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伴有认知功能障碍的老年慢性心力衰竭患者自我护理信心与行为的研究 被引量:4
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作者 初均晓 王爽 +3 位作者 李想 周勇 刘东岩 康孟杰 《湖南中医药大学学报》 CAS 2016年第A01期219-220,共2页
目的探讨伴有认知功能障碍的老年心力衰竭患者自我护理信心在认知功能和自我护理关系中的中介效应.方法采用横断面调查研究,调查102例出院1个月后的伴有认知功能障碍的老年心力衰竭患者的自我护理信心、自我护理维持和自我护理管理.运... 目的探讨伴有认知功能障碍的老年心力衰竭患者自我护理信心在认知功能和自我护理关系中的中介效应.方法采用横断面调查研究,调查102例出院1个月后的伴有认知功能障碍的老年心力衰竭患者的自我护理信心、自我护理维持和自我护理管理.运用结构方程模型分析自我护理信心的中介效应.结果经Pearson相关分析,MMSE和自我护理信心、自我护理维持和自我护理管理均显著相关(P〈0.01).经结构方程模型分析,自我护理信心是老年慢性心理衰竭患者认知功能与自我护理维持、认知功能与自我护理管理关系的中介变量,控制其他影响认知功能和自我护理的变量后,中介效应仍存在.结论自我护理信心作为自我护理的中介变量,旨在提高(认知功能障碍)患者自我护理信心的干预措施将能改善自我管理行为. 展开更多
关键词 慢性心力衰竭 认知功能 自我护理信心 自我护理
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心力衰竭患者自我护理信心在领悟社会支持与自我护理行为间的中介作用 被引量:11
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作者 刘莉 王秀华 +2 位作者 曹希 杨琛 欧阳煜 《中国临床心理学杂志》 CSSCI CSCD 北大核心 2017年第4期734-738,共5页
目的:探讨心力衰竭患者领悟社会支持与自我护理行为之间的关系,以及自我护理信心在领悟社会支持与自我护理行为关系间的中介作用。方法:采用方便取样,抽取127名在心内科住院治疗的心力衰竭患者,采用心力衰竭自我护理指数量表(SCHFI)和... 目的:探讨心力衰竭患者领悟社会支持与自我护理行为之间的关系,以及自我护理信心在领悟社会支持与自我护理行为关系间的中介作用。方法:采用方便取样,抽取127名在心内科住院治疗的心力衰竭患者,采用心力衰竭自我护理指数量表(SCHFI)和中文版医疗社会支持量表(MOS-SSS-C)进行调查。结果:(1)心力衰竭患者领悟社会支持的各因子与自我护理维持及自我护理管理均呈正相关(均P<0.05);(2)自我护理信心分别在实际的支持、情感的支持、正性的社会互动、信息及情绪的支持对自我护理维持的影响中发挥着完全中介作用;(3)自我护理信心分别在实际的支持、情感的支持、正性的社会互动、信息及情绪的支持对自我护理管理的影响中发挥着完全中介作用。结论:自我护理信心在心力衰竭患者领悟社会支持和自我护理行为之间起完全中介作用。 展开更多
关键词 心力衰竭 领悟社会支持 自我护理信心 自我护理维持 自我护理管理
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Psychometric testing of the cross-culturally adapted Thai version of the Self-Care Self-Efficacy Scale version 3.0 in individuals with chronic illnesses
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作者 Chennet Phonphet Jom Suwanno +2 位作者 Chonchanok Bunsuk Wanna Kumanjan Ladda Thiamwong 《International Journal of Nursing Sciences》 CSCD 2024年第4期473-484,共12页
Objective:To assess the psychometric properties of the Thai version of the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)in individuals with chronic illnesses.Although originally developed and tested in a Wester... Objective:To assess the psychometric properties of the Thai version of the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)in individuals with chronic illnesses.Although originally developed and tested in a Western context,its applicability in Asian populations,including Thailand,remains inadequately explored.Methods:Psychometric tests were guided by COSMIN principles.This included the translation of the English version into Thai based on the ISPOR framework.Nine nursing experts evaluated the content validity.Data were obtained from a multicenter cross-sectional study conducted between July and November 2022.This study included individuals with chronic conditions from 16 primary care centers in Thailand.We tested the structural validity using exploratory factor analysis(EFA)and confirmatory factor analysis(CFA),and concurrent validity in relation to the Self-Care of Chronic Illness Inventory version 4.c(SC-CII-v4.c).We tested the scale’s reliability with McDonald’s u,Cronbach’s a,and the intraclass correlation coefficient(ICC).Results:The Thai SCSES-v3.0 demonstrated excellent content validity(k¼1.00).Thefinal analysis included a total of 385 participants.The EFA with thefirst split-half subsample(n¼193)extracted a twofactor structure.One reflected SCSES for maintenance and monitoring behaviors and another captured SCSES for management behaviors(item 6e10).CFA with the second split-half subsample(n¼192)and the overall sample(n¼385)supported the scale’s two-factor model with high factor loadings.Each dimension and the overall SCSES-v3.0 positively correlated with each scale and the overall SC-CII-v4.c.McDonald’s u and Cronbach’s a(both ranged 0.91e0.94)and ICC(ranged 0.95e0.96),indicated excellent internal reliability and test-retest reliability,respectively.Conclusions:The identification of a valid and reliable two-factor model for the Thai SCSES-v3.0 renders it a valuable tool for clinicians and investigators,facilitating the assessment of self-efficacy in self-care across diverse contexts. 展开更多
关键词 Chronic illness PSYCHOMETRIC SELF-CARE Self-confidence Self-efficacy
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