ผลของโปรแกรมการเรียนรู้แบบมีส่วนร่วมต่อการป้องกันแผลที่เท้าในผู้เป็นเบาหวานชนิดที่ 2 ที่ควบคุมไม่ได้ในชุมชน

Abstract

The prevalence of foot ulceration in diabetic patients is increasing. Therefore, proper self-care by diabetic patients can prevent of foot ulceration uncontrolled diabetic persons. This quasiexperimental study design in which samples are separated into two groups, before and after participation. They will participate in learning to investigate the learning outcomes on the prevention of foot ulceration in type-2 uncontrolled diabetic persons in community. Fifty-two type-2 uncontrolled diabetic patients in Saraphi District were recruited for study and 26 attend participatory learning, while the other 26 received traditional suggestions from public health officials. The tools used in the study included two types, which were: 1) experimental tools consisting of a research tool entailing a participatory learning program the prevent foot ulceration in type-2 uncontrolled diabetic patients in community, a prevention manual, and a foot care manual for diabetic patients according to preventive and therapeutic practices for those with foot complications, and 2) a data collection tool comprising questionnaires used for collecting general information about diabetic patients, knowledge evaluation of the prevention of foot ulceration in type-2 diabetic patients, and questionnaires concerning the prevention of foot ulceration in type-2 uncontrolled diabetic patients. Data analysis were done using descriptive and referential statistics, Chi-Squared Test, and the Wilcoxon Matched Pairs SignedRanks Test as well as the Mann – Whitney U test depending on the characteristics of data. The results of the study showed that: 1. The mean score for knowledge to prevent foot ulceration and the mean score for practice to prevent foot ulceration in type-2 uncontrolled diabetic patients were significantly higher after attending the participatory learning than before, p < .001 and p = .006 respectively. 2. The mean score for knowledge to prevent foot ulceration and the mean score for practice to prevent foot ulceration in type-2 uncontrolled diabetic patients following the intervention was significantly higher in the experimental group than in the control group, p < .001 and p = .005 respectively. The results show that the developed participatory learning program for the prevention of foot ulceration in type-2 uncontrolled diabetic patients in community makes participants more knowledgeable and gives them a better understanding of how to prevent foot ulceration.