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RELATIONSHIPS BETI{EEN SELECTED BASIC CONDITIONING FACTOR,S

AND PER,CETVED SELF-CARE EFFICACY IN NON . INSUTIN

DEPENDENT DTABETTC PATIENTS

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Thesis Title

Nane

Degree

Thesis

Date of

Relationships between Selected BasicConditioning Factors and perceived

Self-Care Efficacy in Non-fnsulinDependent Diabetic patients

Ratanaporn Sir.iwatchaiporn

Master of Science (Nursing)

Supervisory Connittee

Valla Tantayotai, B.Sc. , M.S. (Nursing)

Sunontha Serirat , M.D.

Clraduation ZZ February B.E. ZB}T ( 1994)

ABSTRACT

Self-eff icacy is the inportant d,eterninant of d.iabetesself-care behavior. This descriptive research was within a

theoretical franework of Bandura's self-Efficacy theory andorents self-care theory. The purposes of this research were(1) to describe the data of perceived self-care efficacy and.

perceived, quality of diabetes care (2, to exanine thebivariate relationships between the perceived, self-careefficacy and the basic conditioning factors of sex,education; duration of disease and perceived quality ofd'iabetes care (g) to test the instrunents which neasureperceived self-care efficacy and perceived quality ofdiabetes care.

Copyright by Mahidol University

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The purposive sanple consisted of zoo non-insulindependent diabetic patients receiving nedical care at anout-patient diabetic clinic of Rajavithi Hospital.Perceived self-care efficacy and perceived quality ofdiabet'es care rr'as neasured by the scales d,eveloped by vallaTantayot ia.

Results of the study showed that subjects reported ahigh nean score on perceived self-care efficacy and highnean score on perceived quality of diabetes care. The

seleeted basic conditioning factors of education, perceivedgual ity of diabetes care had significantly positivecorrelation with pereeived self-care efficaey (r = o.zg ,P < 0.Oo1 ; r = O.15, p < O.oS) n whereas sex had,

significantly negative correlation wiLh perceived, self-careefficacy (r = -0.1s' p ( o.osn with male as o, fenale as 1).The relationship between duration of disease and perceivedself-care efficacy was observed only in the aspect ofinterpersonal relationship and, use of resources. rn thissanple, the cronbachts alpha for the Diabetes self-careEfficacy scale was O.99 and, for the Diabetes Care eualityscale rrras o. B4 indicat,ing Lhe high level of internalcons istency.

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o<lilnu'luasfl?ailnqr'0

a :r r r fiurrua" n :rrdrf,rus.lu

t 1r''rr?1u r fiuf:n r *aisfiul'tfiriae"[u:J:s, r ild"[yrs arnnr:dr::ail:cdrn:"hdildurfiarn:r rilrrrrun:ilu.d. zszl zsz6 uuirin:rn?,lildnaarJ:n rrirfi:riaaav 3.8 (sathit vannasaeng 198631g4) fi:l:snu"tnad:u"ln{ r iur:n r r rn a rudiohifir 6u4iu d'.: ilnur"[ud:r a rs 40

'- se iluasrill'rfl"lurranQrrrnnirruddrgtoii"r-, leurn 2526 : xi" - xii)ilgn rdrfiga a.: fi:J:s r nai rfifianr:iJ:nun:n?ou d's or r nqrd:lnio , duo u.o.n

n\6{:c6:Jdror a'[u r daod..: aqi r fiu r ra rlrurir"[fr r fion:rilfio:Jnfia a{nCIao r fiao r ftut.I

rj:cdrn nnaoeu?crrn:rrfirurrruT:nadrssiardar auinr:rdarnfirfizaraia:voirsl l du "[qinrr aanrfinr: r fiuuarafio r' f,u^n...,rr1BErn r fiufiu(Pickup 1991 e 519 ; Rifkin & porte 1990, gs6l

l ilrnr radr fiq:J:v n r:nfi..r s a.r n'lreruainrr fir]:eT:n r !,.rr ?.111 fio- ? 6 d 6ra

I {

n"r?o:!nr:sfi:rrlrorn"h r fiaq'lfi"lnfi r des:Jnfirr nfi4oradflaao r ?a 1 ( cahi I IL976 : 1O04 i Siperstein L9TT : 1060)

.l !.fl ''r tYtQv lJ: ? a I I "rT il''t g

- Z- ___q { v} ?^l_--:- 4 r 1 {fl 1:n ?ilnrl:solJu']el ''t o tu r aae tq ar:lesa r r ilufias qruanu r as adrl I ra{ uo-r- d r q d

s suasfla tu0it log rill.t'rc [urialaanfll?n?rnila1T..tt nr:aanrir6tnrg nr:ilil:cntusrriadoiu4iuadrt Iril1safil uuno",nfifisfiar r?suiuo"rliurr1d:ru

,9 o

n1:fluaeur a.l'[ur iarnrl ct ad r dla ( rgnatavicius 1991: 1584; drisl6 _<l qs v I s?::0lud\1, Lu?::01 rngruuytuavnilv, l::rutdn1r2533 : g) arnnr:finnr

r:rirfi:l:sdur1'n{fi.:ouonll r ao1:i r fierra ufiusr"[u r ia.:dio:rldrfiqd.3 ncir:fr rr fiu firJ:a,iru:urrrn"ti"tfiaand rdr n rsad r.,: oir r ora iilrl:cnrua,lx 1?T21u 5rt:J:sYtruarnr:arir rBers'r r a.r r fiufiu rir"lfia:lnr:"6rfirErro"[u.t9-a

<f \,f rr\,f ,.1 .AS__... 4 S,_3 - v ^ ,r aafl [o uJFt uncil [:nuntn7augrrs "1 r dozu ( ct2{nxo tn:aud:ri ZSZT z

7?t 6tnv idncuriu n^"oudu n, zs3o: 185, Z53Lz fl

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Page 15: mulinet11.li.mahidol.ac.thmulinet11.li.mahidol.ac.th/e-thesis/scan/9745877921.pdf · 2 flr?ouoeru r a{ z a{ firJ:eT:n r il,.rr ?,ru d:u"[n{, fiu , *uo ? a{ fl,1::J5r rutdar :Jdaur.rqdn??ilBasu!uu,arilnr?eir

2

flr?ouoeru r a{ z a{ firJ:eT:n r il,.rr ?,ru d:u"[n{, fiu , *uo ? a{ fl,1:rutda

:J5r r :Jdaur.rqdn??ilBasu!uu,arilnr?eir r iufliEr"lfraaonfias fiilnr:su a.,r I:n fl,1:^r:r-..-ti-.-.s3 r -o-e dg .6^.---- - 4 d o \,re:J:lJr:j0s[tr29tll?sQ1?il"?utaaill r:ht?a'll.'tll I riludsn:cnr16grn uase 4 e q9 3 o

e

a''t tljuqa{ t/n?'1il9t.3 lauosn?'ml,lEt"tEt"tild{il.'tfl (Arnstrong 19g7: 55g)----re:-.._,i_. s ,t 6^_.4_-C3,, o d a s s an''f ::lTll t ilasiluflFlfl::tl? a{ aJil2El t ilu t Ca.:ililyflau r ieei orfirilaienrs"[uuasRrsuan rdu n?"ru; fiaund il:sdrnr:nt rlfrfi'rfiuf:srd,.r.:xnnarax;..rir.4-.y-. ? t d ; 4 .l - -r

It:Jueu unn:rl5 t iat l:nas t ilud.rdrfiq usiornnrrfinurfiairuil.til:Jd,.r n1:fi

l. i- -S- dv \4 r , 4 .u I o vi, | , I rqvq 9e vn ?.m: | ? a{ tf n o8{ !ild'I il "t :n t :hr dfl rl: y fr u'[6 d r fr :J :gac iliidfl u16nfl n a{ ros,u

s v9o d . s d qi

n?lailJra r:J'rr?ru'L6dr r ta r olatj (Bloongard,en tgar : 268 ,Boonthip Siritarungsri 1986 ? Zg4 ; iaar fiun]sfie ZsZs: BS)

n ?1il; r €asT:n i{ a'1o"t:j"[dflaisfifiaraf oen:r eiar.rqBn::la ai firJae '[u:" Er"s , .._ ---1. ,r ?n''r er ail'r1fi fi n r :fi nrr fl aisvr r s 6 ruiqfi s r u d'o r da :fr as fi :rrqdn::il? a{ iln n a

rdu nr:ilidl:Tnusza{qlra{ (self-efficacy) a,.tfln1:finrru:.rdrvrt4awe(s{ao

n't ?:x?dili?nilsa o{ 9t1l I an in ?1ildrilil1iuacdrilr:nad:J,'tflT-afr1ur snr:9'

.-rd---...-t, r . o d !

r rjdauu:lasxq6nsril{a n ru-[u r ias nr:.,r odrrni fl15n arnlfirnfin n,.r:n il.ts9.i9

rir rio fl'r?lodld:ruasn''r:aanrir6.:nra1fi (strecher, et al. 1986 :Tg 91 ) drniln rrouoelll r asftuuud'l r'r,li;xidr::nurz a{ nu r o.r l{n:rrtl q1

e v J __- dl 9l sdillrrf uavdrrr:nad:J''r sr- a?i-ru'rErfl'r ?olranu r a\r fl as il:leeT:n r rl..rr:rllfi(crabtree tgBT z gz A., nr:il!al::nilsu a{aura{ rfiufi:rdar:"ndr.rn: rrifirnr:n:srir n'l?qunnil r as r u:lvnr:5ridr:?nrsa o{ n,.r:qIaeu r a.J ilu

q'dotflonaun?'lltl.tEt''t8.uJfiasn:sfrrfl''t:gtuogttrtoit (Moore lggo = 22-231 firlaafiin r:51!dr::nuc a a{ nil r ar {r trur asin ?1il1,18.rs-rr"[un r:ouaflil r a{ d{ rtos.9t-sg

guae'ruras"tfid adrsl:fiorrnr:finurfisnr:iridr:rnu"lunr:ounnura.lg-$g

---si. d d -, q r,r f _.___- d 4 I s stc a v 3 r,q-uacfl1r?a8n I ns?? a{ !ug.t:l?s L:n r urlaruils r ilunu-lrreHsildrfio 6siluilitae D o .-?.t f _.sl v ,. 5ra{na{fl"ttftfl}r']?''tatil?Et !:n r lrr?''tuiln'l:5l5dl::nuv'Lunr:ouanu r a{il,.tfl!a--. { q ---.g-. q v t r q - &uas l ilss [o na aoaudfl tl e ?''r :.Jff xfi uf, :cn d r s iloi:lillti lnu t it rJ:E n r :'tfi u ri

rnd n'l?anu1 :sss r ?41fl'r? r fiuTrn nr:irifirn$R,rlrfl.1:rinr:drniilfirj:ei|9.ut :J ''rr ?1uuo"nr:5uf dl::nuv"[ufl'l5gruanil r a{ , du t' fiuuo:nrs "[un r:d:e r n da9J$

uocdr l air'[fifi:Jaef :n I u.'rr ?rild,.rxlinouoeru l ao1fid#u

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fl?ailnqtiifif"nr::te

nr:i6an*oi, fiun.rfinprnr:irtdr::nushnr:ouaflu I a{? a{ firl:ElJ:n r il1r ?''ru ir lfiilnnrrrufirrrli r fis:frar lfiud r l nr riridl::ouva an nu

