The Effect of a Coping Enhancing Program among Diabetic Elderlies


  • ดวงฤทัย ไพรบึง
  • พัชราพร เกิดมงคล
  • ขวัญใจ อำนาจสัตย์ซื่อ
  • ทัศนีย์ รวิวรกุล


diabetes mellitus, coping, stress, coping theory


      This quasi-experimental study, a two group pretest-posttest design, aimed to examine the effect of a coping enhancing program among diabetic elderly population in Amphoe Phrai Bueng, Sisaket Province. The samples were 60 elderly people with diabetes aged 60 to 79 years who had medium stress and over. They were equally divided using simple random sampling into an experimental group and a control group. The experimental group received the 5-week coping enhancing program, developed according to Lazarus and Folkman model, whereas the control group received the standard service. Data were collected using interview prior to the intervention and at the end of the fifth week. A questionnaire was used before and after the intervention. Data were analysed using descriptive statistics (percentage, mean, and standard deviation), chi-square, independent t-test, and paired t- test.

      The findings illustrated that mean scores of stress among the participants in the experimental group decreased and were significantly lower than the control group (p<.001). In addition, mean scores of the ability in coping with stress among the participants in the experimental group increased and were significantly higher than the control group (p<.05). In conclusion, this coping enhancing program improved coping ability as well as level of stress among elderly people with diabetes. Therefore, community nurse practitioners could apply this program in taking care of chronic patients in other communities.


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1. Arbsuwan N, Pantuwech N. Campaign Message on World Diabetes Day 2015 (Financial Year 2016). Retrieved from: /news/hot-news-view.php?id=8907. March 2, 2015. (in Thai).

2. Bureau of elderly health, Department of Health, Ministry of public health. Thai elderlies well-being survey report of 2013. Bangkok: Wacharin P.P.; 2013. (in Thai).

3. Buraphunt R, Muangsom N. Factors affecting uncontrolled type 2 diabetes mellitus of patiants in
Sangkhom Hospital, Udonthani province. KKU Journal for Public Health Research. 2013; 6(3):
102-9. (in Thai).

4. Katon W, Paul C. Impact of major depression on chronic medical illness. J Psychosom Res. 2009;53: 903-6.

5. Bumrungsakulsawas O, Lithongin K, Akewanit T, Banpuan W, Lapbenchakul S, Chareunket W,
et al. Long term care. Bangkok: National Health Security Office; 2016. (in Thai).

6. Phraibueng Hospital. NCDs clinic quality assessment data. Sisaket: Department of family clinical
practice and community, Phraibueng Hospital; 2015. (in Thai).

7. Berkel HV. The relationship between personality, coping styles and stress, anxiety and depression [Dissertation]. Canterbury: University of Canterbury; 2009.

8. Phengyot S. The results of mental health promotion activities for stress management in Phaisali
Hospital Diabetes mellitus patients group. Thesis for the Degree of Master of Education program
in Health promation. Graduate school of Nakhon Sawan Rajabhat University; 2007. (in Thai).

9. Folkman S, Lazarus RS. Stress, appraisal, and coping. New York: Springer Publishing Company; 1984.

10. Jalowiec A, Powers M. Stress and coping in hypertensive and emergency room patients. Nursing Res. 1981; 30(1):1-10.

11. Prungdech S. Relationships between coping behaviors and compliance in essential hypertensive patiants. Thesis for the Degree of Master of Nursing Science program in Nursing. Graduate school of Mahidol University; 2010. (in Thai).

12. Mahatnirunkul S, Pumpaisalchai W, Tapunya P. Suan Prung stress test Research Report. Chiang Mai:Suan Prung Hospital; 1997. (in Thai).

13. Soongkote P.The effects of meditation on stress in patiants with hypertention in Nonkun Hospital,Sisaket. Thesis for the Degree of Master of Nursing Science program in Adult Nursing.
Graduate school of Khon Kaen University; 2007. (in Thai).

14. Yongthong N. The effect of a coping enhancing program on depression in breast cancer patiants.J Nurs Sci 2013;31(3):27-36. (in Thai).



How to Cite

ไพรบึง ด, เกิดมงคล พ, อำนาจสัตย์ซื่อ ข, รวิวรกุล ท. The Effect of a Coping Enhancing Program among Diabetic Elderlies. JHNR [Internet]. 2019 May 3 [cited 2022 Sep. 29];35(2). Available from:



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