Problem solving and diabetes self-care.
Problem solving and diabetes self-care.
复制标题
问题解决和糖尿病自我护理。
DOI：
10.1007/bf00844769
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发表时间：
1991
影响因子：
3.1
通讯作者：
Glasgow,RE
中科院分区：
文献类型：
--
作者：
Toobert,DJ;Glasgow,RE
糖尿病护理的一个重要目标是为患者提供自我调节技能。为了让患者对自己的治疗方案负责，他们需要具备良好的解决问题的能力，以应对持续存在的个人、社会和环境障碍。因此，我们开发了成人糖尿病问题解决访谈，并针对 126 名非胰岛素依赖型门诊患者进行了评估。访谈者引出了患者用来应对各种可能干扰饮食、运动和血糖测试依从性的情况的问题解决策略。访谈由训练有素的评估员进行录音和编码，以得出整体问题解决技能评级和不同类型策略的使用频率的分数。结果显示，患者特征对解决问题的措施影响很小。前瞻性分析显示，在 6 个月的随访中，解决问题的措施是饮食和运动自我保健水平的重要且独立的预测因素。
An important objective of diabetes care is to provide patients with self-regulation skills. For patients to assume responsibility for their own regimens, they need to have good problem-solving skills to cope with ongoing personal, social, and environmental barriers to adherence. Therefore, a Diabetes Problem Solving Interview for adults was developed and evaluated with 126 non-insulin-dependent outpatients. Interviewers elicited problem-solving strategies patients would use to cope with a variety of situations potentially interfering with dietary, exercise, and glucose testing adherence. Interviews were tape recorded and coded by trained raters to produce scores on both overall problem-solving skill ratings and frequency of use of different types of strategies. Results revealed only minor influences of patient characteristics on problem-solving measures. Prospective analyses revealed that problem-solving measures were significant and independent predictors of levels of dietary and exercise self-care at a 6-month follow-up.