning media for diabetic patients. Step 2; develop the carbohydrate counting model using local learning media for diabetic patients. Step 3; study the effectiveness of carbohydrate counting model using local learning media for diabetic patients about the knowledge of carbohydrates, eating habits and blood glucose levels by collecting data before and after the experiment, the one-group pretest-posttest design consists of 39 participants in joining the project during 8 weeks, compare the differences before and after the test using paired sample T-Test. The confidence level is at 0.05.
          The results showed that the carbohydrate counting model using local learning media for diabetic patients consisted of 1) knowledge creation system 2) important mechanism for driving the system, after the model was tested, it was found that knowledge about carbohydrates was increased (p < 0.001), the overall of food habits were significantly improved at (p<0.001) with the behavior of 1) measuring or measuring rice before eating, 2) a void of eating fruit until satiety, 3) counting the carbohydrate units in each meal. 4) limiting the amount of starchy food 5) drinking alcohol clearly improved and the blood sugar level decreased significantly at (p=0.013) and the subjects were satisfied with the study model at a high level ( = 4.5, SD =0.6). From the result, it can be a good guideline for health care of diabetic patients.