6ldgr ar lunqudrasruuqt:'r z, fl1:fluaCIr r ar"lunqrfinr:uur:rrnaasTa r:rB ) l.aefiu1'',u"[uni"fin..'r"u,.'u,.,^z arf a r:n

b'qtn1T:lt?6[x??nuc r a{ otr r as -[unqr+fl

a at uluo: r

rrq ui n tr r 5 r i dr:: a us ? a { nu r a s fiau 1il ..r a 1 n il qrfi n r: r i sr ir r r fir n laa.Juullor''t nLlugtyt(Bandura L|TT a.: SB S9) lfirAuajrluudinr:r iauf arn rnE n",:nluac:J:c6funr:n1fiairul-.r fl-.r? r iauiarnr'oq,n,.,roiui.o "r , f,u9ti$i

-t--.2^.---ri"r a a ,rJ:c d:Jn r:iliiaran alnruqdn:?ila as ruud r ar nei r:daasfinr:"[i:J:sdrnr:rilt 6llrnlons ru r de:fildn tnnnr:nindsfiara r fioorilrr iaarir"lfi r ion:rr"r6fer.iqru-[a-[unr:ilavn:cfrrntafioiu"[alrin:cfirEral:]"[uar]Re riaaraneir:irrJ:vdrnr:nl'luodniaonanr:u:Jan?'rilnil"rBa ai ds r ir"hrilfi n,.r5 r rjfieuu:Ja.ruqfin::la ar rn n ain:rlKrfiuf fiun a r l r dailu'luor::nilv a a.J elu r on &rtilcr:1(Bandura 1977 a. : 791 nairadrn?''rrJtdafiu'ltoli?nusuavn?-.ul,,liulullaaiufin:rruqnEir.rfiuda 1) n?,.nr r doiu"ltail:?nuv (Ef f icacyexpectat ions I n rl r EJfis n ? 1r r daiudrqudrl r:nav n:vriruqor'n: :r,fiu "1 lfidr r 5a z, n ?']:J , duiu"[uaaiud ( outcone expectat ions ) Trf .rEo{ n1:o"toffs tujrnr:n:vf ruqdnttufiu 1 avrir"t:JqiarofiuffiErtfia.rn.'r: n?1il,d'utu'[udl : :nuc uas n ? r il r dailul,uara6r,rf in : r lfi uiud;,n r : n: cf rrqfr n::rfisudors r f,u:1116firfi

unno > uqfin::l

I

na'1u, dul,lluor::'us

> zunfiudII

n ?.m , du*u"[uoodud

?ilfi 1 : udo{ n :rrunnEirs :sn jr.r n ?"rlr r dafiu"llor?:nusuasn ?..ur r daill,uaraiuf, (Band,ura LyTT a. zT9)

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rnnaasfl:vriruqfin::1"[o "r n6atif,ua:rfilnerlnrori..rdr r$an:"frr^--!-,*:ibvdr,'uqnn:?rur 1 as'lo-xaloiou6a..rnr:nta'tl racfla,mtdafiudrouio:rl

---d- ..-9--.-:'-- 3 lo-s--4 { y' d ., r .{d']rt1?ora?Qsfl :sn"tilqen?:ntlu [od1 r iania'[ri n?,lu r dailudrnriidl::nusos r fiufi :rit f,"[filnnain rrilrdarsril uann:"daiaiudaun:vrirrqdnr:lfiu

"r"tfidr r Solrnf,u uavfirrnna"tfi5:rara6rdnrilfinroni.rlioc r, fiuuro r air"Lfii

d.!on ?'llt r dailu"hdilr:€lusu a.J clu r a.J uas?ir"lfr r fron arldln6:fiaear u da:J:volfi:r

__{._r,_..q .t tr q q a , q d o qtgtrFlfl1?tltttrlltflil uCIntllffaotogatJtanuqgtn::il9t2tid1trqt-toflgtllavnr-lfr9tr-t

n ?'nJ r d'afi u"hail: ? nils fl a { nil, u o d ", a o u a v fi s n r in a r rr : r or tuEi a r n Ern r rnlfifias r ar?g (Bandura tgTT a. 3 TB 80 )

o&0t{tu

ag''tn il"rfl

(Bandura t977 b,: 195 ZOg)

f . il:sdrn:ildr lfofi:anurao (perfornance acconplishnents)dr r fil:Jr"drnr:nln:.r i.r fiarasran ?1il r dafiu"[un:rrdrrr:n? a{ eru r a.: r iu

--- 4 J q - {& *rbe uR ?1 lt I trAilU ludil:?t]Us? A.t ljn noriuil6 1ua''tfl fl 1 : toilr ailna'Ifl 4 7t,'titq-'u

z. nr:"[fi r 6u6:u:rrnia rfiu:Jrcd:rnr:nlz a.rfidu

exper ience I I fiu:J:c dlnr:n1n r o i arfirir'lfifianfiaenrldr fi6ufrr"tfinufidr an

ir16firf;s "[aunvrsrs r rg. nr:'t65:rd'adr:ffnas"[a (verbal persuation) r fiunr:i:rg

r o''rdrrusrlrfind:u nia'lfii:rrirdudrarnfi dul''' l f,ufr ala r daiar:u,rn ?.'rl!u !u

d''r il-r?n? a{ oil r ar rir"[fiin ?''r u r dad rnuier?1rrd1x''r:nfia"fir"[fidr r {a"tfi n.'r 5b v ,,. o<&o qqe r < .t o 9

fl Tc cufl 't ri l: dl::nus a a{ nu r a{ idriiler-[diul r n usiac f ao r fr e.J -h:c

ev fiu1duayraJaflan'l:d.t r ddxn?.m t danu [o lrilrnln

4. nr:nr"fiurirlrlol?ilni (Enotional arousal) rnnaasiritit

-'- d, ! {-. ; - - tr ,r eq e?''t I ila I R:Etquac9u t flua'1fl61n']ilnt?dn,l,J "l t du idnir ?auas du t iEt:u:,t6f^.-----.-l--3- -9---.ye yrd v r, <r q urlrdn1?v tg'uuQsn''t.t']u Loala lil9i Tlflrnnaitj5:r0urin2,lxaflnfr{?dShtas?10

.d^*-.q^. -t v q, q .. { t

on?''11[ doltu liln ?lild'tlt''t?nr a{ ou r a{ uasrnacdodu-landn l dar nr:n:vir-.-:- __ P .q _S_.i _.s_-!.- -__ cJ ,t ea. "i1.lqnn::iluu r: arafl I a8{ fl 1 ? I 0ldqRildn'liln"t :01u1 nr:un -[z

n ?1il5dflT aron ius u 9S -u - 69ainnils 2a a 1 aufr lolrn'l : dfi xauu"lfi fi u r a sfi :rdn'run. t,ffiu . il r nfrufi a"fi as,l

( Vicar ious

Copyright by Mahidol University

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5

n''r?6i{ t d?ruacn:"fiu r ir"tfi'[6it,fr uo^fi0 4 id r firilaisfiiiyriua"lfi9!3aeqq<tvbtu!nnflrctJ?iln''t:n-ogtndu-[a ilnr:il5or?:ntrcaa{ntrrald..:iu n21ilnrflnisd - ---q o .-3--- 4 d . aI fl I ?fl rA ? 1rd1ri 1?n Lunr:n:svr ruqdn::lnds 1 fl a{ rtnn aasiR :rrugtnctrr fru

fruadfirnr:il:s r iun:cr:unr:n:c?i,., do ara:J:c r iu1fi B iA da 1) nr:iri$v.^rrds:s6rn?'rilEr''rni''rEr (Magnitude) fla.luqfin::il z, n:rlfiul,ol,urj:cornr:ni

q d d o 6re4o _-t3g3a_-__ d e- e 5r 6n ? 1 rd -l t ?a7r6t'] il'l ? nu,|rt'l [z ltln r :rlf, idian: : liln 6 r a 1 fi u'llEr r..r 6f n 1un.] ?rr( General ity ) g ) :s 6rn arl r dafiudruruirir6.: n:rldrrr:nuafiov r|frfifis ? gr' Ifon::ln1 16 (strength) (Bandura Lgrr b. z Lg4l rfalnaai:sriu

9I d - 11-__-." { q ,{t fd ,,?''tetltlldurtnus6t{ rnerl! r fra:frluqdn:rlliadnrunr:rifroufiat r clag Ias.,^:----.-?-..4-,.-.-'^.=-.*-=l- - o y,r o duelflf]rrrilu l,ltEj''tn I niln''ta{n?"rild.til"t:n3 a{ntoc{r'[:Jalnr:n:cfir rilanr:

,drq^tl:Jderuu:Ja.JuqAnr:x n?1rl.t8.'rEr,.u.tuosn,.r?n{ilqAn::rfiu . 't: ( Bandura1977 b.z zt]-)

c<lsn'r?ouaflu r a{ lilnqr1fl.l:ua,lil-lar a\r la r:l

n1:ouaflu r a{rrlsfi.r n1iilAfifi'lufian::lfi1on oi r druac n:"frr r dad u vtrr4 <rs Ifrtvinurliil{?ifl dznriluasoiadnrr,rz a\:eru n,l?ouanr r os r f,unr:n:sfrrd 6l .l

". "

'-'-ei--- ;---"

nQ.t lsuacrirnrnlrs (Deliberate action) un" rfian:s?ira:ir._:iil:sinBnrrdocid:udra"lfiJn r..: airs nr:f uflrdua"fiorurfl 1?fl ai ue,iacrnnao e 9 rvDo d

q

or r ilu1:J16ds dodl {o t dliEr ru I aiqna zs36 z zz zg,9, I I eq

sLa.r:l ( Oren 1985 : 1OB 109 I nair:jrnr:ouanuraot,f,u-.-a^ --- d s { r,qq ,..{ ._{o^- ^_.^? ^-- | ! .l

t,, duqnn::xyt I nonlnnl? r iEru-i-tddlidnfr:il16{usi r io rnna r ieui r fie:frrn-r:

ouaoil | a{ il1alno.-lu, du qilifiauov idn r:d r r iufl ioa al n{lnu"lufi.r nlil rrtetjqIiloiad:u1nna I ila:fi :rar g :cacfiaur fl 'l:uocar :s drn ru r fiudsfi fi araEiaa ar I a el.tta

? a{ innrriln''r :ouoeut' uo ntuo o afi uo" drr r:nrlfr ifi 1fi uuno.., niuEiac rn n arcs 3 --.t-" -"

i6nurun r aurnr iaiuuuu arun,r?noxduas sianr:n:sfiu fisnreluuasnlEranfi..--J o "i --...---!. , &{- ! a a

""unnCI1\rnu 3\tR?lljunnfl'ritrnairlirarnoanr:fiodr'louasnr:n:sfirnr:euonllrait-raeqdc^fl1:ll?s r ilu9rodu r {afl1?nrsfitnr:ouoCIu r a{ a an !nn oociol?ru..rfi.r R ?-rl

,,er.J.sd afl fl o a { r as in n il: c d.t n n c a a o ri s I lt I tt ? a.J fl 1 ? n?s ri r u a c aafi a s'tfi ir 6 :e931

