THE DEVELOPMENT OF NURSING PRACTICE GUIDELINE FOR TYPE 2 DIABETES MELLITUS PATIENTS WITH UNCONTROLLED BLOOD SUGAR IN DM CLINIC AT PLA PAK HOSPITAL

Abstract

          This research aimed to develop and study the effect of nursing practice guideline for type 2 diabetes mellitus patients with uncontrolled blood sugar in DM clinic at Pla Pak hospital. The evidence-based practice model of Soukup (2000) and 3P (P=Purpose,P=Process,P=Performance) had been applied in this study. The results could divice into 2 phases. First phase was the development of nursing practice guideline,which sixteen related articles and analyze contexts,had been used. The researcher analyzed all data in order to develop nursing practice guideline,which consisted of behavioral assessment due to diet control,exercise,stress assessment. For this nursing practice guideline,nurses provide record

          Second phase was the results of applying nursing practice guideline,which the sample were thirty type 2 diabetes mellitus patients with uncontrolled blood sugar, by Wilcoxon Signed Ranks Test. The results had been found that after applying nursing practice guideline,the score on controlling diet and exercise behavior were significantly higher at .05 Also,stress assessment was found that thirty type 2 diabetes mellitus patients with uncontrolled blood sugar were in low level of stress after applying nursing guideline.After applying nursing practice guideline,thirty type 2 diabetes mellitus patients with uncontrolled blood sugar had blood sugar level during fasting 8-10 hours about 202.2 mg/dl. Both of patient and personnel are satisfied to nursing practice guideline.