Abstract
Diabetes and hypertension increase the chance of a person developing heart disease
or stroke, which is called metabolic syndrome. We found that many diabetes patients attending the out-patient department in Krathumban Hospital could not control their
blood sugar levels. This quasi-experimental design was aimed at comparing fasting blood
sugar levels and blood pressure levels between pre and post utilization of service for
competency promotion of self-care intervention at 3-month, 6-month and 9-month intervals.
The 288 samples were selected by purposive sampling. The research instruments
comprised research questionnaire, digital weight and hight scale, sphygmomanometer,
and the service pattern for competency promotion for self-care intervention. The problems
of the patients and the health-care team were assessed iointly. They were advised
about diet control and exercise practiced for 30 minutes. The service pattern for competency
promotion to self-care intervention was utilized every 3 months. All samples underwent
blood tests and blood pressure testing pre and post utilization of service for
competency promotion of self-care intervention at 3-month, 6-month and 9-month intervals.
The results showed that there were significant differences among the fasting blood
sugar levels and systolic blood pressure levels pre and post service (F = 7.18, P = 0.00) and
(F= 6.95, P = 0.00) by using repeated measure analysis of variance. Service pattern
for competency promotion for self-care intervention should be included in the care of
diabetes and hypertension disease in hospitals.
