The Effects of Self - Care Promoting Program on Foot Care Behaviors, Foot Conditions and Blood Sugar Levels among Muslim Elderly with Uncontrolled Diabetes Mellitus

Main Article Content

Nadia Roning
Kanittha Naka
Tippamas Chinnawong

Abstract

A quasi-experimental one group time series research design aimed to examine the effects of selfcare promoting program (SCPP) on foot care behaviors, foot conditions and blood sugar level among Muslim elderly with uncontrolled diabetes mellitus. Twenty-nine participants who met inclusion criteria were selected from Narathiwasrajanagarindra Hospital. Over the first 6 weeks participants received the usual care and in the following 6 weeks received the self-care promotion program. Data were collected at baseline, pre-intervention and post intervention. The content validity of all instruments was examined. The reliability using Cronbach’s alpha for the Foot Care Behaviors Questionnaire and the Foot Conditions Questionnaire. The accuracy of the Blood Glucose Meter was within acceptable limits. Data were analyzed using descriptive statistics, one way repeated measures ANOVA, Friedman test and Wilcoxon Signed Ranks test. The result revealed that the mean score of foot care behaviors, foot conditions, and blood sugar level were statistically different between baseline, pre-intervention and post-intervention (F(2, 52) = 258.13, F(1.49, 38.84) = 42.13, and χ2 = 29.96, respectively, p < .001). The mean score of foot care behaviors in post intervention was statistically higher than are at baseline and pre-intervention ( gif.latex?d\bar{} = 1.66 and 1.69 respectively, p < .001), the mean score of foot conditions in post intervention was statistically higher than are at baseline and pre-intervention ( gif.latex?d\bar{} = .28 and .22 respectively, p < .001) and the mean score of blood sugar level at post intervention was statistically decreased compared with the pre-intervention (Z = -4.05, p < .001 and Z = -2.41, p < .05) Our data suggested that nurses should to apply this SCPP in Muslim patients with similar context in the future.

Downloads

Download data is not yet available.

Article Details

How to Cite
Roning, N. ., Naka, K. ., & Chinnawong, T. . (2021). The Effects of Self - Care Promoting Program on Foot Care Behaviors, Foot Conditions and Blood Sugar Levels among Muslim Elderly with Uncontrolled Diabetes Mellitus. Songklanagarind Journal of Nursing, 41(1), 74–87. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/247007
Section
Research Articles

References

International Diabetes Federation. IDF diabetes atlas eighth edition [Internet]. Brussels, Belgium: International Diabetes Federation; 2017 [cited 2018 Dec 12]. Available from: https://www.diabetesatlas.org/.

Rarttarasarn C. Thailand blueprint for change [Internet]. Bangkok: Novo Nordisk Pharma Thailand; 2017 [cited 2018 Dec 12]. Available from https://www.novonordisk.com/content/dam/Denmark/HQ/sustainablebusiness/performance-on-tbl/more-about-how-we-work/Creating%20shared%20value/PDF/Thailand%20Blueprint%20for%20Change_2017_TH.pdf

Narathiwas Provincial Public Health Office. Diabetes mellitus [Internet]. Narathiwas; 2018 [cited 2018 Dec 12]. Available from: http://203.157.235.9/hdc/main/search.php?search.

Khumtaveeporn P, Ronnarithivichai C, Thongcharoen V, et al. Pathophysiology in nursing. Bangkok: THB products; 2015. Thai.

Homsanit M. Diabetes prevention in older adults. In: Assantachai P, editor. The most common health problems in old age and prevention. 2 nd ed. Bangkok: Union Creation; 2011. Thai.

Wattanakul B, Ngamkham S. Diabetes peripheral neuropathy (DPN) among diabetic patients. Journal of Nursing and Health Care. 2017; 35(4): 6-15. Thai.

Sikaow O. Pathophysiology for nursing student and health sciences student. 2 nd ed. Samut Prakan: Huachiew Chalermprakiet University; 2017. Thai.

Phormpayak D, Ajchariyasakchai M, Pamtaisong S. Factors relating to foot ulcers in persons with type 2 diabetes. Journal of Health Science. 2017; 26(2): 353-61. Thai.

Kanchanasuttirak P, Kanchanabat B, Stapanawatr W, et al. Survival of patients after peripheral bypass surgery for critical limb ischemia. Vajira Med J. 2012; 56(3): 217-26. Thai.

