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疾病认知对医患关系与糖尿病相关困扰之间关联的中介作用。

Mediation by illness perceptions of the association between the doctor-patient relationship and diabetes-related distress.

作者信息

Bridges Harriet A, Smith Michael A

机构信息

Northumbria University, UK.

Northumbria University, UK

出版信息

J Health Psychol. 2016 Sep;21(9):1956-65. doi: 10.1177/1359105315569094. Epub 2015 Feb 6.

Abstract

The quality of the doctor-patient relationship has been shown to impact upon a number of health outcomes in diabetes, including psychological well-being. This cross-sectional study investigated illness perceptions as mediators of the association between the doctor-patient relationship and diabetes-related distress. Individuals with diabetes completed questionnaires which measured the perceptions of their relationship with their doctor, diabetes-related distress and illness perceptions. The association between doctor-patient relationship and diabetes-related distress was fully mediated by Personal Control, suggesting that the individuals' beliefs surrounding their capacity to control their diabetes mediate the association between the doctor-patient relationship and diabetes-related distress.

摘要

医患关系的质量已被证明会影响糖尿病患者的多项健康结果,包括心理健康。这项横断面研究调查了疾病认知作为医患关系与糖尿病相关困扰之间关联的中介因素。糖尿病患者完成了问卷调查,这些问卷测量了他们对医患关系、糖尿病相关困扰和疾病认知的看法。医患关系与糖尿病相关困扰之间的关联完全由个人控制所介导,这表明个体对自身控制糖尿病能力的信念介导了医患关系与糖尿病相关困扰之间的关联。

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