ปัจจัยทำนายระดับน้ำตาลเฉลี่ยสะสมในเลือดของผู้ป่วยเบาหวานชนิดที่ 1 ภายใต้สถานการณ์การระบาดของไวรัสโคโรนา 2019

Sathima Suratham; Kanyarat  Wongmuan; Ornsuda  Lertbannaphong

Authors

Sathima Suratham Faculty of Nursing, Mahidol University
Kanyarat Wongmuan Faculty of Medicine, Siriraj Hospital, Mahidol University
Ornsuda Lertbannaphong Faculty of Medicine, Siriraj Hospital, Mahidol University

Keywords:

the use of telemedicine, type 1 diabetes mellitus, hypoglycemia, hemoglobin A1C

Abstract

This study focused on the factors influencing hemoglobin A1C among patients with type 1 diabetes mellitus during the COVID-19 pandemic. The sample consisted of 184 primary caregivers whose age was equivalent to or over 18 years old and took care of patients with type 1 diabetes mellitus who were hospitalized in the Children and Adolescent Diabetes Clinic, Siriraj Hospital, Bangkok, Thailand. The research tools included a questionnaire about personal information, a self-care of diabetes questionnaire, a health service access questionnaire, and a hemoglobin A1C record form. The data were analyzed by descriptive statistics and multiple regression.

The findings demonstrated that the age of the patients with type 1 diabetes mellitus, the use of telemedicine, and hypoglycemia could explain hemoglobin A1C among patients with type 1 diabetes mellitus during the COVID-19 pandemic by 13% (R² = .13, p < .001). In consequence, health personnel should produce public relations to promote the use of regular and wide telemedicine, which can allow extensive monitoring from doctors. Moreover, a promotional program should be developed to encourage self-management behavior for patients with type 1 diabetes mellitus and primary caregivers using telemedicine. The reason was to emphasize the importance of self-care for patients with type 1 diabetes mellitus during the COVID-19 pandemic.

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