Factors Influencing Self-Management among Thai Muslim Elderly with Type 2 Diabetes Mellitus in Community

Authors

  • Amanee Daemayu -
  • Nurdeenee Dereh
  • Supavadee Adisaisakda
  • Patcharawadee Tongnuang
  • Punyisa jarintanan

Keywords:

Influencing factors, Self-management, Thai muslim elderly, Type 2 diabetes mellitus

Abstract

The research aimed to scrutinize self-management and examine factors influencing self-management among Thai Muslim elderly with Type 2 Diabetes Mellitus in community. There were 120 participants involved in this study and the data were collected from December 2021 to March 2022. The instruments used in data collection were five interview forms. The first form was about personal information and illness, the second form was self-management among Thai Muslim elderly with Type 2 Diabetes Mellitus, the third form was about health’s information of Type 2 Diabetes Mellitus’ elderly, the fourth form was about self-efficacy interview’s questions, and the last form was the interview questions about social support. The data were analyzed using descriptive statistics and stepwise multiple regression.
The results revealed that:
1. The overall self-management score of the participants was at a high level. (Mean = 66.63, S.D. = 4.36). Similarly, the dimension of emotional management was found at a high level, but the other dimensions of treatment, role management, and coordination regarding an appointment with the doctor were at a moderate level.
2. The social support and health’s information of the elderly were a significant predictor for self-management and were shown to have 11.70 percent of variance (R2 = 0.117, F = 7.071, p < .01). The social support was the most important predictor of self-management among Thai Muslim elderly with Type 2 Diabetes Mellitus (B = -0.264 and B = 0.231, respectively). On the other hand, the awareness of self-efficacy was unable to predict self-management.
The results of this study can be used as the basic information for nurses and health personnel in order to develop and enhance self-management programs for Thai Muslim elderly with Type 2 Diabetes Mellitus were promoted by social support and health’s information of the elderly to obtain effective self-management in the future.

References

Angboonta, P., Pothiban, L., & Kosachunhanun, N. (2012). Effects of a self- management supporting program on self-management behaviors and hemoglobin A1C Level among elders with diabetes type 2. Nursing Journal, 39(3), 93-104.

Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Macmillan.

Bennich, B.B., Roder, M.E., Overgaard, D., Egerod, I., Munch, L., Knop, F.K., … Konradsen, H. (2017). Supportive and non-supportive interactions in families with a type 2 diabetes patient: an integrative review. Diabetology & Metabolic Syndrome, 9(1), 1-9.

Boonprasit, S., Somanusorn, S., & Sumnger, C. (2016). Actors related to self-management for controlling plasma glucose in uncontrolled diabetes elderly. Journal of Boromarajonani College of Nursing, Bangkok, 32(1), 44-56.

Burns, N., & Grove, S.K. (2009). The practice of nursing research conduct, critique, & utilization (5th ed.). Philadelphia: Elsevier.

Chananin, Y., Jullamate, P., & Piphatvanitcha, N. (2020). Active ageing among community dwelling older adults in Ubon Ratchathani province. Nursing Journal of the Ministry of Public Health, 30(2), 83-91.

Daemayu, A., Panuthai, S., & Juntasopeepum, P. (2020). Correlation between health literacy and self-management among older Thai Muslims with hypertension. Journal of Thailand Nursing and Midwifery Council, 35(3), 87-107.

Diabetes Association of Thailand. (2017). Clinical practice guideline for diabetes 2017. Retrieved from https://www.dmthai.org/attachments/article/443/guideline-diabetes-care-2017.pdf.

Galicia-Garcia, U., Benito-Vicente, A., Jebari, S., Larrea-Sebal, A., Siddiqi, H., Uribe, K. B., … Martin, C. (2020). Pathophysiology of type 2 diabetes mellitus. International Journal of Molecular Sciences, 21(17), 62-75.

House, J.S. (1981). Work stress and social support. Reading, Mass: Addison-Wesley.

International Diabetes Federation. (2019). IDF diabetes atlas (9th ed.). Retrieved from https:// www.diabetesatlas.org/upload/resources/material/20200302_133351_IDFATLAS9e-final-web.pdf

Jandeekaewsakul, P., Watthayu, N., & Suwannaroop, N. (2018). Factors predicting self- management behavior among patients with uncontrolled essential hypertension. Nursing Science Journal of Thailand, 36(1), 31-43.

Japakeeya, I. (2012). Patient's guide and management according to Islamic principles. Retrieved from: https://islamhouse.com/th/books/396403/.

Krutmuang, W., Panuthai, S., & Lasuka, D. (2005). Factor predicting health promoting behaviors among the elderly with hypertension. Retrieved from http://cmuir.cmu.ac.th/bitstream /6653943832/30325/2/nuger0947wk_abs.pdf.

