2012 ©
             Publication
Journal Publication
Title of Article Effectiveness of self-massage combined with a health education program using the self-efficacy theory in reducing peripheral neuropathy among diabetes mellitus patients 
Date of Acceptance 4 June 2023 
Journal
     Title of Journal Journal of Public Health and Development 
     Standard SCOPUS 
     Institute of Journal the ASEAN Institute for Health Development, Mahidol University, Thailand 
     ISBN/ISSN  
     Volume 23 
     Issue
     Month
     Year of Publication 2023 
     Page September -December 
     Abstract Diabetic peripheral neuropathy (DPN) is a common complication of diabetes mellitus. It often causes impairment of sensory nerves, which can negatively impact functional mobility and quality of life for patients. Self-massage along with health education is one potential method to reduce the impact of DPN. However, to date there are limited studies on such treatment programs. The present study investigated the effect of self-massage combined with a health education program using the self-efficacy theory in DPN patients, who were recruited from the major District hospital in Pratumrat District, and 8 other local hospitals in Roi Et Province, Thailand. This randomized control trial collected data during February to May, 2022. Seventy DPN patients were randomly assigned into two groups (intervention and control) which contained 35 participants each. The intervention group received 21 sessions of massage and health education (every other day for 6 weeks). The control group received only the normal program from the hospital. The participants were assessed for their peripheral neuropathy using Michigan Neuropathy Screening Instrument (MNSI) at baseline, after 2-week, 4-week, and 6-week. Generalized estimating equations were used to quantified the mean difference of scores of MNSI comparing between intervention and control groups for overall post measurement compared to baseline. The results showed that the mean of scores of MNSI for intervention and controls at baseline were 11.31 (SD = 1.36) and 11.24 (SD = 1.49), respectively. After receiving the intervention program for 6-week, the mean difference of scores of MNSI in intervention group reduced by 5.49 (95% CI: 5-5.98; p-value <0.001) compared to control group. This study reveals that combination of self-massage and health education program based on self-efficacy theory can reduce peripheral neuropathy in patients with DPN. This outcome could be useful for healthcare professionals in improving the health of DPN patients.  
     Keyword diabetes mellitus; diabetic peripheral neuropathy; self-massage; health education program; self-efficacy theory 
Author
627110004-5 Miss CHANIDA THAWEEWUNNAKIT [Main Author]
Public Health Doctoral Degree

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