Self-management Guideline for Reduction of Diabetes Risk factors in Ban Pakthon community, Chawang District, Nakhon Si Thammarat Province

Abstract

Diabetes is a major public health problem and has increased rates in all countries. Early detection pre-diabetes risk factors and management of risk factors can delay the development of diabetes. This quasi-experimental study with one-group pre-post test design aimed to determine effects of self-management guideline for reduction of diabetes risk factors. The self-management guideline was develops from evidence based practice, consisted of four steps (1) Diabetes risk assessment and self-management behaviors. (2) Diabetes education and skill training self-management for reduced of diabetes risk factors. (3) Self-management support consisting of a group applications and a home visit and (4) evaluation for pre-diabetes people’s Intergrating lifestyle changes. These guidelines were used with 15 pre-diabetes people who live in Ban Pakthon community, Chawang district, Nakhon Si Thammarat province.The outcomes were assessed by weight mean, Body mass index (BMI), waist circumference and fasting blood sugar. Data were analyzed by using Descriptive statistics, Wilcoxon matched pairs signed-rank test, and content analysis. The results of this study revealed that the pre-diabetes people had significantly decreased weight mean, BMI, waist circumference and fasting blood sugar (p <0.01).Suggestion: Self-management of pre-diabetes people can reduced the risk factors. Therefore, health care team should provide necessary knowledge and skills together with regular follow-up in order to encourage the pre-diabetes people to enhance their self-management behavior.