Tousman Stuart, Zeitz Howard, Taylor Linda D, Bristol Cecelia
Department of Health Psychology, Jefferson College of Health Sciences, Roanoke, VA 24031, USA.
J Community Health Nurs. 2007 Winter;24(4):237-51. doi: 10.1080/07370010701645893.
The purpose of the research was to develop, implement, and evaluate a new adult asthma self-management program with a multidisciplinary perspective. Small groups of adults met for 2 hr for 7 consecutive weekly meetings. Participants were asked to practice asthma specific behaviors (including peak expiratory flow monitoring, avoidance/removal of asthma triggers, and controller medication adherence) and general lifestyle behaviors (including drinking water, practicing relaxation, washing hands, and exercising). Learner-centered teaching techniques such as interactive communication and social support were utilized to help participants practice self-management behaviors including problem-solving and goal-setting. Paired sample t-tests included statistically significant improvements in asthma knowledge, asthma specific quality of life (QOL), asthma specific behaviors such as peak flow monitoring and general life style behaviors such as frequency of daily exercise. These results provide evidence that this new adult asthma self-management program can lead to both knowledge acquisition and behavioral changes.
该研究的目的是从多学科角度开发、实施并评估一项新的成人哮喘自我管理项目。一小群成年人连续七周每周会面两小时。参与者被要求践行哮喘特定行为（包括呼气峰值流量监测、避免/消除哮喘诱因以及坚持使用控制药物）和一般生活方式行为（包括饮水、进行放松练习、洗手和锻炼）。采用了以学习者为中心的教学技巧，如互动交流和社会支持，以帮助参与者践行自我管理行为，包括解决问题和设定目标。配对样本t检验显示，在哮喘知识、哮喘特定生活质量（QOL）、哮喘特定行为（如峰值流量监测）以及一般生活方式行为（如每日锻炼频率）方面有统计学上的显著改善。这些结果证明，这项新的成人哮喘自我管理项目能够带来知识获取和行为改变。
