Factors Predicting Self-Management Behavior among Diabetes Mellitus Patients with Hypertension
Keywords:
self-management behaviors, perceived self-efficacy, diabetes, hypertension, social supportsAbstract
This predictive correlational study aimed to investigate the factors influencing self-management behaviors in diabetic patients with hypertension. The sample consisted of 88 diabetic patients with hypertension receiving care at Samakkhi Urban Community Health Center, Muang District, Mahasarakham Province, Thailand. Research instruments included questionnaires for personal characteristics, self-efficacy perception, family support, healthcare personnel support, and self-management behaviors. The study was conducted between December 2022 and September 2023. Data were analyzed by descriptive statistics, Spearman's rank correlations, and multiple regression analysis using the enter method, with a statistical significance level of 0.05. Results showed that participants had moderate mean scores for self-management behaviors (M = 57.89 ±9.65). Fasting blood glucose levels had a negative influenced on self-management behaviors (Beta = -0.511, p < 0.05), while self-efficacy perception (Beta = 0.299, p < 0.05) and healthcare personnel support (Beta = 0.197, p < 0.05) had positive influences on self-management behaviors. These factors could predict 77.20% of the variance in self-management behaviors. These findings can be used to develop nursing programs to promote self-management behaviors in diabetic patients with hypertension, emphasizing the enhancement of self-efficacy perception and support from both family and healthcare personnel. Special attention should be given to patients with longer disease duration and higher blood glucose levels.
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