Effect of Self-Management Support for Self-Care Behavior and Blood Glucose Level in Patients with Type 2 Diabetes Mellitus

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Prapimsri Homchui
Civilaiz Wanaratvijid
Chayanin Pratoomsoot

Abstract

          This quasi-experimental study aimed to investigate the effect of self-management support program on self-care behavior and blood glucose levels in patients with type 2 diabetes mellitus. Sixty diabetes patients were participated in this study. They were randomly divided equally into experimental and control group. Experimental group received self-management support program for 10 weeks. Research instruments consisted demographic information, a knowledge test on diabetes mellitus, self-care behavior, and blood glucose level records. The data were analyzed by using mean, percentage standard deviation independent t-test and paired t-test.


          The results showed that the average scores of knowledge and self-care behavior of the experimental group at post- intervention were higher than pre intervention; and the average scores of blood glucose =was lower than that of pre- intervention (p<.05). The knowledge scores and self-care behavior at post- intervention were significantly higher than those a control group, and the average blood glucose level was significantly lower than those a control group. (p<.05).


          The research findings suggest that self-management support program can improve the knowledge and self-care behavior of patients with type 2 diabetes mellitus, as well as lower their blood glucose levels. It is therefore recommended that the program may be used as part of diabetes patient care

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บทความวิจัย (Research articles)

References

1) Buathongkhamwisat, P. et al. (2017). The effectiveness of self-management program on type 2 diabetic patients in Thakor, Maesuai district, Chiangrai province. Journal of the Police Nurses, 9(1), 105-116. (in Thai)

2) Bureau of Non Communicable Disease Department of Disease Control, Ministry of Public Health. (2017). Collaborative NCDs nurse in community (diabetes and hypertension). Bangkok: Media Center and Kaew Jao Jom Publications Suan Sunandha Rajabhat University. (in Thai)

3) Diabetes Association of Thailand. (2016). World Diabetes Statustics. Retrieved (2019, May 10) from http://i-regist.igenco.co.th/web/dmthai_old/statistic/1558

4) Holman, H., & Lorig, K.R. (2004). Patient self-management: A key to effectiveness and efficiency in care of chronic disease. Public Health Report, 119, 239 – 243.

5) Khamchata, L. et al. (2017). Matabolic Syndrome: Dangerous signs required management. Srinagarind Medical Journal, 33(4), 386-395. (in Thai).

6) Kooariyakul, A.& Meesri, C. (2017). Knowledge and self-care behaviors of patients with hypertension at tambon Pasao health promoting Hospital, Amphur Mueang, Uttaradit Province. Boromarajonani College of Nursing Uttaradit Journal, 9(2), 28-40. (in Thai)

7) Lorig, K.R., Sobel, D., Ritter, P.L., Hobbs, M., & Laurent, D. (2001). Effect of a self-management program on patients with chronic disease. Retrieved (2019, May 10) from https://www.ncbi.nlm.nih.gov

8) Lorig, K.R., & Holman, H. (2003). Self-management education: History, definition, outcomes, and mechanism. The Society of Behavioral Medicine, 26(1), 1-7.

9) Lorig, K.R., Holman, H., Sobel, D., Laurent, D., Gonzalez, V., & Minor, M. (2012). Living a health life with chronic conditions: Self-management of heart disease, arthritis, diabetes, depression, asthma, bronchitis, emphysema and other physical and mental health conditions. Colorado: Bull Publishing Company.

10) Ministry of Public Health. (2017). Report on the high prevalence of hypertension among population in Health Region 2, Uttaradit Province, 2014 - 2016. Retrieved (2017, May 24) from http://hdcservice.moph.go.th/hdc/repor (in Thai)

11) Peeraphruettipong, N. & Pakdevong, N. (2012). Effects of self-management program on knowledge, self-care activities, and HbA1c in persons with type 2 diabetes mellitus. Journal of Nursing and Health Care, 30(2), 98-150 (in Thai)

12) Sabysook, N., Supametaporn, P.& Songthai, N. (2018). The effects of a self-management support program on health behaviors and glomerular filtration rates among type 2 diabetes mellitus patients with stage III chronic kidney disease. Boromarajonani College of Nursing Uttaradit Journal, (Supplement) 10, 137-150. (in Thai)

13) Seesawang, J., Thongtaeng, P., & Yodthong, D. (2014). Effectiveness of self- management supportive program among hypertensive older people. Ramathibodi Nursing Journal, 20(2), 179-192. (in Thai)

14) Strategic and Planning Group, Bureau of Non Communicable Disease Department of Disease Control, Ministry of Public Health. (2014). Annual report 2014. Bangkok: Who officer of printing mill. (in Thai)

15) Thatsaeng, B. (2011). Effects of a self-management supporting program on self-management behaviors and blood pressure among elders with hypertension (master’s thesis).Chiang Mai University, Chiang Mai. (in Thai)

16) Wannakhao, S., Danyuthasilpe, C.& Siripornpibul, T. (2018). Effects of a self-management program on blood pressure levels and self-management behaviors among elderly with hypertension in Uttaradit Province. Boromarajonani College of Nursing Uttaradit Journal, (Supplement) 11, 126-141. (in Thai)

17) Wattana, C. (2015). Self-management support: Strategies for promoting disease control. Journal of Phrapokklao Nursing College, 26(1), 117-127.(in Thai)