Effectiveness of a Self-efficacy PromotionProgramon Controlling Fasting Plasma Glucose and A1C in Uncontrolled Type 2 Diabetes Mellitus Patients at Sangkhlaburi Hospital, Kanchanaburi Province

Abstract

Objectives: To study the effectiveness of a self- efficacy promotion program on blood sugar control behavior and cumulative blood sugar values type 2 uncontrolled diabetes patients.

Methods: A quasi-experimental study with a single group, pre- and post-test design was conducted between February 1 and April 30, 2024. The sample group consisted of 35 patients with type 2 diabetes who had uncontrolled blood sugar and an HbA1c level of over 7 who were receiving treatment at the Diabetes Clinic, Sangkhlaburi Hospital. The sample was selected using simple random sampling. The research instruments were a self-awareness promotion knowledge and blood sugar control behavior scale, which had a reliability coefficient of 0.77 and 0.83, respectively, and a blood sugar logbook. Data were analyzed using descriptive statistics and the independent t-test.

Results: After participating in a self-efficacy promotion program, the sample group had significantly higher mean scores for knowledge (23.25±1.98 vs. 18.50±3.80; p<0.001) and behavior (111.32±6.91 vs. 95.95±9.82; p<0.001) than before participating in the program. They also had significantly lower blood sugar levels (141.75±32.03 vs. 166.15±40.53; p<0.001) and HbA1c levels (7.28±0.39 vs. 8.36±0.94; p<0.001) than before participating in the program.

Conclusions: The self-efficacy promotion program helped patients to improve their self-care behaviors and blood sugar control.