The effective of program empowerment and continuity care with HbA1c level in Patients with Diabetes in City Community Health Center Roi-Et Hospital

Abstract

Purpose: to determine the effectiveness of program empowerment and continuity care that affect to HbA1c level in patients with diabetes mellitus in City Community Health Center, Roi-Et Hospital.

Design:This research and development .

Materials and Methods: The study was performing in December 2019 - April 2020 with purposive sampling among 50 DM type 2 patients with HbA1c level ≥ 7 mg% who’d undergone the treatment and registered within a year at City Community Health Center, Roi-Et Hospital were used in data analysis. The questionnaires: pre-test and post-test, were used to evaluate the patient’s knowledge, this subject to determine their self-care management and home visiting individually, by using the Gibson  empowerment program contains, problem searching, recognizing about health problem, participating in choosing the right health approach and maintaining the effective practices. Evaluating and tracking the continuity of self-care management at home. Instant computer program “Paired sample t – test” was used for data analysis, with descriptive statistics (number, percentage, mean, standard deviation) of the outcomes.

Main  findings: Result of this study were found that after study the diabetes knowledge and self-care behavior are better in all aspects, significantly (p-value < . 001) to compare the mean of Hemoglobin A1C (HbA1C) was found to have a statistically significant difference (p-value < . 001)

Conclusion and  recommendations: Conclusion this study found that the empowerment program and tracking the continuity of care at home can help to diabetes patients have the knowledge and ability to care for themselves, recognizes about health problem in themselves, participate in choosing the right approach to health and contextual compliance, the behaviour is constantly changing and it affects the blood glucose control of the patient. So, should be used this program for other chronic disease patients.