Effect of case management on self-care behavior and blood sugar levels in patients with Type-2 diabetes Mellitus who come to Outpatient Nursing Section Banpong Hospital, Ratchaburi Province

Abstract

The purpose of this quasi-experimental research aimed to examine the effects of case management on self-care behavior and Blood sugar levels in type 2 diabetes patients. This quasi-experimental study was conducted to examine the effects of a case management program applying Orem^,s nursing system theory. Sixty patients were purposively sampled. The control groups and experimental groups in each group were 30, matched by gender and age Includes a 12-week trial period from March 1 to May 10, 2019. The experimental instruments were case management in diabetic patients. The experimental group received nursing activities, requiring continuous practice with diabetic patients to complete a set of activities according in 12 weeks.  The program consisted of health education, health assessment, a clinical pathway, individual counseling, telephone follow up and home visit. The control group received the usual nursing care. The content validity index of the latter tool which was examined by three experts was .90. The Cronbach^,s alpha coefficient reliability of the questionnaire was 0.88. The data were analyzed using percentage mean standard deviation paired t-test and independent t-test. The research results revealed that: 1) The mean score of Self-care behavior of type-2 diabetes patients after receiving the case management was significantly higher than before receiving the program (p < 0.01) 2) The mean score of Self-care behavior of type-2 diabetes patients who received the case management was significantly higher than the patients who received routine nursing care (p < 0.01) 3) Blood sugar levels of type-2 diabetes patients diabetic patients after receiving the case management was significantly lower than before receiving the program (p < 0.01)