在被诊断患有严重精神疾病的人中,糖尿病自我护理行为:一个横截面的相关研究
Wen-Chii Tzeng1, Yueh-Ming Tai2, Hsin-Pei Feng1
1National Defense Medical Center, Taipei City, Taiwan.
Journal of psychiatric and mental health nursing
|October 30, 2023
概括
患有严重精神疾病 (SMI) 和2型糖尿病 (T2DM) 的人有不理想的自我护理行为,自我效能是最强的预测因素. 干预措施应侧重于增强对该人口T2DM管理的信心.
科学领域:
- 精神病学是一个精神病学.
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 患有严重精神疾病 (SMI) 的人面临2型糖尿病 (T2DM) 的风险增加,通常在60岁之前发展.
- 有效的糖尿病自我护理对于管理T2DM和预防SMI患者的血管并发症至关重要.
- 有限的研究存在于糖尿病自我护理行为及其决定因素,如健康素养和自我效能,在这个人群中.
研究的目的:
- 为了调查糖尿病自护活动,在个人与伴随性SMI和T2DM.
- 在这个人群中确定与糖尿病自我护理行为相关的因素.
- 为改善SMI患者T2DM管理的临床实践提供信息.
主要方法:
- 一项涉及126名与台湾共患SMI和T2DM的参与者的横截式相关性研究.
- 通过自我报告问卷和医疗病历审查收集数据.
- 层次的多重回归分析,以确定糖尿病自我护理行为的预测因素.
主要成果:
- 总体而言,参与者的糖尿病自我护理行为在参与者中并不理想.
- 年龄和自我效能是糖尿病自我护理行为的重要预测因素.
- 自我有效性成为伴随性SMI和T2DM患者自我护理行为最强的预测因素.
结论:
- 自我有效性是影响SMI和T2DM患者糖尿病自我护理的关键因素.
- 心理健康专业人员应优先考虑提高这种群体对糖尿病管理的自我效能和信心.
- 建议针对年轻人和新诊断T2DM的人进行有针对性的干预,以改善自我护理结果.
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