Effects of Self-Efficacy and Locus of Control on Future Preconception Counseling Plans of Adult Women With Type 1 Diabetes.
Effects of Self-Efficacy and Locus of Control on Future Preconception Counseling Plans of Adult Women With Type 1 Diabetes.
复制标题
自我效能感和控制源对1型糖尿病成年女性的未来成人咨询计划的影响。
DOI：
10.2337/diaspect.29.1.37
复制
发表时间：
2016-02
期刊：
影响因子：
--
通讯作者：
Geller PA
中科院分区：
文献类型：
--
作者：
Grady CM;Geller PA
目标。美国糖尿病协会(ADA)建议糖尿病女性接受孕前咨询，并在怀孕前改善血糖水平，以降低不良后果的风险。然而，三分之二的糖尿病女性并没有计划怀孕。研究检查了对糖尿病孕妇进行怀孕前咨询的观点，但尚未探索从未怀孕的糖尿病妇女的看法。本研究的目的是检验女性心理控制源、自我效能感和前置心理咨询的结果期望之间的关系。设计与方法。在网上招募了147名患有1型糖尿病(平均年龄25.9岁)的未服药女性样本，以完成一项自我报告调查。措施包括一份社会人口学表格，一份关于糖尿病管理和教育的专门研究问卷，生殖健康态度和行为工具，以及糖尿病特定控制点测量。结果。标准多元线性回归分析表明，自我效能感与孕前心理咨询期望呈正相关(P<；0.001)，而自责呈负相关(P=0.001)。四分之三的女性报告说没有接受过医疗保健提供者的先入为主的咨询。结论。自我效能感与女性对先入为主的咨询有效性的期望呈正相关，而对疾病管理不善的自我责备则呈负相关。前期咨询报告的低比率表明，ADA关于在青春期开始前期咨询的建议并没有得到一致的遵循。应该向糖尿病妇女提供教育，使她们更相信自己可以控制自己的疾病，这可能会导致人们对先入为主的咨询和更健康的怀孕产生积极的看法。
Objective. The American Diabetes Association (ADA) recommends that women with diabetes attend preconception counseling and improve blood glucose levels before pregnancy to decrease risks of adverse outcomes. However, two-thirds of women with diabetes do not plan their pregnancies. Research has examined views regarding preconception counseling of pregnant women with diabetes, but perceptions of women with diabetes who have never been pregnant have not been explored. The purpose of this study was to examine the relationship between women’s locus of control, self-efficacy, and outcome expectations of preconception counseling. Design and Methods. A sample of 147 nulligravid women with type 1 diabetes (mean age 25.9 years) was recruited online to complete a self-report survey. Measures included a sociodemographics form, a study-specific questionnaire regarding diabetes management and education, the Reproductive Health Attitudes and Behaviors instrument, and the Diabetes-Specific Locus of Control measure. Results. A standard multiple linear regression analysis indicated that self-efficacy was positively associated with expectations of preconception counseling (P <0.001), whereas self-blame was negatively associated (P = 0.001). Three-fourths of the women reported not receiving preconception counseling from health care providers. Conclusion. Self-efficacy was positively associated with women’s expectation of preconception counseling usefulness, whereas self-blame for poor disease management was inversely related. The low reported rates of preconception counseling demonstrate that ADA recommendations for starting preconception counseling at puberty have not been followed uniformly. Women with diabetes should be provided education to increase their belief that they have control over their disease, which may lead to positive perceptions of preconception counseling and healthier pregnancies.