Copyright by Mahidol University

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6

---. d . , do a:lnnanuanlr r a{ tltanaildila{9tan'1Tgtttanu r a..:idr r ilu ( self - caretgal

requisites ) nl:ouanu t a.ldd1 r f,u ir r fiu r ilrnl'rE? a{fl1inrsri..tn..r:fluag-g

4 d" 4 ' 4ailta{ 3{n1:fluanilra{7ta'trrlnuri..:aanrilil 3 il:srnl (oren 1985: g5_

99 ; dlin ruta;ryna zsg6z zr Bo) fra

t. nl:eraqrrarfidrrfiulosfi:l:Jt

(Universal self carerequ is ites I r fiunr?gua r danr:d.,: r diiluacinrrlidl dznrrduns aiadnrr.r9.1

u a{!ano n'l?ouanur ar rnairfidr rf,udrnil!nnarnnufln:s ueifiatiliil"lfiistte

r n il r c d:Jfi :t:c scfioru''r n 1 ? fi an::rn r?qIanr r as fi dr r {uToefi r"tlfi ar fig

1. 1 nrlid.: alnrr{ fi.., uavalr,r? fi rfie..rila

L - z n r "[id.r n r :fr uri r euou n'l :is r'r Erfl as r de'lfi r fiu"lrjfl r il:Jnfi1. g Tnurn ? "t ildiloa:cn irs nr:fi fi an::riluasfl ,.trfin aiau

L - 4 Snprn ?1ildxoa?vn jrr nr :"lfi r :nr r fiud:ufi :fi :rnr :irJfrfilfiudt rrdnuatau

1,s nr:iarfiuiuEr:rseirr "r eiafliCI nrrrirnirfi uacdldfinrr1.6 dsrdirnr:rirnflrfiuacfigxurnr:"tfifirdodsdn nrE'[fi:sru

fitniluacn:rrdrrr:naa.Jgrtrta{ tp"oro'tion of nornalcy)z. fl'lrnuoslu r a.:fi6r r fiu",.,ur"ssfiorurnr: (Developmental

self-car" ""noi"ites l, f,uu rrlfi ar n1?n,l:ouanu r asfiinr: r rjdeuu:Jar

nril:vesfiflulfl1:aas.flior rdu nr."n,',rf;ourrrl"n,.,rraiqrfiulsrrfirdissrr{"1nianr:orunou r uo, dun.r:J5rfi :"[fi aaonfi a.r fi rdnrunr:ri r dr nr:{E idurifl:or'niar.raud n''r:ouoq* uodd-.,, f,u"-.,Lr"flsfiorurnr: u:i.,: r {u z :l:" lnr

z - L n r :fi oru r u a "

n s "[ id.,: R'r ?s n ?'r r r fi uadd de a dfl rduun : v il ?un r :za.:?isruovnr:fiorurnr:dd:a"lfi1nnaraiqrfi..,d:fii,.,:""[uieei]r "l da f;susi--tq a ,

Ion-[un::riua{r']ro'l :gndrsnlrffaan luieu:nrfio isnr:n Ter6n ie,iuiafi"[n{ uncied:r

z. z nl?quantr u ao r fiaflor fiu l:: r nr uasufilzrdaeianrrfiaurnr:rasdinarnnr:snrr I rdu

o",.rdu-ro, iuo,

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Copyright by Mahidol University

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r.i,drs<{vn''r ? I ila8uurja.3n ag 0 rr[guos d.l u :oo al

$d€r,.€- n "t 2s?ilfl 1 ? nonafl n 1{ o.lu6f u n luT d an ?,.t ljd,.t il 1 ?n

n ?''r u r 5 u rl a e : s sc dofi r su oc rl -l :" fi as fi a r: r a?qfi ln ? 1 ilh,.r rld. < d :*flltfluaflil r arfrdr r ilu r ilalilgrln-lir firudrnrr ( Health9oq

deviation self care requisites L fiunltouanu r orfi r fiofrl rduoo.ng3^--- 4 r { s q

'iln : rr r o!ilatiniafr nr: -[u:sn drr n r:n: raiiaisn i anr :inp1 ? a{ uundn1?onoerur asfi6r r fit"[unrr"fii 6 il:cnr: fiag

3.1 n''t?ud?{Trn:rlis uacn e rild:E r rd anrrn ?,1:J r rylu arfi:r

dnrunr:nl n*aanr:"2 asT:nfi u fiuads.z 5r:. uos r arlalaqruaatoa uoru..,;0i,.," ::rfir a,adn:"r,uoa

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1r,<d _.___{ <t , o- J atr6l7ldoel"tln:rld_rlr:nfrtndaaei uaciinfisrflrnlrs"lfir nrrsdilflrrdnrud r fiuai.:

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". -rrfi uo n..,, n,.,rrur"u,9gtalfilnlo (Therapeutic self care d,enand.),irrfiufialinr:dru:ru

( calculate) Jarenr::Jtc r fiudouasdrHuu ar nr:n:vrir "iur,fis

rirr'aridfi,.io1-.

r xr,''rE 6lilTir Q'r r rjuoar n:cnr 10g r au tcluzi:.,: r :o ru as dn run r:nifiun , danr:a stiiir Jn:r dir.r nr:fr rnfi rd fi*u,rn.r? rr1 :cdan ru uCIvn ? rilar,.r dfl a as ?isl(Oren 1985 3 BB, 1OO i Oren 1991 3 1BS) uana,.tflfifiu.finrraanuul( Des ign l n:rrfia{ fl1?n 1:ouaflr , u.rfio"rr,ils {s irfrr fis a:r1filfiud:sr drrnr:n:sf r n:ailu uo ,, ., -,niganrud , iiulfinJl"o..rra r anr.tfi r rilrvdrr"Lfi n r r rrile'rE'l rru a r r ur s u o s n r : n:

" ri r fi u1 fi n : r lEi a r da r daon fi ar fi r fi onr : r

3.

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- d S.t <{ rrq t Q ia,LflFtR12s tn?8clr:arinarlldnar rilunr:v16 (oren 1991 = L4r)!u

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nr:dr riufliEr e) dnrrdfiaearfiEl

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aarf:n finrdul:rnnlufifiiarsrfir ao il f;t1rt ( Matteson & Mc connel1s88 : 2981 T:n utuerudiorlifi..riudiuiaroil'ralflnerlhidroa:sndr..rnr :fl audua..r si aiuaiil? os,, f, u, duo^" n'', ro do iugiu ( Def ro n zo, io n"donn"& Ferranini rggz : 3181 forailrdrfilriaufi.tnodirriuaiu"lfi usiarofin:rrfiarrlnfi"lunrm6.:ua"rrianr:aunqn*uariuaiu uou71{6p.oinrlufrorjnfi'[unr:rfir BuaiutJ"tta ao, f, u, fi a fi lrtanfi ru, fi u arndr r nq r n ai rfirir"lfi nr: r arl g.f orqlza{tnrilllg to?l "taiulrj:dufio:Jni ua"ifirErra"turfiaoosf;u rila:rHlfi,.'r.^

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t , o r G

t'to5rnr:iflD1uacflBanu r ait aslir air r dla nr:inur {rJ:eI:n r x'rr ?.ludio

'1 ,<! s ,q d 4 r <g .{ d - ?ttru{ audallil t il1111-lEil:sfl'ltrl.t na tr.rantilatl:sdr{rnrauasn''t? r cJ''tao'lnl9q.q_. _' _ qeq e..r_ | q c, 3 <i 4 v ? stut1.tfl']8 tfl Lflotng{lnn il:al|?t.ttrau:ttn-luasija{nIa1n1:durfroarnuetl idn.ntz asI:nuaun'l ?unyt:nfiau 6:eidn r:n ?ttaro,ln 1r n,r: aandl6n

srq qDo o d d - ni q

n'lE n1? [U s1 ttas-[tdluuv{ri r frs?ix I -a.] a-tn,l? n,l:;nu,.tdz au,lfisrayZ u v 6t "rdr,

e

fl1:n?1lnilu1lunfl?lrntilTA?il (Ignatavicius & Bayne 1991 : 1Sg4 iMarble, et al. 1985 : 353; Matteson & Mc connell 19gB z 299

300 )

n15fluanu t as r fiuflaiafiin rrrdrfinri'r arrir'trJdnr:n:lnlf :n'tfiTJsSq d s -idr t:a [:dtruacnos (Rost, et al. 199o : 1111 11191 {rnr:finurq.?r S ----,3 Y,.$ - .q , d stuatil?E [:n t!1T2',luduot Lxl.t{ald6ir1.t1l?'l n?"tilnu a\]}tndn::iln.'t:ouognrt a\:n q -r""----"--;'

doers?o{;l?a$a'lT'l? fl1?aanfl'10{fl'1Et uovfl''t?il?v tltu:c6Iurnra-[urdao6:anut a{(self-nonitoring of blood glucose) d'lrl''rrnfirursa?1iltt:J?il:?uaa{

o ?-- q { y}- a __ r,r S a y,Cfl'ltn?ilnl|ty9luu']n'14 !tt aao [on$:a8ac- 26 aril:g L:n r lrn?-rud{o lilil.]tg3. r- o ( |, d^^---ri--^--.-r- o .la 6t9 b eaildalra''t r ljuo a { rfl 1 : I :J a glrtt tjo r u n lu aril n'l ? o r r { d i fl

-|,T d a fl n 6 a s fi rln r rct

{anru uarun''r:;nu'l uovdru:arfiarza.rIsrnsxnna a'rnn''rrar'rr.r?:?mfl::ltt-_S:._d d u ?l I .q v,.l q .sllocfl'1??Q8rtn8?flljn''ttouanilra{?a{c,tJee [:nrlrn?1udiq1id,:auddt ilxd..l

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1 . :Ji:r r :Jduuuq6n?:iln 1 : ;x:J:sr ru a,'rr 1 ?Iosn f iln ild,.ru ?uro a a d<l ,a re | -l--,.^-- .i--- e ?" q r{ qr,rnantru9tuacr?r']il?a.la']rt:uoav:J:s tnn tianrilnr:c6:JirErra'[uraao-|,l

q-? <f I { _g_:,-..i _ .i e q 4t Z v etfl a I n8.J ljfl 9l aoilaag t dE{ a''tnnt ts [a nt-tu I daqd.] noafl aun?:lnililnind?qr. t6l v d 6 o

e q-[nagr-lu:v6:rilrrrrsdr. nindrfiufia.rdrfi..:firnr:'[fiiua-'rrr:filrdu rnfiaud9.1 r3 q ql, <t r v?9t'lltu tilrl,t8{rallnn?"[tfla{n'l:fl4{i'l{n1fl (Matteson & Mc connell1988 : 300) alrr:nr{fr1flro:ona:rfitil:srnnfilin2..ru6o rfianriar

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u a{ orn r:fi iarnrirtfi:rfi:rfi rnrn"[u r 6ao r dilaeirs ff r"r r du arn r:il:v l nrrufl suoc o'rr'', tdi"[ufi r in r nl r nfi { r o 1 I diorz as }l:dun :r, fiur rnfi fi1a fi ufi arfi aer

d{t n1? t fi anrfioz aslz fiun :r'[fi'[z fiufi truvrulzfiuarnfifl { uun"-'nf,o::rJi:ra:Jifienr:5!il:cilruarnr:"[firfur:^rTuas g fiu ronr:ir:l:snlua1r,.r:

