Sousa Valmi D, Zauszniewski Jaclene A, Musil Carol M, Price Lea Patricia J, Davis Schenita A
North Carolina Agricultural and Technical State University, Greensboro, NC, USA.
Res Theory Nurs Pract. 2005 Fall;19(3):217-30. doi: 10.1891/rtnp.2005.19.3.217.
Costly complications of diabetes often arise from poor glycemic control. Appropriate diabetes self-care management may improve control. This study examined whether self-care management affects glycemic control and mediates relationships between self-efficacy and self-care agency with glycemic control. In a cross-sectional correlational design, data from a prior study of 141 insulin-requiring adults with type 1 or type 2 diabetes were examined using descriptive statistics, Pearson's correlation, and multiple hierarchical regression. Findings indicated that greater self-care agency and self-efficacy lead to greater self-care management, in turn leading to better glycemic control. Self-care management did not mediate between self-efficacy or self-care agency and glycemic control. Thus, beliefs or capabilities for self-care are insufficient to improve glycemic control; doing so requires self-care management.
糖尿病的高昂并发症往往源于血糖控制不佳。适当的糖尿病自我护理管理可能会改善控制情况。本研究探讨了自我护理管理是否会影响血糖控制，以及自我效能感和自我护理能力与血糖控制之间的关系是否通过自我护理管理来介导。在一项横断面相关设计中，使用描述性统计、皮尔逊相关性分析和多元层次回归分析，对之前一项针对141名需要胰岛素治疗的1型或2型糖尿病成年人的研究数据进行了分析。研究结果表明，更强的自我护理能力和自我效能感会带来更强的自我护理管理，进而带来更好的血糖控制。自我护理管理并未在自我效能感或自我护理能力与血糖控制之间起到中介作用。因此，自我护理的信念或能力不足以改善血糖控制；要做到这一点需要自我护理管理。
