The Effects of Developing a Self-Management Model in Patients with Uncontrolled Type 2 Diabetes, Banthi Hospital, Lamphun Province

Abstract

The objectives of this research and development study were to develop a self-management model in patients with uncontrolled type 2 diabetes and compare the mean scores for self-management behavior and the mean cumulative glycemic scores of patients with uncontrolled type 2 diabetes before and after attending the program in Banthi Hospital, Lamphun Province. The self-management model was developed based on the self-management concepts of Sucup (2000) and Creer (2000). Participants were professional nurses in an Outpatient Department and 290 patients with uncontrolled type 2 diabetes. The research instrument was a Self-Management Model. Data collection instruments were a general record form, an assessment efficiency form of the self-management model, a diabetes knowledge questionnaire, and a self-management behavior assessment form. The data were analyzed using descriptive statistics and a paired t-test.

The results showed that a self-management model was highly effective in treating patients with uncontrolled type 2 diabetes (Mean = 66.80, S.D. = 25.09). After attending the program, the mean scores of self-management behaviors in terms of exercise and stress reduction statistically significantly increased more than before attending the program (p-value < 0.001). The mean cumulative glucose levels of the samples after attending the program statistically significantly decreased more than before enrolling in the program (p-value < 0.001). Based on the results of this study, nurses in a diabetes clinic could apply this self-management model to help patients act in a healthy way and keep their blood sugar levels under control.