The person with type 2 diabetes and diabetic retinopathy in mild, moderate, and severe non-proliferative diabetic retinopathy stages. Diabetic Retinopathy, Self-Care Program, Type 2 Diabetes, Vision-related quality of life
Conditions
Interventions
The experimental group received the intervention, a self-care promoting program plus routine nursing care for 12 weeks, then measured the outcome one month later. The program consists of 5 steps, incl
s needs, barriers, and strengths
gaining knowledge and skill mastery training
goal setting development &
action plan formulation, self-care skills practicing and implementation
and Evaluating and monitoring performance. This program uses an online group discussion two times in weeks 4 and 8, with telephone follow-up combined with application happy DR.,Screening and assessmen
Experimental Behavioral,No Intervention Behavioral
A Self-care Promoting Program, Usual care
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
30 Years to 69 Years
Inclusion criteria
Inclusion criteria: 1. Have been diagnosed with type 2 DM with received diabetes treatment 2. Have been diagnosed with mild, moderate, or severe NPDR and attending the retinal center of Mettapracharak (Wat Rai Khing) Hospital 3. Age between 30 and 69 years 4. HbA1c is equal to or more than 7 %, at least within the past year before data collection 5. Able to use line application 6. able to speak, read, and write the Thai language 7. Agree to be in this study.
Exclusion criteria
Exclusion criteria: 1. Blood pressure level over 140/90 mmHg, total cholesterol (TC) equal to or more than 240 mg/dl, and low-density lipoprotein-cholesterol (LDL-C) equal to or more than 160 mg/dl within the past year before data collection 2. BMI equivalent or more than 30 kg/m2 3.Severe diabetes complications or other serious conditions that make them unable to complete the program due to advanced illnesses such as heart failure, receiving hemodialysis, or experiencing a diabetic crisis such as end-stage renal disease (ESRD). 4. Have diabetic macular edema (DME) and Proliferative Diabetic Retinopathy (PDR) 5. Mature cataracts.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Engagement in Self-care behaviors, HbA1c, VA, Sevirity of DR, and vision-related quality of life basedline, 8, 16 weeks 1.Self-Care of Diabetes Index questionaires (SCODI) 2. Impact of Visual Impairment questionaires (IVI) 3. Blood test for HbA1C 4. Patient's retinal images for grading severity of DR 5. VA Log Mar | — |
Secondary
| Measure | Time frame |
|---|---|
| N/A N/A N/A | — |
Countries
Thailand
Contacts
Public ContactWimol Madit
Mettapracharak Hospital
Outcome results
None listed