The Effect of Telenursing program with Glycemic Control in Type 2 Diabetes Mellitus Patients

Abstract

Purposes : This research aimed to study the effect of Tele-nursing program on the glycemic control level in Type 2diabetes patients at the Health Promoting Hospital, Pathumrat District, Roi Et Province.

Study design :  Quasi-Experimental research, Two groups pre-post test design.

Materials and Methods : The sample group consists of type 2 diabetic patients who were referred for continuous care at three subdistrict health promotion hospitals in Pathumrat district. A total of 64 participants were selected through purposive sampling, with 32 in the control group and 32 in the experimental group. Data was collected during November 2023 to February 2024. The research tools used included 1) A questionnaire on demographic data 2) a questionnaire on health behavior for diabetic patients 3) The glycemic control level was collected data from medical records and 4) Tele-nursing care program as an experimental instrument. The content validity index of .90 and reliability was assessed using cronbach's alpha coefficient was .80. The data were analyzed using descriptive statistics and Independent t-test.

Main findings : The results showed that after using the telenursing program with type 2 diabetic patients, it was found the mean score of health behaviors in the experimental group was significantly higher than the control group (p<.01). Additionally, the mean HbA1C level in the experimental group was 6.95 (SD.±0.79) mg%, which significantly decreased compared to the control group 7.30(SD.±1.51)mg% (p<.05). However, in the group receiving normal care, there was no significant difference in the mean HbA1C level.

Conclusion and recommendations : The Tele-nursing program is recommended for health behavior modification. In addition, it can be used for diabetic patients who have uncontrolled blood sugar in the community. There should be long-term follow-up of the results of using the tele-nursing program and the effectiveness in other dimensions, such as patient satisfaction, unit cost and nurses’ competence in Tele-nursing. To improve and develop a nursing service system to be more efficient in the future.