A Self-management Guideline of People at Risk of Diabetes in Tambon Ban Lamnao, Nakhon Si Thammarat Province
Keywords:
A self-management Guideline, Risk Factors, People at Risk of DiabetesAbstract
This quasi-experimental study aimed to determine the effects of self-management guidelines on the reduction of diabetes risk factors. Participants in the study were 60 people at risk of diabetes, as calculated by the G*power program. Participants were randomly selected and assigned to the experimental group and the control group, with 30 people in each group. Data collection was conducted during March-May 2023. The intervention group received a self-management guideline for people at risk of diabetes consisting of four steps: 1) assessment of risk factors for diabetes and knowledge of diet and exercise; 2) education about diabetes self-management to reduce risk factors for diabetes and self-management skills training to reduce diabetes risk factors; 3) self-management support; and 4) behavior modification evaluation. Whereas the control group received the usual health services. The intervention group was assessed for fingertip stick blood glucose after fasting for 8 hours at the pre-experimental and post-experimental stages at 4, 6, and 8 weeks. Data were analyzed by frequency, percentage, mean, and standard deviation. The difference in Blood glucose levels between the experimental group and the control group was analyzed using an independent t-test. The differences in blood glucose levels between pre- and post-experimental at weeks 4, 6, and 8 were tested using the Repeated Measure ANOVA.
The results revealed that after the 8th week of the experiment, the mean finger stick blood glucose level after fasting for eight hours in the intervention group was significantly lower than that in the control group (p< 0.01). The mean blood glucose levels of the intervention group at week 8 were significantly lower than those at week 6, week 4, and before the experiment (p<0.01).
The results demonstrated the effectiveness of self-management guidelines for people at risk of diabetes. Primary care nurses can apply this guideline to those who are at risk of diabetes.
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