TY - JOUR AU - Saneha, Chongjit AU - Boontein, Pannipa AU - Tosuksri, Wandee PY - 2021/01/12 Y2 - 2024/03/29 TI - Factors Influencing Obese Self-management Behaviors in Patients with Overweight at Outpatient Department in a University Hospital, Bangkok Metropolitan JF - Nursing Science Journal of Thailand JA - NURS SCI J THAIL VL - 39 IS - 1 SE - Research Papers DO - UR - https://he02.tci-thaijo.org/index.php/ns/article/view/244536 SP - 77-91 AB - <p><strong>Purpose:</strong> 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.</p><p><strong>Design:</strong> Correlational predictive study.</p><p><strong>Methods:</strong> 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.</p><p><strong>Main Findings:</strong> 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 (<img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}"> = 2.56, SD = 0.88), moderate health perception (<img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}"> = 48.20, SD = 6.33), good patient-provider communication (<img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}"> = 81.64, SD = 14.65), high self-efficacy (<img title="\bar{X}" src="https://latex.codecogs.com/gif.latex?\bar{X}"> = 88.83, SD = 17.52), and moderate obese self-management behaviors (<img title="\bar{X}" src="https://latex.codecogs.com/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 R<sup>2</sup> = .704, Stress (β = - .634 p &lt; .001). High school and vocational education (β = - .392, p &lt; .001), patient-provider communication (β = .353, p &lt; .001), Self-efficacy (β = .246, p &lt; .05), and no education and elementary school (β = .224, p &lt; .01) were the statistical significant predictors of obese self-management behaviors.</p><p><strong>Conclusion and recommendations:</strong> 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.</p> ER -