Toobert D J, Glasgow R E
Oregon Research Institute, Eugene 97401.
J Behav Med. 1991 Feb;14(1):71-86. doi: 10.1007/BF00844769.
An important objective of diabetes care is to provide patients with self-regulation skills. For patients to assume responsibility for their own regimens, they need to have good problem-solving skills to cope with ongoing personal, social, and environmental barriers to adherence. Therefore, a Diabetes Problem Solving Interview for adults was developed and evaluated with 126 non-insulin-dependent outpatients. Interviewers elicited problem-solving strategies patients would use to cope with a variety of situations potentially interfering with dietary, exercise, and glucose testing adherence. Interviews were tape recorded and coded by trained raters to produce scores on both overall problem-solving skill ratings and frequency of use of different types of strategies. Results revealed only minor influences of patient characteristics on problem-solving measures. Prospective analyses revealed that problem-solving measures were significant and independent predictors of levels of dietary and exercise self-care at a 6-month follow-up.
糖尿病护理的一个重要目标是为患者提供自我调节技能。为了让患者对自己的治疗方案负责，他们需要具备良好的解决问题的能力，以应对持续存在的个人、社会和环境方面妨碍坚持治疗的障碍。因此，开发了一项针对成年人的糖尿病问题解决访谈，并对126名非胰岛素依赖型门诊患者进行了评估。访谈者引出患者在应对各种可能干扰饮食、运动和血糖检测依从性的情况时会使用的解决问题的策略。访谈进行了录音，并由训练有素的评分者进行编码，以得出总体解决问题技能评分以及不同类型策略的使用频率得分。结果显示患者特征对解决问题的测量结果仅有微小影响。前瞻性分析表明，在6个月的随访中，解决问题的测量结果是饮食和运动自我护理水平的重要且独立的预测指标。
