Effects of a Symptom Management Program Combined with Isan Folk Dance Exercise on Fatigue Among Patients with Type 2 Diabetes in the Community
Keywords:
type 2 diabetes patients, fatigue, symptom management program, exercise, isan folk danceAbstract
This quasi-experimental study aimed to compare the effects of a symptom management program combined with Isan folk dance exercise with standard care on fatigue among patients with type 2 diabetes in the community. The program was developed based on the Symptom Management Model proposed by Dodd et al. The sample consisted of 102 individuals with type 2 diabetes residing within the catchment area of Ban Dong Wai Health Promoting Hospital, Ko Kaew Subdistrict, Selaphum District, Roi Et Province. A total of 102 participants were selected through multistage sampling and were then equally assigned to the experimental (n = 51) or control group (n = 51). The experimental group was given a symptom management program combined with Isan folk dance exercise, while the control group received routine care. The research instruments included the eight-week symptom management program combined with Isan folk dance exercise, which had a content validity index assessed by 3 experts of 0.90. The fatigue assessment scale demonstrated reliability with a Cronbach’s alpha coefficient of 0.85. The data collection instruments also included a demographic questionnaire. Chi-square tests and Fisher’s exact tests were used to compare the personal data of the control and experimental groups. The average fatigue scale scores were compared using paired t-tests and independent t-tests
There were two significant research findings. 1) The results of the within-group comparison before and after the experiment showed a statistically significant difference in the average fatigue scale scores in the experimental group. 2) The results of the comparison between the control group and the experimental group after the experiment showed that the average fatigue scale scores in the experimental group were significantly lower than those in the control group . Therefore, the symptom management program combined with Isan folk dance exercise effectively reduced fatigue in patients with type 2 diabetes. These findings indicate that the program can be adapted as an evidence-based nursing guideline in primary care diabetes clinics to support patients in managing fatigue more effectively.
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