The Effectiveness of Health Promotion Programs among Patients with Uncontrolled Diabetes Mellitus

Abstract

This quasi-experimental research aimed to assess the effectiveness of health promotion programs for patients with uncontrolled diabetes mellitus. The participants were patients with uncontrolled diabetes mellitus at the diabetes clinic in Pho Sai Hospital, located in Pho Sai District, Ubon Ratchathani Province. The study included an experimental group of 40 individuals and a control group of 40 individuals. Specially designed health promotion programs for patients with uncontrolled diabetes mellitus were implemented, and questionnaires were utilized as research tools. The intervention lasted for 12 weeks. The quality of the research tools was evaluated by five experts, yielding an Index of item-objective congruence (IOC) value of 0.94 and a reliability analysis using Cronbach's Alpha Coefficient of 0.96. Statistical analysis involved the use of frequency, percentage, mean, standard deviation, and independent sample t-test. The results indicated that the experimental group demonstrated significantly higher mean scores in diabetes knowledge, healthier patient behaviors related to uncontrolled diabetes mellitus, and reduced blood sugar levels compared to the control group, with statistical significance at a P-value < 0.05 (95% CI 3.16-7.84, 6.33-10.36, 1.69-6.56, respectively). In conclusion, health promotion programs for patients with uncontrolled diabetes mellitus can effectively improve knowledge levels and lead to healthier patient behaviors related to uncontrolled diabetes mellitus, thus contribute to a reduction in blood sugar levels. Therefore, these programs should be implemented in health education activities for other patient groups. It is recommended to incorporate health education programs within service facilities to facilitate effective communication and promote appropriate health behaviors for achieving optimal blood sugar control.