Enhancing Self-Management Skills in Individuals with Diabetes in the Modern Era: The Proactive Role of Registered Nurses and Healthcare Teams
Main Article Content
Abstract
Type 2 diabetes mellitus is a chronic condition that affects individuals physically, mentally, and socially. The nature of the disease and its potential acute and chronic complications contribute significantly to premature mortality. Economic, social, lifestyle, and technological changes in the modern world, along with the global aging population, have led to a continual rise in diabetes prevalence and increased complexity in health care. Reduced physical activity, exposure to infectious or emerging diseases, changes in dietary habits, stress, and limited access to health services all influence blood glucose control in people with diabetes, adapting within this context both challenging and essential. Enhancing self-management skills is therefore a key strategy for maintaining blood glucose levels, reducing complications, and improving long-term quality of life. Such skill development must integrate knowledge and understanding, motivation, and the application of digital technology to support continuous health care. This academic article presents concepts of self-management, factors influencing the development of self-management skills, challenges to self-management in the modern world, and strategies for strengthening these skills. It emphasizes the proactive role of professional nurses and health care teams in health assessment, health promotion, counseling, follow-up, and the use of digital technology and health innovations to foster sustainable self-management, ultimately improving quality of life and enhancing the effectiveness of diabetes care in the modern context.
Downloads
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
References
Alsuliman, M. A., Alotaibi, S. A., Zhang, Q., & Durgampudi, P. K. (2021). A systematic review of factors associated with uncontrolled diabetes and meta-analysis of its prevalence in Saudi Arabia since 2006. Diabetes/Metabolism Research and Reviews, 37(3), e3395. https://doi.org/10.1002/dmrr.3395
Banday, M. Z., Sameer, A. S., & Nissar, S. (2020). Pathophysiology of diabetes: An overview. Avicenna Journal of Medicine, 10(4), 174–88. https://doi.org/10.4103/ajm.ajm_53_20
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioural change. Psychological Review, 84(2), 191–215. https://doi.org/10.1037//0033-295x.84.2.191
Bashi, N., Fatehi, F., Mosadeghi-Nik, M., Askari, M. S., & Karunanithi, M. (2020). Digital health interventions for chronic diseases: A scoping review of evaluation frameworks. BMJ Health & Care Informatics, 27(1), e100066. https://doi.org/10.1136/bmjhci-2019-100066
Creer, T. L. (2000). Self-management of chronic illness. In Handbook of self-regulation (pp. 601–29). Academic Press.
da Rocha, R. B., Silva, C. S., & Cardoso, V. S. (2020). Self-care in adults with type 2 diabetes mellitus: A systematic review. Current Diabetes Reviews, 16(6), 598–607. https://doi.org/10.2174/1573399815666190702161849
Darvishi, A., Hassani, L., Mohseni, S., & Shahabi, N. (2025). Predicting preventive self-care behaviours among type 2 diabetes based on the health belief model in Bandar Abbas city: A cross-sectional study. BMJ Open, 15(1), e091420. https://doi.org/10.1136/bmjopen-2024-091420
DeSalvo, K., Hughes, B., Bassett, M., Benjamin, G., Fraser, M., Galea, S., Garcia, N., & Howard, J. (2021). Public Health COVID-19 Impact Assessment: Lessons Learned and Compelling Needs. NAM Perspectives. Discussion Paper, National Academy of Medicine, Washington, DC. https://doi.org/10.31478/202104c
DeWalt, D. A., Davis, T. C., Wallace, A. S., Seligman, H. K., Bryant-Shilliday, B., Arnold, C. L., Freburger, J., & Schillinger, D. (2009). Goal setting in diabetes self-management: Taking the baby steps to success. Patient education and counseling, 77(2), 218–23. https://doi.org/10.1016/j.pec.2009.03.012
Diabetes Association of Thailand, Endocrine Society of Thailand, & Department of Medical Services. (2023). Clinical practice guideline for diabetes 2023 (1st ed.). Srimuang Printing.
Falco, G., Pirro, P. S., Castellano, E., Anfossi, M., Borretta, G., & Gianotti, L. (2015). The relationship between stress and diabetes mellitus. Journal of Neurology and Psychology, 3(1), 1–7. https://doi.org/10.13188/2332-3469.1000018
Freeman-Hildreth, Y., Aron, D., Cola, P. A., Boland Jr, R., & Wang, Y. (2024). Empowering diabetes management: The impact of patient-provider collaboration on type 2 diabetes outcomes through autonomy support and shared decision-making. Patient Education and Counseling, 127, 108348. https://doi.org/10.1016/j.pec.2024.108348
Huang, Y., Li, S., Lu, X., Chen, W., & Zhang, Y. (2024). The effect of self-management on patients with chronic diseases: A systematic review and meta-analysis. Healthcare, 12(21), 2151. https://doi.org/10.3390/healthcare12212151
International Diabetes Federation. (2025). IDF diabetes atlas (11th ed.). https://diabetesatlas.org/media/uploads/sites/3/2025/04/IDF_Atlas_11th_Edition_2025.pdf
Jiang, X., Jiang, H., & Li, M. (2024). The role of self-efficacy enhancement in improving self-management behavior for type 2 diabetes mellitus patients. Diabetes, Metabolic Syndrome and Obesity, 17, 3131–8. https://doi.org/10.2147/DMSO.S460864
Jawd, S. M., & Al-Fatlawi, H. Y. (2022). Types of diabetes and their effect on the immune system. Journal of Advanced Pharmaceutical Practice, 4(1), 21–30.
