Effects of Discharge Planning on Self - Care Behaviors for Diabetic Patients at Selaphum Hospital, Roi-Et Provincial Health Office.

Abstract

Diabetes is a chronic disease as a global health problem. The treatment is only palliative care, not a loss of function of various organs of the body. However, they have appropriate self-care behaviors, lifestyle habits, which may occur, to be able to control  blood sugar  levels as normal as possible by themselves. Data were collected from diabetes patients who received as inpatient departments at  selaphum  hospital, In fiscal year 2013  showed that diabetics with high blood sugar.  The diabetes patients of 80 percent , they haven’t  appropriate self-care behaviors and lifestyle habits. Thus the researcher implemented  a discharge planning,  using Orem’s conceptual theory of nursing and concepts of discharge planning and the nursing process together with an interdisciplinary team in conducting this study. The purpose of this pre– experimental research  aimed to study examine and compare self-care behaviors and levels of fasting blood sugar, in diabetes patients between before and after experimenting in a received discharge planning, The data were collected  twice, before and after conducting the study. The sample consisted of 30 diabetes patients received as inpatients at selaphum  hospital,  Roi-et provincial health office. The study was conducted from August to October 2014,  obtained using the purposive sampling  technique  is when a researcher chooses on accepted criteria. The instruments used for collecting data were a record form on discharge planning by D-METHOD  Model  and a self-care behaviors  scale in diabetes patients .The collected data were analyzed through descriptive  statistics by the uses of percentage, mean, standard deviation and Inferential statistics by the uses of independent t- test.

The results of the research were  as follows :

1. The diabetic patients that received the discharge planning, 3 months after being discharged, showed better self- care than before receiving  the discharge planning at the .001 level of significance.
2. The diabetic patients that received the discharge planning, 3 months after being discharged, showed better a level of fasting blood sugar than before receiving the discharge planning at the .001 level of significance.

In conclusion, the discharge planning by D-METHOD  Model  could cause diabetes patients to have better self-care behavioral changes and to lower the level of fasting blood sugar . Therefore, those involving in taking care of diabetes patients should implement the discharge planning in adjusting self – care  behaviors of diabetes  patients  in order for these patients to be able to continuity of care by themselves, to have a good quality of life.