Factors Predicting Diabetes Self-management Behavior among Patients with Diabetes Mellitus Type 2

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Supaporn Phetarvut
Nantiya Watthayu
Nantawon Suwonnaroop


Purpose: To investigate factors predicting diabetes self-management of patients with diabetesmellitus type 2. The factors could be divided into personal factors (age, gender, and self-efficacy) andinterpersonal factors (family support and patient-provider communication).

Design: Descriptive research (cross – sectional study).

Methods: The study sample consisted of 88 patients with diabetes mellitus type 2 who werediagnosed by physicians and no other complications. The subjects who met the inclusion criteria wererecruited by simple random sampling. Data were analyzed using descriptive statistics and multipleregression analysis.

Main findings: The findings revealed that diabetes mellitus type 2 patients were mostly female(79.5%), their mean age was 56 years (SD = 11.9 years), and they have had diabetes mellitus type 2 for sixyears (67.1%). With regard to diabetes self-management, it was found that the scores of diabetes selfmanagementof the subjects were at a good level. Altogether, 34.4% (R2 = .344, F = 10.715, p < .001) ofthe variability in diabetes self-management was predicted by age, gender, self-efficacy, family support,and patient-provider communication. Only three of the predictors such as self-efficacy, patient-providercommunication, and age contributed significantly to prediction of diabetes self-management. Genderand family support could not predict diabetes self-management of patients with diabetes mellitus type 2.The findings showed that self-efficacy (ß = .509, p < .001) has more influence on diabetes self-management, follow by patient-provider communication (ß = .229, p < .05) and age (ß = - .206, p < .05).

Conclusion and recommendations: Based on the study findings, it is recommended that activitiesor programs to promote self-efficacy and patient-provider communication for patients with diabetesmellitus type 2 should be developed. Differences in their ages should be taken into account in order toensure appropriateness and effectiveness of the programs on enhancing diabetes self-management of thepatients.

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How to Cite
Phetarvut, S., Watthayu, N., & Suwonnaroop, N. (2012). Factors Predicting Diabetes Self-management Behavior among Patients with Diabetes Mellitus Type 2. Nursing Science Journal of Thailand, 29(4), 18–26. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/2840
Research Papers


Bureau of non communicable disease. Situation of non communicable disease 2007. [Cited 2009 June 6]. Available from www.thaincdinfo.com

Ministry of public health. Diabetes mellitus 2009. [Cited 2009 June 6]. Available from www.moph.go.th

Norris, S.L., Nichols, P.J., Casperson, C.J., Glasgow, R.E., Engelgev, M.M., Jack, L., Jr., et al.. Increasing diabetes self-management education in community settings: A systemic review. Am J Prev Med. 2001;22(45):39-66.

Catharine, H.J-B, Lewis, M.A., & Garg, S. Selfefficacy

impacts self-care and HbA1c in young adults with type 1 diabetes. Psychol Med. 2002;64:43-51.

Unden, A-L., Elofsson, S., Ander n, A.,Hillered, E.BA., Erikson, I.BA., & Brismar, K.Gender differences in self-rated health, quality of life, quality of care, and metabolic

control in patient with diabetes. Gender Med. 2008;5(2):162-80.

Wen, C.P., Cheng, T.Y.D., Tsai, S.P., Hsu, H.L., Chan, H.T., & Hsu, C.C. Exploring the relationship between diabetes and smoking: With the development of “glucose equivalent” concept for diabetes

management. Diabetes Res Clin Pract. 2006;73:70-6.

Wens, LK., Shepherd, & Parchman, ML. Family support diet and exercise among older Mexican Americans with type 2 diabetes. Diabetes Educ. 2005;30(6):980-93.

Parama S. Health beliefs and self care behaviors in diabetes mellitus patients at Lee hospital, Lamphun Province (Thesis). Chaingmai, Chaingmai University; 2002. 72 p. (in Thai).

McCollum, M., Hansen, L.B., Lu, L., & Sullivan, P.W. Gender differences in diabetes mellitus and effects on self-care activity. Gender Med. 2005;2(4):246-54.

Bandura, A. Self-efficacy: The exercise of control. NY: W.H. Freeman and company; 1997

Gallagher, R., Donoghue, J., Chenoweth, L.,& Stein-Parbury, J. Self-management in older patients with chronic illness. Int J Nurs Pract. 2008;14:373-82.

Coleman, M.T., & Newton, K.S. Supporting self-management in patients with chronic illness. Am Fam Physician. 2005;72:1503-10.

Piette, J.D., Schillinger, D., Potter, M.B., & Heisler, M. Dimension of patient-provider communication and diabetes self-care in an ethnically diverse population. J Intern Med. 2003;18:624-33.

Polit, D.F., & Beck, C.T. Nursing research (8th ed). Lippincott Williams & Wilkins: Philadelphia; 2008.

Stanford patient education research center. Self efficacy for diabetes 2004. [Cited 2009 May 26]. Available form: URL: http://patienteducation.stanford.edu

Glasgow, R.E., Strycker, L.A., & Toobert, D.J.

A social-ecology approach to assessing support for disease self-management: The chronic illness resources survey. J Behav Med. 2000;23(6):559-82.

Schillinger, D., Bindman, A., Wang, F.,Stewart, A., & Piette, J. Functional health literacy and the quality of physician-patient communication among diabetes patients. Patient Educ Couns 2004;52:315-23.

Toobert, D.J., Hampson, S.E., & Glasgow, R.E. The summary of diabetes self-care activities measure. Diabetes Care. 2000;23:943-50.

Chaipornsupaisan V., Akpalakorn V., Pramkamon A., Thanaman B., Chaikittiporn C. et al. Diabetes mellitus and its risk factors in the Thai population: The third national health examination survey 2004. Journal of Health Systems Research. 2007;1(3-4):299-312. (in Thai).

Matthews, S.M., & Peden, A.R., Rowles, G.D.

Patient-provider communication:Understanding diabetes management among adult females. Patient Educ Couns.


Srisawang K. Self care for diabetes control of persons with type2 diabetes mellitus attending at a hospital in the lower nortern region: A case study method (Thesis). Khonkaen, khonkaen University; 2006. 110 p. (in Thai).

Polzer, R.L. African Americans and diabetes: Spiritual role of the health care provider in self-management. Res Nurs Health. 2007;30:164-74.

Itrat P. Factors related to self care of elderly with diabetes mellitus at community hospital in Ubolrachathani province. Nursing Journal. 1998;21(3),22-31. (in Thai).

Skulpant, N. The relationship between social support, related factor and self care behavior of the diabetic patient (Thesis). Mahidol University; 1992. 150 p. (in Thai).

Gallant, M.P. The influence of social support on chronic illness self-management: A review and directions for research. Health Educ & Behav. 2003;30(2):170-95.