早期慢性肾病患者改变饮食行为的自主动机因果模型

IF 0.7 Q4 NURSING
Anucha Taiwong, T. Wonghongkul, Chiraporn Tachaudomdach, C. Srirat
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引用次数: 0

摘要

饮食行为对延缓慢性肾脏病的进展意义重大,但却很难改变。自主动机是似乎对行为矫正有用的关键概念之一。因此,这项描述性横断面研究的目的是建立并测试一个关于早期慢性肾脏病患者改变饮食行为的自主动机的因果模型。研究对象包括来自泰国 10 家三级医院的 308 名早期慢性肾病患者。数据收集采用了人口统计学和健康信息表、饮食行为调节量表:自主动机分量表、一般因果关系取向量表、自主取向分量表、饮食行为调节量表自主取向分量表》、《医疗环境问卷简表》、《志向指数的重要性领域》:理想指数的重要性领域:内在生活理想分量表、理想指数的重要性领域:外在生活理想分量表:外在生活愿望分量表和一般基本需求满意度量表。通过描述性统计和使用 M-plus 的结构方程模型对数据进行了分析。结果显示,最终模型解释了 57% 的自主饮食行为改变动机变异。内在生活愿望、医疗保健提供者的自主支持和自主取向对自主动机有积极的直接影响,并通过基本心理需求的满足产生间接影响。基本心理需求的满足对自主动机有积极的直接影响。另一方面,外在生活愿望对自主动机既没有直接影响,也没有间接影响。护士可以利用这些研究结果来设计和测试护理干预措施,将自主取向、医疗服务提供者的自主支持和内在生活愿望结合起来,以提高自主动机,从而改变该人群的饮食行为。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Causal Model of Autonomous Motivation to Modify Dietary Behavior among People with Early-stage Chronic Kidney Disease
Dietary behavior is significant for delaying chronic kidney disease progression but is difficult to modify. Autonomous motivation is one of the key concepts that seem to be useful for behavior modification. Thus, this descriptive cross-sectional study was purposed to develop and test a causal model of autonomous motivation to modify dietary behavior among people with early-stage chronic kidney disease. Participants comprised 308 people with early-stage chronic kidney disease from ten tertiary hospitals in Thailand. Data collection employed a demographic and health information form, the Regulation of Eating Behaviour Scale: Autonomous Motivation Subscale, the General Causality Orientation Scale: Autonomy Orientation Subscale, the Health Care Climate Questionnaire Short-Form, the Importance Domain of the Aspiration Index: Intrinsic Life Aspiration Subscale, the Importance Domain of the Aspiration Index: Extrinsic Life Aspiration Subscale, and the Basic Need Satisfaction in General Scale. Data were analyzed through descriptive statistics and structural equation modeling using M-plus.The results showed the final model explained 57% of the variance in autonomous motivation to modify dietary behavior. Intrinsic life aspiration, autonomy support from healthcare providers, and autonomy orientation had a positive direct effect on autonomous motivation and an indirect effect through basic psychological need satisfaction. Basic psychological need satisfaction had a positive direct effect on autonomous motivation. On the other hand, extrinsic life aspiration had neither a direct nor an indirect effect on autonomous motivation. Nurses can use these findings to design and test nursing interventions by integrating autonomy orientation, autonomy support from healthcare providers, and intrinsic life aspirations for enhancing autonomous motivation to modify the dietary behavior of this population.
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来源期刊
CiteScore
1.40
自引率
14.30%
发文量
3
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