Development of DM Bank Innovation for Uncontrolled Type II Diabetes Mellitus Patients

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Ratcha Meesilp
Padthayawad Pragodpol

Abstract

            The objective of this research and development study was to develop and test the effectiveness of DM bank innovation of type II diabetes mellitus patients from the municipal communities of Angthong province. The process consisted of 3 stages: 1) study the problems and needs 2) DM bank innovation development, validation, and pilot study. 3) applying DM bank innovation to test effectiveness. The 35 uncontrolled diabetes mellitus patients were recruited by purposive sampling. The research instruments were composed of 1) the diabetes knowledge and self-care behavior questionnaire which was developed by the researchers. The content validity index was proved at 0.85 through three expert inspections. The Cronbach’s alpha coefficient was used to test the reliability at 0.84. 2) DM bank innovation proved the content validity index at 0.90. This research was conducted during January - September 2017. Data were analyzed using descriptive statistics and paired sample t-test inferential statistics.
            The results showed that DM bank innovation was developed based on the concept of bank services, protection - motivation theory, and empowerment theory. The main activities were deployed 1) to deposit sugar levels that they can control or reduce the redemption of everyday essential materials, 2) health educating, 3) motivating from role model, 4) consciousness planting activities, and 5) health planting activities. After joining the DM bank innovation for six months; uncontrolled diabetic mellitus patients 1) had statistically significant higher knowledge score and a higher self-care behavioral score than before participating the DM bank innovation at .05. 2) weight, body mass index, and clinical outcomes included fasting plasma glucose, hemoglobin A1c, creatinine, and urine micro-albumin were significantly lower than before participating the DM bank innovation at .05.
            The result indicated that DM bank innovation was effective in improving knowledge and self-care behavior, decrease body weight, body mass index, fasting plasma glucose, hemoglobin A1c, creatinine, and urine micro-albumin in uncontrolled diabetes mellitus patients.

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