Factors influencing preventive behaviors among non-insulin dependent diabetes in people with high-risk diabetes mellitus
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Abstract
The purpose of this study was to investigate preventive behaviors among non-insulin dependent diabetes in people with high-risk diabetes mellitus and to examine the predictive power of personal factors such as sex, age, fasting blood sugar, body mass index, knowledge of diabetes mellitus and perceived of self-efficacy to prevent behaviors. This study utilized a purposive sample of 118 cases from Tambon health promoting hospital, Suphanburi Province. Data were collected through interviews. The instruments were a personal data form, the preventive behaviors questionnaire, knowledge of diabetes mellitus questionnaire and the perceived self-efficacy questionnaire. The instruments were examined using content validity index. The CVI of preventive behaviors questionnaire, knowledge of diabetes mellitus questionnaire and perceived self-efficacy questionnaire were ranged of between 0.91, 0.94 and 0.95 and the reliability of these instruments as 0.83, 0.81 and 0.95 respectively. Data were analyzed by using percentage, means, standard deviations, Pearson’s correlation moment and multiple regression analysis.
The results revealed that the mean of preventive behaviors among non-insulin dependent diabetes in people with high-risk diabetes mellitus samples was at a moderate level (Mean 2.92, SD 0.29). The factors such as sex, fasting blood sugar, knowledge of diabetes mellitus and perceived self-efficacy were positively related to preventive behaviors. Multiple regression analysis revealed that 35 percent of variance of preventive behaviors could be explained by sex, age, knowledge of diabetes mellitus and perceived self-efficacy (p< .001). The best factor significantly predicting preventive behavior was perceived self-efficacy (Beta .396; t 4.938; p<.01).
In conclusion, healthcare providers should encourage the non-insulin dependent diabetes in people with high-risk diabetes mellitus on increasing self-efficacy and knowledge in order change behaviors for preventing the disease. Moreover, the non-insulin dependent diabetes in people should control their body mass index.
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References
World Health Organization. Diabetes fact sheet. [Internet]. 2021 [cited 13 2021]. Available from https://www.who.int/news-room/fact-sheets/detail/diabetes.
Division of Non-Communicable disease. Situation Report of non-communicable disease Diabetes hypertension and relate factors in 2019. 1st ed. Bangkok: Graphic and design publishing house; 2020. Thai.
Diabetes Association of Thailand. Clinical Practice Guideline for diabetes 2017; 2017. Thai.
Masingboon K, Moungkum S, Mahakayanun. Factor Related to Diabetes Prevention Behavior of Persons with Pre-Diabetes: Nursing Journal of the Ministry of Public health. 2017; 27(2): 214-227.
Jongklang W, Patchasuwan NH. The Risk Factor of Type 2 Diabetes in Working Populations, Non-THAI District Nakhon-Rachasima Province: Research and Development Health System Journal. 2021;14(3): 71- 82.
Jangwang S, Pittayapinune T, Chutipattana. Factor Related to Self-Care Behavior for Prevention of Diabetes Mellitus and Hypertension among Population Groups at Risk: The Southern College Network journal of Nursing and Public Health. 2019; 3(1): 110-26. Thai.
Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 6th ed. Boston: Pearson; 2011.
Kaewsringam P, Nirattharadorn M, Wattana C. Factor Predicting Type II Diabetes Mellitus Preventive Behaviors among People at Risk for Diabetes: Journal of Nursing Science Chulalongkorn University. 2015; 27(2): 119-31. Thai.
Jaikhamwang N, Risk Behavior of Diabetes and Hypertension Risk Groups: A Case Study in ban Pak Ka Yang Sub-District Health Promoting Hospital, Sukhothai Province: Journal of Community Development and Life Quality. 2015; 3(2): 173-84. Thai.
Geiss LS, James C, Gregg EW, Albright A, Williamson DF, Cowie CC. Diabetes Risk Reduction Behaviors Among U.S. Adults with Prediabetes. Am J Prev Med. 2010; 38(4):403-9.
Langlarlertsakul M, Imamee N, Therawiwat M, Kengganpanich T. Factor Predicting Self-Care Behavior on Diet and Exercise of Diabetes Risk Group, Phuket Province, Thailand: Journal of Public Health. 2013; 43(1): 55–67. Thai.
Techasuwanna R, Chottanapund S, ChamroonsawaS.D.i K, Sornpaisarn B, Tunyasitthisundhorn P. Risk factors for type 2 diabetes mellitus in Thai population.2000;46(3): 268-79. Thai.
Bays HE, Chapman RH, Grandy S. The relationship of body mass index to diabetes mellitus, hypertension and dyslipidemia: comparison of data from two national surveys. Int Clin Pract. 2007;61(5):737-47.
Chaikoolvatana C, Jaimalai W, Sutti P. Factor Predicting Health Behavior in Group of Pre-Diabetes, Phayao Province: Journal of Nursing and Health Care. 2016; 34:115-22. Thai.
Chen MF, Wang RH, Hung SL. Predicting health-promoting self-care behaviors in people with pre-diabetes by applying Bandura social learning theory: Applied Nursing Research. 2015; 28: 299-304.
Suphunnakul P, Charonesrimaung S, Singhadej O, Songthap A, Junsukon E. Factors predicting preventive behaviors of type 2 pre-diabetes in Mueng District, Phitsanulok Provience, Thailand. Journal of Public health and Development.2018;16(3):56-66. Thai