Ramos-Vera Cristian, Krikorian Alicia, Vallejos Saldarriaga Jose
Research Area, School of Health Sciences, Universidad César Vallejo, Lima, Peru.
Sociedad Peruana de Psicometría, Lima, Peru.
Palliat Support Care. 2023 Dec;21(6):973-979. doi: 10.1017/S1478951522000864.
Knowledge, beliefs, and attitudes toward palliative care (PC) constitute barriers to its access. Few studies have focused on the intrinsic relationship between these variables, and none has examined the relationship between them and self-care self-efficacy.
To examine the direct and indirect effects of self-care self-efficacy, knowledge, and beliefs on attitudes toward PC.
A cross-sectional predictive study was conducted. Self-care self-efficacy, knowledge, attitudes, and beliefs about PC were analyzed using information from the Health Information National Trends Survey (HINTS 5, cycle 2, 2018). Data from 1,162 participants were considered. Structural equation modeling (SEM) was used to represent the statistical mediation model with latent and observable variables.
The structural model presents positive coefficients indicating that self-care self-efficacy significantly predicts knowledge ( = 0.127, < 0.001) and beliefs ( = 0.078, = 0.023). Similarly, knowledge is associated with attitudes ( = 0.179, < 0.001) and beliefs ( = 0.213, < 0.001). The beliefs measure is also significantly related to attitudes ( = 0.474, < 0.001). In addition, this structural multiple mediation model shows optimal goodness-of-fit indices: /df = 3.49, CFI = 0.983, TLI = 0.976, RMSEA = 0.046 [90% CI: 0.037-0.056], SRMR = 0.038.
Self-care self-efficacy is significantly associated with knowledge and beliefs about PC, which in turn are related to each other. Altogether, these variables predict positive attitudes toward PC. Understanding the relationship between these variables is relevant for targeting-specific populations and designing timely strategies to improve access to PC.
对姑息治疗（PC）的知识、信念和态度构成了获得姑息治疗的障碍。很少有研究关注这些变量之间的内在关系，并且没有研究考察它们与自我护理自我效能之间的关系。
考察自我护理自我效能、知识和信念对姑息治疗态度的直接和间接影响。
进行了一项横断面预测研究。使用来自全国健康信息趋势调查（HINTS 5，第2周期，2018年）的信息分析了自我护理自我效能、关于姑息治疗的知识、态度和信念。纳入了1162名参与者的数据。采用结构方程模型（SEM）来表示具有潜在变量和可观察变量的统计中介模型。
结构模型呈现出正系数，表明自我护理自我效能显著预测知识（β = 0.127，p < 0.001）和信念（β = 0.078，p = 0.023）。同样，知识与态度（β = 0.179，p < 0.001）和信念（β = 0.213，p < 0.001）相关。信念测量指标也与态度显著相关（β = 0.474，p < 0.001）。此外，这个结构多重中介模型显示出最佳的拟合优度指标：χ²/df = 3.49，CFI = 0.983，TLI = 0.976，RMSEA = 0.046 [90% CI：0.037 - 0.056]，SRMR = 0.038。
自我护理自我效能与关于姑息治疗的知识和信念显著相关，而这些又相互关联。总体而言，这些变量预测了对姑息治疗的积极态度。了解这些变量之间的关系对于针对特定人群和设计及时的策略以改善姑息治疗的可及性具有重要意义。
