心理健康和CF的坚持:自我效能和感知障碍作为调解者的障碍
Robin S Everhart1, Milene T Saavedra2, Christine R Ford3
1Virginia Commonwealth University, Richmond, VA, USA.
概括
在患有囊性纤维化 (CF) 的人群中,抑郁和焦虑等心理健康症状会对治疗坚持产生负面影响. 解决障碍和建立药物自我有效性是改善CF患者坚持治疗的关键.
科学领域:
- 医学坚持研究研究医学坚持研究.
- 心理影响慢性疾病管理的心理影响.
- 囊性纤维化 (CF) 患者的护理
背景情况:
- 抑郁和焦虑症状在患有囊性纤维化 (PWCF) 的人中很普遍.
- 这些心理健康症状与减少医疗治疗的坚持有关.
- 了解调解因素对于改善遵守PWCF至关重要.
研究的目的:
- 检查介导心理健康症状与PWCF坚持之间的关联的因素.
- 调查感知障碍和药物自我有效性的作用.
- 确定提高这一群体治疗坚持度的策略.
主要方法:
- 294名患有CF的成年人填写了关于心理健康,感知障碍和药物自我有效性的问卷.
- 使用药房补充数据客观地测量了药物坚持.
- 使用并行调解模型来分析变量之间的关系.
主要成果:
- 感知障碍显著介导了抑郁症状和坚持之间的联系.
- 感知到的障碍也调解了焦虑症状与坚持之间的关联.
- 药物的自我有效性显著介导了抑郁和焦虑症状和坚持之间的关系.
结论:
- 在PWCF中,心理健康症状增加了感知障碍,并降低了药物的自我有效性,导致较差的坚持.
- 提高药物的自我有效性可能会减轻心理健康症状对坚持药物的负面影响.
- 护理团队应该与PWCF合作,以减少日常治疗的障碍.
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