Lillahkul, N., & Supanaku, P. (2018). Way of life of Muslim people in Thailand’s Southern Provinces, and health promoting lifestyle. The Southern College Network Journal of Nursing and Public Health, 5(2), 302-312.

Lorig, K.R., & Holman, H.R. (2003). Self-management education: history, definition, outcomes, and mechanisms. Annals of Behavioral Medicine, 26(1), 1-7.

Noppakraw, J., Chintanawat, R., & Khampolsiri, T. (2018). Health literacy and self- management in older persons with type 2 diabetes mellitus. Retrieved from: http://search.lib.cmu.ac.th /search/d/index.php.

Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259-267.

Osborne, J.W. (2000). Prediction in multiple regression. Practical Assessment, Research, and Evaluation, 7(1), 2-8.

Prajuab, A., Chintanawat, R., & Sucamvang, K. (2021). Factor predicting self-management among older persons with benign prostatic hyperplasia. Nursing Journal, 48(2), 146-157.

Phaitrakoon, J., & Chulakarn, N. (2016). Cultural understanding of health in Thai elderly Muslims. Princess of Naradhiwas University, 8(2), 142-152.

Phinyo, P., Phinyo, K., Mahem, K., Supapinij, C., & Paungtai, P. (2021). Development of Self- management Guidelines for Patients with Type 2 Diabetes in the Semi-urban, Semi-rural Community. Songklanagarind Journal of Nursing, 41(2), 100-114.

Plianbumrong, D. (2016). Health perceptions and health behaviors of pre-hypertension client. Journal of Nursing and Health Care, 34(1), 83-92.

Puti, S. (2018). Relationship between health beliefs and accessibility to health services for non- communicable diseases among the five southern border provinces, Thailand. Songklanagarind Journal of Nursing, 38(4), 114-127.

Raiyai, W. (2018). Self- management of thai muslim elderly with hypertension Panamanians Nuea Khlongsub district Nuea Khlong district Krabi province. Retrieved from: https:// www.western.ac.th/media/attachments/2019/01/11/4.-.-.pdf.

Samae, P., Komjakraphan, P., & Piriyakunthorn, S. (2016). Development of an oral medication self -management handbook for Elderly Muslim Patients with diabetes. Songklanagarind Journal of Nursing, 36(2), 171-180.

Sirikutjatuporn, K., Wirojratana, V., & Jitramontree, N. (2017). Factors predicting self – management behavior of elderly type 2 diabetes patients. Thai Journal of Nursing Council, 32(1), 81-93.

Song, K., Panuthai, S., & Nanasilp, P. (2018). Health literacy and Health promoting behaviors among Muslim older persons [Dissertation]. Chiangmai: Chiangmai University. (in Thai).

Sroisong, S., Rueankon, A., Apichantramethakul, K., Nunta, N., & Sukkaseam, J. (2017). Perceived self-care behavior among patients with type 2 diabetes mellitus with poor glycemic control. Journal of Phrapokklao Nursing College, 28(2), 93-103.

Sujamnong, S., Therawiwat. M., & Imamee, N., (2013). Factors related to self-management of hypertension patients, Taladkwan district health promoting hospital, Nonthaburi province. Journal of Health and Nursing Research, 29(2), 21-30.

Swannakit, S., Wanchai, A., Sangkhamkul, C., & Poonsub, A. (2020). Self-management behaviors of persons with Type 2 diabetes living in Urban Area. Boromarajonani College of Nursing, Uttaradit Journal, 13(1), 225-237.

Tongdee J, Rongmuang D, & Nakchatree C. (2013). Health Status and Quality of Life among the Elderly in the Southern Border Provinces of Thailand. Nursing Journal of the Ministry of Public Health, 22(3), 88-99.

Totong, K., Wongsangiem, N.T., & Wongsangiem, M. (2018). Problems and needs of Thai Muslim for health service based on Islamic ways. The Public Health Journal of Burapha University, 13(2), 102-116.

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), 54-64.

Wangi, N., Boonyasopun, U., & Srikeaw, M. (2015). Effect of behavioral modification program on medical adherence and blood pressure for Muslim elderly with uncontrolled hypertension [Dissertation]. Songkla: Songkla University. (in Thai).

Additional Files

Published

2022-09-13

How to Cite

Daemayu, A., Dereh, N., Adisaisakda, S., Tongnuang, P., & jarintanan, P. (2022). Factors Influencing Self-Management among Thai Muslim Elderly with Type 2 Diabetes Mellitus in Community. Princess of Naradhiwas University Journal, 14(3), 169–187. Retrieved from https://li01.tci-thaijo.org/index.php/pnujr/article/view/254335

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Section

บทความวิจัย