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首页> 外文期刊>Asian Nursing Research >A Structural Equation Model Linking Health Literacy to Self-efficacy, Self-care Activities, and Health-related Quality of Life in Patients with Type 2 Diabetes
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A Structural Equation Model Linking Health Literacy to Self-efficacy, Self-care Activities, and Health-related Quality of Life in Patients with Type 2 Diabetes

机译：结构方程模型将健康素养与2型糖尿病患者的自我效能，自我护理活动以及与健康相关的生活质量联系起来

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Summary Purpose Health literacy has been attracting increasing attention because low health literacy is considered an important predictor of adverse health outcomes in many chronic conditions, including diabetes. However, it is unclear how health literacy is associated with health outcomes. The purpose of this study was to formulate a hypothetical structural equation model linking health literacy to self-efficacy, self-care activities, and health-related quality of life (HRQOL) in patients with type 2 diabetes. Methods A cross-sectional survey design was employed, and 459 patients with type 2 diabetes were recruited from outpatient clinics in two university hospitals. The patients completed a pack of questionnaires. The hypothetical model was tested using structural equation modeling analysis. Results The values of multiple fit indices indicated that the proposed model provided a good fit to the data. Health literacy exerted not only a direct effect on self-care activities, but also an indirect effect on self-care activities via self-efficacy. However, health literacy exerted only an indirect effect on HRQOL. This structural model was invariant across hemoglobin-A1c-controlled and hemoglobin-A1c-uncontrolled groups. Based on R 2 values, the final model accounted for 20.0% of the variance in self-efficacy, 61.0% of the variance in self-care activities, and 16.0% of the variance in HRQOL. Conclusions This study suggests that self-care activities are crucial to the link between health literacy and HRQOL. Both health literacy and self-efficacy need to be considered in clinical practice for enhancing self-care activities in patients with type 2 diabetes. This approach may ultimately improve HRQOL in these patients.
机译：概述目的健康素养受到越来越多的关注，因为低健康素养被认为是许多慢性病（包括糖尿病）中不良健康结局的重要预测指标。但是，尚不清楚健康素养与健康状况如何相关。这项研究的目的是建立一个假设的结构方程模型，将健康素养与2型糖尿病患者的自我效能，自我护理活动以及与健康相关的生活质量（HRQOL）联系起来。方法采用横断面调查设计，从两家大学医院的门诊中招募了459名2型糖尿病患者。患者完成了一包问卷。使用结构方程模型分析对假设模型进行了测试。结果多个拟合指标的值表明，所提出的模型对数据提供了良好的拟合。健康素养不仅对自我保健活动产生直接影响，而且通过自我效能对间接保健活动产生间接影响。但是，健康素养仅对HRQOL产生间接影响。这种结构模型在血红蛋白-A1c控制组和血红蛋白-A1c非控制组之间是不变的。基于R 2值，最终模型占自我效能差异的20.0％，自我护理活动差异的61.0％和HRQOL差异的16.0％。结论这项研究表明，自我保健活动对于健康素养和HRQOL之间的联系至关重要。在临床实践中需要同时考虑健康素养和自我效能，以增强2型糖尿病患者的自我保健活动。这种方法可能最终改善这些患者的HRQOL。

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