Structural model of self‐care agency in patients with diabetes: A path analysis of the Instrument of Diabetes Self‐Care Agency and body self‐awareness
| Autor: | Natsuko Seto, Naoko Murakado, Kawai Asou, Yasuko Shimizu, Harue Masaki, Sachiko Waki, Kumiko Kuroda, Hidetoki Ishii, Kyoko Uchiumi |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male causal model Models Psychological self‐care agency Developmental psychology 03 medical and health sciences body self‐awareness 0302 clinical medicine Cronbach's alpha Diabetes mellitus Diabetes Mellitus medicine path analysis Humans In patient patients with type 1 and type 2 diabetes mellitus 030212 general & internal medicine Path analysis (statistics) Aged Factor analysis Causal model Aged 80 and over Research and Theory 030503 health policy & services Original Articles Awareness Middle Aged medicine.disease Self Care Self-awareness Self care Original Article Female Factor Analysis Statistical 0305 other medical science Psychology Clinical psychology |
| Zdroj: | Japan Journal of Nursing Science |
| ISSN: | 1742-7924 1742-7932 |
| Popis: | Aim The aim of this study was to examine a causal model of self-care agency by exploring the relationship between the structure of “body self-awareness” and the structure of the Instrument of Diabetes Self-Care Agency (IDSCA). Methods The participants were 353 patients with diabetes. The internal consistency of the six items for body self-awareness was examined by calculating the factor structure using principal factor analysis and Cronbach's alpha. In order to examine the relationship between the seven factors in the IDSCA, a path analysis was conducted. Results With regard to the factor structure, the factor loading of these five items was 0.511–0.743 (α = 0.739). In the path analysis, “body self-awareness” was influenced by the “ability to acquire knowledge” and had a direct effect (0.33) on the “motivation to self-manage”, while “motivation to self-manage” had an effect (−0.32) on the “ability to self-manage”. The Goodness-of-Fit Index was 0.974. Conclusion “Body self-awareness” plays a part in the self-care operation process and serves as an intermediary factor to enable the performance of self-care operations by making the most use of self-care agency. Moreover, striking a proper balance between self-management that is focused on the treatment of diabetes and a person's ability for self-management of diabetes was found to be important. |
| Databáze: | OpenAIRE |
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