Factors affecting self-management in Iranian tuberculosis patients: A path analysis model.

IF 1.1 0 CRITICAL CARE MEDICINE

Canadian Journal of Respiratory Therapy Pub Date : 2021-06-23 eCollection Date: 2021-01-01 DOI:10.29390/cjrt-2021-009

Tayebeh Fasihi Harandi, Zohreh Mahmoodi, Nooshin Ghavidel, Zhila Sharifipour

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引用次数: 4

Abstract

Background: Self-management behaviors can reduce the progression of an illness. Although various factors affect self-management, no study has been conducted on the self-management of tuberculosis (TB) through path analysis.

Objectives: This study evaluated the factors affecting self-management in TB patients using path analysis.

Methods: A cross-sectional study was done on 133 non-prisoner TB patients that referred to all health centers in Karaj, Iran, in 2017. A structured questionnaire was applied. Data were analyzed with SPSS-17 and Lisrel 8.8, utilizing statistical path analysis to evaluate the relationships between self-management and its related factors.

Results: Overall, 52.3% of the participants in the study were female and 47.7% were male. Respondents of were 46.9% smear-positive, 9.4% smear-negative, and 43.8% extra-pulmonary TB. Fit indices confirmed the model fitness and logical relationships between the variables according to the conceptual model (χ² = 49.80, df = 25). The final path model showed that age (β = 0.84), attitude (β = 0.10), marital status (β = 0.04), and house condition (β = 0.03) impact self-management through the direct path. Knowledge (β = 0.83) and education (β = 0.16) affect self-management through both direct and indirect paths. Education indirectly affects self-management through both knowledge and attitude. Knowledge indirectly impacts self-management through attitude. In other words, knowledge and attitude mediate the relationship between some factors and self-management.

Conclusions: This study provided an empirical model that illustrates the relationships between self-management and related factors in TB patients. The knowledge can be the target of interventions in support of self-management.

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影响伊朗肺结核患者自我管理的因素:一个路径分析模型。

背景:自我管理行为可以减少疾病的发展。虽然影响自我管理的因素多种多样，但尚未有通过通径分析对结核病自我管理进行研究。目的:本研究利用通径分析法评估影响结核病患者自我管理的因素。方法:对2017年在伊朗卡拉杰所有卫生中心转诊的133名非囚犯结核病患者进行了横断面研究。采用结构化问卷调查。采用SPSS-17软件和Lisrel 8.8软件对数据进行分析，采用统计通径分析法评价自我管理与其相关因素之间的关系。结果:总体而言，研究参与者中女性占52.3%，男性占47.7%。涂片阳性46.9%，涂片阴性9.4%，肺外结核43.8%。拟合指数根据概念模型证实了模型的适合度和变量之间的逻辑关系(χ2 = 49.80, df = 25)。最终路径模型显示，年龄(β = 0.84)、态度(β = 0.10)、婚姻状况(β = 0.04)、住房条件(β = 0.03)通过直接路径影响自我管理。知识(β = 0.83)和教育(β = 0.16)通过直接和间接途径影响自我管理。教育通过知识和态度间接影响自我管理。知识通过态度间接影响自我管理。换句话说，知识和态度在某些因素与自我管理的关系中起中介作用。结论:本研究为结核病患者自我管理与相关因素之间的关系提供了实证模型。这些知识可以成为支持自我管理的干预措施的目标。

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来源期刊

Canadian Journal of Respiratory Therapy Health Professions-Health Professions (miscellaneous)

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： The CJRT is published four times a year and represents the interests of respiratory therapists nationally and internationally. The CJRT has been redesigned to act as an educational dissemination tool. The CJRT encourages submission of original articles, papers, commentaries, case studies, literature reviews and directed reading papers. Submissions can be sent to Rita Hansen.