Background:
Recognizing and promoting the factors that affect the self-management behaviors of diabetes
leads to a reduction in the number of patients and an improvement in the quality of care. The ecological approach focuses
on the nature of people's interactions with their physical and socio-cultural environments.
Objective:
The purpose of this study was to identify the predictors of self-management behaviors with a comprehensive
approach in these patients.
Methods:
The Keywords were investigated in the relevant national and international databases, including PubMed,
Google Scholar, Science Direct, Scopus, and Scientific Information Database, Magiran, and Iran Medex to obtain the
articles published from 2009 to 2019. The search and article selection strategy was developed based on the Prisma
checklist and was carried out in three steps.
Results:
Most studies have shown that personal factors had the highest prediction power for the self-management of
diabetes. Then, the interpersonal factors, society and policy-making factors, and group and organization factors were most
frequently reported predictors of self-management behaviors in diabetic patients.
Conclusion:
Self-management of diabetes is necessary for controlling it because 95% of care is done by the patient. When
designing self-management interventions, factors based on the individual level that increasing self-management behaviors
should be taken into account.
