Development of a Diabetes Management Model for Patients with Uncontrolled Blood Sugar Levels at Ban Chieng Hian Subdistrict Health Promotion Hospital, Mueang District, MahaSarakham Province
Abstract
Abstract
This study is a quasi-experimental research with a one-group pre-post test design.The sample group consists of 30 participants selected through simple random sampling and purposive sampling.Research instruments include intervention tools and a set of four questionnaires: a general information questionnaire, a diabetes knowledge assessment, a self-care efficacy perception questionnaire, and a self-care behavior questionnaire for diabetic patients,along with the HbA1c (glycated- hemoglobin) test results. The study duration is six months, from July to December 2025. Data analysis will use descriptive statistics including frequency, percentage, mean, and standard deviation, and inferential statistics using the paired t-test. Statistical significance is set at 0.05.
The Ressearch Resuit The findings revealed that the majority of diabetic patients were female (83.33%) with a mean age of 63 years (SD = 5.72).The average duration since diabetes diagnosis was 13.00 years (SD = 4.98), and 63.33% of participants reported having complications. Regarding diabetes knowledge, prior to the intervention, 70.00% of participants had a high level of knowledge, with a mean score of 17.47. After the intervention, 90.00% had a high level of knowledge, with a mean score of 17.83. The mean score increased by 0.36 points (95% CI = 0.16 – 0.56), which was statistically significant (p < 0.001). For perceived self-care ability, before the intervention, 83.33% reported a high level, with a mean score of 4.45. After the intervention, 100% reported a high level, with a mean score of 4.74. The mean score increased by 0.29 points (95% CI = 0.21 – 0.37), also statistically significant (p < 0.001). In terms of self-care behavior, before the intervention, 83.33% demonstrated a moderate level of behavior, with a mean score of 3.29. After the intervention, 90.00% demonstrated a high level, with a mean score of 4.11. The mean score increased by 0.82 points (95% CI = 0.75 – 0.89), which was statistically significant (p < 0.001). Regarding blood sugar control, before the intervention, 60.00% of participants had high HbA1c levels, with an average of 8.01%. After the intervention, 66.66% had moderately high HbA1c levels, with an average of 7.24%. The mean HbA1c level decreased by 0.77% (95% CI = 0.19–1.35), which was statistically significant (p = 0.0085). In Conclusion summary, the developed model effectively enhanced awareness and promoted behavioral changes to help control blood sugar levels among diabetic patients in the target area. Furthermore, the application of this diabetes management model can also promote health behaviors among other at-risk groups in the community.
Keywords : 3A 2S behavior modification activities, perception, health behavior, diabetic patients, glycated hemoglobin (HbA1c)
