自我效能对坚持盆地肌肉训练的调解效应:基于COM-B模型的分析
Jianning Wang1, Liping Wu2, Guorong Fan3
1Department of Nursing, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
在患有骨盆底功能障碍 (PFD) 的女性中,骨盆底肌肉训练 (PFMT) 的坚持是中度的. 自我效能直接影响坚持,而知识和社会支持通过自我效能间接地影响它.
科学领域:
- 骨盆地康复治疗 骨盆地康复治疗
- 行为科学在妇女健康中的作用
背景情况:
- 盆地肌肉训练 (PFMT) 的坚持对于管理盆地功能障碍 (PFD) 至关重要,但通常很低.
- 现有研究尚未充分探索影响PFMT坚持的因素联系的途径.
研究的目的:
- 研究自我效能的调解作用在知识,社会支持和PFMT坚持与PFD妇女之间的关系.
- 应用COM-B模型来理解粘附决定因素.
主要方法:
- 一项涉及315名患有PFD的妇女在北京一家三级医院的横截面研究.
- 收集关于PFMT坚持,PFD严重程度,PFD知识,社会支持和自我有效性的数据.
- 使用SPSS 25.0进行调解分析,以评估自我有效性的影响.
主要成果:
- PFMT坚持得分的平均值为11.30±4.17. 平均值为11.30±4.17.
- 自我有效性显著介导了PFD知识 (β = 0.046) 和社会支持 (β = 0.058) 对PFMT坚持的影响.
- 这些调解效应是完全调解的.
结论:
- 在患有PFD的女性中,PFMT的遵守程度处于中度水平.
- 自我有效性对PFMT的坚持有直接的积极影响.
- 通过提高自我效能,PFD知识和社会支持间接地提高了PFMT的坚持.
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