西班牙乳糜泻患者饮食依从性和自我效能预期对生活质量的影响。
Influence of Compliance to Diet and Self-Efficacy Expectation on Quality of Life in Patients with Celiac Disease in Spain.
机构信息
Department of Psychology and Sociology, Universidad de Zaragoza, 50009 Zaragoza, Spain.
Aragon Institute of Health Science IACS, 50009 Zaragoza, Spain.
出版信息
Nutrients. 2020 Sep 2;12(9):2672. doi: 10.3390/nu12092672.
The purpose of this study is to understand the health-related quality of life (HRQoL) in patients with celiac disease (CD) and analyze its main determinants. A transversal descriptive study of 738 patients with celiac disease was carried out. A series of questionnaires were answered related to their HRQoL, adherence to a gluten-free diet (GFD), and self-efficacy beliefs among other relevant variables. Regression analyses were carried out in order to explore the predictive variables in adherence to the GFD and HRQoL. A total of 61.2% showed a good HRQoL, and the main predictors of HRQoL were specific self-efficacy, adherence to the diet, risk perception, time since diagnosis, and age. While 68.7% of participants showed good or excellent adherence to the GFD, and the main predictors of adherence were specific self-efficacy, perceived adoption of recommended behaviors, HRQoL and gender. The HRQoL of patients with CD, and adherence to the GFD in Spain, are good. It is the self-efficacy expectation, measured specifically and not generally, which is the best predictor of both adherence and HRQoL. It is necessary to develop programs to improve the HRQoL of patients with CD that focus on improving specific self-efficacy.
本研究旨在了解乳糜泻（CD）患者的健康相关生活质量（HRQoL），并分析其主要决定因素。对 738 例乳糜泻患者进行了横断面描述性研究。回答了一系列与 HRQoL、无麸质饮食（GFD）依从性以及其他相关变量的自我效能信念有关的问卷。为了探讨对 GFD 依从性和 HRQoL 的预测变量，进行了回归分析。共有 61.2%的患者表现出良好的 HRQoL，HRQoL 的主要预测因素是特定的自我效能、饮食依从性、风险感知、诊断时间和年龄。而 68.7%的参与者对 GFD 的依从性良好或优秀，而依从性的主要预测因素是特定的自我效能、感知到推荐行为的采纳、HRQoL 和性别。西班牙 CD 患者的 HRQoL 和 GFD 依从性良好。具体而非一般的自我效能预期是依从性和 HRQoL 的最佳预测因素。有必要制定方案来提高 CD 患者的 HRQoL，重点是提高特定的自我效能。
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