Effects of Health Behavior Modifying Program on Ability of Self-care among Risk Group of Diabetes Mellitus in Watphleng Subdistrict, Watphleng District, Ratchaburi Province

Abstract

This quasi-experimental research aimed to examine the effects of health behavior modifying program on ability of self-care. The samples consisted of 66-risk group of diabetes mellitus in Watphleng Subdistrict, Watphleng District, Ratchaburi Province, 34 for an experimental group and 32 for a control group. The experimental group received the health behavior modifying program, while the control group received the conventional nursing care. The research instruments were composed of the health behavior modifying program, a questionnaire of ability of self-care for risk group of diabetes mellitus with the reliability of .88, and a blood glucose meter. The implementation and data collection were conducted from June to August, 2016. Statistics used for data analysis included frequency, percentage, mean, standard deviation, paired t-test, and independent t-test.

The findings revealed that 1) after the experiment, the experimental group had statistically significant higher mean scores of expectation in self-efficacy, expectation in outcomes of self-care practices, and self-care practices than before the experiment (t = 12.060, p < .001; t = 18.770, p < .001 and t = 18.900, p < .001, respectively); 2) after the experiment, the experimental group had statistically significant lower mean blood glucose (DTX) than before the experiment (t = 12.300, p < .01); 3) after the experiment, the experimental group had statistically significant higher mean scores of expectation in self-efficacy, expectation in outcomes of self-care practices, and self-care practices than those in the control group (t = 7.813, p < .001; t = 3.825, p < .001 และ t = 5.050, p < .001, respectively); and 4) after the experiment, the experimental group had statistically significant lower mean blood glucose (DTX) than that in the control group (t = 3.220, p < .01).

This study suggested that health behavior modification should be extended through other risk groups of diabetes mellitus. Additionally, Self-efficacy Theory should be applied for caring in others risk groups of non-communicable diseases.