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风湿性关节炎患者的药物坚持和疾病感知:自我效能的调解效应

Lei Huang¹, Yang Zhou², Yan Liu¹

¹Department of Rheumatology and Immunology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, P.R. China.

Journal of musculoskeletal & neuronal interactions

|March 2, 2025

概括

自我有效性部分介导了类风湿性关节炎患者的药物坚持. 了解疾病感知和自我有效性是改善RA中药物坚持的关键.

科学领域:

类风湿病学类风湿病学
健康心理学心理健康心理学
临床药房临床药房

背景情况:

类风湿性关节炎 (RA) 管理需要持续服药 (MA).
疾病感知 (IP) 和自我效能 (SE) 是影响患者行为的关键因素.
在RA患者中IP,SE和MA之间的相互作用需要进一步研究.

研究的目的:

为了研究自我效能 (SE) 在类风湿性关节炎 (RA) 患者的疾病感知 (IP) 和药物坚持 (MA) 之间的关系中的调解作用.
提供对影响慢性疾病治疗坚持的心理因素的见解.

主要方法:

在中国广州,对238名RA患者进行了横截面调查.
经过验证的尺度被用于评估疾病感知,自我有效性和药物坚持 (MARS-A).
使用R软件和启动方法进行调解分析,检查了拟议的关系.

主要成果:

在SE和IP (r=0.23,p<0.01),SE和MA (r=0.195,p<0.001),以及IP和MA (r=0.532,p<0.05) 之间发现了显著的正相关性.
自我有效性被证实部分调解疾病感知和药物坚持之间的关联.
平均分数:IP=120.50±12.32,SE=29.36±8.49,MA=21.22±2.96. 平均分数:IP=120.50±12.32,SE=29.36±8.49,MA=21.22±2.96. 平均分数:IP=120.50±12.32,SE=29.36±8.49,MA=21.22±2.96. 平均分数:IP=120.50±12.32,SE=29.36±8.49,MA=21.22±2.96. 平均分数:IP=120.50±12.32,SE=29.36±8.49,MA=21.22±2.96. 平均分数:IP=120.50±12.32,SE=29.36±8.49,MA=21.22

结论:

自我有效性在RA患者的疾病感知和药物坚持之间的联系中发挥着部分调解作用.
旨在提高自我效能和改善疾病感知的干预措施可能会对RA的药物坚持产生积极影响.

关键词:

疾病感知疾病感知调解效果的调解效果药物治疗药物治疗药物治疗药物治疗药物治疗药物治疗类风湿性关节炎类风湿性关节炎类风湿性关节炎自我有效性的自我效能.

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