Li, Z., Jin, Y., Lu, C., Luo, R., Wang, J., & Liu, Y. (2021). Effects of patient decision aids in patients with type 2 diabetes mellitus: A systematic review and meta-analysis. International journal of nursing practice, 27(6), e12914. https://doi.org/10.1111/ijn.12914
Lorig, K. R., & Holman, H. R. (2003). Self-management education: History, definition, outcomes, and mechanisms. Annals of Behavioral Medicine, 26(1), 1–7. https://doi.org/10.1207/S15324796ABM2601_01
Lorig, K., Holman, H., Sobel, D., Laurent, D., González, V., & Minor, M. (2020). Living a healthy life with chronic conditions: Self-management skills for heart disease, arthritis, diabetes, depression, asthma, bronchitis, emphysema and other physical and mental health conditions (5th ed.). Bull Publishing Company.
Nikpour, S., Mehrdad, N., Sanjari, M., Aalaa, M., Heshmat, R., Mafinejad, M. K., Larijani, B., Nomali, M., & Ghezeljeh, T. N. (2022). Challenges of type 2 diabetes mellitus management from the perspective of patients: Conventional content analysis. Interactive Journal of Medical Research, 11(2), e41933. https://doi.org/10.2196/41933
Ohiagu, F. O., Chikezie, P. C., & Chikezie, C. M. (2021). Pathophysiology of diabetes mellitus complications: Metabolic events and control. Biomedical Research and Therapy, 8(3), 4243–57. https://doi.org/10.15419/bmrat.v8i3.663
Popkin, B. M., Barquera, S., Corvalan, C., Hofman, K. J., Monteiro, C., Ng, S. W., Swart, E. C., & Taillie, L., S. (2021). Towards unified and impactful policies to reduce ultra-processed food consumption and promote healthier eating. The Lancet Diabetes & Endocrinology, 9(7), 462–70. https://doi.org/10.1016/S2213-8587(21)00078-4
Prochaska, J. O., & Velicer, W. F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 12(1), 38–48. https://doi.org/10.4278/0890-1171-12.1.38
Rungnoei, N., Dechboonyachit, P., Kruttakart, S., Churairat, D., Phianthanyakam, N., & Sringam, W. (2024). Development of enhancing self-management model in the new normal among uncontrolled type 2 diabetes mellitus patients [Research Report]. Prachomklao College of Nursing Phetchaburi Province. (in Thai)
Rungnoei, N., Kruttakart, S., Klinhom, P., Phianthanyakam, N., Nokpaet, U., Sirikunwiwat, J., & Jaitham, B. (2025). Development of health literacy enhancement model with Smart ME-DE application among new type 2 diabetes mellitus patients [Research report]. Boromarajonani College of Nursing, Surat Thani, Faculty of Nursing, Praboromarajchanok Institute. (in Thai)
Suglo, J. N., & Evans, C. (2020). Factors influencing self-management in relation to type 2 diabetes in Africa: A qualitative systematic review. PLOS ONE, 15(10), e0240938. https://doi.org/10.1371/journal.pone.0240938
Tienthavorn, V. (2013). Surveillance, control and prevention system of DM and HT in Thailand: Policy to action. The Agricultural Co-operative Federation of Thailand. (in Thai)
Ubolwan, K., Sinthuchai, S., Namdej, N., Kittiboonthawal, P., Dejpitaksirikul, S., & Chuencham, J. (2022). Self-management behavior among older adults with type 2 diabetes mellitus and hypertension in primary care cluster Saraburi Province. BCNNON Health Science Research Journal, 16(2), 99–110. (in Thai)
World Health Organization. (2022). Health literacy development for the prevention and control of noncommunicable diseases: Volume 1. Overview. World Health Organization.
Zheng, C., Yin, J., Wu, L., Hu, Z., Zhang, Y., Cao, L., & Qu, Y. (2024). Association between depression and diabetes among American adults using NHANES data from 2005 to 2020. Scientific Reports, 14, 27735. https://doi.org/10.1038/s41598-024-78345-y