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Health self determination affected by social support : Structure Model for children

受社会支持影响的健康自我决定：儿童结构模型

基本信息

批准号：
12672327
负责人：
TANABE Keiko
金额：
$ 1.34万
依托单位：
Kochi Medical School
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2000
资助国家：
日本
起止时间：
2000 至 2001
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-12672327/
关键词：
self-determination social support child with bronchial asthma self-care behavior qualify of life ソーシャル・サポート尺度

项目摘要

The purpose of this study was to investigate the structure of health self determination that was caused by social support and personality among child.Studies were conducted with healthy and chronic physically ill children to develop two instruments to measure children's health self determination and social support for children. Item analysis and factor analysis were performed to determine item effectiveness and existence of significant subscales. An eight week study provided evidence that the children's health self determination and social support have acceptable levels of reliability, (test-retest reliability, r ranging from .71 to .72.), internal consistency, (coeffeicient ranging from .72 to .85), and construct validity.The Children's Health Self Determination Scale and the Social support for children Scale appears to be reliable and valid.Covariance structure analysis was applied in order to investigate the causal relationship among social support, personality and self health determination and the causal relationship among self health determination and selfcare behavior, quality of life. The constructed model fitted well (GFI =0.991, AGFI =0.978 and RMSEA =0.052).These results improved that social support reinforces self health determination by a child with bronchial asthma and self health determination reinforces self-care behavior and quality of life.

本研究以健康儿童和慢性躯体疾病儿童为研究对象，编制了儿童健康自我决定和儿童社会支持的测量工具，旨在探讨儿童健康自我决定的社会支持和人格结构。进行项目分析和因素分析，以确定项目的有效性和存在的显着分量表。一项为期8周的研究表明，儿童的健康自我决定和社会支持具有可接受的信度（重测信度，r范围为.71-.72），内部一致性，儿童健康自我决定量表和儿童社会支持量表具有较好的信度和效度，采用协方差结构分析探讨社会支持、人格与自我健康决定的因果关系以及自我健康决定与自我照顾行为的因果关系，并对儿童健康自我决定量表和儿童社会支持量表的信度和效度进行了检验。生活质量结果表明，哮喘儿童社会支持对自我健康决定有促进作用，自我健康决定对自我保健行为和生活质量有促进作用。