Effect of an Empowerment - Base and Home Visit Program on Diabetes Millitus Control Behariors and Blood Sugars Level in Uncontrolled Diabetes Millitus

Abstract

Purpose: To investigate  the  effect  of an empowerment program with home visits on disease control behavior and blood sugar levels in uncontrolled diabetes mellitus.

Design:  Quasi- experimental research.

Materials and Methods: Empowerment process based on Gibson's concepts  was used a conceptual framework for research. The subjects were type 2 uncontrolled diabetes mellitus, there were 15 cases,  and  treated at the chronic disease clinic Ban Nam Sai health promoting hospital, by simple random sampling.  Data were collected between January - February 2019. The instrument for collecting data were empowerment programs together with home visits and used to collect data include personal questionnaire and diabetes control behavior.  Data were analyzed using frequency, percentage, mean, deviation and paired t-test.

Main findings:  Most of the samples were female, 80.0%, average age 62 years, marital status 73.3%, primary school graduates 46.7%, average income 2,346.67 bahts/month, the duration of disease were 8 years, symptoms or complications 33.3%, complications that 26.7%, blurred vision and 6.6% were chronic wounds. Other 86.7% were found with chronic diseases, with highest blood pressure being 80.0%. After using an empowerment program with home visits, the sample group had higher mean scores of overall disease control behavior and all aspects than before using an empowerment program together with home visits (p <0.001) and  before and after using an empowerment program together with home visits were no different (p = 0.09)

Conclusion and recommendations: The empowerment program  with the visits that researchers was developed, could promoted diabetic patients with better disease control behaviors, although it was not possible to reduce the blood sugar levels of all diabetic patients.  However, diabetic patients whose blood glucose levels after the program were not reduced, there was a reasonable level of blood sugar in every patient.  the target value of diabetes control  for  adults  therefore should bring the program.  this was applied to patients with diabetes who cannot control blood sugar levels further.