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This qualitative research aimed to explore the self-management experiences of type 2 diabetes mellitus patients (T2DM) living in rural areas, compare the patients who could control their blood sugar levels and those who could not. Data were collected by in-depth interviews with 30 T2DM patients living in a rural area. The results of the study showed that two groups of T2DM patients had three different self-management experiences, namely 1) Life goals: T2DM patients who could control blood sugar levels had clear life goals for themselves and others, whereas the other group did not have a definite life goal; 2) Reliable resources: T2DM patients who could control blood sugar levels sought out information for their health management from reliable resources, whereas the other group sought out information from a few unreliable resources to manage themselves, and 3) Behavior modification: T2DM patients who could control blood sugar levels had self-disciplineregarding adjustment of behaviors to control blood sugar levels in terms of eating, exercising, taking medicationto control blood sugar levels, and foot care, while the other group had no strict self-discipline on the above issues. In terms of stress management, it was found that both groups of patients had similar stress management methods, including acceptance of problems, talking with others, and finding activities to relieve stress. The resultsof this study can be used to adjust the activities to be more appropriate for the problems of T2DM patients who can and cannot control their blood sugar levels.
บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
2. Thonghong A. Diabetes Mellitus. [internet] 2012; [cited 2019 August 15]. Available: http://www.boe.
moph.go.th/Annual/AESR2012/main/AESR55_Part1/file11/5955_Di abetes.pdf. (in Thai)
3. Thonhong A. Diabetes Mellitus. [internet] 2015; [cited 2019 August 15]. Available: http://www.boe.
moph.go.th/Annual/AESR2015/aesr2558/Part%201/11/diabetes.pdf. (in Thai)
4. Bureau of Non-Communicable Diseases, Department of Disease Control, The Ministry of Public Health Thailand. Annual Report 2558. Bangkok: The War Veterans Organization of Thailand; 2016. (in Thai)
5. Phitsanulok Provincial Public Health Office. Annual report 2017. [internet] 2019 [cited 2019 August 15]. Available: http://www.plkhealth.go.th/uploads/documents.pdf. (in Thai)
6. Institute of Medical Research and Technology Assessment, Department of Medical services, The Ministry of Public Health Thailand. Clinical complications in type 2 diabetic patients. Bangkok: The War Veterans Organization of Thailand; 2011. (in Thai)
7. Ryan P, Sawin K J. The individual and family self-management theory: background and perspectives on context, process, and outcomes. Nurs Outlook 2009;57(4),217–25.
8. Van de Velde D, De Zutter F, Satink T, Costa U, Janquart S, Senn D, De Vriendt P. Delineating the concept of self-anagement in chronic conditions: A concept analysis. BMJ Open [internet]. 2019 [citeed 2019 October 23] Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6661649/
9. 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.
10. Grady PA, Gough LL. Self-management: A comprehensive approach to management of chronic conditions. Am J Public Health 2014;104:25-31.
11. Sohal T, Sohal P, King-Shier KM, Khan NA. Barriers and facilitators for type-2 diabetes management in South Asians: A systematic review. PLoS One 2015;10(9): e0136202. doi: 10.1371/journal.pone. 0136202. eCollection 2015.
12. Srinath KM, Basavegowda M, Tharuni NS. Diabetic self-care practices in rural Mysuru, Southern Karnataka, India - A need for diabetes self-management educational (DSME) program. Diabetes Metab Syndr 2017;11 Suppl 1:S181-86. doi:10.1016/j.dsx.2016.12.029. Epub 2016 Dec 15.
13. Stalin P, Singh Z, Purty AJ, Sharma Y, Abraham SB. Study on prevalence and factors influencing patient’s adherence to anti-diabetic medications in urban Puducherry. Int J Diabetes Dev C 2015;35:128–31.
14. The Royal Institute Dictionary. Rural Area. [cited 2019 August 15]. Available: https://th.wikipedia. org/wiki/
15. Na Khum Tambon Health Promoting Hospital. Annual report 2018. Phitsanulok: Unpublished. (in Thai)
16. Eddles-Hirsch K. Phenomenology and educational research. Inter J Adv Res 2015;3:251-60. Nursing Journal of the Ministry of Public Health NJPH Vol. 30 No. 1 January – April 2020 ISSN 2673-0693
17. Mala W, Bouphan P. Self-care by patients with diabetes in the regional health promotion hospital Tambon Huai Mary, Non Muang sub-district, Nonsang district Nonbualum Phu province. J Office DPC 7 Khon Kaen 2017;24(1):71-9. (in Thai)
18. Pongsuma D, Wongsawat P. The related factors of fasting blood sugar control for diabetic patients at Bang Krual Hospital in Nonthaburi Province. Proceedings of the 2nd STOU Graduate Research Conference; 2012 September 4-5, Sukhothai Thammathirat Open University; Bangkok, Thailand; 2012; 1-12. (in Thai)
19. Phormpayak D, Eimtab R, Jujan P, Wattanakul W. Self-management experience of diabetes patients living in highland areas: A case study in Wang Thong District, Phitsanulok Province. Thai Red Cross Nurs J 2017;10(1):66-80. (in Thai)
20. Kanglee K. Factors associated with glycemic control among people with type 2 diabetes mellitus at Phramongkutklao Hospital, Bangkok. J Royal Thai Army Nurs 2014;15(3):256-68. (in Thai)
21. Choeisuwan V. Health literacy: Concept and application for nursing practice. Royal Thai Navy Med J 2017;44(3):183-97. (in Thai)
22. Junsukon A, Srijaroen W, Samruayruen K. Factors predicting self-care behaviors in type II diabetes mellitus patients in Amphoe Mueang, Phitsanulok Province. EAU Heritage J Sci Tech 2017;11(3):229-39. (in Thai)
23. Wanchai A, Muangthong S. Self-Management experiences of health volunteers diagnosed with diabetes mellitus. EAU Heritage J Sci Tech 2017;11(3):137-46. (in Thai)
24. Juntaveemueng V, Sungkachat B. Integrated self-care of diabetes patients: A case study in the southern Thai socio-cultural context. South College Net J Nurs Public Health 2014;1(3):15-35. (in Thai)
25. Chompusri M, Srisuphan W, Tripiboon D. Factors related to glycemic control behaviors among persons with diabetes mellitus at primary care unit, Sop Prap District, Lampang Province. Nurs J 2007;35(4):120-31. (in Thai)
26. Usay P, Muangsom N, Kowit P. Factors associated with glycemic control among type 2 diabetes mellitus patients attending Tambon Health Promotion Hospitals within The Banphai Hospital’s catchment area, Khon Kaen Province. KKU J Public Health Res 2012;5(3):11-20. (in Thai)
27. Sanmuangken O, Muktabhant B, Srila S, Uttamavatin P. Self-care behavior relating to nutrition among type 2 diabetic patients living in a village of Chiangyuen District, Mahasarakham Province. J Health Sci 2017;26(S2):227-36. (in Thai)
28. Buraphunt R, Muangsom N. Factors affecting uncontrolled type 2 diabetes mellitus of patients in Sangkhom Hospital, Udonthani Province. KKU J Public Health Res 2013;6(3):102-9. (in Thai)
29. Black S, Maitland C, Hilbers J, Dip G, Orinuela K. Diabetes literacy and informal social support: A qualitative study of patients at a diabetes centre. J Clin Nurs 2017;26(1-2):248-57.