Effected of health counselling program on health behaviors and fasting blood glucose lavel in working age for pre-diabetes in Rongkam sub-distric, Phrae Province

Abstract

               In 2011, Rongkhem sub-distric, Phrae Province had 2,120 working are population. There were 159 impaired fasting glucose persons (7.49%) and those without a life style modification could develop diabetes mellitus with average percentages of 12.58, 10 and 9.43 in 2009-2011, respectively. Health Counseling is essential for the promotion of people’s health behaviors. This quasi-experimental research was to compare health behaviors, fasting blood glucose level before and after intervention of the health counseling program in the experimental and in the comparison groups of pre-diabetes working ages and also to compare health behaviors after the intervention between those groups. Fifty-eight subjects were purposively selected and assigned equally into the experimental and comparison groups. The experimental subjects received Health Counseling Program while the comparison subjects received a regular nursing care. The reliability score of the questionnaire that checked the list for health behaviors in the pre-diabetes was 0.82. The health Counseling Program, consisting of teaching, video education, demonstration, and continuous follow up, was performed for six mouths. The hypotheses were tested by a paired t-test, and an independent t-test.

          The results of the study revealed that the mean score of food, emotion, and total health after the intervention in the experimental group were significantly higher than that before the intervention at .05 level and .001 level, respectively. While the mean scores of total and all of each section of health behaviors after intervention of the comparison group were not significantly different. Additionally, fasting blood glucose after intervention, 58.62% of the experimental group was lower than 100 mg/dl while 20.69% of the comparison group was lower than 100 mg/dl. If could be concluded that the health Counseling Program could significantly reduced the fasting blood glucose level of the pre-diabetes working age population.