The development of nursing practice guideline for type 2 diabetes mellitus patients with uncontrolled blood sugar in community

การพัฒนาแนวปฏิบัติการพยาบาลผู้ป่วยโรคเบาหวานชนิดที่ 2 ที่ควบคุมน้ำตาลไม่ได้ในชุมชน

  • Cholthidawan Denchairat Public Health Center 21 Wat That Thong
  • Kanokporn Nateetanasombat
  • Taweesak Kasiphol
Keywords: Nursing practice guideline, Type 2 diabetes mellitus, Uncontrolled blood sugar

Abstract

This research aimed to develop and study the effect of nursing practice guideline for type 2 diabetes mellitus patients with uncontrolled blood sugar in the community. The evidence-based practice model of Soukup had been applied in this study. The results could divide into 2 phases. First phase was the development of nursing practice guideline include step 1 Evidence trigger phase, step 2 Evidence supported phase, step 3 Evidence observed phase and step 4 Evidence based phase, which twenty related articles had been used. The researcher analyzed all data in order to develop nursing practice guideline, which consisted of behavioral assessment due to diet control, exercise, stress assessment. For this nursing practice guideline, nurses provided memory book for type 2 diabetes mellitus patients with uncontrolled blood sugar in order to record all diet and calculate appropriated calories each day according their own weight. The records also included five nutrients, appropriated exercise at less thirty minutes per day and at less three days per week, stress management activities in each day.  Nurses continued calling every day for follow up activities and assess finger-stick blood sugar level at two weeks, four weeks, six weeks, and eight weeks. Second phase was the results of applying nursing practice guideline, which the sample were twenty type 2 diabetes mellitus patients with uncontrolled blood sugar. The results had been found that after applying nursing practice guideline, the score on controlling diet and exercise behavior were significantly higher at 05. Also, stress assessment was found that twenty type 2 diabetes mellitus patients with uncontrolled blood sugar were in low level of stress after applying nursing guideline.  After applying nursing practice guidelines, sixteen type 2 diabetes mellitus patients with uncontrolled blood sugar had finger-stick blood sugar level during fasting 8-10 hours less than 200 mg/dL

Published
2020-12-30