Lim Ancho, Song Youngshin
Chungnam National University College of Nursing Daejeon South Korea.
Nurs Open. 2020 Feb 19;7(3):887-894. doi: 10.1002/nop2.462. eCollection 2020 May.
The purpose of this study was to identify the role of psychological insulin resistance in the relationship between diabetes self-efficacy and diabetes self-care management in people with diabetes over 65 years of age.
A descriptive, cross-sectional design was used.
Participants included 326 patients with type 2 diabetes who were over 65 years of age. Structural equation modelling was performed to estimate the direct and indirect effects of diabetes self-efficacy on diabetes self-care management when psychological insulin resistance was entered as a mediator. Data were collected from May 2015 to January 2017.
Diabetes self-efficacy (= .53, < .001) and psychological insulin resistance (= .33, < .001) were significantly associated with diabetes self-care management, whereas a negative association was found between diabetes self-efficacy and psychological insulin resistance (= -.16, < .001). When psychological insulin resistance was entered as a mediator, the association between diabetes self-efficacy and diabetes self-care management was attenuated. Therefore, psychological insulin resistance served as a mediator of diabetes self-care management.
本研究旨在确定心理性胰岛素抵抗在65岁以上糖尿病患者的糖尿病自我效能感与糖尿病自我管理之间的关系中所起的作用。
采用描述性横断面设计。
研究对象包括326例65岁以上的2型糖尿病患者。当将心理性胰岛素抵抗作为中介变量时，采用结构方程模型来估计糖尿病自我效能感对糖尿病自我管理的直接和间接影响。数据收集时间为2015年5月至2017年1月。
糖尿病自我效能感（=0.53，<0.001）和心理性胰岛素抵抗（=0.33，<0.001）与糖尿病自我管理显著相关，而糖尿病自我效能感与心理性胰岛素抵抗之间呈负相关（=-0.16，<0.001）。当将心理性胰岛素抵抗作为中介变量时，糖尿病自我效能感与糖尿病自我管理之间的关联减弱。因此，心理性胰岛素抵抗充当了糖尿病自我管理的中介变量。
