Effects of an Empowerment Program using Line Application on Foot Care Knowledge, Foot Care Behavior, and Glaciated Hemoglobin in Uncontrolled Diabetes Patients
Keywords:
empowerment, line application, foot care knowledge, foot care behavior, uncontrolled diabetesAbstract
This two-group quasi-experimental research aimed to study the effects of an empowerment program using the LINE application on foot care knowledge, foot care behavior, and glaciated hemoglobin (HbA1C) in uncontrolled diabetes patients. Data were collected from 30 patients with uncontrolled blood sugar levels receiving treatment at the Tawunghin Primary Care Cluster at Sunpasitthiprasong hospital in Ubon Ratchathani. They were purposively selected based on set inclusion criteria. They were divided into an experimental group and a control group with 15 patients in each group. The experimental group received the empowerment program using the LINE application for 12 weeks, while the control group received usual care. Data were collected using the foot care knowledge and the foot care behavior questionnaires, and HbA1C blood tests. The content validity indexes (CVI) of the two questionnaires were 0.89 and 0.91, respectively. The foot care knowledge questionnaire was tested for reliability using the Kuder-Richardson 20 method with a reliability of 0.80. The foot care behavior questionnaire was tested for reliability using Cronbach's alpha coefficient, with a result of 0.84. Data were analyzed using frequencies, percentages, means, standard deviations, and non-parametric tests, including chi-square tests, Fisher’s exacts, Wilcoxon signed rank tests, and Mann-Whitney U tests.
The research results revealed that, after participating in the empowerment program using the LINE application, the experimental group had significantly higher mean scores for foot care knowledge and foot care behaviors after the program than the control group. The average HbA1c of the experimental group also was also significantly lower than before and significantly lower than the control group. The results show that the empowerment program enabled the experimental group to gain knowledge on proper foot care which enabled them to modify their foot care behaviors and control their blood sugar levels effectively. Therefore, it should be used to care for diabetic patients and those at risk to encourage proper foot care behaviors, prevent foot ulcers, and reduce complications.
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