Factors Influencing Obese Self-management Behaviors in Patients with Overweight at Outpatient Department in a University Hospital, Bangkok Metropolitan

Main Article Content

Chongjit Saneha
Pannipa Boontein
Wandee Tosuksri


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 (gif.latex?\bar{X} = 2.56, SD = 0.88), moderate health perception (gif.latex?\bar{X} = 48.20, SD = 6.33), good patient-provider communication (gif.latex?\bar{X} = 81.64, SD = 14.65), high self-efficacy (gif.latex?\bar{X} = 88.83, SD = 17.52), and moderate obese self-management behaviors (gif.latex?\bar{X} = 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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Saneha, C., Boontein, P., & Tosuksri, W. (2021). Factors Influencing Obese Self-management Behaviors in Patients with Overweight at Outpatient Department in a University Hospital, Bangkok Metropolitan. Nursing Science Journal of Thailand, 39(1), 77-91. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/244536
Research Papers
Author Biography

Chongjit Saneha, Faculty of Nursing, Mahidol University

Medical Nursing Department

Faculty of Nursing

Mahidol Univesity


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