Nursing Department, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam Campus, Puncak Alam, Selangor, Malaysia.
Nurs Health Sci. 2012 Mar;14(1):38-45. doi: 10.1111/j.1442-2018.2011.00658.x. Epub 2012 Jan 30.
This study investigated the association between self-efficacy and self-care behavior to determine the degree of self-efficacy and to examine differences in self-efficacy according to patient variables, including state of health, of Malaysian patients with type 2 diabetes. The sample comprised 388 patients (respondents). We collected the data from December 2010 to February 2011. We found a significant positive relationship between self-efficacy and self-care behavior (r(s) = 0.481, P < 0.001). The degree of self-efficacy was moderately high (mean = 7.570). We found significant differences between self-efficacy and education level (Wilk's Lambda = 0.918, F[12, 1008] = 2.779, P < 0.05), duration of diabetes (Wilk's Lambda = 0.954, F[8, 736] = 2.264, P < 0.05), other chronic conditions (Wilk's Lambda = 0.967, F[4, 383] = 3.304, P < 0.05) and diabetic complications (Wilk's Lambda = 0.963, F[4, 383] = 3.653, P < 0.05). Self-efficacy can be used as a model to understand self-care behavior. Individualized nursing interventions based on self-efficacy theory should be utilized in high risk diabetic patients so as to assist and improve self-care behavior.
本研究旨在探讨自我效能感与自我护理行为之间的关联，以确定自我效能感的程度，并根据患者变量（包括健康状况）考察自我效能感的差异，这些患者变量包括马来西亚 2 型糖尿病患者。样本由 388 名患者（应答者）组成。我们于 2010 年 12 月至 2011 年 2 月收集数据。我们发现自我效能感与自我护理行为之间存在显著正相关关系（r(s) = 0.481，P < 0.001）。自我效能感程度中等偏高（平均值=7.570）。我们发现自我效能感与教育水平之间存在显著差异（Wilk's Lambda = 0.918，F[12, 1008] = 2.779，P < 0.05），糖尿病病程（Wilk's Lambda = 0.954，F[8, 736] = 2.264，P < 0.05），其他慢性疾病（Wilk's Lambda = 0.967，F[4, 383] = 3.304，P < 0.05）和糖尿病并发症（Wilk's Lambda = 0.963，F[4, 383] = 3.653，P < 0.05）。自我效能感可以作为理解自我护理行为的模型。应根据自我效能感理论对高危糖尿病患者实施个性化护理干预，以协助和改善自我护理行为。
