ผลของโปรแกรมส่งเสริมการจัดการตนเองต่อการปรับเปลี่ยนพฤติกรรมสุขภาพ และชะลอภาวะหย่อนสมรรถภาพทางเพศในผู้ป่วยเบาหวานเพศชาย  ที่ไม่สามารถควบคุมระดับน้ำตาลในเลือดได้

Itsariya Chomcheun; Pulawit Thongtang; Decha Thamdee

Authors

Itsariya Chomcheun Faculty of Nursing, Praboromarajchanok Institute
Pulawit Thongtang Boromarajonani College of Nursing, Chiang Mai, Faculty of Nursing, Praboromarajchanok Institute
Decha Thamdee Faculty of Nursing, Chiang Mai University

Keywords:

self-management, health behavior modification, erectile dysfunction, male diabetic patients, ncontrolled blood sugar levels

Abstract

Introduction: Erectile dysfunction is a major complication among those men with diabetes, who are unable to control their blood glucose levels. Developing a program that focuses on self-management may provide a practical approach that can promote health behavior modifications and can assist in delaying the progression of such complications.

Research objectives: To examine the effects of a self-management promotion program toward health behaviors, glycated hemoglobin (HbA1c), and erectile dysfunction among male diabetic patients with uncontrolled blood sugar levels.

Research methodology: A quasi-experimental study with a two-group pre-test and post-test design was conducted among 54 male patients with Type 2 diabetes aged ≥35 years and HbA1c levels ≥7%. Participants were selected as an experimental and control group, with 27 people in each group. The experimental group participated in a 12-week self-management enhancement program, while the control group received only routine nursing care. The research instruments consisted of a questionnaire focused on personal and health-related information, as well as assessments on health behaviors and erectile function. The reliability coefficients (Cronbach’s alpha) of the instruments were .80, .99, and .92, respectively. The data were analyzed using descriptive statistics and non-parametric tests (Wilcoxon signed-rank test and Mann–Whitney U test).

Results: After the intervention, the experimental group demonstrated significantly improved in their median health behaviors (p < .001), HbA1c level decreased from 8.70 to 7.10 (p < .001), both showing greater improvement than the control group. The median erectile function score of the experimental group increased from 19.00 to 22.00 (p < .001), compared to the control group, which showed no significant change.

Conclusions: The self-management promotion program can promote health behaviors, improved glycemic control, and delayed erectile dysfunction in the male diabetic patients with uncontrolled blood sugar levels.

Implications: The program should be expanded to the community level. To further assess the sustainability of behavioral changes and clinical outcomes, long-term follow-up studies should also be conducted.

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