Identifying self-care behaviour and its predictors among type 2 diabetes mellitus patients at a district of Northern Peninsular Malaysia
Introduction: The prevalence of diabetes mellitus among Malaysian aged ≥ 18 years increased from 11.6% (2006) to 17.5% (2015). Positive self–care behaviour leads to good glycaemic control. The objective of this study is to determine the self-care behaviour, its associated factors and predictors amon...
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| Format: | Article |
| Language: | English |
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Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
2018
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| Online Access: | http://psasir.upm.edu.my/id/eprint/64504/ http://psasir.upm.edu.my/id/eprint/64504/1/2018062611554003_MJMHS_Vol14_No2_25June2018.pdf |
| _version_ | 1848855020308529152 |
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| author | Kang, Chia Yee Md Said, Salmiah Abdul Manaf, Rosliza |
| author_facet | Kang, Chia Yee Md Said, Salmiah Abdul Manaf, Rosliza |
| author_sort | Kang, Chia Yee |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Introduction: The prevalence of diabetes mellitus among Malaysian aged ≥ 18 years increased from 11.6% (2006) to 17.5% (2015). Positive self–care behaviour leads to good glycaemic control. The objective of this study is to determine the self-care behaviour, its associated factors and predictors among type 2 diabetes mellitus (T2DM) patients in government health clinics at a district of Northern Peninsular Malaysia. Methodology: A cross-sectional study was conducted on 546 T2DM patients aged ≥ 18 years, recruited by simple random sampling method. A validated self-administered questionnaire including socio-demographic characteristics, diabetes profile, knowledge, Health Belief Model (HBM) and Summary of Diabetes Self-care Activity Scale (SDSCA) was used. Data were analysed using SPSS version 22.0. Self-care behaviour is the dependent variable. Results: The respondents practised 3.4 (SD = 1.11) days self-care behaviour past 1 week. The predictors of self-care behaviour were self-efficacy (standardized β= 0.257, p< 0.001), knowledge (standardized β= 0.112, p= .007), female (standardized β= 0.107, p= 0.010), combination oral hypoglycaemic agents (OHA) and insulin (standardized β= -0.182, p= 0.002), and monthly income < RM1,000 (standardized β= -0.129, p= 0.002). The entire group of variables significantly predicted self-care behaviour [F (6, 539) = 15.79, p< 0.001, adjusted R2 = 0.140] with total variance of 14.9%. Self-efficacy was the strongest predictor in self-care behaviour. Conclusion: The findings enable us to identify the specific groups with predicted lower self-care behaviour which are useful in future planning and implementation of intervention. |
| first_indexed | 2025-11-15T11:19:07Z |
| format | Article |
| id | upm-64504 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T11:19:07Z |
| publishDate | 2018 |
| publisher | Faculty of Medicine and Health Sciences, Universiti Putra Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-645042018-07-06T09:19:38Z http://psasir.upm.edu.my/id/eprint/64504/ Identifying self-care behaviour and its predictors among type 2 diabetes mellitus patients at a district of Northern Peninsular Malaysia Kang, Chia Yee Md Said, Salmiah Abdul Manaf, Rosliza Introduction: The prevalence of diabetes mellitus among Malaysian aged ≥ 18 years increased from 11.6% (2006) to 17.5% (2015). Positive self–care behaviour leads to good glycaemic control. The objective of this study is to determine the self-care behaviour, its associated factors and predictors among type 2 diabetes mellitus (T2DM) patients in government health clinics at a district of Northern Peninsular Malaysia. Methodology: A cross-sectional study was conducted on 546 T2DM patients aged ≥ 18 years, recruited by simple random sampling method. A validated self-administered questionnaire including socio-demographic characteristics, diabetes profile, knowledge, Health Belief Model (HBM) and Summary of Diabetes Self-care Activity Scale (SDSCA) was used. Data were analysed using SPSS version 22.0. Self-care behaviour is the dependent variable. Results: The respondents practised 3.4 (SD = 1.11) days self-care behaviour past 1 week. The predictors of self-care behaviour were self-efficacy (standardized β= 0.257, p< 0.001), knowledge (standardized β= 0.112, p= .007), female (standardized β= 0.107, p= 0.010), combination oral hypoglycaemic agents (OHA) and insulin (standardized β= -0.182, p= 0.002), and monthly income < RM1,000 (standardized β= -0.129, p= 0.002). The entire group of variables significantly predicted self-care behaviour [F (6, 539) = 15.79, p< 0.001, adjusted R2 = 0.140] with total variance of 14.9%. Self-efficacy was the strongest predictor in self-care behaviour. Conclusion: The findings enable us to identify the specific groups with predicted lower self-care behaviour which are useful in future planning and implementation of intervention. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2018 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/64504/1/2018062611554003_MJMHS_Vol14_No2_25June2018.pdf Kang, Chia Yee and Md Said, Salmiah and Abdul Manaf, Rosliza (2018) Identifying self-care behaviour and its predictors among type 2 diabetes mellitus patients at a district of Northern Peninsular Malaysia. Malaysian Journal of Medicine and Health Sciences, 14 (2). pp. 17-29. ISSN 1675-8544 http://www.medic.upm.edu.my/upload/dokumen/2018062611554003_MJMHS_Vol14_No2_25June2018.pdf |
| spellingShingle | Kang, Chia Yee Md Said, Salmiah Abdul Manaf, Rosliza Identifying self-care behaviour and its predictors among type 2 diabetes mellitus patients at a district of Northern Peninsular Malaysia |
| title | Identifying self-care behaviour and its predictors among type 2 diabetes mellitus patients at a district of Northern Peninsular Malaysia |
| title_full | Identifying self-care behaviour and its predictors among type 2 diabetes mellitus patients at a district of Northern Peninsular Malaysia |
| title_fullStr | Identifying self-care behaviour and its predictors among type 2 diabetes mellitus patients at a district of Northern Peninsular Malaysia |
| title_full_unstemmed | Identifying self-care behaviour and its predictors among type 2 diabetes mellitus patients at a district of Northern Peninsular Malaysia |
| title_short | Identifying self-care behaviour and its predictors among type 2 diabetes mellitus patients at a district of Northern Peninsular Malaysia |
| title_sort | identifying self-care behaviour and its predictors among type 2 diabetes mellitus patients at a district of northern peninsular malaysia |
| url | http://psasir.upm.edu.my/id/eprint/64504/ http://psasir.upm.edu.my/id/eprint/64504/ http://psasir.upm.edu.my/id/eprint/64504/1/2018062611554003_MJMHS_Vol14_No2_25June2018.pdf |