The Study of the Effectiveness of Diabetes School on Reducing Hyperglycemia in Type2 Diabetes Patients, Prakhon Chai District Health Coordinating Committee Buriram Province

Abstract

     This study was quasi-experimental research aimed to study the effects of the diabetes care management process in the form of a Diabetes School on the reduction of hyperglycemia in patients with type 2 diabetes. The sample consisted of 40 patients with type 2 diabetes who had uncontrolled blood sugar levels, defined as an HbA1c > 6.5%. The participants were selected using purposive sampling to participate in the 'Diabetes School' program. The curriculum included: Weeks 1-2, assessment of diabetes knowledge before the intervention. Weeks 3–9: Implementation of the educational intervention, which included diabetes pathophysiology, behavior modification, medication adherence, dietary management, and physical exercise. Week 10: Instruction on herbal medicine and relaxation techniques based on Thai Traditional Medicine principles. Week 11: Community-based home visits for empowerment and support. Week 12: Final evaluation of the program outcomes. Data were analyzed using the Dependent Paired t-test, percentage, and mean.

     Results: After a 12-week follow-up period, it was found that the mean blood glucose levels of diabetic patients decreased significantly (p < .01) following their participation in the Diabetes School, compared to their pre-participation levels. The assessment of self-care knowledge among diabetic patients revealed that their level of understanding regarding self-management was at a high level and the evaluation of self-management behaviors among diabetic patients revealed a very high level of adherence, with participants consistently and regularly performing their self-care routines.