Effects of a Health Promotion Program on Foot Ulcer Prevention Behavior Among Uncontrolled Type 2 Diabetes Mellitus Patients


  • Junya Konyai Boromarajonani College of Nursing, Khon Kaen, Faculty of Nursing, Praboromarajchanok
  • Wittaya Wayo Boromarajonani College of Nursing, Khon Kaen, Faculty of Nursing, Praboromarajchanok Institute


Health promotion program, Foot ulcer, Uncontrolled type 2 diabetes mellitus


Foot ulcers are a common complication in people with type II diabetes who are unable to control their blood sugar levels. The purpose of this quasi-experimental two-group pre-posttest design was to investigate the effects of a health promotion program on foot ulcer prevention behavior for patients with uncontrolled type 2 diabetes. The sample was obtained by simple random sampling and consisted of 72 uncontrolled type 2 diabetes mellitus patients. The subjects were assigned to an experimental group or a control group with 36 people in each group. The research instruments were divided into 2 parts: part 1 consisted of a demographic characteristic questionnaire and a behavioral questionnaire on preventing foot ulcers, with reliability coefficients of .88; part 2 consisted of a health promotion program to prevent foot ulcers in patients with type 2 diabetes who cannot control their sugar levels. Data were analyzed using descriptive statistics, paired t-test, and independent t-test.

The results of the study showed that after participation in the program, the mean score of foot ulcer prevention behavior for the experimental group (M = 96.41, SD = 9.11) was significantly higher than that before participation (M = 88.86, SD = 13.2) (t = -7.47, p <.01) and that of the control group (M = 78.02, SD = 9.81) with statistical significance (t = 8.23, p < .01).   

This study showed that the health promotion program for patients with type 2 diabetes who are unable to control their blood sugar levels can increase health promotion behavior to effectively prevent foot ulcers. Health care providers can use these results to develop guidelines for patient care.


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How to Cite

Konyai, J., & Wayo, W. (2024). Effects of a Health Promotion Program on Foot Ulcer Prevention Behavior Among Uncontrolled Type 2 Diabetes Mellitus Patients. Nursing Journal CMU, 51(1), 73–85. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/266722



Research Article