Lee Hyunjin, Park Seyeon, Seo Kawoun
College of Nursing, Eulji University, Uijeongbu-si 11749, Republic of Korea.
College of Nursing, Chungnam National University, Daejeon 35015, Republic of Korea.
Healthcare (Basel). 2025 May 5;13(9):1066. doi: 10.3390/healthcare13091066.
This descriptive study aimed to explore self-stigma's mediating effect on the association between self-efficacy and coping strategy among Korean patients with type 2 diabetes. This study included 189 participants with type 2 diabetes diagnosed by an endocrinologist. Data were collected from 1 November to 28 December 2023, using a self-report questionnaire focusing on self-efficacy, coping strategy, and self-stigma. The collected data were analyzed using descriptive statistics, independent sample -test, one-way analysis of variance, Pearson's correlation coefficient, and multiple regression analysis using SPSS; the mediating effect was examined using SPSS PROCESS Macro. The mean self-efficacy, coping strategy, and self-stigma scores were 6.29 (±10.80), 2.84 (±0.54), and 2.72 (±0.82), respectively. Self-efficacy was negatively correlated with coping strategy (r = -0.52, < 0.001) and self-stigma (r = -0.45, < 0.001). Coping strategy was positively correlated with self-stigma (r = 0.78, < 0.001). Further, self-stigma partially mediated the relationship between self-efficacy and coping strategy, accounting for 64.0% of the variance. These results suggest the importance of tailoring self-stigma reduction strategies to enable patients with diabetes to develop positive coping strategies. Moreover, incremental and tailored programs for reducing self-stigma must be developed.
这项描述性研究旨在探讨自我污名在韩国2型糖尿病患者自我效能感与应对策略之间的关联中所起的中介作用。该研究纳入了189名由内分泌科医生诊断为2型糖尿病的参与者。数据收集于2023年11月1日至12月28日，使用了一份聚焦于自我效能感、应对策略和自我污名的自填式问卷。使用描述性统计、独立样本t检验、单因素方差分析、Pearson相关系数以及使用SPSS进行的多元回归分析对收集到的数据进行分析；使用SPSS PROCESS宏程序检验中介效应。自我效能感、应对策略和自我污名的平均得分分别为6.29（±10.80）、2.84（±0.54）和2.72（±0.82）。自我效能感与应对策略呈负相关（r = -0.52，P < 0.001），与自我污名呈负相关（r = -0.45，P < 0.001）。应对策略与自我污名呈正相关（r = 0.78，P < 0.001）。此外，自我污名部分中介了自我效能感与应对策略之间的关系，解释了64.0%的变异。这些结果表明，制定减少自我污名的策略以使糖尿病患者能够形成积极的应对策略非常重要。此外，必须制定逐步增加且量身定制的减少自我污名的项目。
