Effects of Self-Regulation Program on Glycemic Control in Patients with Uncontrolled Type 2 Diabetes
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Abstract
The quasi-experimental research aimed to study the effects of self-regulation program on glycemic control in patients with uncontrolled type 2 diabetes. The participants were 58 patients, levels of glycosylated hemoglobin (HbA1c) at baseline equal or more than 7.5%, aged 40 and old, treated by oral medicines. The experimental group (n=29) received the program applying self-regulation whereas the comparison group (n=29) received normal patient care, according to the guidelines of the Public Health Center. The interview questionnaire consisting of self- efficacy to control blood sugar levels, which were measured at baseline, 8-week, at 12-week and dietary, physical activity or exercise medication taking behavior and HbA1c were measured at baseline, 12-week. The questionnaires were verified for content by 3 professional experts, its content of validity were 1.00. Reliability for questionnaires tested by Cronbach’s alpha were 0.83, 0.72, 0.82, 0.68 respectively. The data were collected questionnaires and analyzed using Chi-Squares, Independent t-test, pair t test, Mann-Whitney U, Repeated measure ANOVA.
The results revealed that the mean in self - efficacy to control blood sugar levels were significantly higher than those at baseline and comparison group (p value < 0.05), at 8-week and at 12-week The mean in dietary, physical activity and medication taking behavior in the experimental group at 12-week were significantly higher than those baseline at and higher than comparison group. (p-value < 0.05). And glycosylated hemoglobin level in the experimental group at 12-week were significantly lower than baseline and comparison group (p-value < 0.05). Management team of public health work can apply the self-regulation program to improve glycemic control in patients with uncontrolled type 2 diabetes. In addition, the program was beneficial in improving and maintaining self-efficacy to control blood sugar levels, dietary, physical activity or exercise and medication taking behavior.
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References
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