ผลของโปรแกรมการกำกับตนเองต่อพฤติกรรมการป้องกันโรคไตเรื้อรัง ในผู้ป่วยเบาหวานชนิดที่ 2 ที่ควบคุมระดับนํ้าตาลในเลือดไม่ได้

ประภัสสร เชื้อคำ; อาภาพร เผ่าวัฒนา; วีณา เที่ยงธรรม

Authors

ประภัสสร เชื้อคำ Mahidol University, Bangkok, Thailand
อาภาพร เผ่าวัฒนา Mahidol University, Bangkok, Thailand
วีณา เที่ยงธรรม Mahidol University, Bangkok, Thailand

Keywords:

uncontrolled type-2 diabetes patients, chronic kidney disease preventive program, Self–regulation

Abstract

This quasi-experimental study aimed to assess the effects of a self-regulation program for preventive behavior for chronic kidney disease (CKD) among uncontrolled type-2 diabetes patients. Sample consisted of 60 adults, both male and female, with uncontrolled type-2 diabetes aged between 40-60 years with level of Hemoglobin A1c (HbA1c) > 7%. Sample was equally divided into two groups, an experimental group and a control group. The study was conducted over a period of 8 weeks divided into a four-week intervention period and a four-week follow-up period. Activities of the program for the experimental group included delivering knowledge of the disease, exploring the problem, goal setting, and positive reinforcement. Data were collected using self-administered questionnaires presented before the intervention-after the intervention, and at the end of follow–up phase. Data were analyzed using Repeated Measure ANOVA (RM ANOVA) and Independent t-test.

Results revealed that after the intervention in the experimental group, mean scores of perceived self–efficacy, outcome expectation, and preventive behavior for chronic kidney disease were significantly greater than before implementing the intervention and were significantly higher than the comparison group (p < .001). These findings demonstrated that the self-regulation program could beneficially increase preventive behavior for CKD resulting in the prevention of complications. The results also suggested that self-regulation should be applied with social support; and in the follow-up period, it should be extended to monitor the sustainability of CKD preventive behavior.

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