Self-Management Experiences of Patients with Type 2 Diabetes Mellitus Living in Rural Area

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Ausanee Wanchai
Pawadee Totharung
Yaowaluck Meebunmak


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.


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Wanchai A, Totharung P, Meebunmak Y. Self-Management Experiences of Patients with Type 2 Diabetes Mellitus Living in Rural Area . NJPH (วารสาร พ.ส.) [Internet]. 2020 Apr. 30 [cited 2023 Feb. 1];29(3):69-81. Available from:


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