Development of Promoting Self-Management Model among Uncontrolled Diabetic Patients

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ธัสมน นามวงษ์
รัชชนก กลิ่นชาติ
สุมาลี ราชนิยม
พนัชกร ค้าผล
นฤมล ทองภักดี


This participatory action research aimed to develop a self-management promoting model for uncontrolled diabetic patients. The purpose was to develop a self-management promoting model for preventing complications and developing the quality of life of diabetic patients with uncontrolled glycaemia. The 15 uncontrolled diabetic patients were recruited using purposive sampling. The research instruments used were a questionnaire of self-management behavior, a questionnaire of self-management performance, a questionnaire of stage of change and quality of life questionnaire. The Cronbach’s alpha coefficient ranged from .69 to .97. The research process consisted of three steps: preparation and process step which consisted of exploring baseline data; development of the model; testing the model and evaluating the effectiveness of the model. The data were analyzed using frequency, percentage, mean, standard deviation, and content analysis.

The research results revealed that the model was developed though the collaboration among the research team, nurses, and uncontrolled diabetic patients. The process of developing the model consisted of 1) evaluating the readiness for change and setting of the goals, 2) reviewing self-management goals, 3) promoting and providing data, 4) monitoring and home visits, 5) evaluating the problem, 6) creating the helping channel, 7) approaching the vulnerable group, and 8) supporting from family and community. The effectiveness of the model showed that uncontrolled diabetic patients had a significantly higher self-management behavior score, self-management performance score and quality of life score than those of the baseline, at a level of .05.

This study suggestes that the model should be applied to support in the patients with chronic illness to adjust their health behaviors. This model also suggests more frequent visit to promote glycaemia control and decrease the complications resulting from diabetes among patients.


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นามวงษ์ ธ, กลิ่นชาติ ร, ราชนิยม ส, ค้าผล พ, ทองภักดี น. Development of Promoting Self-Management Model among Uncontrolled Diabetic Patients. NJPH (วารสาร พ.ส.) [Internet]. 2019 Dec. 20 [cited 2022 Dec. 8];29(3):179-93. Available from:


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