Açıkgöz Çepni Serap, Kitiş Yeter
Republic of Turkey Ministry of Health, General Directorate of Health Services, Ankara, Turkey.
Faculty of Health Sciences, Department of Nursing, Gazi University, Ankara, Turkey.
Jpn J Nurs Sci. 2017 Jul;14(3):231-239. doi: 10.1111/jjns.12154. Epub 2016 Nov 11.
To investigate the relationship between the healthy lifestyle behaviors and the health locus of control and health-specific self-efficacy in university students.
The study included 572 undergraduate students of a university in the central Anatolia region of Turkey. The data were collected with the General Characteristics Form, the Health-Promoting Lifestyle Profile II, the Multidimensional Health Locus of Control Scale, and the Perceived Health Competence Scale and investigated with the structural equation model.
Health-specific self-efficacy was an important predictor of healthy lifestyle behaviors. The Internal health locus of control influenced the healthy lifestyle behaviors through health-specific self-efficacy. The other dimension was the Powerful Others health locus of control that affected healthy lifestyle behaviors, both directly and indirectly, through health-specific self-efficacy. There was a chance that the health locus of control had a negative effect on healthy lifestyle behaviors through self-efficacy.
Health-specific self-efficacy is an important prerequisite for changes in healthy lifestyle behaviors, which supports Pender's model. The subscales of the health locus of control vary in their effects on healthy lifestyle behaviors, which partly supports Pender's model. Nurses, by using this model, can examine ways of improving these cognitive-perceptual factors and implement health education programs that are directed towards improving them in young persons.
探讨大学生健康生活方式行为与健康控制点及特定健康自我效能之间的关系。
该研究纳入了土耳其安纳托利亚中部地区一所大学的572名本科生。通过一般特征表、健康促进生活方式概况II、多维健康控制点量表和感知健康能力量表收集数据,并采用结构方程模型进行研究。
特定健康自我效能是健康生活方式行为的重要预测因素。内控健康控制点通过特定健康自我效能影响健康生活方式行为。另一个维度是强大他人健康控制点,它通过特定健康自我效能直接和间接地影响健康生活方式行为。健康控制点有可能通过自我效能对健康生活方式行为产生负面影响。
特定健康自我效能是健康生活方式行为改变的重要前提条件,这支持了彭德的模型。健康控制点的子量表对健康生活方式行为的影响各不相同,这部分支持了彭德的模型。护士通过使用该模型,可以研究改善这些认知-感知因素的方法,并实施旨在改善年轻人这些因素的健康教育项目。