Empowerment Program in Diabetic Camp Improves Hemoglobin A1C Control among Type 2 Diabetic Patients-ค่ายเบาหวานเพื่อเสริมพลังการดูแลตนเองในการควบคุมระดับน้ำตาลเฉลี่ยสะสมของผู้ป่วยเบาหวานประเภท 2

Abstract

           The principal object of this study was to determine the results of diabetic camp program to changes in blood glucose control among type 2 diabetic patients who visited diabetic clinic at Samutsakhon General Hospital. An experimental pre-post test was done by using a 3-day-2-night program and 12th week follow up since October 24, 2007 to January 26, 2008. A total of 35 diabetic patients were recruited in this study. Data collection was carried out through interviews and laboratory
analysis of their blood sugar levels (HbA1C) before and after group program. which covered basic knowledge, diet, Thai-modified exercise, and behavior modification. The differences of the pre - post level of blood sugar levels were established, using paired t-test.

           The study showed the increases in the average marks for 3 programs, except the medication program Furthermore, after 12-week follow up, the patients were significantly able to improve not only their blood sugar levels but also in HDL-cholesterol better than before their enrollment in this program But No significant change was found in serum cholesterol triglyceride and LDL-cholesterol levels. A small but significant decrease in body weight was noted. In the empowerment program both peer assistants and a home visit of diabetic patients, we found that most of the patients can maintain diabetic knowledge and good behavioral health. This study indicates the diabetic camp program increases knowledge of diabetic patients, and the module may be adapted to suit the context where it will be implemented for effectiveness of diabetic control.

Key words: diabetic camp, empowerment program, hemoglobin A1c control