Predicting factors of Self-management Among Persons with Chronic Back Pain
Keywords:
Self-management, Persons with Chronic Back Pain, Predicting factorsAbstract
Chronic back pain is an important health problem in adult and older adult which severely affect patient’s physical, emotional, economic, and also their quality of life. Therefore, self-management is very important among these people. This study aimed to determine predictive factors of social support, self-efficacy, and health literacy on self-management among persons with chronic back pain. Four hundred persons with chronic back pain were purposively selected from the orthopedic outpatient department, the university hospital in the northern part of Thailand. Data were collected by four assessment tools, which consisted of five parts: 1) demographic data form, 2) Self-Management Scale 3) Social Support scale 4) Self-Efficacy for Chronic Back Pain Management Scale and 5) Health literacy Scale. Reliability of Social Support Scale yielded Cronbach’s Alpha coefficient of .81, .92, .80, .80, respectively. Data were analyzed using descriptive statistics and logistic regression.
The results revealed that 62 percent of samples had a self-management scores at a high level (Mean= 72.72, SD = 9.90). The social support, heath literacy, age, male gender, and duration of chronic back pain can explain the self-management among persons with chronic back pain for 35.6% (p < .001). The results indicated that nurses can use these significant factors to enhance self-management. among persons with chronic back pain. Development of a program and media to improve health literacy based on these significant factors to improve self-management among persons with chronic back pain are suggested.
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