Effects of Nursing Case Management of Buddhist Monks at Risk for Type 2 Diabetes: A Randomized Controlled Trial

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Apichart Chaimai
Noppawan Piaseu
Chatsiri Mekwiwatanawong


               Buddhist Monks in Thailand are at risk of type 2 diabetes because of difficulties in their lifestyle modification and require nursing management, for they consume foods containing high fat, sugar, and calories, commonly offered by people for merit making. This randomized controlled trial tested the effectiveness of the Nursing Case Management Program for Diabetes Prevention on their health behaviors and clinical outcomes. A total of 50 participants at risk for type 2 diabetes in a northern region of Thailand met the inclusion criteria. The participants from 50 different temples were randomly assigned into an experimental group (n=25) receiving a 12-week nursing case management program in addition to routine care and a control group (n=25) receiving only routine care. Health behaviors, fasting blood glucose, body mass index, and waist circumference were measured at baseline and week-12 after the program. Data were analyzed using descriptive statistics, Chi-square test, Independent t-test, and Paired t-test.
               The results revealed that the experimental group after receiving the program had significantly higher health behaviors and lower clinical outcomes than those before receiving the program. Differences in health behaviors and clinical outcomes were significantly higher in the experimental group than those in the control group. Results suggest that the Nursing Case Management Program for Diabetes Prevention using lifestyle modification strategies should be applied in monks with clinical management monitoring to prevent or reduce the incidence of type 2 diabetes. However further testing of the Program is warranted with different samples of monks, preferably in longitudinal studies.

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Chaimai A, Piaseu N, Mekwiwatanawong C. Effects of Nursing Case Management of Buddhist Monks at Risk for Type 2 Diabetes: A Randomized Controlled Trial. PRIJNR [Internet]. 2017 Aug. 7 [cited 2022 Sep. 28];21(4):305-16. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/71958
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