Factors Related to Self-management Behaviors among Persons with Cirrhosis


  • Supattra Ruangsawat Chiang Mai University, Chiang Mai, Thailand
  • Pratum Soivong Chiang Mai University, Chiang Mai, Thailand
  • Benjamas Suksatit Chiang Mai University, Chiang Mai, Thailand


self-management behavior, knowledge related to disease and treatment, anxiety, social support, person with cirrhosis


Persons with cirrhosis who achieve appropriate and maintained self-management behavior (SMB),
will decelerate complications of the disease, as well as decrease the severity and rate of readmission
to the hospital. This descriptive correlational study aimed to investigate SMB and the factors related
to SMB among persons with cirrhosis. Purposive sampling was applied to recruit 85 persons with
cirrhosis who received service from the outpatient department of the gastrointestinal clinic at a
university hospital. Research instruments consisted of; demographic data record form, the Selfmanagement
Behavior Questionnaire, which was modified from the Self-management Behaviour
Scale for Liver Cirrhosis developed by Wang and colleagues base on Lorig and Holman conceptual
framework, the Knowledge Related to Disease and Treatment Questionnaire developed by researcher
based on the literature review, State-Trait Anxiety Inventory Form Y (STAI form Y) developed by
Spielberger and colleagues, and Social Support Questionnaire (SSQ) developed by Shaefer and
colleagues. Their reliabilities were .73, .72, .96 and .86, respectively. This research project has been
approved by a suitably constituted Research Ethics Committee. Participants were voluntary
participation in this study. Self-administration method was used to collect data. Data were analyzed
using descriptive statistics and Spearman correlation coefficient.
The results revealed that the participants had an inadequate level of overall SMB (82.35%).
There was no association between knowledge related to disease and treatment and overall SMB.
Anxiety was weakly negatively associated with overall SMB (rs = -.26, p <.05), whereas social support
was weakly positively associated with overall SMB at a statistically significant level (rs = .28, p <.01) among
persons with cirrhosis.
The findings of this study shown that enhancing SMB by increasing their knowledge, decreasing
anxiety, and providing social support may not be adequate. Therefore, nurses and healthcare providers
should explore other factors related to SMB, so they are able to perform appropriate SMB.


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How to Cite

Ruangsawat S, Soivong P, Suksatit B. Factors Related to Self-management Behaviors among Persons with Cirrhosis. JHNR [Internet]. 2020 Nov. 28 [cited 2022 Dec. 4];36(3):123-34. Available from: https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/246882



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