The extended health belief model applied to the experience of diabetes in young people
The extended health belief model applied to the experience of diabetes in young people
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DOI：
10.1348/135910705x39485
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发表时间：
2006-02-01
影响因子：
7.9
通讯作者：
Stevenson, J
中科院分区：
文献类型：
--
作者：
Gillibrand, R;Stevenson, J
目标.在扩展健康信念模型（EHBM）的理论框架内，对年轻人的糖尿病经历进行了调查。预计参与者报告的高内部控制点、高糖尿病相关授权、应对低血糖和糖尿病相关社会支持将与患者对自我护理制度的良好依从性相关。118名年龄在16-25岁之间的I型糖尿病患者被发送了一组问卷，其中包括先前发表的测量EHBM所有变量的量表。高水平的家庭支持和低控制点的信念，在强大的其他人来控制他们的糖尿病减少年轻人的严重性和脆弱性的感知糖尿病相关并发症。高的内部控制点的信念和高水平的自我效能感预测的好处，坚持自我保健制度，超过这样做的成本。高水平的家庭支持预测了自我护理制度的坚持。最终模型解释了年轻人坚持糖尿病自我护理制度的12%的方差。建议EHBM是一个足够的模型，了解社会心理因素存在于年轻人的评价他们的糖尿病，这反过来又影响坚持糖尿病自我护理制度。
Objectives. The experience of diabetes in young people was investigated within the theoretical framework of the extended health belief model (EHBM). It was anticipated that participant reports of high internal locus of control, high diabetes related empowerment, coping with hypoglycaemia, and diabetes related social support would be associated with good patient adherence to the self-care regime.Method. 118 participants aged 16-25 years with Type I diabetes mellitus were sent a set of questionnaires incorporating previously published scales measuring all variables of the EHBM.Results. High levels of family support and low locus of control beliefs in powerful others to control their diabetes reduce the young person's perception of severity and vulnerability to diabetes related complications. High internal locus of control beliefs and high levels of self-efficacy predicted the benefits of adhering to the self-care regime as outweighing the costs of doing so. Adherence to self-care regime was predicted by high levels of family support.Conclusion. The final model explained 12% of the variance in the young person's adherence to diabetes self-care regime. It is proposed that the EHBM is an adequate model for understanding the socio-psychological factors present in the young person's appraisal of their diabetes, which, in turn, influences adherence to the diabetes self-care regime.