Volume 19, Issue 1 (3-2021)
RBS 2021, 19(1): 24-34 |
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Moshavvegh S, Goodarzi N, Emamipour S, Sepah Mansour M. Development of a Health Model in Patients with Type 2 Diabetes Based on Psychological Toughness, Health Literacy, Self-Efficacy and Health Beliefs Mediated by Self-Management Behaviors and Social Support. RBS 2021; 19 (1) :24-34
URL: http://rbs.mui.ac.ir/article-1-944-en.html
URL: http://rbs.mui.ac.ir/article-1-944-en.html
1- Ph.D. Student in Health Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
2- Associate Professor, Department of Psychology, Army University of Medical Sciences, Tehran, Iran. , Nassergoodarzi@yahoo.com
3- Associate Professor, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
2- Associate Professor, Department of Psychology, Army University of Medical Sciences, Tehran, Iran. , Nassergoodarzi@yahoo.com
3- Associate Professor, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
Abstract: (2311 Views)
Aim and Background: Improving the quality of life and controlling blood glucose in patients with diabetes is one of the most important goals of interventions and health promotion programs in these patients. The purpose of this study was to develop a health model in type 2 diabetic patients based on psychological toughness, health literacy, self-efficacy and beliefs. Health is mediated by self-management behaviors and social support.
Methods and Materials: The research method is analytical and structural equations. The statistical population of this study includes all patients with type 2 diabetes referred to diabetes clinics in abadan in 1398. Random sampling method was used to select the sample. 254 patients with diabetes were selected based on inclusion and exclusion criteria. Research instruments psychological toughness questionnaire (Kobasa, 1984), health literacy questionnaire (Montazeri, 2014), tobert and glasgow self-management behaviors questionnaire (1994) and quality of life questionnaire (Bruges, 2004) and wax social support questionnaire, 1986), health beliefs questionnaire (Kartal, 2006) and the self-efficacy questionnaire (Stanford, 2001).
Findings: Findings showed that health beliefs have a direct and significant effect on the health outcomes of patients with type 2 diabetes (P≤0.001) and self-efficacy has direct and indirect effects on health outcomes (mediated by self-management behaviors) (P≤0.001). Health literacy had no direct and significant effect on the quality of life of patients with type 2 diabetes (p≥0.001). Psychological hardiness has direct and indirect effects on health outcomes (mediated by self-management behaviors) (P≤0.001) and the effect of social support on health outcomes was not significant (P≥0.001).
Conclusions: Considering the role of health beliefs and self-efficacy and persistence on health outcomes in patients with type 2 diabetes, it is recommended to use these variables in quality of life and self-care programs of this group of these patients.
Methods and Materials: The research method is analytical and structural equations. The statistical population of this study includes all patients with type 2 diabetes referred to diabetes clinics in abadan in 1398. Random sampling method was used to select the sample. 254 patients with diabetes were selected based on inclusion and exclusion criteria. Research instruments psychological toughness questionnaire (Kobasa, 1984), health literacy questionnaire (Montazeri, 2014), tobert and glasgow self-management behaviors questionnaire (1994) and quality of life questionnaire (Bruges, 2004) and wax social support questionnaire, 1986), health beliefs questionnaire (Kartal, 2006) and the self-efficacy questionnaire (Stanford, 2001).
Findings: Findings showed that health beliefs have a direct and significant effect on the health outcomes of patients with type 2 diabetes (P≤0.001) and self-efficacy has direct and indirect effects on health outcomes (mediated by self-management behaviors) (P≤0.001). Health literacy had no direct and significant effect on the quality of life of patients with type 2 diabetes (p≥0.001). Psychological hardiness has direct and indirect effects on health outcomes (mediated by self-management behaviors) (P≤0.001) and the effect of social support on health outcomes was not significant (P≥0.001).
Conclusions: Considering the role of health beliefs and self-efficacy and persistence on health outcomes in patients with type 2 diabetes, it is recommended to use these variables in quality of life and self-care programs of this group of these patients.
Keywords: Psychological Hardiness, Health Literacy, Self-Management Behaviors, Social Support, Health Beliefs.
Type of Study: Research |
Subject:
Special
Received: 2021/01/27 | Accepted: 2021/04/4 | Published: 2021/04/7
Received: 2021/01/27 | Accepted: 2021/04/4 | Published: 2021/04/7
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