Chapter 1
1 introduction, background and significance of the problem!Diabetes, chronic non-communicable disease. The abnormality of insulin, which can act to reduce blood sugar. The blood glucose level has increased.May the acute symptoms, such as shock, loss of consciousness, also lower the risk of coronary heart disease to stroke. Kidney, eye diseases, and neurological diseases.Such as eating behavior inappropriate. Behavior of the lack of exercise. Alcohol drinking behavior, smoking, etc.The International Diabetes Federation (International diabetes Federation:IDF) have been reported in patients with diabetes mellitus 285 situation all over the world millions of people. And the expected number of diabetic patients around the world more than 435 million in 2009.2573 if no operation in prevention and control of the powerful (reported in the strategy and policy of the Ministry of public health)
the 2555 who registered as new cases of diabetes patients, 336265 list, the unemployment rate 523.24 per 1 00000 population and patients with the accumulated the 2551-2555, the 1 799 977 cases, prevalence rate, 2 800.80 per 1 00000 population. Number of new patients were male, 116 715 list, the unemployment rate 369.18 per 1 00000 population and females, 219550 list, the unemployment rate 672.41 ratio of male to female was 1: 1.9 unemployment rate changes with age. The unemployment rate increased as the age, the age 60 years old patients were 173 467 maximum, cases, the unemployment rate is 2, the 128.04 per 1 00000 population, followed by age group 50-59 years, average, 97 040 list, the unemployment rate is 1 207.35 per age group, ประชากรแสน people 40-49 years. There are a number 49 221 cases, the unemployment rate is 463.44 per 1 00000 population age group 15-39 years, there were 15501 list, the unemployment rate is 61.61 per 1 00000 population and age group was lower than 15 years, there were 1 019 cases, rate of patients thought to be 8.29 per 1 00000 population. Diabetic patients were admitted to the hospital for health promoting 59 percent.38 back down community hospital (24.94 Hospital General Hospital of 9.94 and other 5.74%% (surveillance report of chronic non-communicable diseases The 2555: Bureau of epidemiology, CDC, Ministry of public health)
.In diabetic patients, the patients, Maha Sarakham, 1 295.25 per 1 00000 population, the number of 12 207 cases, is the province with highest morbidity rate in the country after the 1 3 of Phichit rate, sick 1 317.28 per 1 00000 population. There were, 7239 cases and Prachin Buri, unemployment rate 1 306.10 per 1 00000 population number, 6 161 patients (report on chronic disease surveillance on the 2555:Bureau of epidemiology, CDC, Ministry of public health), and reports from the chronic disease in out patient department, Maha Sarakham during 1 October 2557 - 30 may 2558 found. The number of diabetic patients, 9949 list, which is the new patients were 1 452, cases and getting treatment, there were 1963 cases (Maha Sarakham hospital database). From the summary of diabetes mellitus health promoting hospital non PHEK District Office, it was found that there were all 178 diabetes cases.Years 2557 were 5 patients and diabetes patients and new year 2558 were 2)
.So the health care based on medical health with its Thai traditional and alternative medicine. Based on the principle of balancing the elements in the body consists of 4 elements, most of which are various organs damage due to the age สมดุลอาจ season time.8 reasons. To lose balance element, if not its concession to modify its can you solve it will bring disease. So in the healthy healthy it is necessary to take 8 behavior reasons or 8 a.To practice regularly. Service target this plan plan in healthy Thai has its objective to ปรับเปลี่ยนพฤติกรรม with healthy medical principles and its traditional Thai medical strategy choice. The average life expectancy 80 years.Behavior and treatment may use massage, steam compress or drug and food balance using behavior modification principle to the clinic 8 a.To guide the medical services plan with its Thai medical and its choice. According to the plan for its purpose, its health Thai Thai Thai traditional medicine and its medical service. ทางเลือกอย่าง happy
.In this study, we have used a health promotion program 8 a.With Thai traditional medicine. To have a health behavior change of diabetic patients. By applying the theory of self-efficacy and motivation.And expectations in the results of implementation of health promotion program 8 a.With the medicine which is consistent with the study of happy mercy Nara insists (2552) on the application of protection motivation theory and social supportFound that patients with health care behavior of self. Knowledge about diabetes. Perceived severity and complications of diabetes. Perceived opportunity risk of diabetes.The ability to have diabetes prevention increased scores than the first การทดลองและ comparison group. And in accordance with the education of happiness with พิมพ์ภาค (2555).The blood pressure of the patients with essential hypertension health promoting hospital โนนประทา, Nong, Kut chum District, yasothon province. It was found that the experimental group had significantly better perceived self-efficacyAnd more than the comparison group do not.
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