Braden C J
University of Arizona, College of Nursing, Tucson 85721.
Public Health Nurs. 1992 Jun;9(2):103-8. doi: 10.1111/j.1525-1446.1992.tb00083.x.
The purpose of this study was to describe the effectiveness of a community-based health-promotion program that was collaboratively designed and that is currently being implemented by lay persons who have the diagnosis of systemic lupus erythematosus (SLE) and by health professionals. Two groups of SLE self-help course participants contributed data for this theory-guided preexperimental program impact study. Braden's self-help model provided the theoretical framework. The variables addressed were severity of illness, limitations, uncertainty, enabling skill self-efficacy, self-worth, and life quality. The groups consisted of 35 subjects having low depression scores (less than or equal to 77) and 37 with high depression scores (greater than or equal to 272) on a measure having a possible range of scores from 0 to 400. Data were collected at three points: at the beginning of class 1, after class 7 (7 wks later), and two months after completion of the course. A group (2) by time (3) by measures (10) MANOVA analysis procedure was used with a follow up univariate F test and Newman-Keuls multiple comparison procedure. Significant change was evident for the level of depression group and for three interaction effects of group X time, group X measure, and group X time X measure.
本研究的目的是描述一项基于社区的健康促进项目的有效性，该项目是由被诊断患有系统性红斑狼疮（SLE）的非专业人士和健康专业人员共同设计且目前正在实施的。两组系统性红斑狼疮自助课程参与者为这项理论指导的实验前项目影响研究提供了数据。布雷登的自助模型提供了理论框架。所涉及的变量包括疾病严重程度、限制因素、不确定性、赋能技能自我效能感、自我价值感和生活质量。这些组由在一项分数范围为0至400的测量中抑郁得分较低（小于或等于77）的35名受试者和抑郁得分较高（大于或等于272）的37名受试者组成。在三个时间点收集数据：在第1节课开始时、第7节课后（7周后）以及课程结束后两个月。采用了一组（2）×时间（3）×测量指标（10）的多变量方差分析程序，并进行后续的单变量F检验和纽曼-丘尔斯多重比较程序。抑郁水平组以及组×时间、组×测量指标和组×时间×测量指标的三个交互效应均有明显的显著变化。
