影响妊娠糖尿病 A1 孕妇血糖控制行为的因素模型

IF 0.7 Q4 NURSING
Vorrapun Phadungyotee, Srisamorn Phumonsakul, N. Chansatitporn, Noppawan Piaseu
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引用次数: 0

摘要

妊娠糖尿病是妊娠期间的葡萄糖不耐受症,会增加母亲、胎儿和后代的健康风险。了解血糖控制行为的影响因素对于控制血浆葡萄糖水平十分必要。本研究建立并测试了妊娠糖尿病 A1 孕妇血糖控制行为影响因素模型。计划行为理论被用作指导研究的概念框架。研究对象为泰国两家三甲医院的 252 名妊娠糖尿病孕妇,她们的血糖可通过运动和饮食控制。研究采用人口统计学数据表和态度、主观规范、自我控制行为信念、意向和血糖控制行为五个量表收集数据。统计分析采用 SPSS 18.0 版和 Mplus 7.0 版统计软件包进行。结果显示,修正模型与经验数据相吻合,占血糖控制行为变异的 51.8%。自我控制行为的意向和信念直接影响血糖控制行为。态度、主观规范和自我控制行为信念通过意向间接影响血糖控制行为。在这些因素中,意向对血糖控制行为的影响最大。这些发现表明,护理干预应通过强化积极态度、自我控制行为信念和主观规范的支持来增强意向,从而促进血糖控制行为。这一模型需要在临床实践中应用并检验其有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Model of Factors Influencing Glycemic Control Behavior among Pregnant Women with Gestational Diabetes Mellitus A1
Gestational diabetes mellitus is glucose intolerance during pregnancy, increasing health risk in the mothers, feti, and subsequent children. Understanding the factors influencing glycemic control behaviors is necessary to control plasma glucose levels. This study developed and tested the Model of Factors Influencing Glycemic Control Behavior among Pregnant Women with Gestational Diabetes Mellitus A1. The Theory of Planned Behavior was used as a conceptual framework to guide the study. The participants were 252 pregnant women with the condition from two tertiary hospitals in Thailand, and whose blood glucose could be controlled by exercise and diet. Data were collected using a demographic data form and five scales on attitude, subjective norm, belief in self-control behavior, intention, and glycemic control behavior. Statistical analysis was conducted using SPSS version 18.0 and the Mplus statistical package version 7.0. Results showed that the modified model fitted with the empirical data and accounted for 51.8% of the variance of glycemic control behavior. Intention and belief in self-control behavior directly affected glycemic control behavior. Attitude, subjective norm and belief in self-control behavior indirectly affected glycemic control behavior via intention. Among these factors, intention had the most substantial effect on glycemic control behavior. These findings suggest that nursing interventions should enhance intention by reinforcing positive attitudes, belief in self-control behavior, and support from subjective norms to promote glycemic control behavior. This model needs to be applied and tested for effectiveness in clinical practice.
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来源期刊
CiteScore
1.40
自引率
14.30%
发文量
3
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