首页|运动自我效能感在糖尿病患者血糖管理积极度与生活质量中的中介效应

运动自我效能感在糖尿病患者血糖管理积极度与生活质量中的中介效应

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目的 探讨运动自我效能感在糖尿病患者血糖管理积极度与生活质量中的中介作用。方法 选取2020年10月-2022年7月收治于我院的273例糖尿病患者,采用一般资料调查表、积极度量表(PAM)、运动自我效能感量表(ESES)及糖尿病特异性生活质量量表(DSQL)进行问卷调查。结果 糖尿病患者PAM总分为(61。61±18。77)分,总体处于第3水平;ESES总分为(6。40±1。96)分,处于中上水平;DSQL总分为(78。45±19。45)分,处于中等水平。Pearson相关分析显示:糖尿病患者血糖管理积极度、运动自我效能感与生活质量两两呈正相关(P<0。01)。中介分析结果显示:运动自我效能感在血糖管理积极度与生活质量间存在部分中介效应,效应量为29。8%。结论 糖尿病患者运动自我效能感、血糖管理积极度和生活质量总体处于中等水平,仍需改善,血糖管理积极度可通过运动自我效能感的中介作用对患者生活质量产生影响,提示临床医务人员可通过改善患者血糖管理积极度,从而达到提高患者生活质量的目的。
Mediating effect of exercise self-efficacy on blood glucose management enthusiasm and quality of life in patients with diabetics
Objective To explore the mediating effect of exercise self-efficacy on blood glucose management en-thusiasm and quality of life in diabetes patients.Methods A total of 273 patients with diabetes admitted to the Second Affiliated Hospital of Wenzhou Medical University from October 2020 to July 2022 were selected for the question-naire survey by using the general information questionnaire,Patient Activation Measure(PAM),Exercise Self-Effi-cacy Scale(ESES),and Diabetes Specific Quality of Life scale(DSQL).Results The total score of PAM in diabetes patients was(61.61±18.77)points,which was the third level in general;The total score of ESES was(6.40±1.96)points,which was in the upper middle level;The total score of DSQL was(78.45±19.45)points,which was in the middle level.Pearson correlation analysis showed that the blood glucose enthusiasm,exercise self-efficacy and quality of life of diabetes patients were positively correlated(P<0.01).The results of mediation analysis showed that exercise self-ef-ficacy had a partial mediating effect between blood glucose management enthusiasm and quality of life,and the effect size was 29.8%.Conclusion The exercise self-efficacy,blood glucose management enthusiasm,and quality of life of diabetes pa-tients are generally at a medium level and still need to be improved.Blood glucose management enthusiasm can affect pa-tients'quality of life through the mediation of exercise self-efficacy,so it is indicated that clinical medical staff can improve patients'quality of life by improving the activation of blood glucose management.

diabetesmotivationexercise self-efficacyquality of lifemediating effectsnursing

郑丽丽、叶佩芝

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温州医科大学附属第二医院全科医学,浙江温州 325000

糖尿病 积极度 运动自我效能感 生活质量 中介效应 护理

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(8)
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