Lael-Monfared Elaheh, Tehrani Hadi, Teiho Zahra, Jafari Alireza
Student Research Committee, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
Health Education & Health Promotion, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
J Diabetes Metab Disord. 2020 Feb 4;19(1):257-263. doi: 10.1007/s40200-020-00499-z. eCollection 2020 Jun.
The purpose of present study was to investigate eye care behaviors based on the BASNEF model and Health Locus of Control (HLOC) in patients with type 2 diabetes(T2D).
This cross-sectional analytical study was carried out on 150 patients with T2D in Iran in 2019. The subjects were selected using simple random sampling. The data collection tools included demographic, eye self-care behavior inventory based on BASNEF model and health locus of control whose validity and reliability were confirmed. Data analysis was carried out using Independent samples-t test ANOVA, and linear regression in SPSS ver. 24.
The results of linear regression showed that knowledge, attitude, subjective norms, enabling factors, internal HLOC, chance HLOC and external HLOC were able to predict 17% of intention to eye self-care behaviors ( < 0.001) and attitude was the strongest construct in predicting intention of eye care behavior in patients with T2D ( < 0.05). In this study, most people had internal HLOC and mean (± SD) of their internal construct was 27.42(± 2.73). Also, the enabling factors construct showed a significant correlation with the internal HLOC (r = 0.283) and behavioral intention (r = 0.348) ( < 0.001).
The results of this study showed that attitude and enabling factors are effective constructs in predicting the intention to perform preventive behaviors of ocular complications in T2D patients. Therefore, it is recommended to organize training classes, access resources, and educational information, facilitate access to physicians for eye examinations, create new skills for care and prevention of ocular complications.
本研究旨在基于BASNEF模型和健康控制点（HLOC）调查2型糖尿病（T2D）患者的眼部护理行为。
2019年对伊朗150例T2D患者进行了这项横断面分析研究。采用简单随机抽样选择研究对象。数据收集工具包括人口统计学资料、基于BASNEF模型的眼部自我护理行为量表和健康控制点，其有效性和可靠性已得到证实。使用独立样本t检验、方差分析和SPSS 24版中的线性回归进行数据分析。
线性回归结果显示，知识、态度、主观规范、促成因素、内控点、机遇控制点和外控点能够预测眼部自我护理行为意向的17%（P<0.001），态度是预测T2D患者眼部护理行为意向的最强因素（P<0.05）。在本研究中，大多数人具有内控点，其内控结构的均值（±标准差）为27.42（±2.73）。此外，促成因素结构与内控点（r=0.283）和行为意向（r=0.348）显著相关（P<0.001）。
本研究结果表明，态度和促成因素是预测T2D患者眼部并发症预防行为意向的有效因素。因此，建议组织培训班、获取资源和教育信息，方便患者就医进行眼部检查，培养护理和预防眼部并发症的新技能。