Srqaldl uasnv:lilrslarnr:"[uusraciu"lfirrir 1 fiu tiaor 6ueTsfifl uacadfiEldrd, "[loricr nuraigna, r::urf,nr: z5g4 : zsa)

z. :Jirnr:ririon:rlunsfl "r : aanrir6r nr e nr: aanfi r 6.! nrsdrilr:nid:snofrrnfinlfi r firadrr duas r f,unm r drnr:f r{,.rua uo nfi..' r, , f,a r drnr: l 61 1-

?aaro''rq? a..:{r n ra"tu.ir.: nrefr rlfiaon:rrfiar nr:iudfiuor1fi uu u qa{uaalyr:r:rdlad ttasnils (paternostro - Bayles, €t al. 19g9 : 94 - 86)'tfirirnr:finur arar a{ nr:ifion::l"ludiErrl:sdrluz ar fi:]:sanifi:J:s r fiul:nt l,.r.n a rudto"t!fis iuailifra t duouus d r fi:Jael?n r rt'lr e rudrlr:nrirr,.rraaflri rfi ..r"[fi unUn :: r f,uo'''udfi ar"lfiri r dr lr n rfi s arnaanrirfi r :J:silr$ zo - 40urfi n::izierfin drdrfiqdnrl:"nrrrdrA*afiarinr:ir:J:syrrua.rrr:"[fi r fiur ?nr r u: r sn fio nr:aanfir6s nr e:sfirfirEr r a"ll,i rr nr Eas , ,tr^od.., ^{ ! fia1fifin:J:crtril go urfi :tfirfirErroes ! drnrfiunnasdsffu r fia"lfiilrl:cilruo-lr,.r:n 1? r fian:J:c r nnn''r?oanrir fis fl'lsz as fi:l:aT:n r u,rr:rurio"t:jfis i1afr1i.J n ?:

<Jq<ldtrr-sdot9t danidnr:fr 'lilfi nJnli:riauuac r nilrcdilfi ldnr ?ca a{ fi:Jas r du fi rJ:efi iilnn rrde:fi:rr'rr:"rfiurdaodr niaiuarafi:Jarsrfir'tfii,.,uu.i"dnrduoniruun,i,.,i.-nr afi :enr : r 6u dau r drl:J:un:rnr :oanrir 6{ nr sn ::inr:q: :adr::nR..nlu airi r.: n rsuoc a adruus{rarnurndriat "[urrr :ren 6r fl 'r r r drTrf :un:ilfl .l:aanfirfis nrear afiasior:ruril5rz uroa a{ s,l uacnr:ir:J:cnruarn r:fi:El(ltarble, et al. 1985 : 460 461; dual ail1na ZBZB z tZ4)

9!${uanarnilnr:aanfir6{nlgaa:riradrsair r aloluln 1 iu d:t r.".rduunc s d -,,- -d, { n eo ot . -l e bnrdsfl 'tsna: r iltd:rfrdrsnrflil:cfir{roradsdofi a:J:cilr$ 1_g irllslfisfl a

alr''r? (Blevins & cassneJorr in Long & phipps, ed,.19gg : 919)

B. qruo1fi1fia1n1iluarunr:inur fi:l:uTrn ru,.rr?..rurfiolildsiuoiusttt"t'a a I q.i .^-_^___r-, {a''tQ [o:ljfl15?fll*',]et"?flidnrrn?xQxo-lrr:adrl Ioga o?:Jnra1T1:??rnrn,.t?93

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17sr rifl irrJ:silrrr ianr :ioiu{iu fi 0fifrufi ,rBridnrruas n ?..ril?unr{a a{J:n (Harble, et al. 1e8s , ,rr, 1un:dfifi:J.uta;uu,.,rir;r,lr"r-,uni adoil4iu,ir r f,uo" fi ar 1fi ilarir r drafl rruoun.r;n*,.r uosn ??dul,a r isui.,

t a

-'- xct-rr o.D! g

duu'', rl:s rnnu a{s'l n'',ruunqrf, uacarn.l:firs rffogsaa.JEr..r rdar1i:r:sErsr :nrnr:1fisrua"nr:5uil:cnrua'lrr:"lfi rrrrsdr drrr:nfir rnEruayilarfirarnr:fr rr r dar arnnr:1fi sr1fi

4. Snrrdzauriafi:11tl"tfrfiaqlrdra nr:ouadaaurfiszo.,:dr.:nrsr findsfidrdql rn r dar o '',n1uo'',."fi""d:rirErr o"[u r d aolr fir zoo mg/dra u i c., afi r"[fi n. rri'', o r u r fi e : fi r n a"tn n r : il a s fi un * A ; ; f, ;. ;;r, ; ;;, r afi a I a rdrsnr:ririnr:6orf,a1fiira (Marble, et al. 198s: z3B 239) 6tir9t o o ( e v . tu6! 2Ela{ a r r :lusra.! Snrrn rrrdc aroa ao i rr nrs :s i{ nr:fiar r da n fiun: raofl 'lr r fiouaraniafi o r f, aati r dro uuno",nfio ::ias fiunr : r fi onr." ;rfur,.,i

in Long &

dan6:rErr.r n dorvriudrrrqr"lfirionr:fiorflalfijrs rdu tanfia "[fi:ra**taninui lanzrnfil rfiufiu (Blevins & cassneJerrPhipps, ed. 1989 : 936)

s. ouarfir fi:J:Elr:n ru'rr?'run l7'tvirnr:rfiorrouararir :rurfirJoe r au ro"[u:r Bfiinr: , duru ar r fiu r fiaouo" r fiu:J:sorrrd:u:Jnrs ,

"r.n , du

t iou aafi nn r Bff r uacfior, f, u, *ui., ara''r a r iuor r r qr1fi fi as fi qfi : r fi rni az rlfifi:J:sirn::du"[aflua rfiragrssia rdao]oan-'rr;n*-lo2,1ildsarouasds r air"lfiinr:'tnarisuaas rfi'acr"Lfidaqirara rarenr:aanrir6.r rfirfirsnr:r6u nia

q "i qg !l & o <8n-rEr!TT'l? r ua !n r oaoxl r aiso r nrdd'u ndn r fiernrril"[urirfif r"lfi r fiao'tnarisulild rdu ir"tajfir.: fiurfiuurr 1 riadsfi:rrfis:r,,f,ur:^111111 1uun."'nflo ::fl as fiuiun:rado",, fiof,ufi l r fi rTorsnr:d:r:ar l fi rdrir r 1fi r iuiffsadtdla rdnrds.rnr:udrfir"[uiriau uoclin::unrniaro.ouiui-rfi rfror? r :rur,fir firinarrriarrJnfiniarfiq:rrouaadarirrirnr:inpr (Dal;, clarke& Field 19BB : 1s9 i Levin, in Levin & o' Neal, €d. 19BB . 42; narffEr firi'ta zszl : 9 11)

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6. risuiuo"fiatfiusunilsalfluBrBdnruunsnr:5nur "LtfirJ:etr:nr u r n : r udio't:ifi s iu 46uvri iln 1 ? c n.r : a : :r n r1r n 1d d u a

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"*.u r n fi onu, uo o',n uu;;#r ; ;,'uro.., no,., r" r" aofi l; ;;;;' "

r daoasniasirfio:Jnfi r du !infis r fleo,rr.r..r? r dauz a.Jfl,r:":"firfirErrn"[u r fioorgo rtuui''' aerJnB iil*:,truirfi:udos drnu r iurrn r rru arufiofiearinaao r ?o.lifi r n r a fr aun c a on n : r or fi or fi a r d ai:r :J: s vr ru'tfi fi ufi r d ai a r n r r, fi uuiu o R..r ? s:"fi:rfirnra"[u r fiaosirfioilnfi "r flufiu

T - fioslrilaanr:q::atnuradr.:ddr r alo fi:lasl:n r rrr:rudfio"trifi.riudfiunn:rerna:'tfii:jn''r:n:?a,irsnrsuo":"6:rfirnra"[u r daq, fiur"u" sl er.lrldn r:sz or I:n fir ufi:rr r:r a arn"t:ifiornr:udn$ a..rnR..r:"2 ar T:nn ioor nre3rn:n?aua arJ:n t ^ufi"'',u fio i , da:J:"Jflrr1"lunr:fla.: fiunr arun:nfiaun 6ar iof,qn "ra''rna''r n1 :fi q:Jnfifi a ro r fi afru

8- rl:s tiunr:"zasf:rrfraanur as fi:l:sI:n rrrn:rrdiqllfi..riuoiuar a:J:s r iunr :" a a.: I:nar n fi rnfi nH: r"6u#,.rr.a'luilddr :r r"6rfi ,.,",.,^{,u

lfiao arnr:udo{a"rfln''r:caa{T:nuosa..rn,.r:un:nfial nr:fiavfra,.r?ru1drfi:J:sn :r:J:s r irRr acz asT:n6:eid"[o ias r fi er't: fi ar fr ar :nrrorndnr :" z ar T:nttavien{5sosdnr:inur"Ltusroc?''rE ( Daly, clark'e & Field 1988 3

ss) fi:l:sr:nrtr'rr:rtrio"t:ifiriu4fiu n::du"[or]:sriunr:"aosJ:n6:snura{ Josnr:drfirrilnfiauavfi.r,nJu,rn.rfiorjnfi ldu arnr:udoia,.rfln,.r?s:"filfirErrn"[urfiaoo{rtasir rfiufiu nta'[u:rr.::rsararirfl.r:eri?e:"fi:rfirera"[uilddr :sr ia'[u r daofi :enu r a{ d :rfi ::i fi fi ar r r:nfi rn r :n: :o:n fi :rfi rEr r a"[uilddr:s, nia:"Hlfirnra"[u r daofiaafi., ul"fifi,.,ulfi oyrir"lfidril1?nn?.]rr:c6r3--- -'t, dr, o 6r{rnra'161n r :arfiFa.: nr:uocfir"Lfidrrr:n r frr"[a r de:fi!lJaa a{s-r rlt,rrua.rr'ri,]."uun'i.drnrsntafrrfion::,sirs I dfi;;;;;;i.r.^"["rfiaouacd:t|"[unr:nr:oda::n '', rrfi",".^"[u r fiaosirfifio "trifiu-.,n,.r?

r dal't6 t'[ud*n{tud:nfirg z5z,g : 59 60 ) ornnr:finu1?E{ ,rdr'n uasnus (}tal ik,

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et al - 1989 3 960 - 961) rrdrnr:dau1fifirl:arJiu:Jirrrua,.rr.r?nrn-l{dc_^t,ry 6!i1 n 1 afr n: ?an'l fl r dao n 6 a:s 6:rfr -r n -r a"[ufl ddr :sdn: rofi :eeru r ar "[udrs

riauf aarrr: rirllfifirJ:sf:n r urr:ruriqUfrsiu4iua..rilr?nn:rRr:s6rfi..,",.,^q<gz-.-[nrdao o."*ri.o'finfi:1fid n-,"d6,tru;;r;;;;;;,.';u;;;il;;"rasr:n\1 be166:eflur a{ acd:EJn:cfiu1fiinr:o'.uoru,.,o,.,ru^"fi-,oilnfia"tfiojr

r araf,'r u : "r c r fi a i i r r v 6ufi r or r a1u, 6 u, oo f,u." ri,.rU 0,rr,.,, o a" fi aun 6 u1fi fi *fi fi s

quqfln7?iln 1?OUAnU I a{ n1?R ?!nila,lr 1:3 a\r nu I a{ uas?irnr:ufi12 rjil r :J681uq6n::r , fiun'rro:lnrf :ofi.uru r a.,r "[6 uEinr:dfia.: inr:n::a:"fi!firflr aI .d dr .g-._.{ , r,t,€___9.r e e,d}lo?€rour a\:nr"ru lunud:rfrinr:ro.rdrriadranr'lridaraililpr fir tilrard?El

