超越遵从:自我效能在 1 型糖尿病患者足部护理和自我管理中的作用。

Q2 Environmental Science
The Scientific World Journal Pub Date : 2025-03-18 eCollection Date: 2025-01-01 DOI:10.1155/tswj/8848211
Mohamad Amir Sadeghi, Afsaneh Raiesifar, Sanaz Aazami
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引用次数: 0

摘要

背景:有效的自我管理行为是糖尿病管理的关键。本研究旨在探讨自我效能感在1型糖尿病患者依从性维度与自我管理活动之间的中介作用。方法:目前的研究探索了一项随机对照试验的基线分析,但干预措施的有效性在这里没有报道;分析的重点是阐明基线的潜在中介因素。本研究通过自我效能的潜在机制,考察了7个依从性维度(治疗努力、意向、适应性、整合、坚持、承诺和优柔优断)与6个自我管理活动(饮食、运动、戒烟、血糖监测和足部护理)之间的关系。结果:分析揭示了三个依从性维度(治疗努力、意图和承诺)与足部护理行为之间的间接关联,并以自我效能感为中介。此外,自我效能感是影响承诺和适应性与饮食行为之间关系的间接机制。结论:本研究强调了自我效能感在促进慢性病患者自我管理行为中的重要性。通过针对影响自我效能的特定遵从性维度,医疗保健专业人员可以潜在地改善患者的自我管理。试验注册:伊朗临床试验注册中心编号:IRCT20221029056335N1。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Beyond Compliance: The Role of Self-Efficacy in Foot Care and Self-Management Among Patients With Type 1 Diabetes.

Background: Effective self-management behaviors are crucial for diabetes management. This study examines the mediating role of self-efficacy in the relationship between compliance dimensions and self-management activities in patients with Type 1 diabetes. Methods: The current study explores a baseline analysis from a randomized controlled trial but the intervention's effectiveness is not reported here; the analysis focuses on elucidating potential mediating factors at baseline. The study investigated the relationships between seven compliance dimensions (treatment effort, intention, adaptability, integration, adherence, commitment, and indecisiveness) and six self-management activities (diet, exercise, smoking cessation, blood sugar monitoring, and foot care) through the potential mechanism of self-efficacy. Results: The analysis revealed an indirect association between three compliance dimensions (treatment effort, intention, and commitment) and foot care behavior, mediated by self-efficacy. Additionally, self-efficacy was identified as an indirect mechanism influencing the association between commitment and adaptability with dietary behaviors. Conclusions: This study highlights the importance of self-efficacy in promoting self-management behaviors in chronic conditions. By targeting specific compliance dimensions that influence self-efficacy, healthcare professionals can potentially improve patient self-management. Trial Registration: Iranian Registry of Clinical Trials number: IRCT20221029056335N1.

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来源期刊
The Scientific World Journal
The Scientific World Journal 综合性期刊-综合性期刊
CiteScore
5.60
自引率
0.00%
发文量
170
审稿时长
3.7 months
期刊介绍: The Scientific World Journal is a peer-reviewed, Open Access journal that publishes original research, reviews, and clinical studies covering a wide range of subjects in science, technology, and medicine. The journal is divided into 81 subject areas.
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