Lillahkul N, Supanakul P. Way of life of Muslim people in Thailand’s southern provinces and health promoting lifestyle. The Southern College Network Journal of Nursing and Public Health. 2018; 5(2): 302-12. Thai.

Thai Islam Medical Association. The integration of knowledge in Islam: Chronic disease (Cardiovascular disease, Diabetes Mellitus and Hypertension). n.p; 2009. Thai.

Vaehama R. The effect of food-choicepromoting program on food consumption behavior and blood sugar of muslim elderly uncontrolled type 2 diabetes [minor thesis]. [Songkhla]: Prince of Songkla University; 2016. 104 p.

zwJun-In N, V Siripitayakunkit A, Malathum P. Foot care behaviors of older persons with type 2 diabetes. Rama Nurs J. 2015; 21(20): 199-213. Thai.

Sangeam S. Case management for patient with diabetes mellitus. In: Sindhu S, Vongrot P, editor. Case management for patient with diabetes mellitus and hypertension. 3 rd ed. Bangkok: Vattana printing; 2015. Thai.

Institute of Medical Research and Technology Assessment, Bureau of Non Communicble Disease, Department of Rehabilitation Medicine of Mahidol University, et al. Guidelines for screening and management of diabetic foot complication [Internet]. Nonthaburi: The Agricultural Cooperative Federation of Thailand; 2015 [cited 2018 Dec 12]. Available from: https://www.rihes.cmu.ac.th/news/wp-content/uploads/2017/07/07.3-Unlocking-The-ShoeIssue-for-Diabetic-Patients-in-Chiang-Mai-%E0%B9%80%E0%B8%97%E0%B9%89%E0%

B8%B2.pdf.

Kuiburd T. Effects of utilization of care package for muslim older adult with stage 4 chronic kidney disease on caregivers’ ability in caring and functional abilities of older Adults [master's thesis]. [Songkhla]: Prince of Songkla University; 2014. 171 p. Thai.

Nugrernkul S, editor. Self care: The science and art of nursing. Bangkok: VJ prining; 1997. Thai.

Chuepan S. Impact of an integrative podiatric care program on foot-care behavior, foot conditions and the HbA1c level in diabetes patients with high susceptibility to foot wounds. JTNMC. 2016; 31(1): 111-23. Thai.

Sawatmanee P. Development of program for promoting foot-care behaviors of diabetic patients [master's thesis]. [Songkhla]: Prince of Songkla University; 2011. 183 p.

Sriklo M. Effect of foot care promoting program on perceived empowerment and foot care behaviors of patient with diabetes mellitus type 2 at Tambon bang klongsuan health promoting Hospital, Samut prakarn Province [master's thesis]. [Samutprakarn]: Huachiew Chalermprakiet University; 2014. 123 p.

Sripaebua M. Effects of a supportive-educative nursing system program on perceived foot care abilities and foot care behaviors in diabetic patients at risk of foot ulcers [master's thesis]. [Chon Buri]: Burapha University; 2014. 105 p.

Sulistyo A. The effect to foot care camp on diabetes foot care knowledge and behavior of individuals with diabetes mellitus in Indonesia [master's thesis]. [Songkhla]: Prince of Songkla University; 2017. 104 p.

Makeng M. The effect of muslim-based health behavior modification program on diabetes control behaviors and blood sugar level of uncontrolled diabetic Muslim patients with co-morbidity [master's thesis]. [Songkhla]:

Prince of Songkla University; 2017. 152 p.

Wangthong A, Cheyoe N. Effects of diabetic drug adjustment among fasting diabetic patients during the Ramadan Period in Nongjik District, Pattani Province. HSRI. 2007; 2(1): 130-35. Thai.

Sahaworakulsak R, Ahmad N. The effects of health education on acute diabetic complications, dietary behavior, and oral hypoglycemic drugs administration during Ramadan of Thai Muslim with type 2 diabetes mellitus. JTNMC. 2014; 25(1): 50-64. Thai.

Masor S, Malathum P, Jeangsawang N. Perception of Islamic Religious Leaders toward Religion-Related Health Behavior of Thai Muslims with Type 2 Diabetes Mellitus During the Fasting Month of Ramadan. Rama Nurs J. 2017; 23(2): 208-28. Thai.

Bonner T, Foster M, Spears E. Type 2 diabetes related foot care knowledge and foot self-care practice interventions in the United States: A systematic review of the literature. Diabetic Foot & Ankle. 2016; 7(1): 1-8. doi: org/10.3402/dfa.v7.29758.