<fdro-e,LTnalil'rlr (Snith 19Bg z 4ZSl filfiunr::J:c riunr:"aasJ:n6eaqur arfi ar in r: rJil r rjdstEr'riln ? "r n r n r r s atilz ar afn r:c ? a{ I: n u au ds u:ofi arr a..:tt0.rlJ?gu9lov t ''tE

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nr:i tnzryitarnnfilarnfll?n?rnilrJaaa.r a1q rurr dnruRrudl:d dioaa.rJ:n r !1n?ru ?vBc [ ?a"rn'l?, fiuT:n n?lr?uu:suavdruru;1-r?cn1:n?auluirnr:iuidl::nuc a a{ nu r a{ drlr:naBu..ruu aruuil::J::ua aruqfifl?:lJfl,l:

.couanu I a{ t 5at arnr: nr:aantirfi.,rnre udsfl''r?Fruosm r aofr. 1 "trtldfi.riasa" zs-g5 drtu:s oilildurtil.r.r fio nr1:jorrr:nfr rur euqfin::ln r?oraflu r a..r "lfi uaol"[fi r fiudrnr:iuidr::nrrs ? a{ nu r a{ r {uilo6ttndofiu.rri.ru,.rfirr:ur '[unr:do r ailrqfin"rJn..,rroonu r a.r

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fi nrr n r :5:: i dr : : nuv ? a{ qil L a{ u a s n ?,.r u d uiu"[r, oa fi uf, s a { n.l r fl i s r{ r lun r :firure:yfil,n1:ouanil r a{ g r *ooda a.1T..r? nr:aanrirfisnrs uosn,.r?er??e- z ' : - -^'-:vdrilrnrn"[urfiaofi:flsrura{ua{fi:J:aI:n r::rn:rudio"lil*siudiu a1s 40

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1g) d{r.r rniarfiaionr:iliail:rntrsao{euras"lufirleerTrnarffn uasin r :nodala 2'l l grl r6c n ?''r rr r du. u ar r n *ar ilausiar n 8s ir"iA"f

"a.ug. o a. o

nairfiu rrfuofiafiair,r"lufrufiufi:refio e+ ila udorsfion.rn""riruqfin::l1

rfie:firnr:6onr:nurar g,iuo a'a 1) nr:fionr:rfier:fi:Jar D n1rv<lviornr: r dsafi!ornr:7n B) nr:ionr:"[un:fifi: "r 't:J dr 16a rnn r?yrryr?u?r?frfl::il"lu r *arnrrilidr?:nucu a{nr r a{uasfl,r:6onr: r fie:fi:JT:narfinuovfl'rflionaTfiearrfiooui'rnrfirdzRrurvfilirrdu u^"uou^d r fiuJ:nar7nnr :6o r is{ airfi !: rsfi a, f,un'',riraerr "[:ias"[a n6r or nfiu1fi

"r.an :rrffq r ou

narldrdril n?''tltrn'tttuosn'l:dn:rl"lfifiaa'lnryrErde:Toenairuund us..*J..rae t d .g eea

9

uayqrd:a r nia.sfia'lfi5:rnr:q::ada:Juav:Jiu:J1sufi1zfissia"t:Jfi 1) n?,prer?{to cl

erur r flanrlosfi r da:rrg a riru e.'rnn,.r:er?:ada:junc r duauuyr as fi r daerrno qD .d | 6 * 2

s e

uuyrir-lfrl:Jderuuilornr:"[fin"uulre"rfl s 3rrfiu 11 aoCI11uu1r?a{u:Juo?1

un"nnfi ain ?'rrrrr'1Bfi rrr:n uun.,.,n{"[uaudtl, fluur].fi"n,rr;uiau;;;;"d c qed ,d d?o.3elllt asfr tile.31.|a-lfrilnr: t:JdauurJarrirlontafiooan nitnr:r1il:J:.,rufi"lz

<l ,,'o tu - 9

ers rndaf adrn'rr zB ta z, finr*rucnr:"[finuuuu (scoring) urir rfiu11 ao alflncuuil o fit 1o0 nvuilll o nlrafis'tridrrr:nfr1fifirnro'nsuull so nlrsfiluri"la:Jrunat{drfrrlfi nculrtl 1oo ril1sfisuri"[or6rrfiirfrr16 nsullu:?ru o fi.: zg0o rirncuuu:erfiar:rrf,ari:"6lnr:iliatil::nucra{nilrards 3) a?''rrrduouuo,uatuofiufinllnrdorTos B. 1) u.luuofiuuo,{rodasilofiaeidroraa:rfir (Test retest reliability) arnnei:rfi:J:Elnoru:ndruau Lz ?''rE rirsfiu 4 ffrlord "lfirirfirrJ:"iofaofirfiui o.r,$-..----'3 { 4i. dt.rudq{eriln:rrnrfraas tniasila:cfiildrtno1.J g.z, n?1ilrfies"[u6npilsnarldoonfiasnre"lu (Internal consistency reliabilityl arnnailv . | | d - o .,... 4 t6 :aErrs n{rfr das drr:u zB :'rs'tfi ri rfir:J:"izrfanfi rfilfuaarJr? a.r n: ar!..r dtcronbalh's alpha correlation coefficient) o.9r drudosjrieir

d 6 q v . !^ __- 4 e. v ( t un?lilryrEJ.Jn'lE tU [U:cO:Jdr 3. 3) irn:rsner:rrfilfruri:sndrs:rs6a ( rnter-iten correlations) uasn:rlfflfiud:yn:r.::refrafiilnouuu".ufi{Tlro( f ten-to-total corre lat ions ) uase ?1il91?it nrlTn:l dir.r arnnailfiraar.li, c 4 .lg-frdrraru:u 906 :rs d.:165:rnr::J:s riunr:ionr:fiilqur aslunr:rfirJesrflu

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1

26

f :n arffn nr:iriar:r nuu ? a.r eru r as "lunrrion r:fi:rJ:n arfinuas nr:i,isiou:I dilduurr I fi t nI aan r:i t n tr

"#n : rlfirfiuf :cn irs : rsfr aua" n :rlfilfi uf

:sniro:rsfrafirnuuuurrufi{Tilo rarurrSonr:irfal:?nusu a{flr r orurir41 9 o d ^ tIaadrnrlfrn::fioaan g ila rfiairn:r"dn?1ilrfies"ludnurusn:r:Jdaornfia.:n r s"[u"[n:ia r n: r si afi r n fi a 25 fr a'tdri r ff l:l:

" in $an fi rfi uf u aail r a a.rn:aurrd

o . 9 B Ios3''r fl n r :fi o r :ru''rn ?''ruel?{ nrrln f r dirsulir iln :r rn:s Fniluu?n-ovrrrnqnfi Ioanr:irf;dr::nu"a o{errl r asin:rlfirfiudrro:.ranfirnr:ionr:frlnl r as uacnrrSiligiau:t dfi:rduun r.l ff.1n nilt

veroe-&Afllllc9l?a8'].: 3 0{ n'ln']ul|tlnll

'[ridrlr:o

rir"[6raa

uillo:Jrunar.rI o V9

?']Yrl LO

,q I "i'uu !arolm?l

arrr:nrir't6

t. iudr:lr:n?t{trofirI e d , ,o",

O2\tTUl t1dA [X [T?''l9lEl''l

ufiarnr:alfrn"lfi

z. fiudrlr:mirsrufiornr:alffn"t:J"lriu. a.r t u s

CIo61jo',]n, {']u?11 ! fl o,r.vb+

tr?{unroil,uac lanrds - di ie14ltfll$Oll ct [O

10 zo 30 40 50 60 70 80 90 100

10 20 30 40 .50 60 70 B0 90 100

Copyright by Mahidol University

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27

ua?xyt; (Crabtree 1986, Cited in Hurley 1990 3 Bg) 'tfi.bddrvdi rt t n - a.r il a iotnr:5ridl::nusa a{ qr r a{ drnirfi rJ :s r u1r :ruiefilnrinn

rl:crRyr Jqalon.lu,Juilu"ludr:rnuvfir 3 i6rrrluro*uoluotrr,ar.n.il:snarfiasfrairnrl gz ta d'rnr:atrrfradrnrr"lfifiarduauuco..rfl er:.u!uo:''r arnnr:finpr"lunrilfieodrs 48 i1a rrdrrn*asfiafin?1ilrfie..r"[unr:1o t fis.lualoeri6nuru"narldaonfi arnrstu t ff1il:gSilfaoXotufuaailro -Tgt uauin:",rood.",nnr:nodorfir"[udarrirsfir 1o Tu "[u:s6:.rds

1.-st filrjtci?iarArfiuf o . BZ ) uane'rnfirld rin ?'rreriir nrrTn:r dir s Jesn r:v9-sl?il?dil::ousu a{fllr t as rin :rrdruurinrI I:nfr ln :rlidnilnrurir"Luflu r ar r xat,s9-9- dl € Y r5l 9Q- er o urr r n i a.r ila'l,rl-[ill,unr:ilnpr nr :fr rursn ren6s nr ::Jir: rsfr a r nfi a zs iaa r n---3 f .d o g D 6 In r : i t n : r sr n ? 1 u t fr es

-[udnuilc R a r ildaorn fi ar n r a"[t "tfi ri r firrJ:c Entson fi lfi ud

uoodr o.TL siailrrga{rad (Hurrey, in strickland & Ifaltz, ed.19e0 : BB-40 l "lfifiau'',,, u*uo iaSonrrir!dr::aus drniufi il?B r rlln ?.rrtr a.l

cf d oo-- 6 | b I a tlun:rni rila"[fifinur1unqrfirl?s r 1r'rr:ruiufi"ln{fi'tfiirnr:inurd:siuoiu

,9' Tos r au r " in r :fionrr : r era u'i; lor ", r r a r s as fi ilia is,: ilrr dr luz ao fi :l :sfi Tnur

fi ta iu4iud{ : r s fi ari r n r lfi u oo s fi t uu :fi on qr*fi n r : 5ri dr : r nu" u ui*, ^

rrirfiur-" d u &uavidnrilcdu 1 6ril 1) udo.rnr:n:c?ir"ld"[zfarafiud zr ugiasfrarssdslosnair:dsuqdn:trrdaordsr 3)'[7rirdr "d'lr.'r:n' nia,'"[:jdrrr:n"

