执行功能在大学生健康自我管理和向成人保健过渡中的作用。
The role of executive functioning in health self-management and the transition to adult health care among college students.
机构信息
Department of Psychology, The University of Georgia, Athens, GA, USA.
出版信息
J Am Coll Health. 2022 Apr;70(3):830-836. doi: 10.1080/07448481.2020.1775605. Epub 2020 Jul 1.
To examine the role of executive functioning (EF) in health self-management and the transition to adult health care among college students. A total of 378 undergraduate students from a public university participated in the study. Participants reported on EF, health self-management skills, and their readiness to transition to adult care. Mediation analyses were conducted to evaluate indirect effects of EF on readiness to transition via health self-management skills. Students with greater EF difficulties were less ready to transition to adult care. Specific aspects of health self-management (Medication management/Appointment keeping) mediated the relationship between EF and readiness to transition. EF is a key developmental aspect of health self-management and transition readiness. Assessing EF strengths/weaknesses in students with suboptimal health self-management skills may provide valuable information for informing the development of individually-tailored transition plans in university health centers, thereby enhancing developmentally appropriate care during the college years.
目的
探讨大学生执行功能（EF）在健康自我管理和向成人保健过渡中的作用。
方法
共有 378 名来自公立大学的本科生参与了这项研究。参与者报告了 EF、健康自我管理技能以及他们准备向成人保健过渡的情况。采用中介分析评估了 EF 通过健康自我管理技能对过渡准备的间接影响。EF 困难较大的学生对向成人保健过渡的准备程度较低。健康自我管理的特定方面（药物管理/预约保持）中介了 EF 与过渡准备之间的关系。EF 是健康自我管理和过渡准备的关键发展方面。在健康自我管理技能欠佳的学生中评估 EF 的优势/劣势，可能为大学健康中心制定个性化过渡计划提供有价值的信息，从而在大学期间提供更适合发展的护理。
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