Cosansu Gulhan, Erdogan Semra
Istanbul University, Florence Nightingale Nursing Faculty, Public Health Nursing Department Istanbul, Turkey.
J Transcult Nurs. 2014 Jan;25(1):51-9. doi: 10.1177/1043659613504112. Epub 2013 Oct 1.
The main purpose of this study was to investigate the direct and indirect effects of psychosocial factors on self-care behavior and glycemic control in Turkish patients with type 2 diabetes mellitus.
The study used a cross-sectional questionnaire survey design (N = 350). Data were collected using the Summary of Diabetes Self-Care Activities Scale and the Multidimensional Diabetes Questionnaire. The relationship between the study variables was analyzed using Pearson's correlation coefficient and structural equation modeling.
Self-efficacy was associated with social support, outcome expectancies, perceived interference, educational level, and self-care and A1C. According to the structural equation model, self-efficacy was the predictor variable that influenced both self-care and glycemic control.
Self-efficacy in achieving desired health outcomes was found to play a central role in Turkish patients. Although interventions are planned and implemented to achieve and maintain self-management in individuals with diabetes, strengthening psychosocial factors, particularly self-efficacy, may contribute to adjustment to disease and good glycemic control in the long term.
本研究的主要目的是调查心理社会因素对土耳其2型糖尿病患者自我护理行为和血糖控制的直接和间接影响。
本研究采用横断面问卷调查设计（N = 350）。使用糖尿病自我护理活动量表摘要和多维糖尿病问卷收集数据。使用Pearson相关系数和结构方程模型分析研究变量之间的关系。
自我效能感与社会支持、结果期望、感知干扰、教育水平、自我护理和糖化血红蛋白相关。根据结构方程模型，自我效能感是影响自我护理和血糖控制的预测变量。
研究发现，在实现期望的健康结果方面，自我效能感在土耳其患者中起着核心作用。尽管已计划并实施干预措施以实现和维持糖尿病患者的自我管理，但加强心理社会因素，尤其是自我效能感，可能有助于长期适应疾病并实现良好的血糖控制。
