初级保健中2型糖尿病患者的医疗保健氛围、自我护理能力认知与血糖控制
Health-care climate, perceived self-care competence, and glycemic control among patients with type 2 diabetes in primary care.
作者信息
Koponen Anne M, Simonsen Nina, Laamanen Ritva, Suominen Sakari
机构信息
University of Helsinki, Finland; Folkhälsan Research Center, Finland.
Folkhälsan Research Center, Finland; University of Skövde, Sweden; University of Turku, Finland.
出版信息
Health Psychol Open. 2015 Apr 8;2(1):2055102915579778. doi: 10.1177/2055102915579778. eCollection 2015 Jan.
Abstract
This study showed, in line with self-determination theory, that glycemic control among patients with type 2 diabetes ( = 2866) was strongly associated with perceived self-care competence, which in turn was associated with autonomous motivation and autonomy-supportive health-care climate. These associations remained after adjusting for the effect of important life-context factors. Autonomous motivation partially mediated the effect of health-care climate on perceived competence, which fully mediated the effect of autonomous motivation on glycemic control. The results of the study emphasize health-care personnel's important role in supporting patients' autonomous motivation and perceived self-care competence.
摘要
本研究表明，与自我决定理论一致，2型糖尿病患者（n = 2866）的血糖控制与自我护理能力感知密切相关，而自我护理能力感知又与自主动机和自主性支持的医疗环境相关。在调整重要生活背景因素的影响后，这些关联依然存在。自主动机部分介导了医疗环境对能力感知的影响，而能力感知又完全介导了自主动机对血糖控制的影响。该研究结果强调了医护人员在支持患者自主动机和自我护理能力感知方面的重要作用。
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