基于心房患者综合行为模型的自我护理行为:结构方程建模方法
Juhyun Song1, Seung Yong Shin2, Kyunghee Kim3
1Chung-Ang University Hospital, Seoul, South Korea.
Western journal of nursing research
|December 21, 2023
概括
心房患者的自我护理行为受到意图和习惯的直接影响,而间接受到态度,社会规范和自我效能的影响. 干预措施应促进这些因素,以改善患者的自我护理.
科学领域:
- 行为科学 行为科学
- 心脏病学 心脏病学
- 健康心理学 心理健康心理学
背景情况:
- 有限的研究存在于心房动 (AF) 患者的自我护理行为意图和理论模型.
- 了解影响自我护理的因素对于管理AF至关重要.
- 现有的模型可能无法完全捕捉AF患者自我护理动态.
研究的目的:
- 确定影响被诊断为心房动 (AF) 的患者自我护理行为的关键因素.
- 测试一个集成的行为模型,预测AF的自我护理.
- 为增强AF患者自我护理提供一个框架.
主要方法:
- 一个综合行为模型应用于216名AF患者.
- 数据分析使用SPSS 24.0和AMOS/WIN 24.0进行模型合适性和有效性.
- 使用结构方程建模来评估直接和间接的影响.
主要成果:
- 自理行为意图 (β = 0.433) 和习惯 (β = 0.395) 显著预测了自理行为.
- 仪器态度 (β = 0.077),禁令规范 (β = 0.084) 和自我有效性 (β = 0.249) 具有显著的间接影响.
- 该模型解释了64.4%的自我护理行为差异.
结论:
- 经过验证的模型强调意图,习惯,态度,社会规范和自我效能是AF自我护理的关键.
- 干预计划应侧重于增强这些因素,以改善患者的自我护理.
- 该研究提供了一个概念框架,用于开发针对性自护策略在AF.
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