School of Nursing, Zhengzhou University, Zhengzhou, China.
Department of Nephrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
J Clin Nurs. 2018 May;27(9-10):1884-1890. doi: 10.1111/jocn.14304.
To examine whether the information-motivation-behavioural skills model could predict self-care behaviour among Chinese peritoneal dialysis patients.
Peritoneal dialysis is a treatment performed by patients or their caregivers in their own home. It is important to implement theory-based projects to increase the self-care of patients with peritoneal dialysis. The information-motivation-behavioural model has been verified in diverse populations as a comprehensive, effective model to guide the design, implementation and evaluation of self-care programmes.
A cross-sectional, observational study.
A total of 201 adults with peritoneal dialysis were recruited at a 3A grade hospital in China. Participant data were collected on demographics, self-care information (knowledge), social support (social motivation), self-care attitude (personal motivation), self-efficacy (behaviour skills) and self-care behaviour. We also collected data on whether the recruited patients had peritoneal dialysis-associated peritonitis from electronic medical records. Measured variable path analysis was performed using mplus 7.4 to identify the information-motivation-behavioural model.
Self-efficacy, information and social motivation predict peritoneal dialysis self-care behaviour directly. Information and personal support affect self-care behaviour through self-efficacy, whereas peritoneal dialysis self-care behaviour has a direct effect on the prevention of peritoneal dialysis-associated peritonitis.
The information-motivation-behavioural model is an appropriate and applicable model to explain and predict the self-care behaviour of Chinese peritoneal dialysis patients. Poor self-care behaviour among peritoneal dialysis patients results in peritoneal dialysis-associated peritonitis.
The findings suggest that self-care education programmes for peritoneal dialysis patients should include strategies based on the information-motivation-behavioural model to enhance knowledge, motivation and behaviour skills to change or maintain self-care behaviour.
检验信息-动机-行为技能模型是否可以预测中国腹膜透析患者的自我护理行为。
腹膜透析是一种由患者或其照顾者在家中进行的治疗方法。实施基于理论的项目以增加腹膜透析患者的自我护理非常重要。信息-动机-行为模型已在不同人群中得到验证，是指导自我护理计划设计、实施和评估的综合、有效模型。
横断面观察性研究。
在中国一家 3A 级医院共招募了 201 名成年腹膜透析患者。从电子病历中收集参与者的人口统计学资料、自我护理信息（知识）、社会支持（社会动机）、自我护理态度（个人动机）、自我效能（行为技能）和自我护理行为数据。我们还收集了腹膜透析相关性腹膜炎的患者数据。使用 mplus 7.4 进行测量变量路径分析，以确定信息-动机-行为模型。
自我效能、信息和社会动机直接预测腹膜透析自我护理行为。信息和个人支持通过自我效能影响自我护理行为，而腹膜透析自我护理行为对预防腹膜透析相关性腹膜炎有直接影响。
信息-动机-行为模型是解释和预测中国腹膜透析患者自我护理行为的合适和适用模型。腹膜透析患者自我护理行为不佳会导致腹膜透析相关性腹膜炎。
研究结果表明，腹膜透析患者的自我护理教育计划应包括基于信息-动机-行为模型的策略，以增强知识、动机和行为技能，从而改变或维持自我护理行为。
