Improvement of Self-Management Program in Uncontrolled Type II Diabetes Patients

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Kanokwan Duangklad
Punyarat Lapvongwatana
Natkamol Chansatitporn


     Diabetes is a non-communicable and incurable disease. Patients with diabetes mellitus type II need to self-manage in order to obtain a normal blood sugar and reduce diabetic complications. This quasi-experimental study aimed to examine the effect of self-management enhancing program in uncontrolled diabetes type II. Samples were 50 patients with uncontrolled diabetes mellitus type II. The experimental group (n = 25) received the self-management enhancing program guided concepts of Creer aiming to providing knowledge, raising awareness skills and behaviors of diabetes selfmanagement. The comparison group included 25 participants. The experimental period was 4 weeks
(the 1st, 2nd and 4th week). Data were collected using questionnaire before, immediately, after the intervention in week 4, and follow up in week 8. Data were analyzed using percentage, mean, standard deviation, repeated measure ANOVA and Independent t-test.
     Results revealed that immediately after the participation, the mean scores of diabetes mellitus knowledge, awareness of diabetes mellitus, and skills and behaviors of diabetes self-management to control diabetes were statistically significantly higher than those before the intervention and
comparison group (p-value <.001). Comparing with the control group, the intervention group had significant lower mean score of fasting blood sugar than the control group and before intervention (p-value <.001). Findings of this study indicate that diabetes self-management enhancing program leads to better
control of diabetes mellitus type II and might be used with other groups.


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Duangklad, K., Lapvongwatana, P., & Chansatitporn, N. (2020). Improvement of Self-Management Program in Uncontrolled Type II Diabetes Patients . Journal of Health and Nursing Research (Journal of Boromarajonani College of Nursing, Bangkok), 36(1), 66-83. Retrieved from
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