Ramathibodi Nursing Journal
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Browsing Ramathibodi Nursing Journal by Author "Chardpra-orn Ngarmukos; Assistant Professor, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University"
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Item Glycemic Control in Persons with Diabetes after Attending a Group Educational Program for Diabetes Self-Management(Department of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 2009-09-21) Boonchan Wongsunopparat; Advanced Practice Nurse (Medical-Surgical Nursing: Diabetes), Department of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University; Chardpra-orn Ngarmukos; Assistant Professor, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University; Nampeth Saibuathong; Registered Nurse, Department of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol UniversityAbstract: The purpose of this retrospective research study was to examine glycemic control in persons who attended a group educational program for diabetes selfmanagement (GEDSM). The sample consisted of 45 persons with diabetes who came to follow-up at the Medical Out-patient Clinic, Ramathibodi Hospital. The data assessment included: 1) the demographic data, 2) fasting plasma glucose (FPG), and 3) glycosylated hemoglobin (HbA1C). The sample after attending a group educational program for diabetes self-management instructed by a multidisciplinary team on different topics for one year. The FPG and HbA1C data were retrieved from the patients’ medical records before attending the GEDSM and the other five times during a one-year period of follow-up after attending the GEDSM. The results revealed that the mean scores of the FPG and HbA1C of the first four times of follow-up after attending the GEDSM decreased from the baseline over time; however, those in the fifth time of follow-up tended to slightly increase. Analysis of variance showed that the mean scores of the FPG and HbA1C in persons with diabetes before attending the GEDSM was significantly different from those five times of follow-up after attending the GEDSM. Post hoc comparisons with Scheffe’s test revealed that: 1) the FPG before attending the GEDSM was significantly higher than that at the fourth time of follow-up; 2) the HbA1C before attending the GEDSM was significantly higher than that at the third and the fourth times of follow-up; 3) no significant differences between those before attending the GEDSM and the rest were found. The findings indicated that the GEDSM run by a multidisciplinary team is helpful for glycemic control in persons with diabetes. However, according to the trend of a higher plasma glucose level in a few months before the ending of a one-year period of follow-up, an additional session of the educational program should be planned for persons with diabetes for improving glycemic control.