ผลของโปรแกรมการเสริมสร้างพลังอำนาจต่อระดับน้ำตาลในเลือดชนิด HbA,C ของวัยรุ่นที่เป็นโรคเบาหวานชนิดที่ 1 / วรรณภรณ์ ทองมา = The Effect of empowerment program on HbA,C level of adolescents with type I diabetes mellitus / Wannaphon Thongmar
The purpose of this comparative experimental research was to examine the effect of empowerment program on HbA1C level of adolescents with type I diabetes mellitus. The empowerment of power resource model (Miller, 1992) was applied as a theoretical framework using the process for diabetes education developed by Anderson et al (2002). The study sample were 40 adolescents aged between 18-22 years who attended diabetic millitus clinic, Surathani hospital. A Convenience sampling was used to recruit the subjects. They were matched by age, sex and HbA1C level. The control group received usual care while the experimental group received the empowerment program. The intervention, developed by a research, consisted of 5 steps: 1) exploring problem issues in blood sugar control, 2) analyzing the problem in blood sugar control, 3) empowering to solve the problem, goal setting and developing guideline for blood sugar control, 4. empowering according to the power resources to blood sugar control, and 5) building confidence to maintain the power resource to control blood sugar. The intervention was reviewed for content validity by 5 experts. The power resources of empowerment were measured to monitor the intervention. Its content validity was at .82, and Cronbach's alpha coefficient was at .82. A test-retest was used to examine the reliability of HbA1C level, r = .99. Data were analyzed using descriptive and t-test statistics. Major findings of this study were as follow: 1. HbA1 C level of adolescents with type I diabetes in the experimental group after receiving the empowerment program was signification (X_ = 9.62, S.D = 1.14) lower than before receiving the empowerment program (X_ = 9.24, S.D = 1.13) (p<.05) 2. HbA1 C level of adolescents with type I diabetes in the experimental group after receiving the empowerment program was significantly (X_ = 9.24, S.D = 1.13) lower than those of the control group (X_ = 10.04, S.D = 1.2) (p<.05)
