Effects of self-management program on disease control behavior and fasting blood glucose levels among patients with type 2 diabetes mellitus
Keywords:
Patients with type 2 diabetes mellitus, Self-management program, Disease control behaviorsAbstract
Diabetes mellitus is a chronic disease that presents a significant public health issue. Promoting self-management in patients to control diabetes is therefore important. The quasi-experiment with a two-group pretest and posttest design aimed to examine the effects of a self-management program on the disease control behaviors and fasting blood glucose levels among patients with type 2 diabetes at Li Hospital, Lamphun Province. The sample consisted of 70 patients with type 2 diabetes who could not control their blood glucose levels. The sample was divided into an experimental group of 35 participants and a control group of 35 participants. The tools used included a self-management program, and a diabetes control behavior assessment tool focusing on diet and medication usage. Data were analyzed using descriptive statistics and a t-test between groups. The results of the study showed that after the program was completed, the experimental group had significantly higher average scores in disease control behaviors related to diet and medication use compared to the control group (p< .001), and their fasting blood glucose levels were significantly lower than those of the control group (p<.001). These findings demonstrated that the self-management program could improve disease control behaviors and reduce blood glucose levels in patients with type 2 diabetes mellitus. Therefore, healthcare personnel should apply the self-management program to promote type 2 diabetes patients' self-management of diet and medication in diabetes clinics at community hospitals to reduce blood glucose levels.
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