The Effectiveness of a Self - Management Support Program for Brittle Diabetes Patients in an NCD Clinic
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Abstract
BACKGROUND: Diabetes is a major public health problem in Thailand. Although medical science has made major advancements, diabetes has still been unable to be completely cured. Moreover, many people with diabetes have no control over their blood sugar and must be admitted into hospitals for acute complications, in which the long term results in chronic microvascular complications. Therefore, a care and nursing model would focus on continuously maintaining the blood sugar levels to be close to their normal values. As such, diabetics could manage themselves, control the disease, and be able to prevent complications.
OBJECTIVES: To explain the effects of self - management support programs in poor controlled diabetes mellitus patients for knowledge, self - care behavior, HbA1C levels, and readmission rate.
METHODS: This study was a quasi - experimental research with a one group pretest – post - test design. The sample comprised 15 diabetes patients with Brittle Diabetes Mellitus diagnosed in the NCD Clinic, Phrapokklao Hospital, Chanthaburi Province, Thailand. The instruments used in this research consisted of three parts: Part 1 was the sample screening tool, Part 2 comprised an experimental tool that was a self - management support program for diabetes patients who had difficulty in controlling their glucose levels, and Part 3 was the tools for the data collection. The data was analyzed by frequency distribution, percentage, mean, standard deviation, and paired t - test in case of normal distribution and Wilcoxon signed - rank test in case of abnormal data distribution.
RESULTS: The results of the research found that knowledge, behavior, healthcare, and the service complacency after the end of the three - month self - management support program had a higher average than before receiving the program. This included the mean score of the HbA1C levels, and the number of the admission rates was significantly lower than before the program at a level of 0.05.
CONCLUSIONS: As a result of this study, the researcher created a self - management support program. This was to give patients confidence and skills in taking care of themselves, reduce problems, control the disease, and prevent complications, so that they could live a normal life.
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References
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