Shigaki Cheryl, Kruse Robin L, Mehr David, Sheldon Kennon M, Moore Cherith, Lemaster Joseph
Department of Health Psychology, University of Missouri, School of Health Professions One Hospital Drive, Columbia, USA.
Chronic Illn. 2010 Sep;6(3):202-14. doi: 10.1177/1742395310375630. Epub 2010 Jul 30.
To examine the relationship between autonomous motivation and diabetes self-care activities among individuals with diabetes.
Seventy-seven individuals recruited from outpatient clinic registries (64% female, 77% Caucasian, mean age 63 years) completed measures of diabetes-related self-care (Summary of Diabetes Self-care Activities), motivation (Treatment Self-regulation Questionnaire), health literacy (Rapid Estimate of Adult Literacy in Medicine, Newest Vital Sign), health (SF-36v2), social support (Social Support Survey) and self-efficacy (Perceived Competence Scale).
Autonomous motivation was the only variable significantly associated with maintaining diet (p<0.0001) and blood glucose testing (p<0.04) in regression analyses. No significant associations were identified for exercise. The variable of age approached significance (p = 0.06), with older individuals being less likely to have exercised in the past week.
Individuals in this study had difficulty in maintaining self-care demands, especially exercise. Meeting recommended levels of self-care activity was challenging, even for patients with adequate levels of health literacy. Individuals with higher levels of autonomous motivation reported higher frequencies for maintaining diet and testing blood glucose, however, which supports the utility of Self-Determination Theory in promoting diabetes self-care.
探讨糖尿病患者自主动机与糖尿病自我管理活动之间的关系。
从门诊登记处招募的77名个体（64%为女性，77%为白种人，平均年龄63岁）完成了糖尿病相关自我管理（糖尿病自我管理活动总结）、动机（治疗自我调节问卷）、健康素养（医学成人识字率快速评估、最新生命体征）、健康状况（SF-36v2）、社会支持（社会支持调查）和自我效能感（自我能力量表）的测量。
在回归分析中，自主动机是与维持饮食（p<0.0001）和血糖检测（p<0.04）显著相关的唯一变量。未发现运动有显著关联。年龄变量接近显著水平（p = 0.06），年龄较大的个体在过去一周内进行运动的可能性较小。
本研究中的个体在维持自我管理要求方面存在困难，尤其是运动。达到推荐的自我管理活动水平具有挑战性，即使对于健康素养水平足够的患者也是如此。然而，自主动机水平较高的个体报告维持饮食和检测血糖的频率较高，这支持了自我决定理论在促进糖尿病自我管理方面的效用。
