The effectiveness of discharge planning program on knowledge and self-care behavior among type 2 diabetic patients at Ratchaburi hospital, Ratchaburi province

Authors

  • Ratana Nilliaum Department of Adult and Geriatric Nursing, Borommarajonani College of Nursing, Ratchaburi
  • Duangkamol Wattradul Department of Adult and Gerontological Nursing, Srisavaridhira Thai Red Cross Institution of Nursing
  • Pornthip Sinprasert Department of Adult and Geriatric Nursing, Borommarajonani College of Nursing, Ratchaburi
  • Krongkaew Subprasert Department of Adult and Geriatric Nursing, Borommarajonani College of Nursing, Ratchaburi
  • Thidarat Khaongoenyuang Department of Adult and Geriatric Nursing, Borommarajonani College of Nursing, Ratchaburi
  • Orathai Boonchuwong Department of Adult Nursing, Ubon Ratchathani University

Keywords:

discharge planning program, knowledge, self-care behavior, type 2 diabetic patients.

Abstract

The purpose of this quasi-experimental research was to determine the effectiveness of discharge planning program on knowledge and self-care behavior among type 2 diabetic patients, Ratchaburi hospital, Ratchaburi province. Sample of 50 patients received treatment at Ratchaburi hospital were equally divided into two groups with experiment group 25 patients and control group 25 patients. The experimental group received discharge planning program for type 2 diabetic patients, whereas the control group received routine care. The research instruments consisted of a discharge planning program for type 2 diabetic patients, which included: a self-care manual for type 2 diabetic patient and a discharge planning manual according to the D-M-E-T-H-O-D model for nurses. The data were collected through questionnaires containing demographic data, self-care knowledge, and self-care behavior. The data were analyzed using descriptive statistics, while paired t-test and independent t-test were approached to compare the data before and after the experiment.

The results showed that the total mean score on knowledge and self-care behavior of the experimental group was statistically significantly higher than the control group (p <.05).

According to such results, it is suggested that nurses can further apply this discharge planning program for type 2 diabetic patients in promoting self-care of other chronic disease patients.

Downloads

Download data is not yet available.

References

International Diabetes Federation (IDF). World Diabetes Day campaign messages in 2017; [cited April 2020 ]. Available from: http://www. diabetesatlas.org/.

Division of Non Communicable Disease. Number and rate of morbidity with diabetes mellitus NCD; [cited April 2020 ]. Available from http://www.thaincd.com/2016/mission/ document.org/ (in Thai).

Medical Record devision, Ratchaburi hospital. Diabetes statistics Ratchaburi hospital. 2017.

Klinchat R, Rachaniyom S, Namwong T, Rungnoei N, Thongma N. Promoting glycemic control through the philosophy of sufficiency economy among patients with diabetes mellitus. Journal of Phrapokklao Nursing 2018; 29(2): 186-197. (in Thai).

Jerawatana R, Sirimon Reutrakul S, Siripitayakunkit A. The effect of advanced practice nurse-led intervention program on outcomes in diabetes patients with complex problems. Ramathibodi Medical Journal 2018; 24(1): 51-68. (in Thai).

Tripeud K, Malathum P, Hanprasitkam K, Visal Kantaratanakul V. A synthesis of research of exercise influencing glycemic control in persons with type 2 diabetes. Ramathibodi Medical Journal 2010; 16(1): 259-78. (in Thai).

Usay P, Muangsom N, Payoon Kowit P. Factors associated with glycemic control among type 2 diabetes mellitus patients attending Tambon health promotion hospitals with in the Banphai Hospital’s Catchment area Khon Kaen Province. KKU Journal for Public Health Research 2012; 5(3): 11-20. (in Thai).

Black JM, Hawks JH. Medical-surgical nursing: Clinical management for positive outcomes (Vol. 1). In Keene AM. (Ed.). Saunders Elsevier; 2009.

Sroisong S, Rueankon A, Apichantramethakul K, Nunta N, Sukkaseam J. Perceived self-care behavior among patients with type 2 diabetes mellitus with poor glycemic control. Journal of Phrapokklao Nursing 2017; 28(2): 93-103. (in Thai).

Kraisai P, Pommala W. Factors Influencing to Self – Care Behaviors of Patients Diabetes mellitus. Journal of Mahamakut Graduate School (Humanities and Social Sciences 2017; 15(2): 102-110. (in Thai).

Wannapaves D, Rattanajarana S. Effects of Using Discharge Planning Based on King’s Theory of Goal Attainment on Readmission Rate and Diabetes Patient’s Satisfaction With Nursing Service and Nurse’ Satisfaction with Discharge Planning. The Journal of Faculty of Nursing Burapha University 2013; 21(4): 1-13. (in Thai).

Dhupaviroch O, Effects of Discharge Planning and Telephone Follow up on HbA1c and Nursing Service Satisfaction of Diabetic Patients and Nurse’s Job Satisfaction. Journal of Preventive Medicine Association of Thailand 2014; 4(2): 152-161. (in Thai).

Chureemas C, Effects of Discharge Planning on Self - Care Behaviors for Diabetic Patients at Selaphum Hospital, Roi-Et Provincial Health Office. Mahasarakham Hospital Journal 2015; 12(2): 17 – 23. (in Thai).

Orem DE. Nursing concept of practice. 6th ed. St.Louis; 2001.

Mckeehan KM, Coulton CJ. A system approach to program development for continuity of care in hospital. Continuity: advance concept of discharge planning, St. Louis Mosby; 1985.

Saelim R. The effect of self- management enhancing program on health behavior in patients with chronic peripheral arterial occlusion. [Master Thesis of Nursing Science]. Bangkok: Prince of Songkla University; 2011. (in Thai).

Bunjai S. Research Methods in Nursing. 5th Edition. U & I Inter Media Co.,Ltd; 2010.

Saelim R, Vongwisanupong N, SudchitTriprakong S. Effectiveness of a discharge planning programme on self-care knowledge and bahaviour of peripheral arterial occlusion patients at Songkhla Nakharin Hospital. Thai Journal of Nursing Council 2014; 29(2): 101-13. (in Thai).

Kaweekorn P, Prasomruk P. A model development of self - care behavior for blood sugar control among type 2 diabetic patients, in Loengnoktha Crown Prince Hospital. Community Health Development Quarterly Khon Kaen University 2016; 4(3): 307-24. (in Thai).

Napathalung K. The development of a discharge planning model for pediatric patients with diabetes in pediatric department Suratthani hospital. Medical Journal Region 11. 2017; 31(4): 685-96. (in Thai).

Khempao K. The development of a discharge planning model for adult patients with diabetic foot ulcers at Phaholponpayahasena Hospital. Journal of Nursing Division 2009; 36(3): 113-132. (in Thai).

Published

2022-03-12

Issue

Section

Research Articles