Wang Xiyi, Shao Jing, Ye Zhihong
Department of Nursing, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, People's Republic of China.
Faculty of Nursing, Zhejiang University School of Medicine, Hangzhou, People's Republic of China.
Patient Prefer Adherence. 2020 Jun 4;14:939-947. doi: 10.2147/PPA.S248126. eCollection 2020.
This study aimed to translate the Roy adaptation model concept of adaptation level into measurable concepts when considering the health-related quality of life, social support, and self-efficacy of community-dwelling Chinese adults with metabolic syndrome.
This was a descriptive cross-sectional study. Data were collected from 144 adults with metabolic syndrome in the suburban area of Hangzhou, China. Correlation analysis was performed to examine the relationships between environmental stimuli (sociodemographic characteristics), adaptation level (health-related quality of life and social support), and prerequisite of behavior (self-efficacy). Regression analysis was applied to test the effect of stimuli on adaptation level and their associations with behavior.
Adaptation level was potentially influenced by environmental stimuli and evaluated by the quality of life. Age and education level were related to physiological and psychological function. Besides, family income was related to physiological function. Thus, adaptation level may predict individuals' behavior towards illness management, with a percentage classification accuracy of 76.40%. The vitality and social functioning of the quality of life were identified as significant correlates of self-efficacy.
Our findings demonstrate that individuals' internal and external resources should be considered when developing nursing interventions to improve patients' adaptation level. Future research should explore whether facilitating self-efficacy among community-dwelling adults with metabolic syndrome may positively influence an individual's adaptation process in health management.
本研究旨在将罗伊适应模式中的适应水平概念转化为可测量的概念，同时考虑中国社区居住的患有代谢综合征的成年人的健康相关生活质量、社会支持和自我效能感。
这是一项描述性横断面研究。数据收集自中国杭州郊区的144名患有代谢综合征的成年人。进行相关性分析以检验环境刺激（社会人口学特征）、适应水平（健康相关生活质量和社会支持）和行为前提条件（自我效能感）之间的关系。应用回归分析来测试刺激对适应水平的影响及其与行为的关联。
适应水平可能受环境刺激影响，并通过生活质量进行评估。年龄和教育水平与生理和心理功能相关。此外，家庭收入与生理功能相关。因此，适应水平可能预测个体对疾病管理的行为，分类准确率为76.40%。生活质量的活力和社会功能被确定为自我效能感的显著相关因素。
我们的研究结果表明，在制定护理干预措施以提高患者适应水平时，应考虑个体的内部和外部资源。未来的研究应探讨提高社区居住的患有代谢综合征的成年人的自我效能感是否可能对个体在健康管理中的适应过程产生积极影响。
