The effects of the education program for self-care behavior of diabetes mellitus type 2 patient at Chomthong Hospital, Chiang Mai Province
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Abstract
BACKGROUND: Providing knowledge on behavior for patients with type 2 diabetes, using the concept of patient self-management to implement a self-care program aimed at delaying stage 3 chronic kidney disease, will result in patients to receive care that is appropriate to their problems, reduce progression more advanced stages of kidney, and support the development of patients’ health behaviors, leading to an improved quality of life.
OBJECTIVE: To study the effects of self-management behaviors program aimed at delaying chronic kidney disease in patients with type 2 diabetes by comparing their behaviors before and after receiving the program.
METHODS: This study employed a quasi-experimental, single-group pretest–posttest design without a comparison group. The study was conducted among patients with type 2 diabetes who had progressed to stage 3 chronic kidney disease and were attending the Non-Communicable Diseases Clinic at Chomthong Hospital between 1 January and 31 July 2024. An educational and self-management behavior program aimed at delaying kidney disease progression was implemented. Program effects were evaluated by comparing patients’ self-care behaviors before and after the intervention using a paired t-test, with the level of statistical significance set at 0.05.
RESULTS: The study included a total of 12 participants with a mean age of 60.6 ± 6.3 years. After receiving the educational and self-management behavior program, patients’ knowledge scores increased from 66.5% to 73.9%. Self-management behaviors to delay kidney disease improved (mean ± SD: 3.46 ± 0.59 before and 3.49 ± 0.72 after the program). Clinically, the mean blood glucose level decreased from 202 to 190 mg/dL. A comparison of self-care behavior scores before and after the intervention demonstrated a statistically significant improvement (t=7.37, p<0.001).
CONCLUSIONS AND RECOMMENDATIONS: The educational self-management program improved knowledge, self-care behaviors, and clinical outcomes in patients with type 2 diabetes. Integration of this program into routine nursing care may enhance glycemic control and help delay kidney disease progression in the future.
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References
Royal College of Physicians of Thailand under the Patronage of His Majesty the King; Diabetes Society of Thailand. Clinical practice guidelines for diabetes mellitus [Internet]. Bangkok: Royal College of Physicians of Thailand; 2023 [cited 2024 Jul 10]. Available from: https://drive.google.com/file/d/1OAIDiCyGsJYA1-wTAxoOu6yL_YL9c7IG/view
Division of Noncommunicable Diseases, Department of Disease Control. Situation report on the impact of the COVID-19 outbreak on noncommunicable diseases and related factors in Thailand, January 2020 to November 2021. Nonthaburi: Division of Noncommunicable Diseases, Department of Disease Control. 2022.
Cheumthonh P, Kimsungnoen N, Namjuntra R. Effects of support and education program on self-care behavior and blood sugar level. Journal of Nursing Science and Health. 2020;43(1);78-86.
Chiang Mai Provincial Public Health Office. Health Data Center. [online]. Retrieved on March 1, 2024 from https://www.chiangmaihealth.go.th
Kurasri L, Treetot T. The effect of a self-management skill program for delaying kidney deterioration on behavior and clinical outcomes with type 2 diabetes mellitus Muang Suang Hospital. Journal of Health Innovation Research and Development. 2023;43(3):21-31.
Kanfer FH, Gaelick-Buys L. Sefe-management methods. In: Kanfer FH, Goldstein AP, editors. Helping people change. 4 th ed. New York: Pergamon Press; 1991: p.2.
Thungtong S, Chinnawong T, Thaniwattananon P. Effects of self-management support program to delay diabetic nephropathy on self-management behavior and clinical outcomes in patients with type 2 diabetes. Songklanagarind Journal of Nursing. 2015;35(1):67-84.
Burns N, Grove S. The practice of nursing research: Appraisal, synthesis and generation of evidence. 6th ed. St. Louis: Saunders Elsevier; 2009.
Si Songkhram P, Wawadee S, Chanchai N. Effects of program for self-management of type 2 diabetes mellitus patients on self-management behaviors and fasting capillary blood glucose. Journal of Environmental Health and Community Health. 2020;5(1):84–94.
Chomwong P, Banchonhattakit P, Chusak T. The effect of self-management program for type 2 diabetic patients who cannot control blood sugar level in Kok Salung subdistrict, Phatthana Nikhom district, Lopburi province. Research and Development Health System Journa. 2024;17(2):240-53.
Anantasuk S. Health behavior development program to delay renal failure in non-insulin dependent diabetic patients in Bang Poon Subdistrict Health Promotion Hospital, Mueang Pathum Thani district, Pathum Thani province [dissertation]. Pathum Thani: Rajamangala University of Technology Thanyaburi; 2021.
Thongkhamnuch P. The effects of a health behavior development program on non-insulin dependent diabetes mellitus patients for delaying kidney deterioration Nam Pad hospital, Uttaradit province. Academic Journal for Primary Care and Public Health Development. 2024;2(2):105-17.
