Effect of Motivation-Enhancing Nursing Program for Yoga Practice on Body Mass Index and Blood Sugar of Overweight Type 2 Diabetic Patients

Abstract

          This two-group quasi-experimental research, pretest-posttest design aimed to examine the effect of a motivation-enhancing nursing program for yoga practice on body mass index and blood sugar level of overweight type 2 diabetic patients. The sample comprised 52 overweight diabetic patients in the Tumbon Health Promotion Hospital, Ao-Luk District, Krabi Province. The first 26 patients were assigned to the control group, who received usual care, and the other 26 patients were assigned to the experimental group and received the motivation-enhancing nursing program for yoga practice for 6 weeks. The process of motivation-enhancing nursing program consisted of 5 steps: (1) health assessment and provide information; (2) yoga practice; (3) role models and goal setting; (4) verbal encouragement; and (5) verbal and rewards reinforcement. The instruments used for intervention were: (1) the motivation-enhancing nursing program for yoga practice; (2) a yoga and dietary handbook; (3) a video regarding yoga practice; (4) a video displayed role model who succeeded in controlling body mass index and blood sugar level; (5) a questionnaire about self-care, and dietary and medication use behaviors; and (6) a teaching plan about motivation for yoga practice. The instruments used for data collection were (1) a personal data form and (2) a health data form. Body mass index and blood sugar levels were collected before attending the program and at the 6th week. Personal and health data were analyzed using descriptive statistics; Chi-square, Independent t-test and Paired t-test were used to compare body mass index and blood sugar level.

             The study results were as follows: (1) Body mass index and blood sugar level in the experimental group after receiving the motivation-enhancing nursing program for yoga practice were statistically significantly lower than before (p < .05) for both parameters, (2) Body mass index in the experimental group after receiving the motivation- enhancing nursing program for yoga practice were not statistically different from that of the control group (p > .05), and (3) Blood sugar level in the experimental group after receiving the motivation- enhancing nursing program for yoga practice was statistically significantly lower than that of the control group (p < .05). The finding of this study indicate that the motivation-enhancing nursing program for yoga practice could promote better control of blood sugar level in the experimental group  among overweight type 2 diabetic patients.