("vvuilueirnrrn6naarnniarirnrl 4, drdr',r:t1r:,1r" lfirfiuriras-.rEn?,lrlV '6t '.o 6D e -n-[r-tddrurr 5) "[3:r:slan'ldrdaacfiailonrunr:nieirs '' rziu rfiorda

d e.r 4 \ 4 e, 6rDoriaidnra:r:J:eriludu 6) "lffrirdr iu4iuunudrdrsr fi:adrofradrnrrtud' .c & -. "

l n cas il a{oil r du "indrr r:niurl:sn rra,'rr r:drn i:rfirJ:a r rrr eru'lfi r fia;uuun"tr.t;rrlrcnrrarn r:uaniru', ,,fiu'[iuri"["d-r;";;;.]oi^.;;fir

r ia:"6:r?o.tg--edc,-lilrsrra-[ur daorrr" :refrail zg fraudosnr:n:vrirrq6n:rr T r*asda 1).1^ --Y- Y-r o v e sf sOityt?cr [lJ 2, a'lr'1: 3) n1:aannld{nrs 4, nrrouorfir 5) nr:donrlrJ:v riunr:"aarT:n 6) nl?:Jirr:iudiu zl nr:fiunr flasfiuntaufi"tflR.r?v-

g-.-?____q or___l___{ . a r ! _ L

d o u e s ,?catilu']e'la !u I aana 1T? adr aio:JnEr nr:60 r ds.l a r6l: r e6 alfl e 4 i au:nuac-r,v1d.rvrjv,el2 nanreriluriarfrarlilrde:fiunr:6onr:fi:rf:nrurr?,m :rafrafiu "1 nnio1fiaqi1un{rfi r f,u, duo , da:fiu n1? r iesdrfi!:r:,fiaflfiar:rurf oafi, ?iuir.r*n',oiro rr]''".'.,u finp$cnr:"[finyuuui r fi..r ;--;;.;" ;ffi;;;;;;;

Copyright by Mahidol University

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28

nuuilu 1 ril''rBfi{ rfiufi::rad'',odo ffsuuu e urrsfi.rhirfiu6esadr.:dsua"fifrarfian NA (Not application) nrrsfi..:frarirnrrfiu1fi"tn"l6firfiflaru:rrdornru frorirnrrrflufirl:.ran 18 ila firlar 10 ila nvuurdorrrafirinr:vb-$5r5dl:: nuc u a{ nt r ar dr nr:lodarfl ? -rilsl?{ uasn a..*r ! *.ug u ro ro' *ao fi u

osgdsfl :vfi 1 leE { r ?a :dr guac n6iil fi :J refi ei r.l neilfi t n r :nodaldq:lara'tfi fi s fi1 ) n?'lr riuo"[ufinu$sn:rildaonfiasnra"[u]o:r::, ;;;;;ffi#r*fiuduaad ra a{ al a1r!-l il o - 82 uoc t fi ai r o: r"f"[u: rsnrt aoild r fir:J:s firrdon firfit#:sndrr 0,62 0.?B z, fin:rrn.:fia,lnn1??roaa:rfir"[ud:.r:vscri-,0,*duzz iI rirfirrj:sEnf ,fieifiu " = 0.sB urno..'nfifiou:rdrei.,*d,.uo^"eirn:rru:J::J::ul:iinr: r rjdsuu:Ja{ g ) n ?.lrn?n erriTn:.r airr arnnr:iouuafioToa. -{ .{ . 5t_. _ , o I ctn?a\:lanarsdot lunalfieaer{ tds:fiu (convergent val idityl uu:frneir..trin:rrdaou fiuo ad r s i r rnaran.mn finnqr*fi Truro d,.,n..rrquonr r a{ ? a{ fi:J a:li d-

9 I n, !u -- s[:n t I rn: rufrSnrrfiteiuairin: rrfflfiudn r s r:nfilnr:i:.ridl::nrsu aierur o.J

ua"in: r'firfi,udn",o ^rfirrs

firdTr1naiufiifirsr." , n. " ;;;;;;"", "*"uhenog lobin ) urn.'',nfifisurdrn ?1iln r on i..: r fi e rfi :rn r:n :rnrT:n"haurnsl

(Expectation f or future netabol ic control ) in:rufilfiudyrr.rr:nfirnr:5:.rial::nrs? a{nr r a\t

q-. --. i s 6r <,Luamv7lfl "t ??u?fl an -t ?pt ?rn il 1:n-Luaogrtlq(Perception of previous netabolic control I doncurud.lnlrefi.JS q rdd u s

r'l'lta e:rnlJ:n"lildfin:rlfflfiudnr..: alfiun ''rrouaflr I a{ uo"fin er lfilfiudr,,.,sl :nfi r.r:Jil reudJlTnaiufi ifi r Er r a r n.r s uoos"[fr rfiudr r er{ariaTqnr:iridr::nuyz a{nu r a.sduirfirlaal:nr r u,rr rrugofiin?,.urer?{ Errl]n:r oir.r

"[rrnr:finprnr:ir!dil5:ailsz a.: isdu r urrnQs uasdrs firlru r f,u]:otrrn:rudt'driudfiu nrluoruuasncrs,o""""r"", Brink & Hausertg87 : 325 - '3281 'lfiair..r,u*uofianr:irf dr::nuszo{srilr a..:drnirf,rJaerT:n r rrn : rldiodr i*ai*iadu Tosil:s i iuo.l, r daiu"l'ail?rnusz r;;; ;;;

-

z ia da nr:iltfir:sd:rn:rrsrnjraaa.:r,rqdn??il$ac?vfiun?,.p11d'a*u"[r,tJ:sdunr:nln ar:rdr ,5oda'rr.:nrir'trj"[fi"lugirs dn rrnr:d ros::,:]:" r iufirz ia "luurliqafilrde:fiu fradrnrri sd ta u:rrrfiu g nl:ofia 1) ,iuorfieafilT:n t!1r:ruToerail-ts (Diabetes specif ic) z, r*asdnrlnr:nl

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29

7r'r..rn'l?ul{Y|d (Hed,ical situations) 3) dn.lunr:cffi:"t:t (Generals ituat ions I ia'dr nrludol a-r dr fi r fiufi s aan t an :rrfi ar n..r ?a o.r fi rJ:e 1fi rrarnnr:ilinrruurrdfids r n sairj: rsur:fionr:Srioli:nuc z a.J Fru r as "[ufirl:er rllT 21uilrufi: uov airunr:firr:urarnuundfiinprl:n r rrr:ru1u , frnn.,leduiruau s riru nioarnfiu"[fifi:r:edr,;.;rEr1r.rilrruufilafiafiin:r1

4lsrflailrniauacl:lrnilrsurinr:"[3 r6oo,rn'n,.,::Jilrl:..r,u+uolugrtl;ru.,"-,r gsila dnrcucnr:"lfintuuturirriu 6 :cdr a.rn uri"lnrrnir'l,ricrrr:nrir'16filuri"[alrndrr{r1fi uov r iarir r n*arfiall:J"lfifinrrfi:J:e 68 rrs rudr 1).^d^-s-g d { o s ! "'r n:a{ ilarn ?-ril r, ris..: ds dru:euloafil:J:cSTiuaadr a a\: n r oo{irr{arfiu(Kuder - Richardson coeff ieientr "lfiriruaailrauofio ; nreo::rfiuo.90 ?il1orfis:fi:rJ:nrrrr2,ru o.92 nr:odnrunr:niyrrsnr:uund o.zonr:odnrun"'rnliir "1

'lrt 0 . 60 z, , oiuo ilain ?-rrer?{ orrJ r nud rosuuirnr:iuidr:?ousa a{ Rr r a.r ia:rlfilfiudfiunr:n:rnlT:n g ) r, n tdar fiafin 2rilar:r n rrJn:.: airrloeilrl drnr:i:ridr::nusu o.r Ru t, uo io:rrfilfiudfi:rn: rn

{06 I

r daaruro-lunu ttovn arr!fininrueir"hflu r a.r

finunrs fi:o:ir..: frai rnrlf - ilafl r fiaun0rr iu ,, duutr'.,uz ar fiud riu r iuJ:n r r-.rr ?,.r,.

z. ndn r a'srnrridTErud.r

B. uusf rliauri'|,fi r :ldsuzuroa ar a-uoiulfifiu

<i .{tnia',:ialonr:5lidl::nuc?a{aur a{ n'nr:fioruruarrir't:J"lfillrJ:c dr n:n n r snair d:u"h{fi nuilc n r : iaifipi r r "r io: :r"luu:r:rierafi r: r de :fi u---y ( o d:183 a t iluuqrin::1fr I itl.J'1v I e'lsel finurucn r:"lfrn"uuu r fiuul:ri r find r nafifi.r

tduno rrju 11 aq a'lnncuuu o fio 1oo qrr::Ju:Jr?a{uuilo:r uasuio,,f,uG afl o'',noJnuu r fi.r 6 nr:finurfinuilcioiuoiafinair:lr u:.rdrarafl,r?n::ndarr6..r n r:r[rlrj"L?sir.r fiin rrln:{ uay , duo u uo , ,*uo fiu , fiudrirrah

Copyright by Mahidol University

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dunn 3

q<f o q so?fi'o'l tuufl1:?as

n r:i6en *r f, r fiunr:iis r ?r r::ers ( Descr ipt ive research )9-- v, v ! | q - & wt, Idnurn:rlfflfiuri:cldr.:ilaiafiu1ru"lfiuri ruc{ nrifinil-r ?sasr?o,.rn..r:

4suirr.hL?n nr:5:r5fisailn''run''rsrinr: firnr:5:ridr::nus'lilfl.'r:ouanilra.3a as firl:sJ:n t urr 2lurioludt ilait

g g

dnrilvil:gdr n:uag nr : r Sanniig6:ad,r.r

"[lnr:i6su8ofi :J:'drn:dfinnr fiafi:JaadrlHi:rnr:iilafis jrr filJ:n r :.r

.rr ? ludfio"trfir iuaiu uas'lfiirn ",i;n*l'[uniinl:n r r..rr ? lil

S_ ,s:t_ ' dt , s dL:ruer:rra:rdid:cnirr rdou r'r5n01nl u,d. zs96 ilo rdau isnrnru.rl. 2536 fit rr,rntrrsuavnQs fiiie rfiann{ufi:aer{rrllrue'rses (purposivera.t

sanpling) dru:u zoo :rs lostirnuonrud:1ilfifi.:f,- 4 ?-r- iyr- v tu " ^o e ,1. rilulrJ?Eyi [qi::nr:Snuroassrdiloiril:snru

g

z. arafirusr 40 60 flq

s. drrr:nn:gvirfian::iln''rseuaqu r uodd'' r fiu r daafirT:n r:r,'rr?,'ru9t

"[6fi:Bqr r as

4. uffrlanrpr"tvrs uasdrlrrn:J:c riuciraa{fi?rnz1fis. fiud'[fr n erl,i alfi a"Lunr:nalu!:Jda:1n1il

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31

!a-^.^. --- -9-r d- , e | { } { d.{ u.o fl ]'ilc 3 a { c.t lJ ? g 7t n q a a fl Q 1 n a il fl ? a Et''t n n a fl il ? Etlt ltn 1 ? v ttyl ? fl d aua r nllqs

I:n r rr 1r ?'r'u nialrnrl:vd rfi:d r fudr r nqfir"lfi1:icrrr:nilfrfi6ion::ilfl..rrouoerlr r a{ "ludinrj: s d r 5u n iain r :s"[un r :qruanu r a{ !.'t nasu 1fi uri

f . in:rlfiorjnfiaa{drsqr hiarlr:nra.: rfiuru"tfifforrou rduaailtcdrn"'',l,duo (proliferative d,iabetic retinopathy)ntafian:confifrr"lfila.r"tri rf;u (Mature cataract)

z. in:rrfio:Jnfia asofiflqur firirlfi"triarrr:afiouasfioiu'[a r fisrfirn''ttoltantr r a.:1fi

