Journals Information
Universal Journal of Public Health Vol. 13(2), pp. 354 - 364
DOI: 10.13189/ujph.2025.130208
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Effects of the Holistic Self-Care Program on Diabetes among Diabetic Mellitus Patients in a Rural Area of Sakaeo Province, Thailand
Wanwisa Chaprasit 1,2, Phannathat Tanthanapanyakorn 1,*, Sirivimon Peekong 1, Nathnapa Nam-in 1, Sukanya Prasertnok 1, Orasa Bunmee 1, Nonlapan Khantikulanon 3, Sootthikarn Mungkhunthod 1, Chaninan Praserttai 3
1 Department of Public Health, Faculty of Public Health, Valaya Alongkorn Rajabhat University under the Royal Patronage, Thailand
2 Ban Thapthim Siam 05 Subdistrict Health Promoting Hospital, Thailand
3 Department of Environmental Health, Faculty of Public Health, Valaya Alongkorn Rajabhat University under the Royal Patronage, Thailand
ABSTRACT
Currently, the number of diabetes patients is increasing each year, and this may lead to complications if they do not engage in proper self-care behaviors. This research investigated the effects of a holistic self-care program on diabetes among patients with diabetes mellitus in a rural area of Sa Kaeo Province, Thailand. This research was a quasi-experimental study utilizing a two-group pretest-posttest design, which assessed outcomes before and after the intervention over three months. Participants were recruited from diabetes mellitus patients diagnosed by medical doctors and registered for treatment at the Khlong Kai Thuen Sub-district primary healthcare centers. These patients were over 35 years old and voluntarily participated in the program. The sample consisted of 70 participants, divided into intervention (n=35) and control (n=35) groups through simple random sampling based on participant identification numbers drawn by lottery. The control group received standard care and a self-care behavior booklet. In contrast, the intervention group engaged in a 12-week holistic self-care program, meeting bi-weekly for six sessions. Outcomes were measured using interview forms and blood glucose tests. The data were analyzed with descriptive statistics, paired t-tests, and independent t-tests. The findings indicated that after three months, the intervention group showed significantly reduced blood glucose levels and increased knowledge about diabetes and self-care behaviors compared to the control group (p < 0.001). Additionally, the intervention group demonstrated significantly reduced blood glucose levels and enhanced knowledge about diabetes and self-care behaviors compared to before the intervention (p < 0.001). The holistic self-care program has proven effective in lowering blood glucose levels for diabetes mellitus patients. Healthcare providers can incorporate this program to change the behavior of diabetes patients, working alongside local administrative organizations to mitigate potential complications from chronic diseases.
KEYWORDS
Holistic Self-Care, Diabetes, Blood Glucose Levels, Self-Care Behaviors, Rural Area
Cite This Paper in IEEE or APA Citation Styles
(a). IEEE Format:
[1] Wanwisa Chaprasit , Phannathat Tanthanapanyakorn , Sirivimon Peekong , Nathnapa Nam-in , Sukanya Prasertnok , Orasa Bunmee , Nonlapan Khantikulanon , Sootthikarn Mungkhunthod , Chaninan Praserttai , "Effects of the Holistic Self-Care Program on Diabetes among Diabetic Mellitus Patients in a Rural Area of Sakaeo Province, Thailand," Universal Journal of Public Health, Vol. 13, No. 2, pp. 354 - 364, 2025. DOI: 10.13189/ujph.2025.130208.
(b). APA Format:
Wanwisa Chaprasit , Phannathat Tanthanapanyakorn , Sirivimon Peekong , Nathnapa Nam-in , Sukanya Prasertnok , Orasa Bunmee , Nonlapan Khantikulanon , Sootthikarn Mungkhunthod , Chaninan Praserttai (2025). Effects of the Holistic Self-Care Program on Diabetes among Diabetic Mellitus Patients in a Rural Area of Sakaeo Province, Thailand. Universal Journal of Public Health, 13(2), 354 - 364. DOI: 10.13189/ujph.2025.130208.