Development of nursing care model for diabetes remission using lifestyle medicine concept, Nam Phong Hospital, Khon Kaen Province
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Abstract
Background: Diabetes mellitus is a major non-communicable disease and a significant public health concern. Developing an effective nursing care model to promote diabetes remission could reduce complications and healthcare expenditures. This study aimed to develop a nursing care model for diabetes remission and to evaluate its effectiveness.
Methods: This mixed-methods research was conducted in two phases. Phase 1) Develop a nursing care model for diabetes remission. Informants included ten stakeholders involved in the DM Remission Clinic. Data were collected through focus group discussions and analyzed using content analysis. Phase 2) evaluated the effectiveness of the developed model. The sample consisted of 34 patients with diabetes selected through simple random sampling without replacement. Participants engaged in lifestyle medicine–based activities for 12 weeks. Data were collected using questionnaires, clinical outcome record forms, and satisfaction assessments, with reliability coefficients of 0.78, 0.81, 0.87, and 0.92, respectively. Data were analyzed using descriptive statistics (mean, percentages, standard deviations) and inferential statistics, including paired t-tests and Wilcoxon signed-rank tests.
Results: The nursing care model for diabetes remission comprised: providing education grounded in lifestyle medicine principles; promoting peer experience sharing within groups; organizing service systems within the DM clinic; building community networks through LINE groups; and implementing multidisciplinary support policies for diabetes remission. The effectiveness of the developed model improved significantly after participation in the program; mean scores for knowledge (p<0.001), attitudes (p=0.030), and lifestyle medicine practices (p<0.001) were higher than before participation. HbA1c levels were significantly lower post-intervention compared with pre-intervention levels (p<0.001). Furthermore, 35.3% (12 participants) discontinued diabetes medication.
Conclusion: Adherence to lifestyle medicine principles contributes to achieving diabetes remission
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