Effect of Health Care Program on New Diabetic Mellitus Type 2 on Health Literacy, Health Care Behavior and Hemoglobin A1c (HbA1c)

Abstract

Purposes:   To study the effects of an  health care  program on new diabetic mellitus type 2 on health literacy,  health care behavior and  hemoglobin  A1c (HbA1c).

Research design:  We conducted a Quasi- experimental research .

Materials and methods: The samplings were new diabetic mellitus type 2 who  used in this study were diabetic patients registered and serviced at Chiang Kwan Hospital from 1 October 2018 - 30 September 2019. 30of participants were met the inclusion criteria and exclusion criteria. Data were collected by using interview form. The data were analyzed using frequency, percentage, mean, standard deviation and paired t-test to determine the statistical significance level at the .05

Main findings: After intervention, new diabetics mellitus had an increased mean score on overall health literacy, compared to before intervention (p< .001), with an increase in mean score of 7.27 (95% CI; 6.03, 8.49); mean score of overall health care behavior increased, compared to before intervention (p = .04) with an increase in mean score of 2.63.(95% CI; 1.77, 3.49), hemoglobin  A1c (HbA1c) levels were reduced compared to the before intervention (p < .001), with a decrease in the hemoglobin   A1c (HbA1c) level of 1.29 % (95% CI; 0.98, 1.59)

Conclusion and recommendations:   the results of this research indicate that the new diabetic mellitus type 2 allows personnel to analyze patients and jointly solve problems with their families individually,  follow up home visits in the community, help patients understand, confidence in ability and decision-making on behavioral modifications leading to better clinical outcomes.