The Results of Supporting Participatory Self-management in Diabetic patients, Na Fai Subdistrict, Muang District, Chaiyaphum Province

Abstract

The purpose of  this quasi-experimental research, with one-groups pre-posttest design, were to study the effects of self-management support in diabetic patients with HbA1c> 8% Na Fai Subdistrict, Muang District, Chaiyaphum Province. The sample of this study were 60 cases by purposive sampling among uncontrolled diabetic patients whose HbA1c over 8 % and received continuous treatment at Na Fai Health Promotion Hospital . The research tools included a diabetes self-management program ,such as group  and individual DM knowledge ,set goal of  DM controlled together with  physician ,diabetic food  model, behavior notebook  and  participatory support  by public health volunteers  in 3 months from 1 March to 30 May 2020. Data were collected by interviews about behaviors and blood test for HbA1c at before and after experimental. Data were analyzed with descriptive statistics and analytical statistics by Paired Sample T-Test which significance level at .05.

The results : showed that , means of HbA1c  at  before and after the experiment were 9.80% and 9.53%  respectively , it decrease in  after but not significantly different (p-value = 0.12)  and  34 sample (56.7%)  had  decrease  of  HbA1c . The means  score of  self-care practice before and after the experiment such  as  DM food control, taking medication were increase and significantly different (p-value <0.05), means score of exercise and  DM foot care were increase but  not  significantly different (p-value >0.05) , mean score of  stress relief  was  decrease  and  significantly different (p-value <0.05) .

Conclusion: Participatory self-management had affected to decrease HbA1c in someone and had affected to increase the self-care practice of diabetic patients. So that, should encourage and empowerment continually about DM self-management in long time.