权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

apricare (Adult Attachment in Primary Care) - Adult attachment and self-management in patients with multimorbidity in primary care

apricare（初级保健中的成人依恋）-初级保健中多病患者的成人依恋和自我管理

基本信息

批准号：
215161396
负责人：
Professor Dr. Jochen Gensichen
金额：
--
依托单位：
Department of Psychiatry and Behavioral Sciences
依托单位国家：
德国
项目类别：
Research Grants
财政年份：
2012
资助国家：
德国
起止时间：
2011-12-31 至 2017-12-31
项目状态：
已结题

来源：
https://gepris.dfg.de/gepris/projekt/215161396?language=en
关键词：
apricare Adult Attachment Primary Care

项目摘要

Self-management is an essential element of evidence-based treatment in patients with chronic diseases in primary care, which is usually considered universally. The primary objective of our apricare study (Adult Attachment in Primary Care) is to analyse self-management depending on adult attachment of patients with multimorbidity in primary care. In this mono-center study with prospective longitudinal design 219 primary care patients with multiple chronic diseases (type II diabetes, hypertension and at least one other chronic disease) between 50-85 years of age from 8 general practices were examined after the recruitment and 12 months later. Attachment was measured by questionnaire and interviews. The primary outcome was self-management skills (FERUS, subscales motivation for change, coping, self-efficacy, self-verbalisation, hope, social support), the secondary outcome were drug-related compliance and quality of life. Number, severity of the disease and socio-demographic variables were considered as covariates. It was also examined if physician-patient relationship can mediate the relationship between adult attachment and self-management. The overall model showed significant correlations for the subscale anxiety (Pillai's trace criterion (fear) = 0,13; F (6, 209) = 4,53, p <0,001 and for the subscale avoidance with the self-management skills (Pillai's trace (avoidance) = 0,14; F (6, 209) = 4,91, p <=0,001). Attachment-related anxiety was significantly negatively associated with self-efficacy, coping, and hope, but significantly positively associated with motivation to change. Avoidance was significantly negatively associated with social support. In the continuation of the study behavioral aspects of self-management (such as blood glucose measurements, diet, compliance with medical contacts), and health-related risk behaviors (such as nicotine and alcohol consumption, obesity, physical inactivity) will be analysed as a function of attachment-related characteristics. In addition, physiological parameters such as blood pressure, long-term glucose levels (HbA1c), BMI and blood lipids of patients will be measured.The results are the basis for the development of individualized training in patients with chronic conditions.

自我管理是初级保健慢性病患者循证治疗的一个基本要素，通常被普遍认为。我们的 apricare 研究（初级保健中的成人依恋）的主要目标是分析初级保健中多病患者的成人依恋的自我管理。在这项采用前瞻性纵向设计的单中心研究中，来自 8 个全科诊所的 219 名患有多种慢性病（II 型糖尿病、高血压和至少一种其他慢性病）的初级保健患者在招募后和 12 个月后接受了检查。依恋是通过问卷和访谈来衡量的。主要结果是自我管理技能（FERUS，子量表变革动机、应对、自我效能、自我言语、希望、社会支持），次要结果是与药物相关的依从性和生活质量。疾病的数量、严重程度和社会人口统计学变量被视为协变量。还研究了医患关系是否可以调节成人依恋和自我管理之间的关系。总体模型显示子量表焦虑（Pillai 迹线标准（恐惧）= 0,13；F (6, 209) = 4,53，p <0,001）以及子量表回避与自我管理技能显着相关（Pillai 迹线（回避）= 0,14；F (6, 209) = 4,91，p <=0,001）。显着负相关自我效能感、应对方式和希望，但与改变的动机显着正相关。回避与社会支持显着负相关。在继续研究中，自我管理的行为方面（例如血糖测量、饮食、遵守医疗接触）和健康相关的风险行为（例如尼古丁和饮酒、肥胖、缺乏身体活动）将被分析为依恋相关特征的函数。此外，还将测量患者的血压、长期血糖水平（HbA1c）、BMI和血脂等生理参数。结果是开展慢性病患者个体化训练的基础。