对于年轻和中年高血压患者自我护理行为相关因素的结构方程建模:一个横截面研究
1College of Nursing, Suseong University, Daegu, Korea.
Contemporary nurse
|June 19, 2023
概括
支持自主性的医疗环境和患者的自主性,能力和相关性会对高血压患者的自我护理行为产生积极的影响. 提高这些因素可以改善患者的坚持和健康结果.
科学领域:
- 健康心理学 心理健康心理学
- 行为医学是一种行为医学.
背景情况:
- 自决理论 (SDT) 认为,慢性疾病自我护理受到医疗保健气候和心理需求的影响.
- 支持自主性的医疗保健环境促进了患者的意志,主动性和诚信.
研究的目的:
- 检查自主性支持的医疗保健气候,感知疾病后果和心理需求 (自主性,能力,相关性) 与成人高血压门诊患者的自我护理行为之间的关系.
- 测试从SDT衍生的结构模型.
主要方法:
- 在韩国对228名成年高血压门诊患者进行了横截面调查.
- 数据采集使用问卷评估自主支持气候,疾病后果,自主,能力,亲属关系和自我照顾行为.
- 用结构方程建模来测试假设模型.
主要成果:
- 假设模型得到了支持,表明它很适合.
- 自主支持的医疗保健气候,自主,能力和相关性直接和积极地影响了自我护理行为.
- 对疾病后果的感知并没有显著直接影响自我护理行为.
结论:
- 加强支持自主性的医疗环境,培养患者的自主性,能力和相关性,对于改善高血压患者的自我护理行为至关重要.
- 发展医疗保健提供者和患者之间的真正伙伴关系对于信任,合作和适应至关重要.
- 干预措施应侧重于创造支持性环境,满足患者的心理需求,以促进自我照顾.
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