Perceived health competence, health locus of control, and patient adherence in renal dialysis
Perceived health competence, health locus of control, and patient adherence in renal dialysis
复制标题
DOI：
10.1007/bf02228042
复制
发表时间：
1996-08-01
影响因子：
2.8
通讯作者：
Lawton, WJ
中科院分区：
文献类型：
--
作者：
Christensen, AJ;Wiebe, JS;Lawton, WJ
文献中关于健康控制源(NLC)和健康行为的一个新观点表明，HLC信念可能只通过HLC与其他与健康相关的期望的交互作用来影响行为。我们考察了81名肾透析患者的内部和强大的他人HLC信念，以此作为调节最近开发的“感知健康能力”指标与服药依从性之间关系的变量。假设的交互作用是显著的，暗示了HLC的调节作用。这种相互作用的模式与预测不同。更大的感知健康能力与更有利的依从性相关，只有那些在内部得分较低而在强大的他人HLC上得分较高的患者，这种模式表明，高水平的感知能力对那些对其医疗保健提供者的行动具有主要信心的患者是有利的。
An emerging view in the literature regarding health locus of control (NLC) and health behavior suggests that HLC beliefs might affect behavior only through the interaction of HLC with other health-related expectancies. We examined internal and powerful others HLC beliefs as moderators of the relationship between a recently developed measure of ''perceived health competence'' and medical regimen adherence in 81 renal dialysis patients. The hypothesized interaction was significant, suggesting a moderating role for HLC. The pattern of the interaction differed from prediction. Greater perceived health competence was associated with more favorable adherence only for those patients scoring low on internal and high on powerful others HLC, This pattern suggests that a high degree of perceived competence is advantageous for those patients with predominant confidence in the actions of their health-care providers.