ผลของโปรแกรมการสอนแนะเพื่อการปรับเปลี่ยนวิถีชีวิตต่อระดับน้ำตาลเฉลี่ยสะสมในเลือดของผู้ป่วยที่เป็นเบาหวานชนิดที่ 2 รายใหม่

Abstract

This quasi-experimental research aimed to study the effects of coaching program for
lifestyle modification on HbA1c levels in newly diagnosed type 2 diabetes. The subjects
were patients with type 2 diabetes who had been diagnosed by physician within one year
prior to the study, no complications and no treatment with oral diabetes medication. The
50 samples were selected from the Medical Unit at Huachiew Hospital. The samples were
equally divided into 25 persons each in the control and experimental groups. The matched
paired design covered age, gender, level of education and HbA1c level. The control group
received routine nursing care only, but the experimental group had received the coaching
program for lifestyle modification including diet control, and exercise combined with the
process of coaching of Eaton and Johnson17 which is composed of the following: 1) Goal
definition 2) Analysis 3) Exploration for alternatives 4) Action Plan 5) Learning and 6) Feedback.
The duration time of program was conducted over a period of 12 weeks. The instrumentation
for collecting data was a demographic data form, a form for directing the testing
of newly diagnosed type 2 diabetic patients. The instrumentation was tested for reliability
with Cronbrach’s alpha coefficient at .87. The data were analyzed using frequency, percentage,
mean, and standard deviation. The hypotheses were tested using paired t- test and independent
t-test.
The results revealed the following:
1. After receiving coaching program, the mean score level of HbA1c in the experimental
group was significantly lower than before receiving coaching program at the level of .05
2. At the end of the coaching program, the mean score level of HbA1c in the experimental
group was significantly lower than the control group at the level of .05