Faculty of Nursing, University of Alberta, Edmonton, Canada.
Patient Educ Couns. 2009 Oct;77(1):14-9. doi: 10.1016/j.pec.2009.03.004. Epub 2009 Apr 17.
To determine whether problem based learning (PBL) is an effective educational strategy in chronic disease management.
The databases CINAHL, EMBASE, HealthStar, Medline and PubMed were searched for articles which focused on PBL and patient education or patient learning.
Individual studies using PBL as an intervention with chronic disease management reflect significant changes in cognitive and clinical outcomes among individuals experiencing diabetes, asthma, arthritis and coronary artery disease.
There is a need for more well designed studies that assess the impact of PBL on self-care management of a variety of chronic diseases.
There is some evidence that PBL is effective in promoting self-care with individuals experiencing diabetes, arthritis, asthma and coronary artery disease.
确定以问题为基础的学习（PBL）是否是慢性病管理中的一种有效教育策略。
检索 CINAHL、EMBASE、HealthStar、Medline 和 PubMed 数据库，以查找专注于 PBL 和患者教育或患者学习的文章。
使用 PBL 作为干预措施进行慢性病管理的个别研究反映了在经历糖尿病、哮喘、关节炎和冠状动脉疾病的个体中认知和临床结局的显著变化。
需要更多设计良好的研究来评估 PBL 对各种慢性病自我护理管理的影响。
有一些证据表明，PBL 在促进糖尿病、关节炎、哮喘和冠状动脉疾病患者的自我护理方面是有效的。
