Effects of a Health Literacy Promotion Program on Health Behaviors of Patients with Uncontrolled Type 2 Diabetes in Phra Phrom District, Nakhon Si Thammarat Province
Keywords:
Promotion Program, Health Literacy, Health Behavior, Type 2 DiabetesAbstract
This quasi-experimental study, using a two-group post-test design, aimed to compare health behaviors and cumulative blood sugar levels between the experimental and control groups after implementing a health literacy promotion program for patients with uncontrolled type 2 diabetes in Phra Phrom District, Nakhon Si Thammarat Province. Participants consisted of 102 individuals, divided into 51 in the experimental group and 51 in the control group. Participants were selected using simple random sampling, with labels drawn to assign them to either the experimental or control group. The research instruments included a health literacy measurement tool and a program designed to improve health literacy related to diabetes prevention, with an Item Objective Congruence (IOC) value ranging from 0.5 to 1.00. The tool for measuring self-care behaviors in diabetes patients had a reliability coefficient of 0.71. Data analyses included descriptive statistics, Chi-square, Mann-Whitney U test, and Independent t-test.
The research findings revealed that the experimental group had a significantly higher mean self-care behavior score compared to the control group at a 0.05 significance level (p-value = 0.002). However, there was no significant difference in cumulative blood sugar levels between the experimental and control groups (p-value = 0.368).
Therefore, the program should be applied to patients in diabetes clinics at hospitals and community health promotion hospitals within the network. However, the program should be adjusted to consider the monitoring of cumulative blood sugar levels according to academic standards.
References
American Diabetes Association. (2007). Standard of medical care in diabetes 2007, Diabetes Care , 30(suppl 1), S4-41.
Arrahang, R. (2017). The effects of health literacy enhancement program on hypertensive prevention behavior of pre-hypertension risk group at a community in Nakhon Pathom province. Master's Thesis in Nursing Science, Faculty of Nursing, Christian University. (in Thai)
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. (2nd). Hillsdale, NJ: Lawrence Erlbaum Associates, Publishers.
Division of Health Education & Mahidol University. (2015). Development of tools for measuring health literacy. Bangkok. (in Thai)
Faculty of Medicine Siriraj Hospital. (2017). Nursing manual for enhancing self-monitoring of blood glucose levels for type 2 diabetes patients on insulin with high blood glucose levels. Retrieved July 20, 2024 from http://www.si.mahidol.ac.th/th/manual/Project/Document/G/Glucose%20 (Fasting%20Blood,%20CSF,%20Effusion).htm. (in Thai)
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191.
Jiamjarasrangsi, W. (2018). Type 2 diabetes: prevention and support for self-management. Bangkok: Chulalongkorn University Press. (in Thai)
Kaewdomkeang, K., & Threephetsongurai, N. (2011). Health literacy. (2nd). Nonthaburi: Ministry of Public Health. (in Thai)
Lalun, A. & Wirunphan, B. (2021). Effects of self-management programs on hemoglobin A1C levels and quality of life in people with diabetes mellitus in the district of Kanghhro hospital, Chaiyaphum province. Journal of Boromarajonani College of Nursing, Surin, 11(1), 66-80.
Munsrakeat, K., Rawiworrakul, T., & Lagampan, S. (2019). Effects of self-management program for glycemic control among insulin depen-dent type 2 diabetes patients. The Journal of Baromarajonani College of Nusing, Nakhonratchasima, 25(2), 87-103.
Nakhon Si Thammarat Provincial Public Health Office. (2023). Non-communicable disease report. Nakhon Si Thammarat. (in Thai)
Non-Communicable Diseases Division. (2018). World diabetes day campaign issues. Retrieved October 20, 2023 from http://www.thaincd.com/document/docs_upload/WorldDiabetesday61.pdf. (in Thai)
Non-Communicable Diseases Division, Department of Disease Control. (2021). The department of disease control campaigns for world diabetes day 2021, raising awareness about the management and comprehensive treatment of diabetes. Retrieved October 20, 2023 from https://www.ddc.moph.go.th/brc/news.php?news=21692&deptcode=brc. (in Thai)
Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary Health education and community strategies into the 21st century. Health Promotion International, 15(3), 259-267.
Pannark, P., Moolsart, S., & Kaewprom, C. (2017). The effectiveness of a program for health literacy development of the patients with uncontrolled type 2 diabetes at Bangwua district, Chachoengsao province. Nursing Journal of the Ministry of Public Health, 27(3), 91-106.
Pattanakasetwong, N., Puakaosal, B., & Prempreeda, J. (2023). Factors influencing diabetes patients with unpredictable blood sugar levels' self-care practices in Nabon district, Nakhon Si Thammarat province. Primary Health Care Journal (Southern Regional), 38(Suppl), 119-130.
Sittisart, V., Suwannakit, S., & Nawamawat, J. (2023). The effectiveness of health literacy development program on self-management ability among diabetes mellitus type 2 patients with uncontrolled blood sugar, Ban Khlong sub-district, Mueang, Phitsanulok. Journal of Health Science and Community Public Health, 6(2), 127-138.
Sukprasan, T., Rattanawarang, W., & Jaruchawalit, P. (2018). The relationship between functional health literacy and blood sugar level control in patients with type 2 Diabetesin Buddhachinaraj hospital, Phitsanulok. Journal of Health Education, 41(2), 157-167.
Thongsongkris, W. (2022). The development of the health literacy on blood sugar control for diabetes type II patients, Kaolieo, Nakhonsawan. Region 3 Medical and Public Health Journal, 19(1), 1-14.
Tongkum, R. (2022). Effects of health literacy promotion on the self-care behaviors of patients with type II diabetes mellitus in Lopburi province. Singburi Hospital Journal, 30(3), 86-99.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Boromarajonani College of Nursing, Nakhon Si Thammarat
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของ วิทยาลัยพยาบาลบรมราชชนนี นครศรีธรรมราช
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี นครศรีธรรมราช และบุคคลากรท่านอื่น ๆ ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใดๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
