Perceived stress and self-efficacy are associated with diabetes self-management among adolescents with type 1 diabetes: A moderated mediation analysis
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影响因子：
2.561
DOI码：
10.1111/jan.14179
所属单位：
中南大学
发表刊物：
Journal of Advanced Nursing
刊物所在地：
英国
关键字：
adolescents; nursing; self-efficacy; self-management; stress; type 1 diabetes.
摘要：
Aims: The aims of this study were to: (a) determine if self-efficacy mediates the relationship between perceived stress and diabetes self-management in adolescents with type 1 diabetes (T1D); and (b) explore whether perceived stress moderated the self-efficacy and diabetes self-management relationship.
Design: Non-experimental, descriptive correlational design, conducted from January-December 2016.
Methods: Guided by the Adaptation to Diabetes framework, data on demographic and clinical characteristics, perceived stress, self-efficacy and diabetes self-management were collected. Descriptive analyses and regression analyses were generated by SPSS Version 22. Structural equation modelling was implemented with the MPlus program.
Results: There was no direct effect of perceived stress on diabetes self-management; however, self-efficacy mediated the relationship between perceived stress and diabetes self-management. Adolescents who had high self-efficacy and low perceived stress demonstrated better diabetes care activities and diabetes communication than would be predicted from the main effects of self-efficacy and perceived stress alone.
Conclusions: Decreasing perceived stress and improving self-efficacy are important strategies to improve diabetes self-management in adolescents with T1D.
Impact: Adolescents with T1D experience considerable stress with daily self-management demands. This study highlights the mediating role of self-efficacy on perceived stress and diabetes self-management. Assessment of perceived stress and self-efficacy in self-management tasks in adolescents with T1D may help nurses individualize self-management education and support. Incorporating strategies to promote stress management and self-efficacy in diabetes education may also improve diabetes self-management.
备注：
Q1区
合写作者：
Jundi Yang, James Wiley, Xiancai Ou, Zhiguang Zhou, Robin Whittemore
第一作者：
Jia Guo
论文类型：
期刊论文
通讯作者：
Jia Guo
学科门类：
护理学
文献类型：
J
卷号：
75
期号：
12
页面范围：
3544-3553
是否译文：
否
收录刊物：
SCI
学位：医学博士学位
职称：教授
学科：护理学
所在单位：湘雅护理学院
