Linkage between Self-Management for Diseases and Medicines and Living Context of Diabetic and Hypertensive Patients
Main Article Content
Abstract
Objective: To understand chronic disease management process of patients with uncontrolled diabetes and hypertension under the reality within the context of study area from the patients’ perspectives and to find the connection between context and self-management on diseases and drugs. Method: This study was qualitative research by in-depth interviewing with 9 patients with uncontrolled diseases using semi-structured interviews. Results: Patients had different self-management practices depending on according factors involving in the individual's lifestyle. However, there was a connection with the 5 main factors including health conditions that affected ability on self-management among patients; attitudes toward chronic diseases, treatment and drug use; primary health care systems and the healing process for chronic disease patients; community conditions, well-being and occupation of people within the community, and readiness, relationship and economic status of the family. Conclusion: All factors related to the patients’ life affected self-management of health, both as supportive or restrictive factors for disease control.
Article Details
ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
References
Institution of Medical Research and Technology Assessment, Department of Medical Services. Literature Review: the current situation and care model of non-communicable diseases. Bangkok: Art Qualified; 2014
Thangkratok P. The role of the nurse in the chronic disease management. Songklanagarind Journal of Nursing. 2017; 37: 154-9.
Improving Chronic Illness Care. Self-management support [online]. 2017 [Aug 27, 2017]. Available from: ww.improvingchroniccare.org/index.php?p=Se lfManagement_Support&s=39.
Sanee A. Self management program in chronic diseases. Journal of The Royal Thai Army Nurses. 2014; 15: 129-34.
Wangji N. Effect of behavioral modification program on medical adherence and blood pressure for muslim elderly with uncontrolled hypertension. 34th the National Graduate Research Conference: Prince of Songkla University; 2015. p. 835-46.
Furler J, Walker C, Blackberry I, Dunning T, Sulaiman N, Dunbar J, et al. The emotional context of self-management in chronic illness: a qualitative study of the role of health professional support in the self-management of type 2 diabetes. BMC Health Serv Res 2008; 8: 214.
Dwarswaard J, Bakker EJ, Staa A, Boeije HR. Self‐management support from the perspective of patients with a chronic condition: a thematic synthesis of qualitative studies. Health Expect 2016; 19: 194-208.
Schulman‐Green D, Jaser S, Martin F, Alonzo A, Grey M, McCorkle R, et al. Processes of self‐management in chronic illness. J Nurs Scholarship 2012; 44: 136-44.
Junchai J, Therawiwat M, Imamee N. Diabetes education and self-management program of persons with type 2 diabetes, Prachuap Khiri Khan province. The Public Health Journal of Burapha University. 2012; 7: 69-83.
Peeraphruetthipong N, Pakdevong N, Namvongprom A. Effects of self-management program on know- ledge, self–care activities, and HbA1c in persons with type 2 diabetes mellitus. Journal of Nurses' Association of Thailand, North-Eastern Division. 2012; 30: 98-105.
Ngoenthae D, Arpanantikul M, Duangbubpha S. Self-Care experience of people with chronic obstructive pulmonary disease (COPD) exacerba- tion. Thai Journal of Nursing Council. 2017; 32: 47-63.
Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. JAMA 2002; 288: 2469-75.
Ryan P, Sawin KJ. The individual and family self-management theory: background and perspectives on context, process, and outcomes. Nurs Outlook 2009; 57: 217-25.e6.
Funnell MM. Peer-based behavioural strategies to improve chronic disease self-management and clinical outcomes: evidence, logistics, evaluation considerations and needs for future research. Fam Pract 2010; 27 Suppl 1: i17-22.
Gordon K, Smith F, Dhillon S. Effective chronic disease management: patients' perspectives on medication-related problems. Patient Educ Couns 2007; 65: 407-15.
Gascon JJ, Sanchez-Ortuno M, Llor B, Skidmore D, Saturno PJ. Why hypertensive patients do not comply with the treatment: results from a qualitative study. Fam Pract 2004; 21: 125-30.
Sawanpracharak Hospital. Annual performance sum mary. Nakhonsawan: Sawanpracharak Hospital; 2016.
Wat Sai Tai Community Health Center. Assessment report of primary care unit according to the standard criteria. Nakhonsawan: Wat Sai Tai Community Health Center; 2018.
Health Data Center. Information for service plan DM, HT [online]. 2017 [cited Nov 30, 2018]. Available from: hdcservice.moph.go.th/hdc/reports/page.php? cat_id=b2b59e64c4e6c92d4b1ec16a599d882b.
Ministry of Public Health. Information to respond
service plan DM HT [online]. 2017 [cited Nov 29, 2018]. Available from: hdcservice.moph.go.th/hdc/ reports/page.php?cat_id=b2b59e64c4e6c92d4b1ec16a599d882b.
Photisita C. Science and art of qualitative research. Bangkok: Amarin Printing&Publishing; 2001.
Haraldsson HV. Introduction to system thinking and causal loop diagrams. Lund: Department of Chemical Engineering, Lund University; 2004.
De Pinho H. Systems tools for complex health systems: A guide to creating causal loop diagrams [online]. 2015 [cited May 5, 2019]. Available from: www.who.int/alliance-hpsr/resources/publications/C LD_Course_Participant_Manual.pdf.
Chuengsatiansup K, Kata P. Primary care [online]. 2016 [cited Aug 30, 2017]. Available from: www.h focus .org/content/2016/01/11628.
Junchai J, Therawiwat M, Imamee N. Diabetes education and self-management program of persons with type 2 diabetes, Prachuap Khiri Khan province. The Public Health Journal of Burapha University. 2012; 7: 69-83.
Sujamnong S, Therawiwat M, Imamee N. Factors related to selfmanagement of hypertensive patients, Taladkwan district health promoting hospital, Nonthaburi province. Journal of Boromarajonani College of Nursing, Bangkok. 2013; 29: 21-30.
Chungsathiansap K, Sringernyuang l, Paonin W. Drug Use in the Community. Bangkok: Society and Health Institute; 2007.
Dixon EL. Community health nursing practice and the Roy Adaptation Model. Public Health Nurs 1999; 16: 290-300.