女性对心脏病的管理：干预形式重要吗？
Heart disease management by women: does intervention format matter?
作者信息
Clark Noreen M, Janz Nancy K, Dodge Julia A, Lin Xihong, Trabert Britton L, Kaciroti Niko, Mosca Lori, Wheeler John R, Keteyian Steven
机构信息
University of Michigan, Center for Managing Chronic Disease, Ann Arbor, MI 48109, USA.
出版信息
Health Educ Behav. 2009 Apr;36(2):394-409. doi: 10.1177/1090198107309458. Epub 2007 Dec 15.
A randomized controlled trial of two formats of a program (Women Take PRIDE) to enhance management of heart disease by patients was conducted. Older women (N = 575) were randomly assigned to a group or self-directed format or to a control group. Data regarding symptoms, functional health status, and weight were collected at baseline and at 4, 12, and 18 months. The formats produced different outcomes. At 18 months, the self-directed format was better than the control in reducing the number (p < or = .02), frequency (p < or = .03), and bothersomeness (p < or = .02) of cardiac symptoms. The self-directed format was also better than the group format in reducing symptom frequency of all types (p < or = .04). The group format improved ambulation at 12 months (p < or = .04) and weight loss at 18 months (p < or = .03), and group participants were more likely to complete the program ( p < or = .05). The availability of different learning formats could enhance management of cardiovascular disease by patients.
开展了一项随机对照试验，研究两种形式的项目（“女性自豪行动”）对增强患者心脏病管理能力的效果。老年女性（N = 575）被随机分配至小组指导形式组、自主指导形式组或对照组。在基线以及第4、12和18个月收集了有关症状、功能健康状况和体重的数据。两种形式产生了不同的结果。在18个月时，自主指导形式组在减少心脏症状的数量（p≤0.02）、频率（p≤0.03）和困扰程度（p≤0.02）方面优于对照组。自主指导形式组在减少所有类型症状的频率方面也优于小组指导形式组（p≤0.04）。小组指导形式组在12个月时改善了步行能力（p≤0.04），在18个月时减轻了体重（p≤0.03），并且小组参与者更有可能完成该项目（p≤0.05）。不同学习形式的可用性可以增强患者对心血管疾病的管理能力。
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