Effects of a Motivational Interviewing Program on Blood Glucose Levels Control for Patient with Type 2 Diabetes Mellitus Patients

Abstract

           This study was a quasi-experimental research that the one group pretest and posttest design. The main  objectives were study the effect of motivation interviewing program on blood glucose control at the end of the program immediately after the 3rd and 6th months for type 2 diabetic patients. The specific objectives were study that 1) comparison of cooperation in blood sugar control before and after receiving the program 2) comparison of the level of fasting plasma glucose’s controls when immediately end the program no.4, after the end of the 3 month program, and after the end of the 6 month program. The tools used were 1) the motivation interviewing program that 4 times per 4 months, 5-10 minutes each time, 2) motivation conversation record form, 3) blood glucose record form, and 4) blood collection device. The population were 999 patients undergoing diabetes treatment at 70 outpatient department of Ministry of Public Health’s hospitals which community hospital, secondary and teriary hospitals.

          Performed during November 2015-2016. 351 samples were specific selected from medical record of type 2 diabetic patients whom had FPG scores ≥ 155 mg./dl. It was found that 35.6% were aged 50–59 years. The average FPG before receiving the program was 212.137 mg/dl., after that decrease until after the program 3rd month was 158.282 mg/dl. For the level of FPG control between before receiving the program and immediately after ending the program, after the end of the 3 month and 6 month program founded
a change in control levels indicating reduced to 63.8%, 71.8%, and 70.6% respectively. Those data shows that the FPG control has improved. Therefore, the motivation interviewing program should be used to expand the work among the workers with chronic non-communicable diseases, so that patients receive thorough services and can control blood sugar levels.