ปัจจัยที่มีความสัมพันธ์กับพฤติกรรมการดูแลสุขภาพตนเองและระดับของฮีโมโกลบินที่มีน้ำตาลเกาะ (HbA1c) ของผู้ป่วยโรคเบาหวาน อำเภอแม่ริม จังหวัดเชียงใหม่

บทคัดย่อ

[บทคัดย่อภาษาไทยไม่สมบูรณ์]The purposes of these studies were to analyze the factors related to the self-care behavior of diabetic patients and to the self-care behavior of diabetics with HbA1c levels by applying the theory of the health belief model. The samples were non-insulin dependent diabetics in Maerim district Chiang Mai, who are treated at Nakorn Ping Hospital Diabetes Clinic. 242 samples were selected by systematic sampling. Data were collected by interview and analyzed by using Descriptive statistics, Pearson’s correlation coefficient and Chi-square.

The results showed that the self-care behavior of patients was at a high level. Factors related to positive self-care behaviors were at .01 of significance level, including perceived risk of infection and complications, Perceived severity of diabetes, Perceived barriers to practice self-care behavior, Perceived benefits of its implementation in the prevention and treatment of the disease. On the other hand, factors of age, sex, marital status, family income, occupation, duration of illness did not relate with self-care behavior of diabetics. Self-care behavior of diabetic patients did not relate with the level of HbA1C. The results of this study suggested that health service centers should have a program for enhancing their knowledge, educating caregivers to take care of them correctly, and educated planning for them. Those will help the patient to improve their self-care behavior. Diet, exercise and medication or injections are necessary. However, the pathology of the disease contributes semi-permanent or permanent pancreas’s damage. Therefore, medication is a major factor for treatment. Physicians and nurses should focus on treating in accordance with the Diabetes Clinical Practice Guideline. It can reduce complications and help patients to control their blood sugar levels to normal or near-normal level.