A N EFFECTIVENESS OF A COMMUNITY - BASED GROUP EDUCATION FOR TYPE 2 DIABETIC PATIENTS Lampung Vonok.

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Presentation transcript:

A N EFFECTIVENESS OF A COMMUNITY - BASED GROUP EDUCATION FOR TYPE 2 DIABETIC PATIENTS Lampung Vonok

C ONTENT Objective Background Methodology Sample size and sample calculation Data collection Data analysis Result Discussion Conclusion

O BJECTIVE OF THE STUDY To evaluate the effectiveness of a community-based group education for type 2 diabetic patients

B ACKGROUND (T HE NUMBER OF DIABETICS CASES : WORLD WIDE )

B ACKGROUND T HE DIABETES MORBIDITY RATE OF T HAILAND BETWEEN 2001 AND 2010 Source: Bureau of non-communicable disease, ministry of public health, Thailand

Source:

D IABETES CARE PROJECTS Diabetes Action Now program The National Standards for Diabetes Self- Management Education (DSME) Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND Screening program in Thailand

D IABETES EDUCATION PROGRAM Improved diabetes knowledge Self-care behaviour Dietary behaviour change Foot care Taking medicine Exercise Keeping appointment Improve foot care Improve a quality of life Reduce HbA1C level

M ETHODOLOGY Sample size based on t-test statistics = % lost follow up = 46 participants 68 DMt2 patients signed a consent form 61 of them were met a conclusion criteria 2 were found an exclusion criteria 59 patients took part in the program 1 st group 8-9 DMT2 48 participants took part until at the end of program 2 ND group 8-9 DMT2 3 RD group 8-9 DMT2 4 TH group 8-9 DMT2 5 TH group 8-9 DMT2 Before intervention Baseline measurement 1 st group education 1 month apart 2 nd group education 5 months after intervention 2 nd measurement

R ESULT : D EMOGRAPHIC DATA CharacteristicsNumber of patientsPercent All type 2 diabetes participants Gender Male Female Education level Primary School Diploma degree Bachelor degree Have an experience with diabetes education programme No Yes Be taking diabetes medications Yes No (diet control) 43 5 Average =1.6 yrs. Max=3 yrs SD=1.01 yrs. 1 yrs Age Average = 61 yrs. Max = 75 yrs. SD = 8.57 yrs. Min = 35 yrs. Diagnosed with Diabetes Mellitus Average = 7.94 yrs. Max = 28 yrs. SD = 5.93 yrs. Min = 1 yrs. Height Average = cms. Max = 167 cms SD = 5.93cms. Min = 150 cms.

R ESULTS : M EAN CHANGE OF HBA 1 C COMPARE WITH 1% REDUCTION Mean of HbA1c Mean Change95% CIP-value Pre-interventionPost-intervention – 0.48<0.001

D ISCUSSION Source:

D ISCUSSION ( CONTINUE ) The result illustrated in the same direction with the hospital based diabetes education The trustworthiness of one-group pre-post test design

C ONCLUSION The community based group education program significantly reduce HbA1c over than 1% The control group will be needed in the future study