20.500.12556/DKUM-87202 Odnos med doživljanjem invalidacije bolezni in duševnim zdravjem oseb z endometriozo vloga samoučinkovitosti in zdravstvene pismenosti The relationship between experiencing invalidation and mental health in people with endometriosis: the role of self-efficacy and health literacy magistrsko delo Invalidacija je nov konstrukt v zdravstveni psihologiji, ki na področju endometrioze še ni dobro raziskan, kljub temu da raziskave na drugih kroničnih populacijah ugotavljajo, da vodi do slabših zdravstvenih izidov in nižje kvalitete življenja. V magistrskem delu smo raziskali doživljanje invalidacije znotraj petih kontekstov (partner, družina, prijatelji, zdravstveno osebje in sodelavci) in njen odnos s pozitivnim duševnim zdravjem, samoučinkovitostjo pri upravljanju bolezni, zdravstveno pismenostjo, bolečino in osamljenostjo. Rezultati na vzorcu 277 posameznic z endometriozo kažejo na to, da ženske doživljajo različne stopnje invalidacije v različnih kontekstih, z najvišjimi stopnjami s strani zdravstvenega osebja in sodelavcev. Linearna regresija je pokazala, da je invalidacija pomemben napovednik pozitivnega duševnega zdravja, enako velja tudi za obe poddimenziji (podcenjevanje in pomanjkanje razumevanja). Končni model smo testirali s serijsko mediatorsko analizo, kjer so samoučinkovitost pri upravljanju bolezni, zdravstvena pismenost, bolečina in osamljenost bili mediatorji odnosa med invalidacijo in pozitivnim duševnim zdravjem. Pojasnil je 53 % celotnega učinka, za najpomembnejši serijski mediator pa se je izkazala osamljenost. S K-2 klastrsko analizo smo identificirali štiri klastre, ki se med seboj pomembno razlikujejo v pozitivnem duševnem zdravju, invalidaciji, osamljenosti in zdravstveni pismenosti. Naše ugotovitve kažejo na pomembnost upoštevanja psihosocialnega vidika endometrioze in izobraževanja ter ozaveščanja zdravstvenih delavcev, delovnih okolij in bližnjih o vplivu invalidacije na posameznice z endometriozo in o bolezni sami. Potrebne so dodatne raziskave, ki bi prispevale k boljšemu razumevanju invalidacije v tej populaciji in razvoju uspešnih intervencij. Invalidation is a new construct in health psychology that has not yet been well studied in the field of endometriosis, despite research on other chronic populations finding that it leads to worse health outcomes and a lower quality of life. In the master's thesis, we explored the experience of invalidation within five contexts (partner, family, friends, medical staff and colleagues) and its relationship with positive mental health, self-efficacy in disease management, health literacy, pain and loneliness. Results from a sample of 277 individuals with endometriosis show that women experience varying degrees of invalidation in different contexts, with the highest rates from medical staff and colleagues. Linear regression has shown that invalidation is an important predictor of positive mental health, and so are its both subdimensions (underestimation and lack of understanding). The final model was tested by serial mediation analysis, where self-efficacy in disease management, health literacy, pain and loneliness were mediators of the relationship between invalidation and positive mental health. It explained 53% of the total effect, and loneliness proved to be the most important serial mediator. With K-2 cluster analysis we identified four clusters that differ significantly from each other in positive mental health, invalidation, loneliness and health literacy. Our findings show the importance of taking into account the psychosocial aspect of endometriosis and education, as well as raising awareness among health professionals, work environments and loved ones about the impact of invalidation on individuals with endometriosis and the disease itself. Further research, which would contribute to a better understanding of invalidation in this population and to the development of successful interventions, is needed. Endometrioza invalidacija zdravstvena pismenost samoučinkovitost blagostanje Endometriosis invalidation health literacy self-efficacy wellbeing true true false M. Židan Slovenski jezik Angleški jezik Magistrsko delo/naloga 2024-03-05 14:48:11 2024-04-04 11:39:58 2024-04-05 03:51:01 0000-00-00 00:00:00 2024 0 Maribor 0 Maribor 1 spletni vir (1 datoteka PDF (XI, 135 str.)) 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 159.96:618.1(043.2) 191383299 Odnos_med_doživljanjem_invalidacije_bolezni_in_duševnim_zdravjem_oseb_z_endometriozo-_vloga_samoučinkovitosti_in_zdravstvene_pismenosti_1.pdf Odnos_med_doživljanjem_invalidacije_bolezni_in_duševnim_zdravjem_oseb_z_endometriozo-_vloga_samoučinkovitosti_in_zdravstvene_pismenosti_1.pdf 1 D1768E8B568D81018DA89EB8DBEAC8DD 8b29129d015faf6886f32ecc599020c2fa1dde3bf6c7113bc7852d823659303c 93b0932f-f0e1-11ee-9041-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=177766 Filozofska fakulteta 0 0 0