| บทคัดย่อ(English) |
This study was a quasi-experimental research to compare the effectiveness between self-efficacy theory and social support as applied to a health education program on behavioral modification among type 2 diabetes mellitus patients concerning with dietary control, physical exercise, medicine taking and feet care. The 120 type 2 diabetes mellitus patients were randomly selected as two experimental groups and one comparison group in equal number (40 patients). Experimental group l, received a health education program with application of self-efficacy theory, while the experimental group 2 received a health education program with social support, while the comparison group received the regular health education program. The research design was a three groups design pretest and posttest. Interview technique with structured questionnaire; capillary blood glucose and HbA(,1C) examination were also used for data collection from October, 2000 to January, 2001. Mean, standard deviation, frequency and percentage distribution were performed to describe the socio-demographic characteristics of the sample. One-way ANOVA and Least-Significant Different (LSD), Students t-test and Paired samples t-test were employed to determine the mean score difference. The results of the research revealed that after the intervention, experimental group1 had significantly increased in knowledge about diabetes mellitus, perceived self efficacy, perceived outcome expectation, behavior of dietary control, physical exercise, medicine taking and feet care more than prior to participating in the health education program while they had significantly decreased in capillary blood glucose and HbA(,1C). In addition, experimental group2 had significantly increased in knowledge about diabetes mellitus, social support, behavior of dietary control, physical exercise, medicine taking and feet care than prior to participating in the health education program while they had significantly decreased in capillary blood glucose and HbA(,1C). It was also found that experimental group1 had more significantly increased in knowledge about diabetes mellitus than experimental group2 whereas there was no significant difference in behavior of dietary control, physical exercise, medicine taking, feet care, capillary blood glucose and HbA(,1C). Since the application of the two different theories yielded similar results, either self-efficacy theory or social support can be applied to the health education program on behavioral modification among diabetes patients. |
