Weinert Clarann, Cudney Shirley, Hill Wade G
College of Nursing, Montana State University, Bozeman, USA.
Can J Nurs Res. 2008 Sep;40(3):114-34.
The objective of this study was to determine the differences in the psychosocial status of 3 groups of chronically ill rural women participating in a computer intervention. The 3 groups were: intense intervention, less-intense intervention, and control. At baseline and following the intervention, measures were taken for social support, self-esteem, empowerment, self-efficacy, depression, stress, and loneliness. ANCOVA results showed group differences for social support and self-efficacy among the overall group. The findings differed for a vulnerable subgroup, with significant between-group differences for social support and loneliness. It was concluded that a computer-delivered intervention can improve social support and self-efficacy and reduce loneliness in rural women, enhancing their ability to self-manage and adapt to chronic illness.
本研究的目的是确定参与计算机干预的三组农村慢性病女性的心理社会状况差异。这三组分别是:高强度干预组、低强度干预组和对照组。在基线期和干预后,对社会支持、自尊、赋权、自我效能感、抑郁、压力和孤独感进行了测量。协方差分析结果显示,总体组中社会支持和自我效能感存在组间差异。对于一个脆弱亚组,研究结果有所不同,社会支持和孤独感在组间存在显著差异。研究得出结论,通过计算机进行的干预可以改善农村女性的社会支持和自我效能感,减少孤独感,增强她们自我管理和适应慢性病的能力。