Diabetes Mellitus Health Book Intervention and Impact on Glycemic Control and Health Literacy in Poor-Control Diabetes Patients

Authors

  • Putthipan Tongrod, M.D. Department of Social Medicine, Phra Nakhon Si Ayutthaya Hospital
  • Tatree Bosittipichet, M.D. Department of Social Medicine, Phra Nakhon Si Ayutthaya Hospital
  • Thanakamon Leesri, Ph.D. School of Community Health Nursing, Institute of Nursing, Suranaree University of Technology https://orcid.org/0000-0003-2841-5729

Keywords:

Diabetes Mellitus, Diabetes health book, Health literacy, Poor-control diabetes mellitus

Abstract

Patients with poorly control diabetes usually have limited knowledge about their own conditions, lack of understanding in dangers of poor diabetes control and are unaware of goals in diabetic management. Diabetes requires collaborative control, including medication adherence and lifestyle modifications. Diabetes health book can provide appropriate information and knowledge, serving as a tool for both doctors to advise patients and for patients to review their condition.

The objective of this one-group pre-test and post-test experimental study was to examine the differences of average HbA1c and diabetes health literacy knowledge before and after receiving the diabetes health book with 37 uncontrolled diabetes patients. The samples received diabetes health books that contained information on diabetes, complications, self-care, dietary control, and treatment goals as a guide for disease management. The participants underwent pre- and post-tests at the three-month period after the intervention on diabetes health literacy, HbA1c, and FBS levels. The data were analyzed using descriptive statistics while differences between variables were compared using paired simple t-tests. 

The results showed that their average glycated hemoglobin (HbA1c) level significantly decreased from an initial value of 8.64% (SD=1.58) to 8.07% (SD=1.88) (p-value=0.0061). Additionally, the level of diabetes health literacy increased from an initial score of 177.26 points (SD=14.87) to 188.07 points (SD=11.18) (p-value=0.0003). 

Diabetes health books can enhance knowledge and assist in managing blood sugar levels and can use for diabetes control.

Author Biographies

Putthipan Tongrod, M.D., Department of Social Medicine, Phra Nakhon Si Ayutthaya Hospital

Medical Physician, Practitioner Level

Tatree Bosittipichet, M.D., Department of Social Medicine, Phra Nakhon Si Ayutthaya Hospital

Medical Physician, Senior Professional Level

Thanakamon Leesri, Ph.D., School of Community Health Nursing, Institute of Nursing, Suranaree University of Technology

Assistant Professor

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Published

2024-05-12

How to Cite

Tongrod, P., Bosittipichet, T., & Leesri, T. (2024). Diabetes Mellitus Health Book Intervention and Impact on Glycemic Control and Health Literacy in Poor-Control Diabetes Patients. REGIONAL HEALTH PROMOTION CENTER 9 JOURNAL, 18(3), 829–838. Retrieved from https://he02.tci-thaijo.org/index.php/RHPC9Journal/article/view/267832