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Abstract

Tle purpose ofthis action research was to develop a health promotion model ofdiab€tes mellitus patients

by using the concept of the Four Noble Truths as folrows:-suffering, the origin of th€ suffe ng, cessation of thesuffering, and the pati of cessation of the suffering. Data collection methods w€re int€rvi€w, questiormaire. andhealth status assessment. samples were 36 diabetes q?e 2 patients. Data were anarysed by percentage, mean score,standard deviation and paired t-test.

The results ofthe study revealcd that the hcath promotion modei ofdiabetes patients includcd four steps.First, suffedng was to identify the health behavior problerns ofthe patients. second, the origin of suffering was todiscover the causes ofthe health behaviot problems. Third, the cessation ofsuff€ring was to detemi[e the purpose

ofexpectcd health behavior. Ard fourth, the path ofcessation ofthe suffering was to develop an appropriate healtheducation prograrn regarding health promoting behaviours for diabetic patients in the p mary care units. After usingthe new model it was found that the mean score ofknowledge and attitude about diabetcs, the health behaviours andHDL-cholesterol werc significantry higher than those ofbefore employing the model whereas the hemoglobin Arcand triglycerides werc significantly lower than those ofbefore the intenrention at u.05 lever.

Kelwotds : HealthPrcmotioq Dabetes Mellihs, The Four Noble Trutt*, primu'v Car.e Unit

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eprt.: I rrl5attrfi0ufirrqdu qn n:: rL rirr nil4t n tnto I frtJ ru,llvrruriouttav dltclrdrll :ttn:rL

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riour{ri rru }l: un.- ruq

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53

53

1

4

34.6r '1.61

44.28 5.12

2.33 0.35

2.82 0.29

2.96 0.22

3.28 0.15

runax 18.83

4.i

runarl 11.55

d.l

.001

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I

I 1.19

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riourdrr-'rul :trn:l'tud'.:rdrirlr'i r-ttn:lq

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0.64

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11:dr'r nr:vrulrrattavqrtntl'{ iJfi 4 o ufi t unt,uu - l !lou 2553

glt:t{ 3 r ialrfr0ufirrq6g Total Cholesterol. Triglycerides, HDl-Cholesterol llag LDl,-Cholesterol 10'1

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riour{ri:l}l:un: '1

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riourcirir l :trn.' q

r a'r t{rirul:1.- un:l q

185.86 39.39

190.36 32.96

t60.22 81.s2

t46.',15 12.6s

48.77 15.56

56.80 10.90

105.00 33.03

r 04.13 28.07

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3.90

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: httpJ/"www.thaihealth.netlarticle5g l.html.

Best. J. W. (1977). Research in Education (3'hed.).

Englewood Cliffs,New Jersey: Prentice-Hall

lnc.

Kamonmam, V (2000). A health promotion program

by applying the Buddhist doctrine in HIV

infected clients, Chiang Mai, Thailand.

Doctoral Dissslatioq Ph.D., Mahidol UniveNiry.

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