基于社会认知理论的风湿性关节炎患者的药物坚持相关因素:路径分析
Liqing Liang1,2, Xiaomin Zhang2,3, Yinghua Pan4
1Department of Preventive Treatment Center, Liuzhou Traditional Chinese Medical Hospital, Liuzhou, People's Republic of China.
Patient preference and adherence
|August 27, 2025
概括
通过克服感知障碍,提高类风湿性关节炎 (RA) 药物治疗效率的关键是药物的自我有效性. 家庭支持也有助于坚持, 但不会通过自我效能直接影响.
科学领域:
- 关节病学
- 健康心理学
- 行为医学
背景情况:
- 在类风湿性关节炎 (RA) 患者中,药物坚持不佳很常见.
- 了解影响坚持的因素和机制对于有效的临床干预至关重要.
研究的目的:
- 调查药物自我有效性的调解作用.
- 在社会认知理论的指导下,研究 RA 患者的感知障碍,治疗期望,社会支持和药物坚持之间的关系.
主要方法:
- 来自中国广州的232名RA患者提供了社会人口统计数据,疾病和药物信息.
- 收集的数据包括感知障碍,治疗期望,社会支持,自我有效性和坚持.
- 统计分析包括使用SPSS和Mplus的单变量分析,相关性和并行调解建模.
主要成果:
- 感知到的障碍,治疗期望,家庭支持和自我效能与 RA 药物坚持有关.
- 药物自我有效性完全调解了对坚持的感知障碍的负面影响.
- 家庭支持对坚持和自我效能产生了积极影响,但不是通过自我效能.
结论:
- 药物自我有效性是加强RA药物的关键调解因素.
- 护理干预措施应解决障碍,提供健康教育,并利用家庭支持来提高自我效能和改善坚持.
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