Personal models of diabetes and their relations to self-care activities.
Personal models of diabetes and their relations to self-care activities.
复制标题
糖尿病的个人模型及其与自我护理活动的关系。
DOI：
10.1037//0278-6133.9.5.632
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发表时间：
1990
期刊：
影响因子：
--
通讯作者：
Toobert,DJ
中科院分区：
文献类型：
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作者：
Hampson,SE;Glasgow,RE;Toobert,DJ
对46例女性门诊非胰岛素依赖型糖尿病患者进行糖尿病个人模式调查。受试者的平均年龄为64岁（范围= 46 - 79岁），24例受试者正在接受胰岛素治疗。他们的个人模式进行了探索，通过使用一个全面的采访，包括信仰和情感的原因，症状，过程，治疗和后果的糖尿病的问题。两周后，患者提供了有关他们自我护理活动水平的信息，包括运动，饮食和葡萄糖测试。访谈提供了个人模型结构的多个指标，从这些指标中形成了四种复合材料，用于评估原因、症状、治疗和严重性（过程和后果的组合）。在分层多元回归分析中，这些维度显著改善了对饮食水平的预测，并在考虑了年龄和胰岛素摄入的影响后，略微改善了对运动的预测。结果进行了讨论，在不同的患者群体和疾病的个人模型的变化和个人模型在确定自我护理行为的作用。
Investigated the personal models of diabetes held by 46 female outpatients with non-insulin-dependent diabetes mellitus. The subjects’ mean age was 64 years (range= 46 to 79 years), and 24 subjects were taking insulin. Their personal models were explored by using a comprehensive interview including questions on beliefs and emotions about cause, symptoms, course, treatment, and consequences of their diabetes. Two weeks after their interview, patients provided information about their levels of self-care activities, including exercise, diet, and glucose testing. The interview provided multiple indicators of the personal-model constructs from which four composites were formed assessing cause, symptoms, treatment, and seriousness (a combination of course and consequences). In hierarchical multiple-regression analyses, these dimensions significantly improved the prediction of diet level and marginally improved the prediction of exercise after accounting for the effects of age and insulin taking. The results are discussed in terms of variations in personal models across different patient groups and diseases and the role of personal models in determining self-care behaviors.