ผลของโปรแกรมการเสริมสร้างพลังอำนาจต่อระดับน้ำตาลในเลือดชนิด HbA, C ของพระภิกษุที่เป็นเบาหวานชนิดที่ 2 / จงรัก รมย์นุกูล = The Effect of empowerment program on HbA1C level of monks with type 2 diabetes mellitus / Jongrak Romnukul
The purpose of this comparative experimental research was to examine the effect of empowerment program on HbA1C level of Buddhist monks with type 2 diabetes mellitus. The empowerment of power resource model (Miller, 2000) was applied as a theoretical framework using the empowerment process for diabetes education developed by Anderson et al (1991). The study sample were 40 Buddhist monks with type 2 diabetes mellitus who attended diabetic mellitus clinic, Priest hospital. A convenience sampling was used to recruit the subject. They were matched by age, length of illness, education level, and HbA1C level. The control group received usual care while the experiment group received the empowerment program. The intervention, developed by a researcher, consisted of 5 steps: 1) exploring problem issues in blood sugar control, 2) analyzing the problems in blood sugar control, 3) empowering to solve the problem, goals setting and developing guideline for blood sugar control, 4) empowering according to the power resources for blood sugar control, and 5) building confidence to maintain the power resources for blood sugar control. The intervention was reviewed for content validity by a panel of 5 experts. The power resources of empowerment were measured to monitor the intervention. Its content validity index was at .80, and Cronbach, s alpha coefficient was at .84. A test-retest was used to examine the stability of HbA1C level with a correlation coefficient (r) of .99. Data were analyzed using descriptive and t-test statistics. Major findings of this study were as follow: 1. HbA1C level of Buddhist monks with type 2 diabetes mellitus in the experimental group after receiving the empowerment program was significantly lower than before receiving the empowerment program (p<.05). 2. HbA1C level of Buddhist monks with type 2 diabetes mellitus in the experimental group after receiving the empowerment program was significantly lower than those of the control group (p<.05).