The Effects of Self-Regulation by Clinial Information Program to Glycemic Control Behaviors Score and Glycosyted Hemoglobin Level on Uncontrolled Type 2 Diabetes
Keywords:
Self-regulation, clinical information, glycemic control behavior, HbA1C level, uncontrolled diabetes mellitusAbstract
Achieving the control of blood sugar levels among diabetic patients remains an urgent problem that needs addressing to reduce diabetic complications and improve their quality of life. This quasi-experimental research aimed to examine the effects of a self-regulation intervention by clinical information program to improve glycemic control behaviors score and glycosyted hemoglobin levels (HbA1C) among uncontrolled type 2 diabetic patients. The study sample was patients from Pak Thong Chai district they had been diagnosed with uncontrolled type-2 diabetes by a physician and HbA1c >7 %, they were allocated by sub-districts health promotion hospital, there were highest uncontrolled diabetes. There were randomly selected to be the experimental and comparison groups. Twenty-six subjects from Muangpak Sub-district Health Promotion Hospital were assigned to be in the experimental group. Twenty-four subjects from Takhob Sub-district Health Promotion Hospital were selected for the comparison group. Only the experimental group received the self-regulation intervention through a clinical information program for 18 weeks. The comparison group received the usual care at their HPH. Glycemic control behaviors and HbA1C of diabetic patients were measured before and after the intervention. Data were analyzed by Chi-square and independent t-test. Results founded the effect of a self-regulation intervention by clinical information program had statistic significantly increased the mean glycemic control behaviors score and statistic significantly decreased the mean HbA1C level at experimental purpose versus the comparison group by p < .05. Findings of this study suggests that the self-regulation by clinical information program is an effective intervention to improve glycemic control behaviors and reduce glycosyted hemoglobin level. So health care providers should implicate this intervention to primary health care for uncontrolled type 2 diabetes.
References
International Diabetes Federation. IDF DIABETES ATLAS Seventh Edition 2015. International Diabetes Federation; 2015. P.12-13. Online version of IDF Diabetes Atlas: www.diabetesatlas.org
Diabetes Association of Thailand. Clinical Practice Guideline for Diabetes 2014. Bangkok: Aroonprinting; 2014. P.1. (In Thai)
Bureau of Non-Communicable Diseases. Annual Report 2016. Bangkok: wvothaiprinting ; 2016. P.24. (In Thai)
Bureau of Non-Communicable Diseases. Annual Report 2015. Bangkok: wvothaiprinting; 2016. P.11. (In Thai)
Bureau of Non-Communicable Diseases. The number of patients. Ischemic heart disease / diabetes / high blood pressure / stroke / bronchitis / emphysema and chronic obstructive lung disease / asthma since 2007-2012. Retrieved from http://www.thaincd.com/ document/file/info/non-communicable-disease/ [July 2013]. (In Thai)
Non Communicable Diseases Department. Medical Record System Pakthongchai Hospital 2015; 2015. Pakthongchai Hospital.
Diabetes Association of Thailand. Clinical Practice Guideline for Diabetes 2014. lifestyle management. Bangkok: Aroonprinting; 2014. P.30. (In Thai)
International Diabetes Federation. Clinical Guidelines Task Force, Lifestyle management. In: Global guideline for type 2 diabetes. International Diabetes Federation; 2012. P.32-37.
Arunkeeree S. Effects of self-regulation and Social Support On Diabetic Controlling Behavior and Glycosylated Hemoglobin Level of Type 2 Diabetes Mellitus In Banbung District Chon Buri Province. [M.Sc.Thesis in Master Thesis in Nursing Science Community Nurse Practitioner], Chonburi Province: Faculty of Graduate studies, Burapha University, 2008.
Boonkerd P. Effects of self-regulation and health care partners support on control outcomes among type 2 diabetes mellitus patients in Pakthongchai District Nakhonrachasima Province. [M.Sc.Thesis in Master Thesis in Nursing Science Community Nurse Practitioner], Chonburi Province: Faculty of Graduate studies, Burapha University, 2009.
