Influential Factors for Self-Management Among Patients with Diabetic Retinopathy: A Structural Equation Model Analysis

IF 2 3区医学 Q2 MEDICINE, GENERAL & INTERNAL

Patient preference and adherence Pub Date : 2024-08-02 DOI:10.2147/ppa.s456947

Rina Sa, Jingjing Zhang, Haiyang Xu

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引用次数: 0

Abstract

Purpose: To investigate the influencing factors of self-management of diabetic retinopathy (DR) by constructing a structural equation model (SEM) to analyze the relationships among self-management behavior, perceived social support, and trait coping style as well as to determine the influencing path in order to provide a theoretical reference for exploring a multipath health management model that can be used to improve the quality of life of DR patients.
Patients and Methods: A total of 388 patients with DR were enrolled in this cross-sectional study conducted from January 2020 to January 2023. All subjects completed a general questionnaire and were assessed by the Self-management Scale for Patients with Diabetic Retinopathy, the Perceived Social Support Scale, and the Trait Coping Style Scale. Structural equation modeling was employed to examine the relationship between self-management and its influencing factors. The bootstrap method was used to examine the path relationships among self-management, perceived social support, and trait coping styles in DR patients.
Results: A total of 346 valid questionnaires were collected in this study, with a response rate of 89% (346/388). The average score of self-management of DR patients was 69.50± 18.32, and it was significantly positively correlated with perceived social support and positive coping (r=0.624, r=0.578, both P< 0.01). The total effect of perceived social support on DR self-management was 1.439, with a direct effect of 1.056 and an indirect effect of 0.384. Positive coping played a mediating role in perceived social support and self-management.
Conclusion: The self-management of DR was at an intermediate level. Perceived social support and trait coping styles were important influencing factors for self-management behavior in DR patients. Therefore, improving perceived social support and trait coping styles can promote the self-management behavior of DR patients, reduce their psychological burden, and improve their compliance and quality of life.

Keywords: diabetic retinopathy, self-management, social support, coping style, structural equation model

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糖尿病视网膜病变患者自我管理的影响因素：结构方程模型分析

目的：通过构建结构方程模型（SEM），分析糖尿病视网膜病变（DR）患者自我管理行为、感知社会支持和特质应对方式之间的关系，并确定影响路径，探讨糖尿病视网膜病变（DR）患者自我管理的影响因素，为探索可用于提高DR患者生活质量的多路径健康管理模式提供理论参考：这项横断面研究于 2020 年 1 月至 2023 年 1 月进行，共招募了 388 名 DR 患者。所有受试者都填写了一份普通问卷，并接受了糖尿病视网膜病变患者自我管理量表、感知社会支持量表和特质应对方式量表的评估。采用结构方程模型研究自我管理与其影响因素之间的关系。采用引导法检验 DR 患者自我管理、感知社会支持和特质应对方式之间的路径关系：本研究共收集了 346 份有效问卷，回收率为 89%（346/388）。DR患者自我管理的平均得分（69.50±18.32）分，与感知到的社会支持和积极应对呈显著正相关（r=0.624，r=0.578，P<均为0.01）。感知到的社会支持对 DR 自我管理的总效应为 1.439，其中直接效应为 1.056，间接效应为 0.384。积极应对在感知到的社会支持和自我管理中起到了中介作用：结论：DR 的自我管理处于中等水平。感知到的社会支持和特质应对方式是 DR 患者自我管理行为的重要影响因素。因此，改善感知社会支持和特质应对方式可促进 DR 患者的自我管理行为，减轻其心理负担，提高其依从性和生活质量。

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来源期刊

Patient preference and adherence MEDICINE, GENERAL & INTERNAL-

CiteScore

3.60

自引率

4.50%

发文量

354

审稿时长

6-12 weeks

期刊介绍： Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal. As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.