Wallston Kenneth A, Rothman Russell L, Cherrington Andrea
School of Nursing, Vanderbilt University, 421 Godchaux Hall, Nashville, TN 37240, USA.
J Behav Med. 2007 Oct;30(5):395-401. doi: 10.1007/s10865-007-9110-y. Epub 2007 May 24.
Patients with chronic medical conditions such as diabetes mellitus need to self-manage their condition for optimal outcomes. The degree to which patients with diabetes feel competent or self-efficacious in managing their diabetes has been related to behaviors such as dieting or exercise as well as to indicators of glycemic control. A diabetes-specific adaptation of the Perceived Medical-Condition Self-Management Scale was administered to 398 patients with either type 1 (n=57) or type 2 (n=341) diabetes. Cronbach's alpha of the 8-item Perceived Diabetes Self-Management Scale (PDSMS) was .83 indicating internal consistency. PDSMS scores were uncorrelated with age, years since diagnosis, and years of schooling, but were negatively correlated with body mass index. Those with type 1 DM had higher PDSMS scores than those with type 2 DM. PDSMS scores were positively correlated with a number of self-reported self-care activities and negatively related to measures of glycemic control. The PDSMS is a valid measure of diabetes self-efficacy, and the more generic template from which it was adapted can easily be altered for use with other chronic medical conditions.
患有慢性疾病（如糖尿病）的患者需要自我管理病情以获得最佳治疗效果。糖尿病患者在管理自身糖尿病方面感到有能力或自我效能的程度，与节食或运动等行为以及血糖控制指标有关。对398例1型糖尿病患者（n = 57）或2型糖尿病患者（n = 341）进行了糖尿病特异性的感知医疗状况自我管理量表改编版测试。8项糖尿病自我管理量表（PDSMS）的克朗巴哈系数为0.83，表明具有内部一致性。PDSMS得分与年龄、诊断后的年数和受教育年限无关，但与体重指数呈负相关。1型糖尿病患者的PDSMS得分高于2型糖尿病患者。PDSMS得分与多项自我报告的自我护理活动呈正相关，与血糖控制指标呈负相关。PDSMS是糖尿病自我效能的有效测量工具，并且改编自它的更通用模板可以很容易地修改以用于其他慢性疾病。
