Effectiveness of Promoting a Problem-Solving Ability
Main Article Content
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
Article Details
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