社会的認知理論に基づく関節リウマチ患者における治療順守に関する要因の探求:経路分析
Liqing Liang1,2, Xiaomin Zhang2,3, Yinghua Pan4
1Department of Preventive Treatment Center, Liuzhou Traditional Chinese Medical Hospital, Liuzhou, People's Republic of China.
Patient preference and adherence
|August 27, 2025
まとめ
薬剤の自己効用は,認知された障壁を克服することによって,関節リウマチ (RA) の薬剤耐性を改善する鍵です. 家族のサポートは 忠誠を助長しますが 自己効能による直接的な影響はありません
科学分野:
- リウマトロジ
- 健康心理学
- 行動医学
背景:
- リウマチ性関節炎 (RA) の患者では,薬の服用に欠陥があることが多い.
- 服従に影響を与える要因とメカニズムの理解は 効果的な臨床介入に不可欠です
研究 の 目的:
- 薬の自己効能を調停する役割を調査する.
- 認知された障壁,治療の期待,社会的サポート,およびRA患者における薬剤の遵守の間の関係を,社会的認知理論によって導き出す.
主な方法:
- 中国 広州 の RA 患者 232 人 は,社会 人口 統計,病気 及び 薬剤 の 情報 を 提供 し まし た.
- 収集されたデータには,認知された障壁,治療の期待,社会的サポート,自己有効性,および遵守が含まれています.
- 統計的分析には,SPSSとMplusを用いた単変数分析,相関,並列メディエーションモデリングが含まれていた.
主要な成果:
- 認知された障壁,治療の期待,家族のサポート,自己効能が RA 薬の服用と関連していました.
- 薬の自己効用は,認知された障壁の遵守に対する負の効果を完全に媒介した.
- 家族のサポートは,自己効力感と自己効力感に影響を与えましたが,自己効力感を通してではありません.
結論:
- 薬剤の自己効用は RAの薬剤耐性を高める重要な媒介です
- 介護の介入は障壁を克服し,健康教育を提供し,自立性を高め,従順性を高めるために家族のサポートを活用する必要があります.
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