EFFECTS OF ONE-YEAR FOLLOW-UP OF A GROUP-BASED TYPE 2 DIABETES MOTIVATIONAL INTERVIEWING INTERVENTION AND HEALTH EDUCATIONAL PROGRAM ON THE BLOOD CHEMICAL LEVEL AMONG TYPE 2 DIABETES PATIENTS
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Abstract
The health educational program and motivational interviewing intervention towards the blood chemical level was a one-year quasi-experimental research aiming at following up on health educational programs and interviews to motivate the patients with type 2 diabetes on blood chemical level. The sample group comprised 70 type-2 diabetes mellitus (DM) patients in Nongnakham Sub-district Health Promoting Hospital, Muang District, Udon Thani Province. The patients came to Health Promoting Hospital every two months to receive the medication and the nurse would draw the patients’ blood to test for blood chemical level both pre-intervention and post-intervention and there would be a face-to-face interview to educate the health educational program and motivate for changing behavior. The Index of Item Objective Congruence: IOC of the health educational program was 0.78. The validity of the health educational program was 0.82. The descriptive statistic used were mean ( ), and standard deviation (S.D.). The inferential statistic used was paired t-tests for comparing the blood chemical levels both pre-intervention and post- intervention with the statistical significance at 0.05 level.
The research revealed that, among 70 DM patients, most of them were 62 female (88.57%), age average at 60 years old (S.D.=6.70), 34 DM patients had BMI in overweight level (48.57%, = 25.03, S.D.=4.10), 12 female patients had over waist circumference (19.05%). Participants had DM record of diabetes and have been on medication for 1-12 years ( = 6.4 years), of those, most of them had DM underlying and took medication for less than 3 years (40.00%) followed by 10-12 years (25.71%). It was found that HbA1c level (pre-test) was not significantly different from HbA1c level (post-test) (p=0.71). For Fasting Blood Sugar (FBS) test, it was found that the FBS test comparison results between pre-test and 5th post-test, pre-test and 2nd post-test, and 2nd post-test and 5th post-test were significantly different (F=2.49, p=0.03; F=4.21, p=0.04; F=4.21, p=0.04, respectively). The results of Lipid Profile level comparison between pre-intervention and post-intervention reveal that all variables were not significantly different (p=0.67, p=0.43, p=0.81, and p=55 respectively).
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