摘要
目的分析疾病应对方式在2型糖尿病(type 2 diabetic mellitus,T2DM)患者疾病认知与自我管理行为间的中介效应。方法选取2021年4月至2023年3月开封市中医院收治的285例T2DM患者为研究对象,采用医学应对方式量表、简易疾病感知问卷和糖尿病自我管理行为量表进行测评,采用Pearson分析T2DM患者疾病应对方式、疾病认知与自我管理行为之间的相关性,并建立中介效应模型。结果T2DM患者自我管理行为评分(44.37±6.63)分、疾病认知评分(43.34±5.58)分、应对方式评分(42.36±6.57)分;自我管理行为与疾病认知、应对方式之间均呈正相关性(P<0.05);疾病应对方式在疾病认知与自我管理行为之间的中介效应成立,中介效应值为25.27%。结论疾病应对方式在疾病认知与自我管理行为之间的中介效应成立,证实疾病认知可以通过调节疾病的应对方式间接影响T2DM患者自我管理行为。
Objective To analyze the mediating effect of disease coping style between disease perception and self-management behavior in patients with type 2 diabetes.Methods A total of 285 T2DM patients admitted to Kaifeng Chinese Hospital from April 2021 to March 2023 were selected for the study,and the Medical Coping Style Scale,Simple Disease Perception Questionnaire and Diabetes Self-Management Behavior Scale were used to assess the correlation between disease coping style,disease perception and self-management behavior of T2DM patients,and a mediating effect model was established.Results T2DM patients scored(44.37±6.63)in self-management behavior,(43.34±5.58)in disease cognition,and(42.36±6.57)in coping style respectively.There was a posi-tive correlation between self-management behavior and disease cognition,as well as coping styles(P<0.05).The mediating role of dis-ease coping styles between disease cognition and self-management behavior was established,and the mediating effect value was 25.27%.Conclusion The mediating role of disease coping style between disease cognition and self-management behavior was estab-lished,confirming that disease cognition could indirectly affect T2DM patients’self-management behaviors by regulating disease cop-ing styles.
作者
刘晓宁
李倬怡
娄静
武红
王瑞华
刘苹
LIU Xiaoning;LI Zhuoyi;LOU Jing;WU Hong;WANG Ruihua;LIU Ping(Department of Nursing,Kaifeng Traditional Chinese Medicine Hospital,Kaifeng 475000,China;Department of Endocrine,Kaifeng Traditional Chinese Medicine Hospital,Kaifeng 475000,China)
出处
《西南医科大学学报》
2024年第1期75-79,共5页
Journal of Southwest Medical University
基金
河南省中医药科学研究专项课题(2013ZY2172)。
关键词
中介效应
自我管理行为
2型糖尿病
疾病认知
应对方式
Mediation effect
Self-management behavior
Type 2 diabetes mellitus
Disease cognition
Coping style
