Partners' representations of diabetes as mediators between patients' representations and adherence to self-care behaviors, in type 2 diabetes
Partners' representations of diabetes as mediators between patients' representations and adherence to self-care behaviors, in type 2 diabetes
复制标题
DOI：
10.1080/13548506.2015.1118517
复制
发表时间：
2016-01-01
影响因子：
3.8
通讯作者：
Ferreira, Gabriela
中科院分区：
文献类型：
--
作者：
Graca Pereira, M.;Pedras, Susana;Ferreira, Gabriela
本研究的目的是分析最近诊断的2型糖尿病（T2 DM）患者的伴侣的糖尿病的陈述作为患者的疾病陈述和坚持所有自我护理行为之间的中介。样本包括340名患者及其各自的伴侣。使用的仪器有：修订的糖尿病自我护理活动总结（RSDSCA）;药物依从性报告量表（MARS）;和简明疾病感知问卷（Brief-IPQ）。研究发现，伴侣对糖尿病后果的陈述在同一患者的陈述与运动、足部护理和自我血糖监测之间存在中介作用。伴侣的个人陈述和治疗控制是相同伴侣陈述和自我血糖监测之间的中介。没有合作伙伴的陈述介导的患者的代表性和遵守药物或饮食。本研究以新近诊断的2型糖尿病患者为研究对象，着重探讨伴侣对患者坚持运动、足部护理及血糖监测的意见。促进T2 DM依从性的干预措施应促进患者和伴侣糖尿病表现之间的一致性。这项研究提供了一些证据，需要治疗T2 DM的二分体，以提高依从性，诊断后开始。
The purpose of this study was to analyze partners'representations of diabetes as mediators between patients' illness representations and adherence to all self-care behaviors, in recently diagnosed type 2 diabetes (T2DM) patients. The sample included 340 patientsand their respective partners. The instruments used were: Revised Summary of Diabetes Self-Care Activities (RSDSCA); Medication Adherence Report Scale (MARS); and the Brief Illness Perception Questionnaire (Brief-IPQ). A mediational effect of partners' representation of diabetes consequences was found between the samepatients' representations and exercise, foot care, and self-monitoring of blood glucose. Partners'representations of personal and treatment control, were mediators between the same partners'representations and self-monitoring of blood glucose. No partners' representations mediated patients' representation and adherence to medication or diet. This study emphasized partners' representations on patient's adherence to exercise,foot care and monitoringof blood glucose, in recent diagnosed T2DM patients. Interventions to promote adherence inT2DM should promote convergence between patients and partners' diabetes representations. This study provides some evidence for the need to treat T2DMwithin the dyad to improve adherence, starting after the diagnosis.