Effects of Behavior Change on Glycemic Control in Type 2 Diabetes Patients with Uncontrolled Blood Sugar
Keywords:diabetes type 2, Transtheoretical model, HbA1c, medication, food consumption, physical activity
This quasi-experimental study aimed to investigate the effect of behavior change on glycemic control among poor controlled type-2 diabetes patients with HbA1c above 8%. They all had oral glycemic control medication and received care in non-communicable care diseases units, Surin province. The experimental group consisted of 31 poor controlled diabetes patients and the comparison group consisted of 32 participants. By using the Transtheoretical model as the conceptual framework, the experimental group received 4 sessions including: 1) self-awareness enhancement; 2) motivation boost; 3) skill development and self-confident; and 4) positive reinforcement. Meanwhile, the comparison group received routine nursing care. Data were collected using questionnaires prior to the intervention, at the eighth week after the intervention, and at the twelfth week as a follow-up period. Data were analyzed using independent t-test and paired samples t-test.
Results revealed that the experimental group reported higher mean score in behavior change at week 8 and week 12 (p<.05), and mean difference scores in the experimental group was greater than those in the comparison group at week 12 when compared to the comparison group. The mean score of self-efficacy in the experimental group was higher at week 8 and week 12., The mean difference score between the two groups was not statistically significant difference at week 8 and week 12 (p<.05). There was no statistically significant difference in HbA1c level between two groups.
Results of the study suggest that the study duration should be increased to follow up behavior maintenance and HbA1c level. Therefore, the community nurse practitioners and healthcare providers should apply this program to change patients’ behavior on glycemic control among poor controlled type-2 diabetes patients with HbA1c above 8% in community.
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