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如何在初级保健中促进2型糖尿病患者摄入水果、蔬菜和浆果?基于自我决定理论的视角

How to promote fruits, vegetables, and berries intake among patients with type 2 diabetes in primary care? A self-determination theory perspective.

作者信息

Koponen Anne M, Simonsen Nina, Suominen Sakari

机构信息

Folkhälsan Research Center, Finland.

University of Helsinki, Finland.

出版信息

Health Psychol Open. 2019 Jun 12;6(1):2055102919854977. doi: 10.1177/2055102919854977. eCollection 2019 Jan-Jun.

DOI:10.1177/2055102919854977
PMID:31218074
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6563407/
Abstract

The results of this study showed the importance of autonomous motivation for healthy eating. Autonomous motivation and female gender were the determinants most strongly associated with fruits, vegetables, and berries intake among patients with type 2 diabetes. Other determinants of fruits, vegetables, and berries intake were high education, high social support, high age, and a strong sense of coherence. Autonomous motivation and self-care competence mediated the effect of perceived autonomy support from a physician on fruits, vegetables, and berries intake. Thus, physicians can promote patients' fruits, vegetables, and berries intake by supporting their autonomous motivation and self-care competence. The results are in line with self-determination theory.

摘要

本研究结果表明了自主动机对健康饮食的重要性。自主动机和女性性别是2型糖尿病患者中与水果、蔬菜和浆果摄入量最密切相关的决定因素。水果、蔬菜和浆果摄入量的其他决定因素包括高学历、高社会支持、高龄和强烈的连贯感。自主动机和自我护理能力介导了医生感知到的自主支持对水果、蔬菜和浆果摄入量的影响。因此,医生可以通过支持患者的自主动机和自我护理能力来促进患者摄入水果、蔬菜和浆果。这些结果与自我决定理论一致。

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本文引用的文献

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Success in increasing physical activity (PA) among patients with type 2 diabetes: a self-determination theory perspective.2型糖尿病患者增加身体活动(PA)的成功经验:自我决定理论视角
Health Psychol Behav Med. 2018 Apr 25;6(1):104-119. doi: 10.1080/21642850.2018.1462707.
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Effective behaviour change techniques for physical activity and healthy eating in overweight and obese adults; systematic review and meta-regression analyses.超重和肥胖成年人身体活动及健康饮食的有效行为改变技术;系统评价与Meta回归分析
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Success in Weight Management Among Patients with Type 2 Diabetes: Do Perceived Autonomy Support, Autonomous Motivation, and Self-Care Competence Play a Role?2型糖尿病患者体重管理的成功:感知到的自主支持、自主动机和自我护理能力是否发挥作用?
Behav Med. 2018 Apr-Jun;44(2):151-159. doi: 10.1080/08964289.2017.1292997. Epub 2017 Mar 21.
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Health-care climate, perceived self-care competence, and glycemic control among patients with type 2 diabetes in primary care.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 Psychol Open. 2015 Apr 8;2(1):2055102915579778. doi: 10.1177/2055102915579778. eCollection 2015 Jan.
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Determinants of physical activity among patients with type 2 diabetes: the role of perceived autonomy support, autonomous motivation and self-care competence.2 型糖尿病患者体力活动的决定因素:感知自主支持、自主动机和自我护理能力的作用。
Psychol Health Med. 2017 Mar;22(3):332-344. doi: 10.1080/13548506.2016.1154179. Epub 2016 Mar 7.
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Job strain and supervisor support in primary care health centres and glycaemic control among patients with type 2 diabetes: a cross-sectional study.基层医疗保健中心的工作压力和主管支持与 2 型糖尿病患者的血糖控制:一项横断面研究。
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