O'Connor J, Seeto C, Saini B, Bosnic-Anticevich S, Krass I, Armour C, Smith L
The University of Sydney, Sydney, Australia.
Patient Educ Couns. 2008 Jan;70(1):111-7. doi: 10.1016/j.pec.2007.09.004. Epub 2007 Nov 7.
To examine the impact of healthcare professional versus patient goal setting for the self-management of intermittent allergic rhinitis (AR) on symptom severity and quality of life.
This was a 6 week, parallel group study. Group A participants, with pharmacist facilitation, nominated personally relevant goals and strategies relating to their AR. Group B participants had their goals and strategies set by the pharmacist. The main outcome measures used included perceived symptom severity and quality of life. In addition, goals and strategies data from participants of both groups were collected and analysed.
Both groups demonstrated significant improvements in symptom severity and quality of life scores however Group B symptom severity scores improved more. Group B set a greater number of goals and strategies which were better structured and more task specific.
This is the first study to investigate the impact of goal setting on patient behaviour in a chronic yet episodic illness. Our results suggest that self-management goals set by the healthcare professional which are clinically indicated but tailored to the patient's nominated symptoms yields better outcomes than goals nominated by the patient.
A brief, structured intervention, tailored to patient symptoms, can enhance self-management of intermittent allergic rhinitis.
探讨医疗保健专业人员设定目标与患者设定目标对间歇性变应性鼻炎（AR）自我管理中症状严重程度和生活质量的影响。
这是一项为期6周的平行组研究。A组参与者在药剂师的协助下，确定与自身AR相关的个人目标和策略。B组参与者的目标和策略由药剂师设定。主要结局指标包括感知到的症状严重程度和生活质量。此外，收集并分析了两组参与者的目标和策略数据。
两组的症状严重程度和生活质量评分均有显著改善，但B组的症状严重程度评分改善得更多。B组设定的目标和策略数量更多，结构更合理，且更具任务针对性。
这是第一项研究目标设定对慢性发作性疾病患者行为影响的研究。我们的结果表明，由医疗保健专业人员设定的、符合临床指征且根据患者指定症状量身定制的自我管理目标，比患者自行设定的目标能产生更好的效果。
针对患者症状进行的简短、结构化干预可增强间歇性变应性鼻炎的自我管理。
