Lang Wang, Ruo Peng, Wenbin Xie, Yanzhen Tian, Hui Lu
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引用次数: 0
Abstract
Aims: To explore the current status of self-perceived burden in patients with newly diagnosed diabetes mellitus and the effects of social support and self-efficacy on their self-perceived burden, and to establish a model of the relationship among the three.
Background: The prevalence of diabetes is rising year by year, and the population of newly diagnosed diabetes mellitus is growing, with a high incidence of self-perceived burden, and the related psychological problems of patients with newly diagnosed diabetes mellitus are receiving more and more attention.
Design: A cross-sectional and quantitative study.
Methods: This study adhered to the EQUATOR guidelines. In total, 203 patients with newly diagnosed diabetes mellitus were selected using convenient sampling from the outpatients of diabetes and the ward of metabolic endocrinology in the hospital. Questionnaires were conducted using the Social Support Revalued Scale, Chronic Disease Self-Efficacy Scale and Self-Perceived Burden Scale. Structural equation modelling was applied to analyse the effects and pathways of influence among them.
Results: The self-perceived burden score of patients with newly diagnosed diabetes mellitus was (33.84 ± 9.55) and moderate self-perceived burden was present. Social support and self-efficacy significantly affected self-perceived burden, with a direct effect of 0.273 and an indirect effect of 0.466 mediated by self-efficacy, totalling 0.739. The indirect effect via self-efficacy accounted for 63.06% of the impact.
Conclusion: Social support and self-efficacy have an essential effect on the self-perceived burden of patients with newly diagnosed diabetes mellitus. In addition, self-efficacy has a mediating effect on the influence of social support on self-perceived burden.
Relevance to clinical practice: The self-perceived burden is common in patients with newly diagnosed diabetes mellitus. To reduce the self-perceived burden of these patients, it is important to focus on their self-efficacy and provide comprehensive social support.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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