Self-management behavior predictors among persons with chronic diseases in Tamaulipas

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R.C. León-Hernández
https://orcid.org/0000-0001-5780-4382
M.I. Peñarrieta-de Córdova
https://orcid.org/0000-0002-9293-4024
T. Gutiérrez-Gómez
https://orcid.org/0000-0001-5522-4237
O. Banda-González
https://orcid.org/0000-0003-3540-6716
F. Flores-Barrios
https://orcid.org/0000-0003-0340-3203
M.C. Rivera

Abstract

Introduction: Considering the priority regarding the attention of non transmissible diseases, the World Health Organization proposed the Chronic Care Model which, by encompassing self-management as one main element, is intended to address these diseases.


Objective: To identify predictor variables related to behavior on self-management among patients with Diabetes Mellitus, Hypertension, and Obesity.


Methods: The intentional and non probabilistic simple included 386 patients from the Health Secretariat in Tamaulipas, Mexico (Ciudad Victoria and Tampico). The study design was non experimental and transversal.


Results: About half (42.2%) of the participants with Chronic Non Transmissible diseases referred having depressive disorder ranging from mild to severe. Regarding the BMI, 33.2% showed overweight. Moreover, 36.8% perceived some degree of family dysfunction. A Multiple Linear Regression was calculated. The model indicated that there were seven predictors of the behavior on self-management (explained variance R 2 =.325); being self-efficacy the most important (β=38), and perceived social support the lowest in load (β=.10). Conclusions: These predictors represent important elements to consider when building on the knowledge and understanding the behavior related to self-management, an area which is highlighted in the Chronic Care Model of the World Health Organization, particularly within nursing.

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References

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