Effects of a diabetes self-management program on glycemic control, coronary heart disease risk, and quality of life among Thai patients with type 2 diabetes

Nurs Health Sci. 2007 Jun;9(2):135-41. doi: 10.1111/j.1442-2018.2007.00315.x.

Abstract

Uncontrolled diabetes is a major health problem in Thailand. The objective of this study was to determine the effects of a diabetes self-management program on glycemic control, coronary heart disease (CHD) risk, and quality of life in 147 diabetic patients (aged 56.8 +/- 10.2 years). Type 2 diabetic patients who met the research criteria were randomized into two groups for a period of 6 months: the experimental group received the diabetes self-management program and the control group received the usual nursing care. The findings indicated that the experimental group demonstrated a significant decrease in the hemoglobin A(1c) level and CHD risk, with an increase in quality of life (QOL) compared to the control group. The diabetes self-management program was effective for improving metabolic control and the QOL for individuals with diabetes. Further studies should be replicated using larger groups over a longer time frame.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Analysis of Variance
  • Attitude to Health*
  • Coronary Disease / etiology
  • Coronary Disease / prevention & control*
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / metabolism
  • Diabetes Mellitus, Type 2 / prevention & control*
  • Diabetes Mellitus, Type 2 / psychology
  • Female
  • Glycated Hemoglobin A / metabolism
  • Hospitals, Community
  • House Calls
  • Humans
  • Male
  • Middle Aged
  • Outpatient Clinics, Hospital
  • Patient Education as Topic / organization & administration*
  • Program Evaluation
  • Quality of Life* / psychology
  • Risk Factors
  • Self Care / methods
  • Self Care / psychology
  • Self Efficacy
  • Teaching Materials
  • Thailand

Substances

  • Glycated Hemoglobin A