Lorig Kate R, Ritter Philip L, González Virginia M
Department of Medicine, Stanford University School of Medicine, California, USA.
Nurs Res. 2003 Nov-Dec;52(6):361-9. doi: 10.1097/00006199-200311000-00003.
In light of health disparities and the growing prevalence of chronic disease, there is a need for community-based interventions that improve health behaviors and health status. These interventions should be based on existing theory.
This study aimed to evaluate the health and utilization outcomes of a 6-week community-based program for Spanish speakers with heart disease, lung disease, or type 2 diabetes.
The treatment participants in this study (n = 327) took a 6-week peer-led program. At 4 months, they were compared with randomized wait-list control subjects (n = 224) using analyses of covariance. The outcomes for all the treatment participants were assessed at 1 year, as compared with baseline scores (n = 271) using t-tests.
At 4 months, the participants, as compared with usual-care control subjects, demonstrated improved health status, health behavior, and self-efficacy, as well as fewer emergency room visits (p <.05). At 1 year, the improvements were maintained and remained significantly different from baseline condition.
This community-based program has the potential to improve the lives of Hispanics with chronic illness while reducing emergency room use.
鉴于健康差异和慢性病患病率的不断上升，需要基于社区的干预措施来改善健康行为和健康状况。这些干预措施应基于现有理论。
本研究旨在评估一项为期6周的针对患有心脏病、肺病或2型糖尿病的讲西班牙语者的社区项目的健康和利用结果。
本研究中的治疗参与者（n = 327）参加了一个为期6周的同伴主导项目。在4个月时，使用协方差分析将他们与随机等待名单对照受试者（n = 224）进行比较。与基线分数（n = 271）相比，在1年时评估所有治疗参与者的结果，使用t检验。
在4个月时，与常规护理对照受试者相比，参与者的健康状况、健康行为和自我效能得到改善，急诊就诊次数减少（p <.05）。在1年时，改善得以维持，并且与基线状况仍有显著差异。
这个基于社区的项目有可能改善患有慢性病的西班牙裔的生活，同时减少急诊室的使用。
