Impacts of an Individualised Lifestyle Adjustment Programme on Glycosylated Haemoglobin Levels in Older People with Type-2 Diabetes
Objective: To study what impacts an individualised lifestyle adjustment programme
could have on the levels of glycosylated haemoglobin in older people with type-2 diabetes.
Design: Two-group experimental research with a pre-test and a post-test.
Methodology: Through purposive sampling, 44 elderly type-2 diabetes patients were recruited as participants. All of the patients were receiving treatment at the diabetes clinics of two health-promoting hospitals in Chiang Mai province between October 2017 and March 2018. First, the participants were paired according to their similarities in age, sex, duration of diabetes, type of orally administered diabetes medication, and co-morbidity. Then, each pair was split, with one member assigned to the control group and the other to the experimental group. The experimental group received a 12-week individualised lifestyle adjustment programme, whilst the control group was given standard care. Data were collected before
and after the experiment, through a personal information questionnaire and a measurement of glycosylated haemoglobin level using the COBAS C501 machine. The data were analysed using descriptive statistics, independent t-test, and paired t-test.
Results: The decrease in glycosylated haemoglobin level was signifcantly greater (p < 0.05) in the experimental group than in the control group. Moreover, after completing the programme, the experimental group had a signifcantly lower glycosylated haemoglobin level than before participating in the programme (p < 0.001).
Recommendations: The results indicate that the individualised lifestyle adjustment programme could be used to effectively control the glycosylated haemoglobin levels in older people with type-2 diabetes.
Nonthaburi: Aksorn Graphic & Design; 2557. (in Thai)
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