#圆桌话题#
1. 变量：psychological insulin resistance心理性胰岛素抵抗
2. 其他文献：
[1]李海燕. 2型糖尿病患者心理性胰岛素抵抗与自我效能的相关性研究[D].武汉轻工大学,2019.
[2]高云霞,刘叶灵,李明子,纪立农.糖尿病患者心理性胰岛素抵抗的评估与干预策略研究进展[J].护理学报,2014,21(24):26-29.
[3]杨琼,余显霞,黄秋菊.初诊2型糖尿病心理性胰岛素抵抗患者的健康教育[J].护理学杂志,2012,27(01):12-13.
[4]刘莉. 2型糖尿病病人心理性胰岛素抵抗的调查研究[D].复旦大学,2008.
Lee, K. S., Kim, H. Y., & Jin, H. Y. (2021). Factors affecting the health status of patients with type 2 diabetes mellitus receiving insulin treatments: A multi-mediation path analysis. Journal of Clinical Nursing, 00, 1– 13.
https://doi.org/10.1111/jocn.15985
影响2型糖尿病接受胰岛素治疗患者健康状况的因素：多中介路径分析
Aims and objectives To validate a hypothetical path model estimating the health status of patients with insulin-treated type 2 diabetes and to verify the mediating effects of diabetes management self-efficacy, diabetes self-management behaviour and haemoglobin A1c using a multi-mediation model.
研究目的：验证胰岛素治疗的2型糖尿病患者健康状况的假设路径模型，并使用多中介模型验证糖尿病管理自我效能感、糖尿病自我管理行为和血红蛋白A1c的中介作用。
Background Diabetes knowledge, personal and social motivations, diabetes management self-efficacy and health behaviours may be interrelated and may directly or indirectly affect the objective and subjective health outcomes of patients with type 2 diabetes mellitus receiving insulin treatments.
研究背景：糖尿病知识、个人和社会动机、糖尿病管理自我效能感和健康行为可能相互关联，直接或间接影响接受胰岛素治疗的2型糖尿病患者客观和主观的健康结果。
Design Model testing correlational design.
研究设计：模型检验相关设计
Methods The participants were 193 outpatients with insulin-treated type 2 diabetes. Data were collected between July and November 2019. The collected data were analysed using SPSS version 25.0® and AMOS 23.0. This study is based on STROBE guidelines.
研究方法：研究对象为193名接受胰岛素治疗的2型糖尿病门诊患者。数据是在2019年7月至11月期间收集。收集的数据采用SPSS 25.0和AMOS 23.0进行分析。本研究遵循 STROBE。
Results The model's fit indices were adequate. Diabetes-related knowledge, psychological insulin resistance, family support for diabetes management, diabetes self-care activities and haemoglobin A1c had significant direct effects on subjective health status. Diabetes management self-efficacy had significant indirect effects on subjective health status via diabetes self-care activities and haemoglobin A1c, and mediated the path through which diabetes knowledge, psychological insulin resistance and family support for diabetes management indirectly affect subjective health status. These variables explained 55.0% of the total variance of subjective health status.
研究结果：模型拟合良好。糖尿病相关知识、心理性胰岛素抵抗、糖尿病管理家庭支持糖尿病自我护理活动和糖化血红蛋白对主观健康状况有显著直接影响。糖尿病管理自我效能感通过糖尿病自我护理活动和糖化血红蛋白间接影响主观健康状况，并介导糖尿病知识、心理胰性岛素抵抗和家庭对糖糖尿病管理家庭支持间接影响主观健康状况的途径。这些变量解释了55.0%的主观健康状况总方差。
Conclusion Diabetes knowledge, psychological insulin resistance, diabetes management family support, diabetes management self-efficacy and diabetes self-care activities were found to be related to the subjective and objective health status.
研究结论：糖尿病知识、心理性胰岛素抵抗、糖尿病管理家庭支持、糖尿病管理自我效能感和糖尿病自我护理活动与主客观健康状况相关。
Relevance to clinical practice The findings can help health professionals improve diabetes self-care activities and haemoglobin A1c, which will influence subjective health status in patients with type 2 diabetes mellitus, receiving insulin treatments.
对临床实践的意义：本研究结果可帮助医护人员改善影响糖尿病患者主观健康状态的自我护理活动和A1c蛋白。
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