The Effect of Empowerment on Self – Care Behaviors and Glycemic Control in Patients with Type 2 Diabetes Mellitus at Diabetic Clinics, Samngao Hospital, Tak Province
This quasi-experimental research is aimed to test the effect of empowerment intervention on increasing self-care behaviors and glycemic control in patients who have diabetes type 2. Gibson’s empowerment concept and Orem’s self-care theory were used as the conceptual framework of this study. Eighty patients diagnosed with diabetes type 2 who received care at the outpatient diabetic clinic at Samngao hospital were recruited in this study. The sample was equally divided into two groups: the experimental and control groups. The 12-week empowerment intervention was arranged into 4 sessions in which each session lasted about 60 minutes. The instruments used in this study were demographic data form and self-care behaviors questionnaire. Furthermore, every subject was required to have glycated hemoglobin (HbA1c) level tested. Data were collected during June to September 2019. The data were analyzed using descriptive. The paired t- test, and Analysis of Covariance (ANCOVA).
The results of the study were as follows: 1) Subjects in the intervention group had a significantly higher mean score on self -care behaviors than those who were in routine care group (p<0.001). 2) Subjects in the intervention group had a lower HbA1c level those who were in routine care group (p<0.05). In conclusion, the result of this study suggests that empowerment intervention is helpful in promoting diabetic patients to perform self-care behaviors and control blood sugar. Therefore, the empowerment guidelines should be applied to nursing in diabetic patients. In order to promote good self-care behavior, able to control blood sugar levels.
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