Comparison of Self-Health Care Behaviors between Diabetic Patients with Uncontrolled Blood Sugar Levels and Those with Controlled Blood Sugar Levels in the Primary Care Cluster, Nong Na Saeng Subdistrict, Mueang District, Chaiyaphum Province

Authors

  • Rotjanakarn Panduangkaew, M.D., Thai Board of Family Medicine Department of Social Medicine, Chaiyaphum Hospital

Keywords:

Self-health care behaviors, Diabetic patients, Uncontrolled blood sugar levels

Abstract

The objective of this research was to compare the self-health care behaviors of diabetic patients with uncontrolled blood sugar levels to those with controlled blood sugar levels in the primary care cluster, Nong Na Saeng subdistrict, Mueang district, Chaiyaphum province. This research was a cross-sectional study involved 300 diabetic patients of type 1 and type 2, aged 18 and above. Data were collected using a self-administered questionnaire. Data analysis included descriptive statistics and Chi-Square test.

The results revealed that 177 patients had uncontrolled blood sugar levels, while 123 had controlled levels. Significant differences (p<0.05) in self-health care behaviors between the two groups were observed in the following areas: consumption of green leafy vegetables (87.6% vs 76.4%), drinking at least 2 liters of water per day (92.7% vs 85.4%), eating brown rice (30.0% vs 42.3%), drinking sugary beverages (46.3% vs 35.0%), consuming sweets (82.5% vs 69.1%), eating sweet fruits (81.4% vs 67.5%), eating foods prepared with coconut milk (65.0% vs 50.4%), cooking with fish sauce or soy sauce (74.0% vs 62.6%), eating sausages (75.7% vs 58.5%), forgetting to take medication (44.6% vs 32.5%), and keeping up with healthcare knowledge (96.1% vs 89.4%). In conclusion, the diabetic patients with uncontrolled blood sugar levels tend to consume more sweet, fatty, and salty foods and are more likely to forget to take their medication. Therefore, a program to modify these behaviors should be implemented for these patients.

Author Biography

Rotjanakarn Panduangkaew, M.D., Thai Board of Family Medicine, Department of Social Medicine, Chaiyaphum Hospital

Medical Physician, Professional Level

References

World Health organization. Prevalence of diabetes mellitus. Diabetes [Internet]. 2023 [cited 2023 Oct 1]. Available from: https://www.who.int/news-room/fact-sheets/detail/diabetes

International Diabetes Federation. Prevalence of diabetes mellitus. IDF Diabetes Atlas Reports [Internet]. 2023 [cited 2023 Oct 1]. Available from: https://diabetesatlas.org

สมาคมโรคเบาหวานแห่งประเทศไทยในพระบรมราชูปถัมภ์สมเด็จพระเทพรัตนราชสุดาฯสยามบรมราชกุมารี. แนวทางเวชปฏิบัติสำหรับโรคเบาหวาน 2566. กรุงเทพฯ: ศรีเมืองการพิมพ์; 2566.

โรงพยาบาลส่งเสริมสุขภาพตำบลหนองนาแซง. ผลการดำเนินงานโรคไม่ติดต่อเรื้อรัง (NCDs) ปีงบประมาณ 2564-2566 [เอกสารอัดสำเนา]. ชัยภูมิ: โรงพยาบาลส่งเสริมสุขภาพตำบล; 2566.

สำนักงานโรคไม่ติดต่อ กรมควบคุมโรค. ร้อยละของผู้ป่วยเบาหวานที่ควบคุมได้ [ออนไลน์]. 2566 [เข้าถึงเมื่อ 1 ตุลาคม 2566]. เข้าถึงได้จาก: https://healthkpi.moph.go.th/kpi2/kpi-list/view/?id=169

อรรถเกียรติ กาญจนพิบูลวงศ์, ภาณุวัฒน์ คำวังสง่า, สุธิดา แก้วทา, บรรณาธิการ. รายงานสถานการณ์โรค NCDs เบาหวาน ความดันโลหิตสูงและปัจจัยเสี่ยงที่เกี่ยวข้อง พ.ศ. 2562. กรุงเทพฯ: สำนักพิมพ์อักษรกราฟฟิคแอนด์ดีไซน์; 2563.

Alsuliman MA, Alotaibi SA, Zhang Q, Durgampudi PK. A systematic review of factors associated with uncontrolled diabetes and meta-analysis of its prevalence in Saudi Arabia since 2006. Diabetes Metab Res Rev. 2021 Mar;37(3):e3395. doi: 10.1002/dmrr.3395.

Riaz F, Al Shaikh A, Anjum Q, Mudawi Alqahtani Y, Shahid S. Factors related to the uncontrolled fasting blood sugar among type 2 diabetic patients attending primary health care center, Abha city, Saudi Arabia. Int J Clin Pract. 2021 Jul;75(7):e14168. doi: 10.1111/ijcp.14168.

วรารัตน์ ปาจรียานนท์, ปัตพงษ์ เกษสมบูรณ์, ลุนณี สุวรรณโมรา, สุพรรัตน์ ช่องวารินทร์, นวรัตน์ ภูเหิน. ปัจจัยที่สัมพันธ์กับภาวะโรคเบาหวานที่ควบคุมไม่ได้. วารสารโรงพยาบาลมหาสารคาม.2561;15(1):118-27.

Bralić Lang V, Bergman Marković B, Vrdoljak D. The association of lifestyle and stress with poor glycemic control in patients with diabetes mellitus type 2: a Croatian nationwide primary care cross-sectional study. Croat Med J. 2015 Aug;56(4):357-65. doi: 10.3325/cmj.2015.56.357.

Alramadan MJ, Afroz A, Hussain SM, Batais MA, Almigbal TH, Al-Humrani HA, Albaloshi A, Romero L, Magliano DJ, Billah B. Patient-Related Determinants of Glycaemic Control in People with Type 2 Diabetes in the Gulf Cooperation Council Countries: A Systematic Review. J Diabetes Res. 2018 Feb 25;2018:9389265. doi: 10.1155/2018/9389265.

Al-Rasheedi AA. Glycemic Control among Patients with Type 2 Diabetes Mellitus in Countries of Arabic Gulf. Int J Health Sci (Qassim). 2015 Jul;9(3):345-50.

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Published

2024-12-06

How to Cite

Panduangkaew, R. (2024). Comparison of Self-Health Care Behaviors between Diabetic Patients with Uncontrolled Blood Sugar Levels and Those with Controlled Blood Sugar Levels in the Primary Care Cluster, Nong Na Saeng Subdistrict, Mueang District, Chaiyaphum Province. REGIONAL HEALTH PROMOTION CENTER 9 JOURNAL, 19(1), 146–157. retrieved from https://he02.tci-thaijo.org/index.php/RHPC9Journal/article/view/271112

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Research Article