Effects a Program to Promote Self-Management of Patients with Type 2 Diabetes Uncontrol Blood Sugar Levels in Pho Talat Kaeo Subdistrict, Tha Wung District, Lopburi Province

Abstract

Diabetic patients in the Phothalad Kaew Subdistrict, Tha Wung District, Lopburi Province, have failed to control their blood sugar levels within the target set by the Ministry of Public Health, resulting in complications. This quasi-experimental research aimed to examine the effects a program to promote self-management of patients with type 2 diabetes uncontrol blood sugar levels in Pho Talat Kaeo Subdistrict, Tha Wung District, Lopburi Province. The sample consisted of 80 Type 2 diabetes patients who could not control their blood sugar levels. They were divided into an experimental group of 40 people, who received the self-management promotion program for Type 2 diabetic patients in Phothalad Kaew Subdistrict, Tha Wung District, Lopburi Province, and a comparison group of 40 people, who received standard healthcare services. The experiment was conducted over eight weeks, and the mean scores between the experimental and comparison groups before and after the experiment were compared using the t-test statistic. The research findings showed that, after the intervention, the experimental group had significantly higher mean scores in overall self-management behaviors, including diet, exercise, medication adherence, and emotional management, compared to both their pre-intervention scores and the comparison group (p-value < 0.001). The mean blood sugar levels, indicated by HbA1c, were significantly lower than before the intervention and compared to the comparison group (p-value < 0.001). Therefore, this program can be adapted for use in other communities with Type 2 diabetes patients who are unable to control their blood sugar, to improve diabetes management efficiency in communities.