心力衰竭患者的D型人格、自我效能感与药物依从性——一项中介分析
Type D personality, self-efficacy, and medication adherence in patients with heart failure-A mediation analysis.
作者信息
Wu Jia-Rong, Song Eun Kyeung, Moser Debra K
机构信息
University of North Carolina at Chapel Hill, School of Nursing, Chapel Hill, NC 27599, USA.
University of Ulsan, College of Medicine, Department of Nursing, Ulsan, South Korea.
出版信息
Heart Lung. 2015 Jul-Aug;44(4):276-81. doi: 10.1016/j.hrtlng.2015.03.006. Epub 2015 May 13.
Abstract
BACKGROUND
Type D personality is associated with medication non-adherence. Both Type D personality and non-adherence are predictors of poor outcomes. Self-efficacy, which is modifiable, is also associated with medication adherence.
OBJECTIVES
To determine the relationships among Type D personality, self-efficacy, and medication adherence in 84 heart failure patients.
METHODS
Self-efficacy, Type D personality, medication adherence, demographic and clinical data were collected. Hierarchical linear regression was used.
RESULTS
Type D patients were more likely to have lower self-efficacy (p = .023) and medication non-adherence (p = .027) than non-Type D patients. Low self-efficacy was associated with medication non-adherence (p < .001). Type D personality didn't predict medication adherence after entering self-efficacy in the model (p = .422), demonstrating mediation.
CONCLUSIONS
Self-efficacy mediates the relationship between Type D personality and medication adherence. Developing and applying interventions to enhance self-efficacy may help to sever the link between Type D personality and poor outcomes.
摘要
背景
D型人格与药物治疗依从性差有关。D型人格和依从性差都是不良预后的预测因素。可改变的自我效能感也与药物治疗依从性有关。
目的
确定84例心力衰竭患者中D型人格、自我效能感和药物治疗依从性之间的关系。
方法
收集自我效能感、D型人格、药物治疗依从性、人口统计学和临床数据。采用分层线性回归分析。
结果
与非D型患者相比，D型患者更有可能具有较低的自我效能感（p = 0.023）和药物治疗不依从性（p = 0.027）。自我效能感低与药物治疗不依从性有关（p < 0.001）。在模型中纳入自我效能感后，D型人格并不能预测药物治疗依从性（p = 0.422），表明存在中介作用。
结论
自我效能感介导了D型人格与药物治疗依从性之间的关系。制定和应用增强自我效能感的干预措施可能有助于切断D型人格与不良预后之间的联系。
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