ผลของโปรแกรมการปรับเปลี่ยนพฤติกรรมสุขภาพตามวิถีมุสลิมต่อพฤติกรรมการควบคุมโรคเบาหวานและระดับน้ำตาลในเลือดในผู้ป่วยเบาหวานมุสลิมที่ควบคุมระดับน้ำตาลในเลือดไม่ได้และมีโรคร่วม

Abstract

This quasi-experimental research aimed to examine the effect of a Muslim-Based Health Behavior Modification Program on diabetes control behaviors and blood sugar level of uncontrolled diabetic Muslim patients with co-morbidity. The sample comprised 64 uncontrolled DM Muslim patients with co-morbidity who were attending a diabetes clinic at one community hospital in southern Thailand. Subjects were purposively selected according to the specific qualifications. They were assigned to experimental and control groups, 32 per group, by matched pairs of age, sex, and duration of illness. The experimental group received the Muslim-Based Health Behavior Modification Program for 8 weeks and the control group received usual care. The research instruments included: 1) the Muslim-Based Health Behavior Modification Program and 2) demographic data and health data form, diabetic control behaviors questionnaire and glucometer. Instruments were validated for their content validity by 3 experts. The reliability of diabetic control behaviors questionnaire was tested by 20 uncontrolled DM Muslim patients with co-morbidity, using Cronbach's alpha coefficient, which yielded the value of .82. Data were analyzed using descriptive statistics, paired t-test, independent t-test, ANCOVA, Wilcoxon Signed Ranks test and Mann-Whitney U Test. Results revealed that the mean score of diabetic control behaviors and mean of blood sugar level posttest between the experimental and control group were significantly different (99.28 vs 81.34 and 127.91 vs 199.94 mg/dl respectively, p < .001). In the experimental group, the mean score of diabetic control behaviors posttest was significantly higher than that at pretest (p < .001) and the mean of blood sugar level was significantly decreased than that at pretest (p < .001). For the control group, the mean score of diabetic control behaviors posttest was significantly higher than that at pretest (p < .001) but the mean of blood sugar level posttest and pretest were not significantly different. Findings of this study indicated that the Muslim-Based Health Behavior Modification Program is effective in modifying health behaviors. It acts as a catalyst and motivates patients to change their behavior and then reduce their blood sugar levels. Therefore, it could be applied in uncontrolled DM Muslim Patients with co-morbidity of hypertension and dyslipidemia, especially those who are ready to modify their health behaviors. However, to utilize this program in other contexts, it may need to be modified.