Takaki Jiro, Yano Eiji
Department of Hygiene and Public Health, Teikyo University School of Medicine.
Behav Med. 2006 Spring;32(1):5-11. doi: 10.3200/BMED.32.1.5-11.
In this study, the authors assessed gender differences between the relationships of self-efficacy and the internal health locus of control with compliance in hemodialysis patients. Using a self-efficacy scale for health-related behavior and the Japanese version of the Health Locus of Control Scale, the authors studied individuals who had been regularly undergoing hemodialysis for longer than 1 year. Blood urea nitrogen, serum potassium, and interdialytic weight gain were used to measure compliance. In men, self-efficacy and the internal health locus of control were negatively correlated with all compliance measures. In women, all the correlations were positive, except for that between self-efficacy and interdialytic weight gain. The authors constructed regression lines for the significant interactions. On the basis of blood urea nitrogen or serum potassium levels, the authors found that female patients who had higher self-efficacy or internal health locus of control were less compliant. The decrease of interdialytic weight gain accompanying increased self-efficacy was more significant in men than it was in women.
在本研究中，作者评估了血液透析患者自我效能感与内控型健康信念模式的关系中存在的性别差异。作者使用一份与健康相关行为的自我效能量表以及健康信念模式量表的日文版，对定期接受血液透析超过1年的个体进行了研究。采用血尿素氮、血清钾和透析间期体重增加来衡量依从性。在男性中，自我效能感和内控型健康信念模式与所有依从性指标均呈负相关。在女性中，除自我效能感与透析间期体重增加之间的相关性外，所有相关性均为正相关。作者构建了显著交互作用的回归线。基于血尿素氮或血清钾水平，作者发现自我效能感较高或内控型健康信念模式较强的女性患者依从性较差。随着自我效能感增加，透析间期体重增加的减少在男性中比在女性中更为显著。
