Program Development of using Motivational procedures in type 2 Diabetes Mellitus Patients with Poor glycemic control in the Chronic disease Outpatient ChiangYuen Hospital Maha Sarakham Province

Abstract

Purposes : To develop and study the results of motivational program for patients with type 2 diabetes uncontrol in the ChiangYuen subdistrict ChiangYuen District Maha Sarakham Province. 

Study design : Action Research.

Materials and Methods : The sample group was a type 2 diabetic patient with a HbA1c level of 7-9 mg/dl in Chiang Yuen Subdistrict treated at the chronic disease clinic. The research was performed between October 2021 - July 2022, with a total of 261 cases using motivation-building skills (Motivational Interviewing). The research was divided into 4 phases: Phase 1: Study the problem situation of patients with type 2 diabetes in Chiang Yuen Subdistrict treated in the Chiang Yuen Nurse's Chronic Disease Clinic who have poor blood sugar control, Phase 2: Plan activities to solve the problem by having a brainstorming meeting and conducting a practical meeting to determine solutions to the problem, Phase 3: Carry out the process of creating health literacy at the individual level in patients with type 2 diabetes by changing behavior to control blood sugar levels to be within normal limits. Phase 4: results of operation evaluates.

Main findings :  Using the Program Development of using Motivational interviewing the results of the self-analysis and cluster analysis make diabetic patients aware of having behaviors to take care of their own health with a clear goal and time period. There is a possibility. The results of using My I – SMART Record found that patients had a better understanding of themselves and were inspired to take care of themselves. There was a common goal with the care team to take care of each patient's self-care. There was a clear timeline for practicing self-care in order to reach the goals as desired. In addition, it was found that the results assessing pre- and post-knowledge of diabetic patients were significantly different at a level less than .05, including the results of HbA1c levels after motivational interviewing, which were significantly reduced at a level less than .05.

Conclusion and recommendations : Development of a motivational program for patients with type 2 diabetes uncontrol their blood sugar levels. It is about developing self-management to be uncontrol blood sugar levels well. Understand the cause until the solution. Diabetic patients can control their disease effectively.