加强2型糖尿病女性的自我护理管理
Na'eemah Zaini1, Idayu Badilla Idris2, Norfazilah Ahmad1
1Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Scientific reports
|April 16, 2025
概括
社会支持和健康素养可以改善2型糖尿病女性的糖尿病自我护理. 自我有效性和疾病感知是关键的调解者,突出强调需要整体的管理策略.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 有效的自我护理管理对于优化血糖控制和预防2型糖尿病并发症至关重要.
- 了解影响T2DM女性自我护理行为的因素对于开发有针对性的干预措施至关重要.
- 社会支持和健康素养被认为是健康结果的重要决定因素.
研究的目的:
- 探索自我效能和疾病感知在糖尿病自我护理管理方面的社会支持和健康素养之间的关系中的调解作用.
- 为了研究这些关系,特别是在被诊断为2型糖尿病的妇女中.
- 为增强糖尿病自我管理计划提供基于证据的建议.
主要方法:
- 一项涉及330名来自马来西亚9家卫生诊所的T2DM女性患者的横截面研究.
- 采用多阶段采样技术来招募参与者.
- 结构方程建模 (SEM) 用于分析社会支持,健康素养,自我效能,疾病感知和糖尿病自我护理管理之间的复杂关系.
主要成果:
- SEM模型显示出很好的匹配,表明了拟议关系的有效性.
- 自我有效性和疾病感知显著介绍了社会支持和健康素养对糖尿病自我护理管理的影响.
- 疾病感知 (β=0.69) 和自我效能 (β=0.31) 分别对自我护理管理产生了最强烈的直接影响.
结论:
- 建议采取旨在通过认知和行为策略提高自我效能的干预措施.
- 以患者为中心的教育,重塑疾病的看法是提高自我护理的关键.
- 将心理社会支持纳入糖尿病护理政策可以改善T2DM妇女的自我护理行为和健康结果,倡导采用整体方法.
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