Development of Self-Care Agency Model in Diabetics Patients of Primary Care Unit at Bhumibol Adulyadej Hospital
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Date
2010-02-02
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Royal Thai Airforce Medical Gazette
Abstract
The objectives of this study are as follows: (1) to develop the self-care agency Model in Diabetics Patients of Primary Care Unit (PCU) at Bhumibol Adulyadej Hospital, (2) to study the effectiveness of the self-care agency Model in Diabetics Patients of PCU at Bhumibol Adulyadej Hospital. Selected the volunteer 54 Diabetics Patients of PCU at Bhumibol Adulyadej Hospital with include criteria, Fasting Blood Sugar (FBS) \> 150 mg/del and HbA1C \> 7, as the samples.The instruments of research were (1) Education self-care manual for diabetics patients (2) Diabetics patients’ portfolio for recorded habit and blood test for FBS, Hb A1C (3) Self-care evaluation questionnaires with 3-level scales. In testing for validity, it was found that the questionnaires and self-care manual satisfied validity criteria by referring to the Index of Consistency (IOC) at a congruence indicator level greater than 0.50.The samples will be tested for FBS, Hb A1C and will undergo a diabetes-related general knowledge pre-test. Then, the samples will be grouped in fives to carry on the self care intervention—a set of activities focused on peer-to-peer knowledge sharing—for 3 hours, 5 times in afternoon Wednesdays. The activities include the following 5 topics: Knowledge in diabetes, Medication, Nutrition, Exercising and Foot-caring. The activities are carried out by a team of nurses, nutritionists, physical therapists and pharmacists. After intervention the samples will be tested for FBS, Hb A1C and will undergo the same diabetes-related general knowledge quiz again for post-test.The data obtained from the set of questionnaires was statistically analyzed by Statistical Product and Service Solutions (SPSS) for Windows. The software involved in determining the means, standard deviations and paired-simple t-test.Research findings are as follows: (1) Self-care average after participating in the intervention is better than before, at the .01 level of statistical significance. (2) Blood tests for FBS and Hb A1C Aafter participating in the intervention are better than before, at the .01 level of statistical significance.
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Royal Thai Airforce Medical Gazette; Vol.55 No.3 September-December 2009; 41-45