Factors Predicting Self-Management Among Older Persons with Benign Prostatic Hyperplasia
Keywords:
Factors predicting, Self-management, Older persons, Benign prostatic hyperplasiaAbstract
Benign prostatic hyperplasia (BPH) is a major problem of the urinary system. BPH affects the daily and social life of older males. Suitable self-management is a method for reducing the impact of this chronic disease. The objective of this study was to describe self-management skills and examine predicting factors of self-management in older persons with BPH. The predicting factors included knowledge on disease and self-management practices, self-efficacy regarding self-management, and social support. Participants were people aged 60 years and over who were diagnosed with BPH and attending the urological outpatient clinic at Lampang Hospital (n = 120). Data were collected through interviews using five instruments. These instruments consisted of demographic data record form, self-management behavior scale, knowledge on disease and self-management practices scale, self-efficacy regarding self-management scale, and social support scale. Data were analyzed using descriptive statistics and stepwise multiple regression analysis.
The results showed that:
- The overall self-management score of the participants was at a moderate level. Dimensions of self-management, role, and emotional management were at a high level. The other dimension of self-management, medical management, was at a moderate level.
- Only self-efficacy was a significant predictor for self-management and was able to explain 8% of variance in older persons with BPH (R2 = 0.08, F = 10.234, p < .01). Self-efficacy regarding self-management (β = .282, p < .01) was the most important predictor of self-management among older persons with BPH. Knowledge on disease and self-management practices as well as social support had no significant prediction for self-management.
The results of this study can be used as basic information for nurses and healthcare providers to develop self-management programs for older persons with BPH.
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