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感知压力和自我效能感与1型糖尿病青少年患者的糖尿病自我管理相关:一项适度调节分析
Author(s) -
Guo Jia,
Yang Jundi,
Wiley James,
Ou Xiancai,
Zhou Zhiguang,
Whittemore Robin
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14179
Subject(s) - self efficacy , mediation , diabetes mellitus , stress management , self management , diabetes management , stress (linguistics) , psychology , clinical psychology , structural equation modeling , medicine , type 2 diabetes , developmental psychology , social psychology , endocrinology , linguistics , philosophy , statistics , mathematics , machine learning , political science , computer science , law
Aims The aims of this study were to: (a) determine if self‐efficacy mediates the relationship between perceived stress and diabetes self‐management in adolescents with type 1 diabetes (T1D); and (b) explore whether perceived stress moderated the self‐efficacy and diabetes self‐management relationship. Design Non‐experimental, descriptive correlational design, conducted from January–December 2016. Methods Guided by the Adaptation to Diabetes framework, data on demographic and clinical characteristics, perceived stress, self‐efficacy and diabetes self‐management were collected. Descriptive analyses and regression analyses were generated by SPSS Version 22. Structural equation modelling was implemented with the MPlus program. Results There was no direct effect of perceived stress on diabetes self‐management; however, self‐efficacy mediated the relationship between perceived stress and diabetes self‐management. Adolescents who had high self‐efficacy and low perceived stress demonstrated better diabetes care activities and diabetes communication than would be predicted from the main effects of self‐efficacy and perceived stress alone. Conclusions Decreasing perceived stress and improving self‐efficacy are important strategies to improve diabetes self‐management in adolescents with T1D. Impact Adolescents with T1D experience considerable stress with daily self‐management demands. This study highlights the mediating role of self‐efficacy on perceived stress and diabetes self‐management. Assessment of perceived stress and self‐efficacy in self‐management tasks in adolescents with T1D may help nurses individualize self‐management education and support. Incorporating strategies to promote stress management and self‐efficacy in diabetes education may also improve diabetes self‐management.