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首页> 外文期刊>Journal of the American Academy of Nurse Practitioners. >Health literacy, self-efficacy, and self-care behaviors in patients with type 2 diabetes mellitus
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Health literacy, self-efficacy, and self-care behaviors in patients with type 2 diabetes mellitus

机译：2型糖尿病患者的健康素养，自我效能感和自我护理行为

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Purpose: The study purpose was to explore the relationships among health literacy, self-efficacy, and self-care behaviors of patients with type 2 diabetes. Data sources: A cross-sectional study with a descriptive correlational design was conducted. Patients (N = 150) with type 2 diabetes were recruited from diabetes clinics in the Marshall Islands. Levels of health literacy, self-efficacy, and self-care behaviors were assessed by a questionnaire. Conclusions: Health literacy, receiving diabetes education, and employment status together explained 11.8% of the variance in self-efficacy (F<3,147) = 7.58, p < .001). Patients who had higher health literacy, received more diabetes-related education, were currently employed and had better self-efficacy. Self-efficacy and marital status together explained 16.7% of the variance in self-care behaviors (F(2,148) = 15.96,p < .001). Patients who had higher self-efficacy and who were married had better self-care behaviors.Implications for practice: Strategies are needed to incorporate the concept of self-efficacy in the design of diabetes education to promote patients' self-care behaviors, with an emphasis on dealing with hyper- or hypoglycemia, following the diet plan, and checking blood sugar levels as recommended. Diabetes education material that requires a lower literacy level may be needed for older or unemployed adult populations.
机译：目的：研究目的是探讨2型糖尿病患者健康素养，自我效能和自我护理行为之间的关系。数据来源：进行了具有描述性相关设计的横断面研究。从马绍尔群岛的糖尿病诊所招募了2型糖尿病患者（N = 150）。通过调查表评估了健康素养，自我效能和自我护理行为的水平。结论：健康素养，接受糖尿病教育和就业状况共同解释了自我效能方差的11.8％（F <3,147）= 7.58，p <.001）。具有较高的健康素养，接受了更多与糖尿病相关的教育的患者，目前正在接受治疗并且具有更好的自我效能。自我效能感和婚姻状况共同解释了自我护理行为差异的16.7％（F（2,148）= 15.96，p <.001）。自我效能感较高且已婚的患者具有较好的自我护理行为。实践意义：需要采取策略将自我效能感概念纳入糖尿病教育设计中，以促进患者的自我护理行为，并通过这种方式来促进患者的自我护理行为。强调按照饮食计划处理高血糖或低血糖症，并按照建议检查血糖水平。年龄较大或失业的成年人口可能需要识字水平较低的糖尿病教育材料。

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