Glasgow R E, Toobert D J
Oregon Research Institute, Eugene 97401.
Diabetes Care. 1988 May;11(5):377-86. doi: 10.2337/diacare.11.5.377.
We investigated the reliability and predictive validity of several measures of the social environment using a sample of 127 adults with type II (non-insulin-dependent) diabetes. Of particular interest was a revised scale of family support for performing diabetes self-care behaviors. Across four different aspects of the diabetes regimen, it was consistently found that regimen-specific measures of family support differentiated subjects who were low, medium, or high on adherence better than global family-support scores. Social-environment measures were generally successful in predicting a subject's level of regimen adherence after accounting for variance attributable to demographic factors. The family-support measures were the strongest and most consistent predictors of adherence, but measures of stress and medical-care satisfaction and the interaction between stress and the other social-environment measures also often improved the prediction of a subject's adherence status. These results support the usefulness of measures of the social environment specific to diabetes, and research to investigate other aspects of the social context of regimen adherence is recommended.
我们以127名II型（非胰岛素依赖型）糖尿病成年患者为样本，研究了社会环境的几种测量方法的可靠性和预测效度。特别令人感兴趣的是一个经过修订的用于糖尿病自我护理行为的家庭支持量表。在糖尿病治疗方案的四个不同方面，一致发现针对特定治疗方案的家庭支持测量方法，在区分依从性低、中、高的受试者方面，比整体家庭支持得分表现更好。在考虑了人口统计学因素导致的差异后，社会环境测量方法在预测受试者的治疗方案依从水平方面总体上是成功的。家庭支持测量方法是依从性最强且最一致的预测指标，但压力和医疗护理满意度测量方法以及压力与其他社会环境测量方法之间的相互作用，也常常能改善对受试者依从状态的预测。这些结果支持了针对糖尿病的社会环境测量方法的有用性，并建议开展研究以调查治疗方案依从性社会背景的其他方面。
