Effects of using a self-management support program to change behavior To slow down kidney deterioration for diabetic patients in public health service centers 2 Udon Thani Municipality

Abstract

Abstract        This quasi-experimental research has the objective To study the effect of using a self-management support program to change behavior to slow down kidney deterioration in diabetic patients in Public Health Service Center 2, Udon Thani Municipality, on diabetic patients who are unable to control their blood sugar levels from a sample of 50. Individuals were specifically selected according to specified characteristics, divided into control groups and experimental groups, 25 people each, matched according to the following characteristics: (1) age difference not exceeding 5 years (2) different hemoglobin A1C values. Not more than 2 percent and (3) the kidney deterioration stage is at the same stage. The control group received normal care. The experimental group received a self-management support program to enhance self-management skills along with a behavior modification support model. With the 5A technique, evaluate results before and after the experiment in the week 1 and 12 weeks used a self-management behavior assessment which tested for reliability with a Cronbach's alpha coefficient of .74 and measured clinical outcomes including: Blood sugar levels, hemoglobin A1C levels, blood pressure, serum creatinine levels, and glomerular filtration rate were measured using tools that have been validated according to hospital standards. Descriptive statistics were used for general data analysis. Hypothesis testing uses paired t-tests and independent t-statistics in cases where the data pass preliminary agreement. For data that did not meet  preliminary agreement, the Mann-Whitney Test and Wilcoxon Signed Ranks Test were used.

       The results of the research found that the experimental group after receiving the self-management support program had higher scores. Self-management behavior was significantly higher than the control group (p<.05). As for the mean clinical results between the control group and the experimental group after participating in the self-management support program, there was no significant difference. Statistically (p>.05), but within the experimental group It was found to be significantly different (p<.05) among diabetes clinics. Therefore, the self-management support model has been used to further develop self-management behaviour.