Impact Factor:2.561
DOI number:10.1111/jan.14179
Affiliation of Author(s):中南大学
Journal:Journal of Advanced Nursing
Place of Publication:英国
Key Words:adolescents; nursing; self-efficacy; self-management; stress; type 1 diabetes.
Abstract: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.
Note:Q1区
Co-author:Jundi Yang, James Wiley, Xiancai Ou, Zhiguang Zhou, Robin Whittemore
First Author:Jia Guo
Indexed by:Journal paper
Correspondence Author:Jia Guo
Discipline:护理学
Document Type:J
Volume:75
Issue:12
Page Number:3544-3553
Translation or Not:no
Included Journals:SCI