Effects of Diabetes Self-Management Program to self-behavior and Hemoglobin A1C of type 2 diabetes patients with uncontrolled glycemic level at Phra Ajarn Mun Bhuridatto Hospital, SaKon Nakhon Province.

Abstract

     This quasi experimental research aimed to study effects of diabetes self-management program to self-behavior and hemoglobin A1C of type 2 diabetes patients with uncontrolled glycemic level at Phra Ajarn Mun Bhuridatto Hospital, SaKon Nakhon Province. The sample were patients with uncontrolled type 2 diabetes, purposive sampling of 30 sample. The study was conducted between the months of December 2023 to February 2024. The instrument of data collection included; the questionnaires of demographic, self-care behavior, recording form of fasting plasma glucose (FPG) and HbA1c. The experimental instrument was diabetes self-management program. The quantitative data were analyzed using descriptive statistics, frequency, percentage, mean and standard deviation. The comparative statistic used paired t-test.
     The results showed; before receiving the diabetes self-management program, mean score of  overall self-care behavior was the moderate level (=3.23, S.D.=0.24). And after receiving program, it was found the mean score of overall self-care behavior remained at a moderate level (=3.52, S.D.=0.45). Comparing mean score of overall self-care behavior found that after receiving program higher than before (t=-3.526, p=0.001), especially in diet control (t=-3.731, p=0.001), stress management (t=-2.660, p=0.013), using of diabetes medicine (t=-3.003, p=0.005), self-care of hyperglycemia or hypoglycemia (t=-3.496, p=0.002), and continuing care (t=-2.971,p=0.006), respectively. And monitoring of hemoglobin A1c found that after receiving program decreased than before, significantly (t=5.068, p<.001).