Study of Behaviors of Patients with Uncontrol DM. in Area of Responsibility of Primary Care Unit: Beung Bon, Nongsue District, Pathumtani Province
Keywords:
Diabetes mellitus, Patients with Uncontrol DM, Healthy behaviorsAbstract
This descriptive research the purpose of this study was to the behavior of diabetic patients who are unable to achieve glycemic control within the responsibility area of the Bueng Bon Hospital, Nong Suea District, Pathum Thani Province. The sample group consisted of 30 patients who had blood sugar levels > 180 mg/dl or HbA1c levels ≥ 7 mg%, while the control group consisted of 285 patients who had blood sugar levels ≤ 180 mg/dl or HbA1c levels ≤ 7 mg%, totaling 315 patients. They underwent treatment and examination from March 1, 2021, to August 31, 2021. Purposive sampling was employed, and data were collected through questionnaires comprising general information and self-care behaviors. The content validity was checked by three experts, and Cronbach's alpha coefficient was found to be 0.878, indicating high reliability. Statistical analysis involved descriptive statistics including means, percentages, and standard deviations, as well as correlational analysis between personal data, self-care behaviors, and blood sugar control outcomes. Chi-square tests were used for comparative analysis.
The results showed that; 1) Personal data correlates significantly with blood sugar level control, including variables such as education level, occupation, latest blood sugar level, comorbidities, duration of comorbidities, and having a caregiver in medication management (p < .05). 2) Self-care health behavior data of diabetic patients correlates significantly with blood sugar level control, particularly in terms of dietary intake, medication adherence, and physical activity (p < .05).
References
American Diabetes Association Professional Practice Committee, American Diabetes Association Professional Practice Committee. 6. Glycemic targets: standards of medical care in diabetes—2022. Diabetes Care. 2022;45(Supplement_1):S83-S96.
Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the international diabetes federation diabetes atlas, 9th edition. Diabetes Research and Clinical Practice. 2019;157:107843. Retrieved May 15, 2023, from https://www.doi.org/10.1016/j.diabres.2019.107843
Ministry of Public Health. (2020). Statistics on Non-Communicable Diseases. Bangkok: Ministry of Public Health.
Ministry of Public Health. eHealth strategy, Ministry of Public Health (2017–2026). Retrieved May 31, 2023 from https://www.ict.moph.go.th/upload_file/files/eHealth_Strategy_ENG_141117.pdf.
Phinyo P, Aphiphatkan W, Pangsuk P, Niyomsat Y, Mahem K. Effects of the North Eastern (Esan) Thai Folk Dance Exercise Program on Physical Fitness and Blood Sugar Levels in Patients with Type 2 Diabetes Mellitus. Songklanagarind Journal of Nursing. 2020;40(3):1-14.
Lemeshow S, Hosmer DW, Klar J, Lwanga SK, World Health Organization. Adequacy of sample size in health studies. Chichester: Wiley; 1990.
Supriya, S. (2017). Self-care behaviors of diabetic patients who fail to control blood sugar levels in the diabetes clinic, Songkhla Hospital, Songkhla Province. Journal of Nursing and Public Health Science Network, 4(1), 191-204.
Nalikul W, Tansar L, Pilaon S. Effects of a self-management supporting program on glycemic control for patients with uncontrolled diabetes in Puai Noi Hospital, Khon Kaen Province. 2020;2(1):77-90.
Thani N, Nammuang T. Predictive factors of self-care behaviors among elderly patients with uncontrolled diabetes in Surin Province. J Community Public Health Acad. 2023;9(01):170-180.
Phinyo P, Aphiphatkan W, Pangsuk P, Niyomsat Y, Mahem K. Effects of the North Eastern (Esan) Thai Folk Dance Exercise Program on Physical Fitness and Blood Sugar Levels in Patients with Type 2 Diabetes Mellitus. Songklanagarind Journal of Nursing. 2020;40(3):1-14.
Santisevi S. Effects of Functional Training on Blood Biochemical Parameters and Physical Fitness in Adults with Prediabetes. Chulalongkorn University Theses and Dissertations (Chula ETD), 9470; 2022.
Argharn N., Buasri S., Janpeng T. The Effects of Self-Awareness Development Program on Eating Behaviors and Two-Hour Postprandial Blood Glucose Levels of Diabetic Patients: Quasi-Experiment in Phra Nakhon Si Ayutthaya Province. Journal of Social Science Panyapat. 2023;5(1):61-74.
Ambachew, H., Shimelis, T., Lemma, K. (2015). Dyslipidemia among diabetic patients in Southern Ethiopia: cross-sectional study. Journal of Diabetes and Endocrinology. 2015;6(4):19-24.
Wiriyanutai P., Thongbunjob K., Inchaithep S. Wichada Mali W., Kraunuan C. Effects of Home Pharmaceutical Care in Uncontrolled Diabetes Mellitus Patients. Thai Journal of Public Health and Health Education. 2022;2(2):40-58.
Hanros S., KeeSirorot A. Factors influencing medication adherence among type 2 diabetes patients receiving services at Bang Krathum Hospital, Phitsanulok Province (Doctoral dissertation). Naresuan University. 2020.
Fakraksa T. Factors Affecting Health Care Behavior and Blood Sugar of Patients with Type2 Diabetes, Klangwiang Subdistrict, Wiangsa District, Nan Province. Journal of Phrae Public Health for Development. 2021;1(1):1-17.
Krainara K. The Effects of Dietary Management with Physical Activity Program among Blood Sugar Level of Pre-Diabetic Mellitus in Thung Yai District Nakhon Si Thammarat Province. Journal of Public Health Research and Innovation. 2023;1(4):31-42.