B. ilfradrfio'lun''ri r ndauln: "tfiuri

g. 1 iSlursraa{uzu u'l a.rnnerlfio:Jnfiaa{ rfiurfiaoltdra.l(c.v.A)

g.z in:rrfiorjnfiza.rfi:"[o "tduri nfirlrfiafi:lazrordao(I.tyocardlal infarction) lia fi:"[oitruo:(Congestive heart f ailurel firir"l,fidr rfiufio.l6rfionafl:til<rd',q&&v

B. g iluatofr tn'lFloruar?a:{ururfiu r rdaug.4 in:rlfinr: ntanr:sn.lrr5:rrJ:ei:uu?s rdu inr:arurde

uauniazl ra!roduu..nlrortuourfiu,,*air rcrrroiicobstructive pulnonary ai".l".t rfilfiu

4. inrav'tnrreTnsaanr:q::aaira6il idr4snir B ngld,ls. nerlfirTafina.r d.,:idra:rl6ulouadlnini.rndr 10o nn.Hg.

n iin L il'lr:ruJ:sua r:rra:rdifi r fiuai:uris a ar niinfi r on r ilu-rvr:nnrralsrn?rxds"[?anrudounuunolnuHufler??aa1E?n??! lilorinr:n:roT:nrrrr:rurj:sdrnnirr,rqfiard r?o1 8.00 12.o0 u. Toeiurrdrd.sfirze:drqnrrTtnrrrr:ru:J:sdrniin s nu ur.rvrd:J:cdrfirr L-z nu il:las

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32

du",rr.""rliloiil:vrrel 1so goo :rersiaiu islJrJfl,l?er:aa6nnrilairfi:rt la{n::auatiffus,alfitfi 1 ) r ?a''r 6. 0o il. il r la{Er:eaorrdr6'"[,fie,d9i o .{frrlasirlrrda:rnfin"li z, r?o,'r ?.oo x. o::a:sfi:rfi,,nra1urfiaoarnrjarefi: s) r 2o'r 8. oo u. ionerr6ulnn'qun"ffsfirnfinfi: 4, r ?n..1

8 - Bo 1l - r isn r fi rr:ruunri :vndr.rran??auasnran6rfl r?n??a s d{anrrrrfrfin"trilfi 6orT:t:u n : l"[fi n : r li :J: c d r

nr:rtn r :a ar niin r r1r ?.r11 "triiusrl rafi u ds :rrqfi ruT:n r !,rr ? r1l"[frdruuslirfi:J:EroreLA]r''rs niinraurrl:nr,.,..ru-.,u"nrro fir{rnfirndrfr..rJ1oirrflr'rrJ:tdr r fielt z nr uavuslll"ro l nnin 1 nu r{rrfird1filinr:urifirl:er"Luniilnfi rrfr*raurvT:nfir I niin "[uiuunc r..ldurnsirrfiu firfinist.,fiufi a.: iln o r n: dl1 lr d:s"[url:sfi iniin r rrr ?"m 16uri f,nJndur nr :fr rnfl rfi'[firir:Jinnr,drou.'rr::J:v61 1 ar uas rirnirfirruaiar"rina 4 nil (u'l1l,,roiarfr 1 nil fizt:arnfianulfr s nil) d:arirnirfidruaso:rudso:n:l:sdru3ruuoc'Lfrr{rullsfrurifiil:s"[u:"n:r.:nr:n:?a uafla-rnnr:ilfrfifinfirfi"l1d:ofiiuafinr u'rr:ruufi: r {rnflrfir ruqiarliriafir 4 nu firrirnfird"lfi1in,.,""r..fi,.,",.,^"[u r daoa rnrlorsfi: "[firi r:Jinr*r r fis:firnr::Jfrfififi:a as firlaa L 11rn ?ril:J:cdruoru uaviorfirufil:l:cififiil:err,.rr?-ll Toe"[fi:rinr:urifirlaa"[*r:ar:rdnr:rniu i.: r fru"tfidrfinJnrurn1?uas r irnfird.,: ueiar'tiria id:udaalfi? s rr u n''r : er : a a fi :J : c En fr n r u u a s "[fi :r i n r : u ri fi il : s "t fi fr : fi s r r n d r ff u

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"'"' ';;"" r 3a1s4s

n''r?Lilutrn n:rrrasra{n.'r::.r.'rFr:aa"luer6finr!,rr:ru unairfi"tfi;ufruuarfisasssnI ltn ril'tT?]iltlasn159tuoflilto{ (R..tn0Jil?n n. )

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wW 33

airslos iaar fiunTsfie uilril:criuailrfia{rsf,udrniltltvriunr:irit

dil::nuc"liln'r ?fl raeu r a{ B ar fi rl:e ! tt''rr r ruain'lids iu4fi u ds 1fi iun rtinrrr. .q a r q dqo,q ,r, , " r &q s do?8Et1dilfl:ilr:cn']r n:aluurdon [d ltnr:dirsurril:c r iluilna uu:n'o r ia..r

q ----.3 s A d r.n''t:otrnnut a{ lrrnqua8a{ [a t:il uacuu:dot iannl:-liall::nucza{flut a{to-.^-^t-.a-ur-d.}-[ursruia

a{ uiller: 1 6nu$s : r si a n''r iln{ R ?'l lr r ralu'lun ?''r x6t''r x'l ?n? a{ fi r] ::rrd|,-s

"[unr:n:"rirfian::r rdaduaroailn'r?oua"u, uodd", r iuloefra"trl nr:qruoerura{-{^"^.^{^. - v do 4 d dq o'7lo'lluu9l1il?csc1,totu1fl'l? uacfl'l?ouogtlttalnarr:Juriarlilflr"tn't.r6-tudzt,ll,tysq d D _.q , a i? | . I wtlodl r?n aan?'rl luuerac:rgaa loornil?c5fttfl1iilnr:oua6il:e ril.rr?1iluoca1nfl''t:nril?u???mfl??lt dru:r ++ fra urisrfiunl:oriasla 3 Til?flda

1) ian::l"lutiErrj:vdriu (Every day life activities)d u wri I br 20 na [o!tn na 1 - LI, 26 31, 39, 40, 4L

z> ion::lriEi:firnr:inrr (Medical self care) i LT taltl, I Iloun zn 12 25, 32 34

g ) ion::rfirun r:ifililuonrufi:rfiduo.o n,.,r"lfiun ai.: rl:cIerd(rnterpersonal relationship ana uJe or resource) i T fia 'tduribaa 35 37, 39, 42 44

6nuflsnr:"[fin"uul r fiunr:"[finy[uun:rliu"[o"[un:rrafrrl:nu a\:d o I d 9rq d e 4ou t aoiacn:siltnt:ouanu t a{upiac r iall6dr r ia lror:rio r iluutui r find r na

S ..-_.9_ .,t,.1 q .i et d g ,-tognvuuu 0 Tlt''tgn{ Lllu [otaa nstturrn2,'ttIu-taacrilrdudt..roc 10

nsuull (o 10 zo 30 t oufis 1oo nsllilu nrrefr.rfiu"lo--f.- d 4 d d a s. 6a8''t { I 9lil7t n u uull8{ ll 1 fl u dfl ir r r nn r :i :ti dl: : nuy -[un r:ouag]u r a{ d{

fi:adr.r rduv . a4 ? q dt 3 s v ,'ruiltrd''rul?nufl [r a.tn'l?llrnra [u r oaoelr t flT Lil [o

10 20 30 l1O 50 60 TO 90 100

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aB'l.Ja4

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3 P Liql i tt,,-,lsrgx

Copyright by Mahidol University

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34

g. uruil:s r iuqunrunr:rinridrni'firl:E r il,'n?,rur fiuu:::rrJ:" r iufioiroffulru inar a."rrl"

-, durr"" riun.";uia as fi:Jas

d e q i-o-, -l I rl su deafr rrin r :fr 'lfi 5:ruCIcrn a'rfl :d r is:fr as'[un iinfi :J :suan fi au :. r"[r,usinsfi o1fia r n:J:c d:rnr:nln'' rrnrfi,J:s"[unfitn , r;;;;;' uav n1'yrlryr?u???un?:ilsirl 1 :rsfraildruru LT ila 6nueusnr:1fin"uul rfiuurldriqdrnaf;rueir fis 5 nsuuu ffsttllu L nilrefr.r'[riai{rae nsuuu z nlrgfitai.rlrsn*..:nsuuu g nilrefiroi..:irsldaisfirrua "r fit nsuilu 4 nilrsfiiai.:rfitdau"[n{ fisullu s nilrefrtairnnn*r r"uuldorrnudo.:drfi:J:ainr:irinilR "r iln''r ? :rin r :l1fi rud

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Copyright by Mahidol University

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fl'l?R:?idalanmrl[ait lniasia 35

1- a21rn:{e",r,fiu". (content validityl u:rnrJ:" riuf;.r 2

ailu'lfii:rnr:n::odalloafirr:.,:?$?A dru:u s dru il:ynalfi:surndr { . r s,^.-.^----. : -,]-." -.--- 4 €. eo ag t rs?d'tQo1u lrn r illr2.tu 2 rirr artr:fruarurailsfui:rli"luuu?Rofl1:rta

qt|onu I a\r uasuu?Aonr:i:riolt?nuva a{ flu I a{ c riru rerurofitlfiodat9gs6 aa ' P3v \4t eV _e?ra D 6l , &

"r.3',Iu lunaufltlllT?']u 2 yt''t,[ qtiieloufrlznrur-lfrilorou rflr'[a.r,.t8?u Lursg-e$uilxil?s r iufrsafa.,rai:r uacil5:J:rsfra"luuuril:c riunrlnrunriuinr:nrn 16

ta,fiu rr ta o'trn?lrrfirua"fiarduauusauofinroqm?A n6.rarniulfirir,o*uoiatJrroaar"lfifiu{rl:sJ:nr!''rr?'rr d.rifinrcl"r..'ur,nrudfirirnuodru:1!I

4 ?'ls u:ru:rr:J:c r iudr::nt""[lnr?ouaflu r a{ i:rsfrafin?rrsrJ?,lgaordsodq<|bt!qrilr r drdn g 6a ai:uur:r:J:s riunilnrunr:rinr: "t:lidarfifias:Ji:r:J:rufi1a

I

z. a?1! rdesludn*cca:rrdaaadarnralu ( rnternalconsistencv reliability) Joafrurril:s riudrlfiSlnr:rJfl:J:lufi"tr

at Z . v vt rogo b. 'ludrfrsdasaiir l:J"tfifi!fiil:sniin r r''rr?''ru T:{uerrro:rrifi dru:u zo :..rErs ( t -' ^t 4i r n:rcid'ln2'lrt r fis{ToE"[714r:ffrrl:ciniuaaill? a{ n:aurrdlfiri ruaadrz a.r

uurrJ:g r iudr::nurl,unr:fl,i.ru r arfi.raill r rirfil o.gz druaarJru!:d:griruodu:inuc-Lunr:ounnu r a\:Tlt?oian::rlldio:J:c.ir ir o. 84 nl:Erfian::ld

