ประสิทธิผลของโปรแกรมเสริมสร้างทักษะการกำกับตนเองโดยการเยี่ยมบ้านทางไกลสำหรับผู้ป่วยโรคเบาหวานชนิดที่ 2 ที่ควบคุมโรคไม่ได้ในอำเภอแก้งคร้อ จังหวัดชัยภูมิ

Chakkarin Khenrang; Sutteeporn Moolsart; Noppawan  Piaseu

Authors

Chakkarin Khenrang School of Nursing, Sukhothai Thammathirat Open University
Sutteeporn Moolsart School of Nursing, Sukhothai Thammathirat Open University
Noppawan Piaseu Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University

Keywords:

self-regulation, disease-controlling behavior, tele-home-visiting, diabetes

Abstract

The purpose of this two-group pretest-posttest quasi-experimental research was to study the effects of a self-regulation skill enhancement program via tele-home-visiting on the perception of self-efficacy in diabetes control, diabetes control behavior, and blood glucose level among uncontrolled type 2 diabetes patients. The samples were uncontrolled type 2 diabetes patients with blood glucose at 126 -180 mg/dl living in Kaeng Khro District, Chaiyaphum Province. The sample was selected by simple random sampling and separated into an experimental group and a comparison group of 32 people each. The samples in the two groups were matched by age, duration of diabetes, blood sugar levels, and weight. Research instruments were 1) a self-regulation skill enhancement program by tele-home-visiting for uncontrolled type 2 diabetes patients, applying the theory of Bandura's self-regulation theory for developing self-observation, judgment, and self-reaction skills. The duration of data collecting was 10 weeks including workshops and tele-home-visiting via video calls; 2) A handbook on enhancing self-regulatory skills for diabetes control; 3) Questionnaires on diabetes control self-efficacy and behavior. The content validity indices of both questionnaires were .99, and Cronbach’s alpha coefficients were .90 and .91, respectively. Data were analyzed by descriptive statistics and a t-test.

The result revealed as follows: after enrolling in the program, the experimental group had better self-efficacy and diabetes control behavior than before enrolling in the program, and better than the comparative group (t = 4.634, p = .000 and t = 5.298, p = .000, respectively). The blood sugar of the experimental group was lower than before enrolling in the program, and also lower than the comparative group (t = -7.199, p = .000). According to the research results, nurses should implement this program for uncontrolled type 2 diabetes patients to prevent potential complications.

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