Effects of a self-management program on knowledge, self-management behaviors and HbA1c among diabetic patients with poor glycemic control: randomized controlled trial
Keywords:self-management, knowledge, self-management behavior, HbA1c level, diabetic patient
This randomized controlled trial (RCT) aimed to study the effects of self-management program on knowledge, self-management behaviors and HbA1c levels in diabetic patients with poor glycemic control. The participants consisted of 64 diabetic patients with poor glycemic control and were equally divided into experimental group or control group. The experimental group received a self-management program based on Kanfer’s concept and the control group received usual care. Data were analyzed using descriptive statistics, chi-square test, paired t-test and independent t-test. The results showed that after receiving the program, the experimental group had knowledge and self-management scores higher than before receiving the program and higher than the control group, with the statistically significant level of p<0.05. Also, after receiving the program, the experimental group had HbA1c levels less than before receiving the program and less than the control group, with the statistically significant level of p<0.05.
International Diabetes Federation. Diabetes situation. [Internet]. 2019 [cited 2019 Jan 16]. Available from https://www.diabetesatlas.org/ upload/resources/2019/IDF_Atlas_9th_ Edition_2019.pdf
Strategy and Planning Group Bureau of Non-communicable Diseases, Department of Disease Control. Thailand National NCD plan. [Internet]. 2018 Mar [cited 2019 Nov 20]. Available from:http://www.thaincd.com /2016/mediadetail.php?id=13065&tid=30&tid=&gid=1-015-005
Meerat W, Jenjaiwit P. Quality development of family management support services among diabetes mellitus patients at a community hospital. Journal of Nursing Science & Health 2013; 36(3): 66-71. (in Thai)
Beran D. The impact of health system on diabetes care in low and lower middle income contries. Current diabetes report 2015;15(4):20.
Tosuksri W. Internal medicine nursing. 4th ed. Bangkok: Textbook Project, Faculty of Nursing Mahidol University; 2016. (in Thai)
Chonnabot Hospital. Medical record statistics of clinical patients with diabetes report 2017. Khon Kaen: Statistic department Chonnabot; 2017. (in Thai)
Kongsakul S. The effect of a skill training program on self-management towards self-management behaviors in controlling diabetes and blood sugar levels of those who with type 2 diabetes. [thesis]. Bangkok: Faculty of Nursing Thammasat University; 2009. (in Thai)
Weangnon S, Nantsupawat W, Hornboontherm P. Effects of self-management program on behaviors for controlling disease and he¬moglobin A1C level in patients with diabetes mellitus type 2. Journal of Nurses’ Association of Thailand, North-Eastern Division 2010; 28(4):5-14. (in Thai)
Rattanapitak U, Nuwat K, Srivichitkamol A, Wiphawattana J. The result of self-diabetes management program on knowledge behavior and health index in people type 2 diabetes. Journal of Nursing Science 2013;31(1):6-18. (in Thai)
Buathongkhamwisat P, Pinchaleaw D, Moolsart S. The effectiveness of self-management program in type 2 diabetes patients in ThaKo sub district, Mae Suai district, Chiang Rai province. Journal of Police Nurses 2018; 9(1):105-15. (in Thai)
Chanchai J, Wiwat M, Imami N. Diabetes learning program and self-management of people with the disease type 2 diabetes mellitus in Prachuap Khiri Khan province. Journal of Public Health, Burapha University 2010;7(2):69-83.
Kanfer FH. Self-management method: Helping people change. United States of America: Pergamon; 1980.
Wattana C. Self-management support: Strategies for promoting disease control. Journal of Phrapokklao Nursing College 2015;26(1):117-27. (in Thai)
Glass, GV, Mcgraw B, Smith ML. Meta-analysis in social research. Beverly hill: Sage publication; 1981.
Arun J. Selection of samples of patients admitted to the hospital at a specified time. Journal of Health Science 2004;13:713.
Kanglee K. Factors associated with blood glucose control of the Type 2 diabetes Phramongkutklao hospital. Journal of Royal Thai Army Nurses 2014;15(3):256-66. (in Thai)
Schulz KF, Altman DG, Moher D. CONSORT 2010 statement: Updated guidelines for reporting parallel group randomised trials. Br J Med 2010; 340: c332. doi:10.1136/bmj. c332. PMC 2844940. PMID 20332509.
Keeratiyutawon P. A self- management program for improving knowledge, self-care activities, quality of life, and glycosylated HbA1c in Thai with type 2 diabetes mellitus. [Thesis]. Bangkok: Mahidol University; 2005. (in Thai)
How to Cite
The Journal of Nursing Science and Health is copyright holder of published articles. Distributions of articles published in Journal of Nursing Science and Health including online, photocopying which is not for teaching-learning purpose, publication submission elsewhere are prohibited except obtaining permission from the Journal of Nursing Science and Health.