Kittipeerachol P. Effects of self-regulation Program on Arm Swing Exercise Behavior and Blood Sugar of Diabetic Patients in Community. [M.Sc.Thesis in Master Thesis in Nursing Science Community Nurse Practitioner], Chonburi Province : Faculty of Graduate studies, Burapha University, 2012.
Ngamprasert W. Effects of Self-Regulation Program on Exercise Among Thai Muslim Eldery with Diabetes In Community. Journal of nursing science Chulalongkorn University. 2010; 22(1-3), 94-105.(In Thai)
Sangsuwan S. Effect of self-regulation with Clinical Information Program on Eating Behavior and Blood Sugar Level Among Uncontrolled Diabetic Patients, [M.Sc Thesis in Nursing Science Community Nurse Practitioner. Chonburi Province : Faculty of Graduate studies, Burapha University, 2011.
Tosumrit S, Oba N, Kitiporn T. Effect of Self-Efficacy Enhancement Program Concerning Dietary Intake Behavior on A1C Level Among Type 2 Diabetes Mellitus Patients. Journal of Naresuan University. 2008; 16 (3): 203-210. (In Thai)
Non Communicable Diseases Department. Medical Record System Pakthongchai Hospital 2014; 2014. Pakthongchai Hospital.
International Diabetes Federation. Self-monitoring of blood glucose in non-insulin treated type 2 diabetes. Brussels: International Diabetes Federation; 2009.
National Health and Medical Research Council [NHMRC]. National evidence based guideline for patient education in type 2 diabetes. Canberra, Australia: National Health and Medical Research Council; 2009.
Mannucci E, Monami M, Dicembrini I, Piselli A, & Porta, M. Achieving HbA1c targets in clinical trials and in the real world: A systematic review and meta-analysis of J Endocrinol Invest. 2014; 37(5), 477-495. doi: 10.1007/s40618-014-0069-6.
Himathongkam T. Diabetes knowledge: complete version (2rd ed). Nonthaburi Province: RAK 99 Printing; 2011. P.75. (in Thai)
Bandura, A. J. Social foundation of thought and action: A social cognitive theory. New Jersy: Prentice Hall INC. 1986.
Cohen J. A power primer. Psychological Bulletin. 1992; 112(1): 155-9 p. doi:10.1037/0033-2909. 12.1.-155.
Srisathitnarakul B. Research methods in Nursing Research 4thed. Bangkok: U&IbInter Media Co., LTD. 2007. (In Thai)
Kitpreedaborisut B Social Sciences Research Methodology (10th ed.). Bangkok: Jamjuri Product. Advanced Info Service Public Company Limited; 2008. P.324. (in Thai)
Usay P. Factors Associated with Glycemic Control among Type 2 Diabetes Mellitus Patients Attending Tambon Health Promotion Hospitals within The Banphai Hospital’s Catchment AreaKhon Kaen Province. [M.Sc Thesis in Public Health]. Khon Kaen Province: Faculty of Graduate studies, Khon Kaen University. 2012.
Sarinnaphakon V, Siriratta C, Anusonwongchai Th, Klinsukhon N, Naphathiwaamnuai N, Wanitkun V,et al. Texts Insulin. Bangkok: Bangkok Medical; P.99. (In Thai)
Thomas D. E, Elliott E J, & Naughton G. A. Exercise for type 2 diabetes mellitus. Cochrane Database Syst. 2006; Rev, 3, CD002968.
Umpierre D, Ribeiro P. A, Kramer C. K, Leitao C. B, Zucatti A T, Azevedo M. J, et al. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes. A systematic review and meta-analysis. 2011; 305(17), 1790-1799.
Downloads
Published
How to Cite
Issue
Section
License
บทความที่ตีพิมพ์และแผนภูมิรูปภาพถือเป็นลิขสิทธิ์ของวารสารพยาบาลสาธารณสุข (Thai Public Health Nurses Association)
