Effectiveness of Implementing Nursing Management Guidelines for Persons with Type 2 Diabetes Mellitus, Tron Hospital, Uttaradit Province
Keywords:
Nursing Management Guidelines, Type 2 DiabetesAbstract
Type 2 diabetes is a major health problem worldwide. Supporting people with diabetes is important to control blood sugar levels to prevent the occurrence of complications. This study aimed to determine the effectiveness of implementing nursing management guidelines for persons with diabetes type 2 attending diabetic clinic, Tron Hospital, Uttaradit Province. Subjects were 67 persons with type 2 diabetes mellitus in the guideline pre-implementation group and 62 in post-implmentation group. The guidelines implementation process was based on the framework proposed by the Australian National Health and Medical Research Council (NHMRC, 1999, 2000). The study instruments consisted of 1) the nursing management guidelines for persons with type 2 diabetes mellitus, 2) health education handbooks for persons with diabetes mellitus, and 3) humalyzer series number M01C7EAA5889 chemistry analyzer. The outcomes assessment instruments consisted of 1) demographic data recordings form, 2) the interviewing form regarding knowledge for blood control self-care, and 3) the interviewing form regarding self-care among persons with non-insulin dependent diabetes. The content validity and reliability of all instruments were tested. Descriptive statistics was employed to analyze data.
The study found that:
- Subjects in the pre-guidelines implementation group had good self-care knowledge level as 38.81%, whereas there were 67.74% in the post-implementation group.
- Subjects in the pre-guidelines implementation group had good self-care behaviors level as 40.30%, whereas there were 64.52% in the post-implementation group.
- Subjects in the pre-guidelines implementation group could control their blood sugar level as 37.30%, whereas there were 59.70% in the post-implementation group.
The results of this study demonstrated the effectiveness of nursing management guidelines for persons with type 2 diabetes mellitus at Tron hospital, Uttaradit province. Further implementation is recommended to enhance quality of care in this population.
References
Appraisal of Guidelines for Research and Evaluation Collaboration. (2009). Appraisal of guideline for research and evaluation (AGREE) Instrument. Retrieved from https://belgium.cochrane.org/sites/belgium.cochrane.org/files/public/uploads/agree-ii-us ers-manual-and-23-item-instrument_2009_update_2013.pdf
American Diabetes Association. (2011). Standards of medical care in diabetes-2011. Diabetes Care, 34 (Suppl. 1), s11-s61. doi:10.2337/dc11-s011
Abbasuwan, N., & Phanthawet, N. (2013). Campaign substance issues World Diabetes Day (Budget 2014). Retrieved from www.dpck5.com/SRRTcenter/7Nov56.pdf (In Thai)
American Diabetes Association. (2014). Standards of medical care in diabetes-2014. Diabetes Care, 37 (Supp1), s14-s80. doi:10.2337/dc14-s014
Chotamongkol, R., Teeranud, A., & Boonyaleepun, S. (1999). Self-care practices of non-Innnnsulin dependdent dabetic ppatients. Sinagarind Med Jouurnal, 14 (1), 3-8. (In Thai)
Ekkapakorn, W., Prapakkam, Y., Thananiphanitsakul, S., Phajaro en, H., Sathiennopkao, W., & Thaikla, K. (Eds.). (2009). Report of the 4th public health survey by physical examination 2008-2009. Bangkok: The Graphic Systems. (In Thai)
Jamrus, C. (2012). Effectiveness of implementing nursing management guidelines for persons with diabetes type 2, Phrae Hospital (Independent Study, Chiangmai University). (In Thai)
Jamrus, C., Kaewtanthum, K., Chanthapun, C., Supawarodom, R., Ongartboon, T., & Meklom, A. (2011). Nursing management guidelines for people with type 2 diabetes. Phrae Hospital. Chiang Mai: Adult Nursing Program, Faculty of Nursing Chiang Mai University. (In Thai)
Joint Commission on Accreditation of Healthcare Organizations. (2003). 2003 Hospital accreditation standards: Accreditation policies standards intent statements. Illinois: Oakbrook terrace.
Kosunhunan, N. (2008). Medication guidelines for blood sugar co ntrol in type 2 diabetic patients. In Chiewchitwit, S., Chiwasakulyong, B., Chareontham, C., Noppa khun, K., & Pornphonphatkun, M. (Eds), Applied Internal Medicine, Book 6 (pp. 139-154). Chiang Mai: Trick Thing Printing. (In Thai)
Nathan, D. M. (2007). Diabetes: A plan for living. Boston: Harvard Health Publications.
National Health and Medical Reseach Council. (1999). A guide to the development implementationand evaluation of clinical practice guidelines. Retrieved from http://www.nhmrc.gov.au/ publications/synopses/_files/cp30.pdf
National Health and Medical Reseach Council. (2000). How to put the evidence into practice: Implementation and dissemination strategies. Retrieved from http://www.nhmrc.gov.au/_files_nhmrc/file/publications/synopses /cp71.pdf
Office of Policy and Strategy Office of the Permanent Secretary, Ministry of Public Health. (2008). Public health statistics year 2008. Bangkok: Veterans Organization.(In Thai)
Office of Policy and Strategy Office of the Permanent Secretary, Ministry of Public Health. (2011). NCD Report 1, Budget 2011 (according to the report form 1, periods 1-2). In the Royal Responsibility Project: He cares about the people. Retrieved from http://www.udo.moph.go.th/work_staff/r2r/ data/VIGAI0137.doc (In Thai)
Stratton, I. M., Adler, A. L., Neil, H. A., Matthews, D. R., Manley, S. E., Cull, C. A., . . . Holman, R. R. (2000). Association of glycemic with macrovascular and microvas cular complications of type 2 diabetes (UKPDS 35): prospective observational study. British Medical Journal, 321(7258), 405-412. doi:10.1136/bmj.321.7258.405
Sansingchai, C. (2007). Factors associated with glycemic control among persons with uncontrolled diabetes mellitus in Maetha Hospital (Independent Study, Chiangmai University). (In Thai)
Tangchaiwong, S. (2012). Behavioral therapy and psychological care. In Sunthornyothin, S., & Buranasapkhachon, P. (Eds). Diabetes textbook. Bangkok: Chulalongkorn University. (In Thai)
Tron Hospital, Information and Information, Work Medical Record and Statistics Section. (2013).Annual report: Disease statistics. Uttaradit: Tron Hospital. (In Thai)
Tron Hospital, Information and Information, Work Medical Record and Statistics Section. (2014). Annual report: Disease statistics. Uttaradit: Tron Hospital. (In Thai)
Tron Hospital, Information and Information, Work Medical Record and Statistics Section. (2015). Annual report: Disease statistics. Uttaradit: Tron Hospital. (In Thai)
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