J Med Assoc Thai 2017; 100 (8):227

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The Effects of an Individual Empowerment Program on Behavioral Outcomes in In-Hospital Adult Patients with Type 2 Diabetes Mellitus
Theeranut A Mail, Methakanjanasak N , Ruaisungnoen W , Saensom D , Surit P , Sawanyawisuth K

An educational or empowerment program for diabetes patients is crucial to glycemic controls in type 2 Diabetes.
This study aimed to evaluate the short-term effects of an empowerment program on behavioral parameters in an inpatient
setting of type 2 Diabetes patients. This was a quasi-experimental study with a pretest-posttest design. The inclusion criteria
were hospitalized adult patients with type 2 diabetes over 35 years of age with HbA1C levels over 7%. Eligible patients were
assigned to the control group or the intervention group. The control group received routine care, while the intervention group
received similar care to the control group and the individual empowerment program. All patients were evaluated at the
baseline when they were admitted to the hospital and again at the third and sixth months after discharge using the self-efficacy
scale, the self-management scale and the Cantril quality of life-anchoring ladder scale. There were a total of 57 diabetes
patients who participated in this study, of which 27 in the intervention group and 30 in the control group. At baseline, variables of the two groups were comparable. At three and six months after discharge, the intervention group had significantly higher scores in all aspects of outcome compared with the control group. For example, the quality of life score in the intervention group was significantly higher than the control group (9.44 vs. 6.60; p<0.001). In conclusion, the individual empowerment program improved short-term behavioral outcomes in adult patients hospitalized with type 2 diabetes.

Keywords: Self-efficacy, Self-management, Quality of life


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