title: 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.
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.
authors.affiliation: Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand. chodchoiwattana@yahoo.com
authors.forename: Chodchoi
authors.initials: C
authors.lastname: Wattana
authors.forename: Wichit
authors.initials: W
authors.lastname: Srisuphan
authors.forename: Linchong
authors.initials: L
authors.lastname: Pothiban
authors.forename: Sandra L
authors.initials: SL
authors.lastname: Upchurch
mesh_terms: D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D001294:Attitude to Health; D003327:Coronary Disease / Q000209:etiology / Q000517:prevention & control*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000378:metabolism / Q000517:prevention & control* / Q000523:psychology; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006764:Hospitals, Community; D006792:House Calls; D006801:Humans; D008297:Male; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital; D010353:Patient Education as Topic / Q000458:organization & administration*; D015397:Program Evaluation; D011788:Quality of Life / Q000523:psychology; D012307:Risk Factors; D012648:Self Care / Q000379:methods / Q000523:psychology; D020377:Self Efficacy; D013664:Teaching Materials; D013785:Thailand
chemical_list: D006442:Glycated Hemoglobin