Factors Influencing Self-Management of Non-Communicable Disease Patients in the Community, Phetchaburi Province
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Abstract
This cross-sectional descriptive study aimed to examine the factors influencing self-management among patients with non-communicable diseases (NCDs) in communities of Phetchaburi Province. The sample consisted of 140 patients aged 35 years and older who were diagnosed with hypertension and/or diabetes mellitus. Participants were selected using a multistage sampling technique. Data were collected using a health literacy questionnaire and a self-management questionnaire for patients with chronic NCDs. The reliability of the instruments, as measured by Cronbach’s alpha coefficients, was .76 and .87, respectively. Data were analyzed using descriptive statistics, Pearson’s correlation coefficient, and stepwise multiple regression analysis.
The results revealed that the overall level of self-management among patients with NCDs was high (M = 3.61, SD = .48). Health literacy in terms of applying health information and services (Beta = .406, p < .01) and accessing health information and services (Beta = .216, p < .01) significantly predicted self-management among patients with NCDs. These variables together explained 32.8% of the variance in self-management (Adjusted R² = .328, p < .01).
Registered nurses should emphasize the development of interventions that promote self-management among patients with NCDs by enhancing health literacy skills, particularly in accessing and applying health information and services.
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