The Result of Health Promoting Program for Diabetes Patients without Insulin at DammoenSaduak Hospital

Abstract

                    This research to the purpose pre - experimental research was to compare the knowledge of non - insulin dependent diabetes mellitus (NIDDM), health promotion behavior, blood sugar level, and HbA1C in diabetes mellitus patients prior and after participating in health promotion program provided by diabetes clinic, Damnoensaduak hospital, Ratchaburi Province from November 2017 to February 2019. Study by the study samples were thirty patients with non - insulin dependent diabetes mellitus, blood sugar level more than 180 mg/dl, and HbA1c more than 7%. The study tools comprised the health promotion program in NIDDM patients; the questionnaire evaluating knowledge of diabetes, food control, exercise, stress management, antidiabetic drugs; the questionnaire of health promotion behavior; the instruction of health promotion program in NIDDM patients; the presentation slides; the DM patient’s diary. The validity and reliability of all study tools were examined by three experts; the knowledge evaluation questionnaire has 85% confidence. Frequency distribution, percentage, mean, and standard deviation were applied for data analysis; the difference analysis of prior and after implementing the health promotion program was determined with t - test dependent.

                    Results: The results presented that the mean score of diabetes knowledge and health promotion behavior in study patients was increased significantly after participating in the program (p< 0.05). Also, the mean score of blood sugar level and HbA1c in study subjects was significantly decreased (p< 0.05). The research results are able to apply to the nursing practice of the health promotion program in NIDDM patients, especially in patients with chronic hyperglycemia.

                    The suggestion: using a health promotion program on knowledge about diabetes health promotion behaviors resulting in blood sugar vulves and the level of hemoglobin (HbA1c) decrease. Therefore, self-care should be promoted in terms of food and drug use strictly.