Pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycemic control in patients with type 2 diabetes mellitus

被引：135
|
作者：
Lee, Yau-Jiunn [1 ]
Shin, Shyi-Jang [2 ]
Wang, Ruey-Hsia [3 ]
Lin, Kun-Der [4 ]
Lee, Yu-Li [4 ]
Wang, Yi-Hsien [5 ]
机构：
[1] Lees Endocrinol Clin, Pingtung, Taiwan
[2] Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Div Endocrinol & Metab, Dept Internal Med, Kaohsiung, Taiwan
[3] Kaohsiung Med Univ, Coll Nursing, 100 Shih Chuan 1st Rd, Kaohsiung 80708, Taiwan
[4] Kaohsiung Municipal Tatung Hosp, Div Endocrinol & Metab, Kaohsiung, Taiwan
[5] Kaohsiung Med Univ, Res Ctr Nonlinear Anal & Optimizat, Kaohsiung, Taiwan
来源：
PATIENT EDUCATION AND COUNSELING | 2016年 / 99卷 / 02期
关键词：
Type; 2; diabetes; Model; Glycemic control; Self-care behaviors; Self-efficacy; Health literacy; Empowerment perceptions; PUBLIC-HEALTH; MANAGEMENT; ADULTS; IMPACT;
D O I：
10.1016/j.pec.2015.08.021
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Objective: To validate a hypothesized model exploring the influencing pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycosylated hemoglobin (HbA1c) levels in patients with type 2 diabetes (T2DM). Methods: Overall, 295 patients with T2DM were recruited from five endocrine clinics in Taiwan through convenience sampling. Data regarding personal characteristics, empowerment perceptions, health literacy, self-efficacy, self-care behaviors, and HbA1c levels were collected. A structural equation modeling was used to validate the hypothesized model. Results: Significant direct pathways were determined from empowerment perceptions to health literacy, from health literacy to self-efficacy, from self-efficacy to self-care behaviors, and from self-care behaviors to HbA1c levels. Conclusions: The empowerment perceptions and health literacy relatively influenced self-efficacy and self-care behaviors. Self-efficacy and self-care behaviors relatively influenced glycemic control in patients with T2DM. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码：287 / 294
页数：8
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