Factors Effecting to Prevention of Complication’ Diabetic Mellitus Among Diabetic Mellitus Type 2 at Public Health Center 2, Division of Public Health and Environment, Nakhon Sawan Municipality

  • รัชนี ปลั่งกลาง ศูนย์บริการสาธารณสุข 2 ส่วนบริการสาธารณสุขและสิ่งแวดล้อม สำนักการสาธารณสุขและสิ่งแวดล้อม เทศบาลนครนครสวรรค์
Keywords: Diabetic mellitus type 2, Blood sugar level control

Abstract

This descriptive research aimed to study factors affected to prevention of complication of diabetic mellitus type 2 patients. Population was 131 diagnosed as the diabetic mellitus type 2 patients who had fasting plasma glucose higher than 140 mg/dl and registered in the Public Health Center 2, Division of Public Health and Environment, Nakhon Sawan Municipality, in fiscal year 2017. Participants were 113 cases calculated by using Daniel formula and were selected by systematic random sampling. Questionnaires were employed to collect data which composed of 5 parts including characteristics of participants, heath service system, health perceptions, cue to action factors and prevention of complications’ diabetic mellitus. In addition, to check questionnaire standardization, validity was checked by 3 experts and reliability was tested by using Cronbach’s coefficient alpha (=0.962). Pearson product moment correlation coefficient and Stepwise multiple regression analysis were used to analyze the data. The results revealed that marital status, average of income per month, health insurance, health service system, health perceptions and cue to action had positive association with prevention of complications with statistic significant level of 0.05. Moreover, age group had significantly negative association with the prevention of complications ( p-value=0.043) . Prediction model analyzed reported that overall selected factors had accounting for 40.10%. The three selected factors including cue to action, accessibility of health care center and referral system, and average income per month still significantly predicted the prevention of complication of the patients. The influent factors received from this study can be modified and developed to be a model for preventing complications of diabetic mellitus type 2 patients registered in the Public Health Center 2, Division of Public Health and Environment, Nakhon Sawan Municipality. In addition, follow up, patient appointment for continuous health checking, offering health promotion activities, encouraging proper health perceptions in using self-help and sharing groups, and also promotion of self-efficacy and self-management should be concerned and provided for diabetic mellitus type 2 patients.

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Published
2018-12-27
How to Cite
ปลั่งกลางร. (2018). Factors Effecting to Prevention of Complication’ Diabetic Mellitus Among Diabetic Mellitus Type 2 at Public Health Center 2, Division of Public Health and Environment, Nakhon Sawan Municipality. Journal of Health Science and Community Public Health, 1(2), 86-101. Retrieved from https://www.tci-thaijo.org/index.php/jhscph/article/view/197925
Section
Research Articles