Problem solving and diabetes self-management - Investigation in a large, multiracial sample
Problem solving and diabetes self-management - Investigation in a large, multiracial sample
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DOI：
10.2337/dc06-1390
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发表时间：
2007-01-01
期刊：
影响因子：
16.2
通讯作者：
Toobert, Deborah J.
中科院分区：
文献类型：
--
作者：
Glasgow, Russell E.;Fisher, Lawrence;Toobert, Deborah J.
目的 - 解决问题是有效糖尿病和慢性病自我管理的核心方面，但对解决问题技能的客观评估相对较少，尤其是在大型多种族样本中。 研究设计和方法 - 对 506 名患有 2 型糖尿病的成人的多种族样本进行了各种患者特征、自我管理行为以及生物和心理社会测量的评估。他们还完成了糖尿病问题解决访谈 (DPSI)。 结果 - DPSI 评分显示患者解决问题的能力存在显着差异，并且与许多共病和并发症相关，但与其他几个人口因素（包括种族/民族）无关。在控制各种潜在混杂因素的多变量分析中，解决问题的能力还与自我管理行为（饮食和运动模式）、生物变量（A 1 C 和血脂）和心理社会测量（糖尿病痛苦量表）有关。 结论 - 根据 DPSI 的测量，糖尿病问题解决能力是一项重要的患者技能，与几个关键的糖尿病管理变量相关，似乎适用于不同种族和民族群体。未来的研究需要确定糖尿病问题解决的普遍性与特殊性，以及提高解决问题技能的实际干预措施。
OBJECTIVE - Problem solving is a core aspect of effective diabetes and chronic illness self-management, yet there are relatively few objective evaluations of problem-solving skills, especially in large, multiracial samples.RESEARCH DESIGN AND METHODS - A multiracial sample of 506 adults who have type 2 diabetes were assessed on a variety of patient characteristics, self-management behaviors, and biological and psychosocial measures. They also completed the Diabetes Problem-Solving Inter-view (DPSI).RESULTS - DPSI scores revealed significant variability across patients in problem-solving skill and were related to a number of comorbid conditions and complications but not to several other demographic factors, including race/ethnicity. Problem solving was also related to selfmanagement behaviors (eating and exercise patterns), biological variables (A 1 C and lipids), and psychosocial measures (Diabetes Distress Scale) in multivariable analyses controlling for a variety of potential confounding factors.CONCLUSIONS - Diabetes problem solving, as measured by the DPSI, is an important patient skill related to several key diabetes management variables that appears applicable across racial and ethnic groups. Future research is needed to identify the generality versus specificity of diabetes problem solving and practical interventions to enhance problem-solving skills.