The Effectiveness of Self Health care Promoting Program According to 3E.2S in Type 2 Diabetes Mellitus on Primary and Holistic care Department Mahacachia Hospital Yasothon Province

Abstract

Background: Diabetes is a global public health problem. There is an ever-increasing trend of being caused by an abnormal metabolic system resulting in a higher-than-normal blood sugar level. The body has changed to the point of causing complications. The goal of diabetes control is to control the accumulated sugar in the blood to less than 7. The most common cause of uncontrollability is due to improper self-care behaviors, a grouping of type 2 diabetes, and promoting self-care according to the 3E 2S principles together with home visits are methods of providing proactive public health services. It covers the promotion and prevention of complications among type 2 diabetics to be able to take care of themselves and behave healthily.

Objective: To study the results of the 3E 2S self-health program in type 2 diabetes patients.

Method: The research was a quasi-experiment. The sample used in this research was type 2 diabetes patients. The group compared 70 before and after the experiment. Selecting a sample is simple randomization. The sample had participated in the 3E 2S self-health program for 6 months, including the group of diabetics, home visits, the process of strengthening, making relationships, the observation and the suggestion of changing the behavior of self-care promotion, assessing self-care behaviors, and clinical research. Data analyses were descriptive statistics: frequency, percentage, and inferential statistics: paired sample t-test.

Results: The research found that the majority sample group was female with an average age of 54.67 years, engaged in trading, and an average monthly income of 2,158.70 baht. After participating in the 3E 2S self-health promotion program in type 2 diabetes patients, the sample had an average score of self-care behavior, diet, exercise, and stress management increased significantly more than before joining the project statistically at the level of .05, and clinical results were blood pressure level, blood sugar level, blood accumulation and BMI improved significantly more than before participating in the research statistically at the level of .05.

Conclusion and Suggestion: The 3E 2S self-health program in type 2 diabetes patients affected the group of patients with type 2 diabetes who have the behavior to take care of themselves, and improved clinical results the process should be adjusted to suit the context.