Main Article Content
Purpose: To study the predictive power of personal factors, stress level, health perception, patient-provider communication, and self-efficacy on obese self-management behaviors in patients with overweight at outpatient department in a university hospital.
Design: Correlational predictive study.
Methods: A total of 105 patients with overweight came to visit the physician at the outpatient department of a university hospital in Bangkok, Thailand were recruited in the study. The research instruments include questionnaires of demographic form, stress level, health perception, patient-provider communication, self-efficacy, and obese self-management behaviors. Data were analyzed by using descriptive statistics, Spearman Rho correlation, Pearson’s product moment correlation, and multiple regressions.
Main Findings: The findings showed that the participants mean age was 56.19 years (SD = 16.48). Majority was female (53.3%). Overall the participants had moderate stress level ( = 2.56, SD = 0.88), moderate health perception ( = 48.20, SD = 6.33), good patient-provider communication ( = 81.64, SD = 14.65), high self-efficacy ( = 88.83, SD = 17.52), and moderate obese self-management behaviors ( = 83.87, SD = 7.35), In multiple regression analysis, all variables jointly accounted for 70.4% of the variance in obese self-management behaviors (Adjusted R2 = .704, Stress (β = - .634 p < .001). High school and vocational education (β = - .392, p < .001), patient-provider communication (β = .353, p < .001), Self-efficacy (β = .246, p < .05), and no education and elementary school (β = .224, p < .01) were the statistical significant predictors of obese self-management behaviors.
Conclusion and recommendations: Nurses should develop nursing interventions for reducing stress, improving patient-provider communication, and increasing self-efficacy in order to promote obese self-management behaviors of patients with overweight at the outpatient department especially in high school and vocational education group.
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