Effects of Self-Care Behavioral Modification Program for Blood Sugar Control Among Elderly Patients with Type 2 Diabetes Mellitus: Case Study in Huai Keng Subdistrict,

Abstract

Background and Objectives :  Type 2 diabetes is the most common in elderly and most patients with insulin resistance were at risk of complications from diabetes. This study aimed to examine the effects of the self-care behavioral modification program for application of the Protection Motivation Theory with social support behavior change in the care of elderly patients with type 2 diabetes for blood sugar control: case study in Huai Keng Subdistrict, Kumpawapi district, Udonthani Province.

Methods :  The studied samples consisted of 70 elderly patients with type 2 diabetes who can’t control blood sugar levels they were divided in to the experimental group and comparison group.The experimental group received a program of self-care behavior created by the framework Protection Motivation Theory in terms of slides, videos, guidebooks of self-management against diabetes, demonstration, models, physical activities, stress relief techniques, simulation from videos, playing games on the severity of diabetes, group activities, record of blood glucose level, and social support of researchers and administratorsthe comparison group received general medical service from Health Facilities. Data were analyzed by frequency, percentage, mean, standard deviation, minimum, maximum, and Paired t-test and Independent t-test at a significance level of 0.05.

perceived severity of

Results : The results showed that the experimental group obtained higher mean scores in terms knowledge of diabetes, perceived severity of diabetes, risk complications of diabetes, expectations of  their ability to care for health behaviors, and their own expected results towards self-management, more than the comparison group with the statistical significance level of 0.05. In addition, the experimental group had lower mean score in terms of less stress than the comparison group and the mean change in the levels of fasting blood sugar was down to the normal percentage of 94.3, the comparison group hyperglycemia 100% and less than before the treatment, and the levels of sugar in blood more than the comparison group are statistically significant at the 0.05 level.

Conclusions : The self-care behavioral modification  program can be used  to diabetics blood sugar control levels in the normal range  compared with those who received normal care.

Keywords : Protection Motivation Theory, social support, behavioral modification program.