,9qvArilsafrrnr:5nrr o.BB nr:ofian::rHrunr:ifilfiunnrufirfidl ua"nr:lfiS -( qr Iur 6i.: :J:cledi o . ? g uac1fi e{ ruaailr r a.r u:rr:J:v r iunrunrun r:rinr:drni:r

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Dsv b,. su "l 4 - $6l?lsuacaldasias 3 nu ds riluilndflullda.nJ'lo:v6l:Jirurur]rl z nululu-s. <{ A tu d . ,,ss 3 b,, qe s &l.tEt'DJ1a?tr''tdl.r 1 nu I ililBl r nl:?u??rf aila 6iia r qTeilfidasi6s losduo.l

qe $ s | --!- av a ar. { { qr, e otrTf :'llJoit ?nnil?cd0na 0$ n'l:aaEttay adlrenr z'\,il tnias Ia-|,fr r 6r'[ofl:.] nu

d , _ br, rs q . I e _ _ o u t l e ia.uctnil?arJoal?oguosfld:sioEtuei.lnre-tu{o:l:nd uo;s11sli1fi:irriluunnnur>:r!a o q ___ ( e .tv &ailnailfl 't?9t'l r uilfl 'l: t' fl lJ? 2il: ?XI Alai6til

Copyright by Mahidol University

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36

1- rialluufi:rfrala tSuumirsl fii{sfrrnr:dr::aufllrJ:cififi:laafifioq::o"Luludtf,u ar,fiuifi,t.udiulu 40 - 60 i inprfiaeertriori:r:J:s?,.rruaslilfi r:n rJ:c d r fi an d oT:n un:nfi uld:ru:.J er..m r nrl.idrnuo ilufin da uavfr rat a dq i r e-q I \,Ddqonuru liluilriil?c isidt nai r :'[ a

z- 5urfi::fraro tiuuqfio:rdl f;.rusir?ar 6.so u. dr::a:rsdafi:J:aarnufir:J:v ifi;ir r irrfird1fi r nieil r iErtinrrdrfirnr: r firi:.rnrrnr?ar fi afi a r :u r : r fi :l :a a;i"Lurl:s r .^ ",dd" r rnd." r unu r:ldorn r llfi fi i6en ia fi d: ai{e r i",uu"ri'',fr . f,u"o iorq:lrvor Ca oq nr:iisua";;;;;r;;m;i,,r.;;;;

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3. 1 fralnaiaulnno "[Sidfinprarnufilrj:rlfiuovfirnrr*d rdrr r filr ilrrurnu"" ,., urr:J:v r iudl::nu"1unr:grunqil r a\: "lfifi:J:aaru r a{ niori ru"lfiilr"[un:ilfi fi :J:ahidcar:n"[un r: iirt, tu ei runi.: du'tfifi ruu,.,n n $ai,-9{<lclilqnr r cas dreqruasdil{ru:rnrilr ua"inr:airre"[u:rfl as ! dfl o u dr r fi r"[u

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rfiooon:rldr rdsr (Biasl "[unr:fioriu"[aaaqfirlea

"[unr: r fi:rfr orae,*0fi 1fiu onarrd:rilaarnfir]::r6ru:ufiof;u zo5 ?,.rEla?t ,s . ' n,;- --",-."rlaril:ailfrldonr:qa::urrdarorr s T,.rs rfiatarnod'lunras ri{t:J 4 T1Euordn 1 €"rEJ lidrrrrnil:s u fiuervuuunr:i:r!arr:rn*r1unr?ouaeru r at'lfi

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37

--r-.9- I d .-.-^2- -r dr,d, , ' <a onQrn2as'l.lilnailuilljdalarl 20O ttEf ifridrlr:adruuac r dsudrnail I aittsvr, d -^{--___?rto | 1,l8il 14 :18 t ila{ nlnA:Jlsdau-h{ll16ilrudrafreoril1 uasil'l.t ?1Etii-lu

nfi..rdaldaanru:rr"trilfirierrrf,sfla fl.rrnarulrdalnrlf;r g ailr lfiu:or:J:crrru zo - ao urfi

- lr,fl'l?? I at'lstt alla

nr:irn:rrdfrara loe"lfi}J:un:,dr rfar.rl spss/pc+ firfit

. 1. finrusfrarad:urnnaaa{ndld:asror,{uo rud dn,.run,l1,rdrjd,09tqrqd-latrrco

TtaHa'l9tE a'1tr1,J tsoln'lttlnul nrrlriagaa{fl,I:n:?a uacun6ilza{n1uusu,ld s 1> d t,

t rafl''t?ouanu I a{ : t n:rcxFt?gn ?.lltiunvi agas!

z. irnrrodfralaai:ulnnaza{ndnfi:a:ir.r"[lr,duou.ru dru:uildnttq

flnrr"Lul:{ rdsuuos?uscnr: rf,ul:n6:s dr lads ifis drurduo rourler?X'ru drn:rlri (skewness)

g- irn:rud'i'rrodu drfififl d:urduo,nuxrn?x,ru drnerlrfi? a{ n c urrn r : ill!fi .r nruR'lrfl l r ui n r : d rvr il fi :J r a t rt,lr ?,lu u oc fl s uuun r :iuiottg. O 9rtril: : nus lufl ''t ? o u afl u t a { z a s a il : :t I u,.t r ? -.t utl 9

4. irn:r"{narlfirfird:cndr.r rr.rd nr:dinuuctr:,r?a,rn,l:4 s - 93_ q I v rrt a e v

r, rJu !?n fl 'l:?il?n{ i$R-]iln-r?u,inr:drnit{:Jaa I !,ln ?1u fr unr:iuidil::nussli,q er 4 , s 9'[unr:ouaRu

r a{ a a.,: fr:J:s r rJ'1T ?lu r ilil:1s? toe"lfiafl:fllrJ:ciyr;arfirfiudgtt$gd 4v-

?an tilE?dlr (Pearson product ]Ionent correlation coefficient)

Copyright by Mahidol University

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.6irr.q.4,4s-qdr|rrnlrs lufl 'l?oudnlr I a{ u as 6il:e r u rn : rudilo'Ldils dudduna afl ailn..t ?n: ?at, ?l -'- t

dauqrun rr,l? a{ r ndas fi aaan r :iiefifi .r fi",t''

oaoaanDBESa{nal|n?as1{.t.

I v _-r__CS_ _ C &.*o 1 qflailn?a8,lirndnulni{uxa'1il?u 200 ?1s rflurrdnd{ 157 ?189

rilddre ag ?ls argf;ruoi 40-60 fl alErads lz.s il rd:u,duo ruu99

illn?X1il 6.0 drn:rlrfi - o.s) deu"[n{daiaeon ao idnrunrr,rdl:ddruI -..--,Q 9 v .t ?r r q rc 9 .l?asos Bz a'ldsas [un?{ rymlrlua? drnirardu6rl:sd:u"Lnqrir.rrunruil

flrlaefiririorduTrirs 5u:rdnrr . riai1ia.oianarfi.rs..rs6ril2u"[nfi rdarfiu6rn:uildfinnrlur:.rrieurodu 5.6 fl ctfis o-1e il d:u,duorruilrerrr.rug.9 dra:rrrfl 1.1) firl:edounrrfinnr:cHurl:snrfiuiiaeroo 60.s 1:ilfirdeurfir;fatasac ?.s ?sss r?o1n.r?rf,uTrn rurnrrufif;.rsei s rdam aufiszo il 6ruauiTo",*du s.B' il td:urduorrruil.rer?x.rrr 4.e eirn:rrrfi !..2,firl:etaeac s9 il'ler?anrrfionn L-z rdau

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39

al"Nfi 1 udosdru:u iaaa" uocirAfifizasnailfirarlrl druunqrlfiamd:uuffffo (N=20o)

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".t od z udosdruauaciasasaarnqirfiamir{ druunnrrunairialauasdruw{rd es

e i,rfl8?nil [?nt!1n?Tlltasfl,l?6tuo9ruta{ (N = 200)

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d:uriss riluil1errx1u o.9 rirnrrrrfi -r.a da,iurn?1rduq?nzarlnn*rfiIo dS_ _i t tr-_ g_ 4 ye<r r I 6r e q el11191:?O UOc?ailllncuuTlao8gllYtdfl nat:a{fl1i londeu::il lun1?6odu-[a

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qeCnl\t tYll.l 3 Ul|flP.l

aafl'131d1t1 , 2826.

rtuos aulna. {fiafirl:erl:nrrrnrru. n?{ r?u : T:sfirrirdes rdao, zszg.t !1, tl- o- 9

drio ?i?Budir . "I:fl'r ylr?'ruuasr6nnr:iflD'r. " Xr rifiarj:cna!n1:"[fitSl,deaal

n?1il? L?a r1|'lT?'Iil. T1l'r 9-10. ?r:gll u0'g.nluiluasn$s,r.{''aa

lJf 5lU'1fi'n1?. nf{ tYlil ! L:a[Un?n1Tillll,l' 2533..l

drisl TU I A?flfln. n',l?Ot!9 o.t

-9t-

t a{ : drdEr{uasfradsnrsnr c -'. n''rn?tr'l

rs1 :J1ad 1dn{ n$suilnerd r do{I:sus'liltarttr ild iln r irre rdalfi oo,

2536.

{;6 iuntlrrd. n'rril:rundnqufin?'rrdlm:nnur a{ (setf ef f icacyrheory I lr"[ff"[u{'lildafinrr "lr,gq$lrr*1l'dildou.rfi aL ufl",

10s-110. nr:il:sdrfirurnr:dsfinprudr;;A.g.d * Io*rnidrdsfrriuruavuqfint:rdrdn{ nusa[rn'r:rl{adrdor{tnrinerdellfioo )

2534

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clinics of Anerica. 22

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Backscheider, J.E. I' self - care requirenent, self-care '

capabilities and nursing systens in the Diabetic nursenanagenent clinic. " Anerican Journal of PhysigalMedicine. 64 (Decenber 1974, : 1138-1146.

Bandura, A. Sosial learninE theory.Prentice - Hall, t977 a.

Englewood cliffs Nj g

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; " self-efficacy : toward a unifying theory ofbehavior change. " Psychological review. 84

(January 19?7 b. ) : 191 - 2I5.

Bandura, A. & Adans, N.E. " Analysis of self-efficacy theory.of' behavior change. " Cognitive therapy and

research. 1 (April L977) z 287 309.

Beare, P.G. & Myers, J.L. Principles and practice. of Adult. health nursing. st. Louis : The C. V. Mosby conpany,

1990.

Blevins, D. & Cassneyer, V. " The patient with DiabetesnelIitus. " fn Medical p.919,936Edited by Longn B.C. & Phipps, If,J. St. Louis : The C.

V. Mosby conpany , 1989.

Bloongarden, T.Z, et al. " Randonized , Controlled trial ofdiabetic patient education : fnproved knowledge

without inproved netabolic status. " Diabetes care.10 (lrtay - June 1987) : 269 ZTZ.

Cahill, Cl.F., Etzwiler, D.D, & Freinkel, N. " Control and

diabetes. " New England Journal of lrtedicine.29 (April 1976) : 1004-100S.

Crabtree, M.K. " Perfornance of Diabet,ic self - Care

Predicted by self effisacy." Diabetes. 96 (198?

Sup. 1) z 32 A.

2

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