Self-Management Behaviors of Persons with Type 2 Diabetes Living in Urban Area

Main Article Content

Supanat Swannakit
Ausanee Wanchai
Chanakan Sangkhamkul
Apichead Poonsub


          This phenomenological qualitative research aimed to describe self-management behaviors of persons with diabetes type 2 living in urban area. Participants were 30 persons with type 2 diabetes living in Phitsanulok Municipality. Data were collected by in-depth interview. The results of the study showed that participants perceived 2 major themes of self-management behaviors: 1) managing mind to not being stressed with diabetes, which included 2 subthemes: setting goal for long living and trusting health personnel and 2) changing self-management behaviors by following advices of health personnel, which included 5 subthemes: eating, exercising, taking medication to reduce blood sugar levels, foot careม and stress management. Therefore, based on this research, most persons with type 2 diabetes living in urban area had good self-management behaviors while some of them had not good self-management behaviors; the researchers suggested that health care providers may ask these persons to be role models in sharing about their management behaviors with other persons with type 2 diabetes so that all patients can manage themselves effectively.


Download data is not yet available.

Article Details

บทความวิจัย (Research articles)


Aekplakorn, W. (ed.). (2017). Thai national health examination survey, NHES V. Nonthaburi: Health Systems Research Institute. (in Thai).

Anekwe, T. D., & Rahkovsky, I. (2018). Self-management: a comprehensive approach to

management of chronic conditions. American Journal of Public Health, 108(Suppl 6), S430–S436.

Ar-yuwat, S., Sangkhamkul Ch.& Ratanaumpha, J. (2017). Perspective of self-management among diabetes mellitus patients in suburban area. Buddhachinaraj Medical Journal, 34(3), 382-389. (in Thai).

Booranarek, S., Thummaraksa, P., Kaewchuntra, K., & Khamwong, M. (2017). Health status and health service accessibility: Samsen Community. Journal of Boromarajonani College of Nursing, Bangkok, 33(2), 54-63. (in Thai).

Chawla, A., Chawla, R., & Jaggi, S. (2016). Microvascular and macrovascular complications in diabetes mellitus: Distinct or continuum. Indian Journal of Endocrinology and Metabolism, 20(4), 546–551.

Eddles-Hirsch, K. (2015). Phenomenology and educational research. International Journal of Advanced Research, 3(8), 251-260.

Haera, S. & Kitreerawutiwong, N. (2020). Improving health literacy in type 2 diabetes mellitus patients. Boromarajonani College of Nursing, Uttaradit Journal, 11(1), 39-51. (in Thai).

International Diabetes Federation. (2019). IDF diabetes atlas. 9th edition. Retrieved (2021, January 12) from

https://www.diabetesatlas. org/en/sections/worldwide-toll-of-diabetes.html

Mekthon, S. (N.D.). Primary care cluster. Retrieved (2021, January 12) from (in Thai).

Phitsanulok Provincial Public Health Office. (N.D.). Annual report 2019. Phitsanulok: Phitsanulok Provincial Public Health Office. (in Thai).

Phormpayak, D., Eimtab, R., Jujan,P,& Wattanakul.W. (2017) Self-management experience of diabetes patients living in highland areas: A case study in Wang Thong District, Phitsanulok Province. Thai Red Cross Nursing Journal, 10(1), 66-80. (in Thai).

Phormpayak, D., Megpornpaseach, B., Chaisa, P. (2013). Factors affecting behavior in non-Insulin dependent diabetes mellitus patients at Ban Klong Health Promoting Hospital, Phitsanulok. Proceedings in Phayao Research conference 17-18 January 2013. (in Thai).

Plodpluang, A. (2013). Data analysis in phenomenology. Nursing Journal of The Ministry of Public Health, 23(2), 1-10. (in Thai).

Praphutthikan, T. (2015). Community context under the semi-urban, semi-rural society. FEU Academic Review, 9(1), 7-15. (in Thai).

Sarbma, N. & Sakdiworapong, S. (2014). Lifestyle patterns of long-life elderly in Donkha Community, ThaTako District, NakhonSawan Province. Journal of Social Sciences & Humanities, 40(2), 108-120. (in Thai).

Siripitayakunkit, A. (2010). Social support: An important factor to care for persons with diabetes mellitus. Ramathibodi Nursing Journal, 16(2), 309-322. (in Thai).

Van Smoorenburg, A.N., Hertroijs, D.F.L., Dekkers, T. et al. (2019). Patients’ perspective on self-management: Type 2 diabetes in daily life. BMC Health Services Research, 19(605).

Wandao, Y., Chinnawong, T., Chalothorn, U., & Tipwong, A. (2018). The experience of self-management in patients with uncontrolled type 2 diabetes, Sadao Hospital, Sadao, Songkhla. Songklanagarind Journal of Nursing, 38(3), 52-64. (in Thai).

Wanchai, A., Totharung, P. & Meebunmak, Y. (2020). Self-management experiences of patients with type 2 diabetes mellitus living in rural area. Nursing Journal of the Ministry of Public Health, 30(1), 69-81. (in Thai).