Effectiveness of Promoting a Problem-Solving Ability

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Nongluck Ingkamanee
Sasima Kusuma Na Ayuthya,
Wimolrat Puwarawuttipanit
Thavatchai Peerapatdit

Abstract

Purpose: To study the effectiveness of promoting a problem-solving ability program for medication adherence in patients with type 2 diabetes.

Design: Experimental research

Methods:

The sample comprised 51 diabetic patients who received services at the Diabetes Clinic of Sena Hospital in Phranakhon Si Ayutthaya Provence. Patients were randomly assigned into a control group of 25 and an experimental group of 26. The control group received routine nursing care which included dissemination of knowledge and self-care practices of diabetes. The experimental group received the problem-solving ability program regarding medication adherence for a 12-week period. The program was composed of four parts: provision of disease-specific knowledge; provision of problem-solving orientation; promotion of problem-solving skills and process; and promotion of transfer of past experience. The program activities included exchange of information, feelings, and experiences regarding medication intake; discussion of problems in medication intake among fellow patients with type 2 diabetes, and medication records. A t-test and the Wilcoxon Signed-Ranks Test were used for data analysis.

Main findings:

After receiving instruction in the program, the experimental group had higher scores for medication adherence at a statistical significance of p< .001. In addition, the experimental group had higher scores for medication adherence than the control group with a statistical significance of p< .05.

Conclusion and recommendations:

Based on the findings, the implementation of our problem-solving ability program in a nursing practice system at diabetic clinics should be promoted. This will promote confidence and rational decision-making in patients with type 2 diabetes, thus leading to increased medication adherence

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How to Cite
Ingkamanee, N., Kusuma Na Ayuthya, S., Puwarawuttipanit, W., & Peerapatdit, T. (2011). Effectiveness of Promoting a Problem-Solving Ability. Nursing Science Journal of Thailand, 29(2), 56–64. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/755
Section
Research Papers
Author Biographies

Nongluck Ingkamanee

Sasima Kusuma Na Ayuthya,

Wimolrat Puwarawuttipanit

Thavatchai Peerapatdit

References

World Health Organization. Diabetes: The cost of Diabetes [serial online] 2004 [cited 2009 April 7]. Available from: URL: http://www.who.int/mediacentre/factsheets/fs236/ en/print.html

American Diabetes Association. Standard of medical care in diabetes. Diabetes care 2004; 27: 15-35.

เนติ สุขสมบูรณ์, ปราณี ลัคณาจันทโชติ, นลินี พูลทรัพย์, สิทธิพร ห่อหริตานนท์. ผลการปรับ เปลี่ยนการรับรู้ความสามารถตนเอง พฤติกรรมการ ดูแลตนเองและความรู้เกี่ยวกับโรคเบาหวานใน

ผู้ป่วยชนิดที่ 2. ศรีนครินทรวิโรฒเภสัชสาร 2549; 10(2): 145-53.

Odegard PS, Capoccia K. Medication taking and diabetes: A systematic review of the literature. The Diabetes Educator 2007; 33: 1014-29.

Cramer JA. A systematic review of adherence with medications for diabetes. Diabetes Care 2004; 27: 1218-24.

Hauber AB. Mohamed AF. Johnson FR, Falvey H. Education and psychological aspects treatment preferences and medication adherence of people with type 2 diabetes using oral glucose-lowering agents. Diabet Med 2009; 26: 416-24.

Vermeire E. Royen PV. Coenen S, Denekens J. The adherence of type 2 diabetes patients to their therapeutic regimen: a qualitative study from the patient’s perspective. Pract Diab Int 2003; 20(6): 209-14.

Hill-Briggs, F. Problem Solving in Diabetes Self-Management: A Model of Chronic Illness Self-Management Behavior. Ann Behav Med 2003; 25: 182-193.

Hill-Briggs F. Gemmell L. Kulkarni B. Klick B, Brancati F L. Association of patient health- related problem solving with disease control, emergency department visits, and hospitalizations in HIV and Diabetes clinic samples. Society of General Internal Medicine 2006; 22: 649-54.

Glasgow RE. Toobert DJ. Barrera M.Jr., Strycker LA. Assessment of Problem-Solving: A Key to successful diabetes self- management. Journal of Behavioral Medicine 2004; 27: 477-90.

Kanfer FH. Helping people change. 2nd ed. New York: Pergamon; 1980.

Tobin DL. Self-Management and social learning theory. New York: Academic press, Inc; 1986.

Kate RL. Chronic disease management: Global development of Chronic Disease Self- Management Programs. Paper presentation at the meeting of the 38th Annual Mackid Symposium; 2004.

Mensing C. Boucher J. Cypress M. Weinger K. Mulcahy K. Barta P, et al. National standards for diabetes self-management education. Diabetes Care 2004; 27(1): 143-50.

นงลักษณ์ ทองอินทร์, เพ็ญจันทร์ เสรีวิวัฒนา. การจัดการดูแลตนเอง: ผู้ป่วยโรคหลอดเลือดหัวใจ. วารสารการพยาบาล 2549; 8: 14-24.

Glasgow RE. Mullan J. Fisher L. Toobert DJ, Skaff M. Problem solving and Diabetes self- management. Diabetes Care 2007; 30: 33-7.

Cohen, M. R. Cause of Medication Errors. In: M. R. Cohen (ed.). Medication errors. Washington, D.C.: American Pharmaceutical Association 1991; 1.1-1.8.

Morisky DE. Ang A. Krousel-Wood M, Ward H. Predictive validity of a medication adherence measure for hypertension control. J Clin Hypertens 2008; 10: 348-54.

ภาวนา กีรติยุตวงศ์, สมจิต หนุเจริญกุล, Melkus, GE, อรสา พันธ์ภักดี, ธวัชชัย วรพงศธร. โปรแกรมการจัดการดูแลตนเองสำหรับผู้เป็น

เบาหวานชนิดที่ 2. วารสารวิจัยทางการพยาบาล 2549; 10(2): 85-97.

Krueger KP. Berger BA, Felkey B. Medication adherence and persistence: A comprehensive review. Advances in Therapy 2005; 22(4): 313-56.