Tousman Stuart, Zeitz Howard, Taylor Linda D
Jefferson College of Health Sciences, Roanoke, VA 24031-3186, USA.
Clin Nurs Res. 2010 Feb;19(1):71-88. doi: 10.1177/1054773809354290. Epub 2009 Nov 23.
The purpose of the research was to determine if an adult asthma self-management program could significantly improve psychological outcomes for participants. Small groups of adults met for 2 hours for 7 consecutive weeks. Intervention techniques included interactive discussions, problem solving, social support, and a behavior modification procedure. The behavior modification procedure consisted of homework assignments in which participants were asked to self-monitor and record asthma-specific behaviors (peak expiratory flow monitoring, avoidance/removal of asthma triggers, and controller medication adherence) and general lifestyle behaviors (drinking water, washing hands, and exercising). Paired sample t tests indicated statistically significant improvements for the outcomes of quality of life, depression, and self-efficacy. Significant increases were found in knowledge and behaviors, such as peak-flow monitoring and frequency of daily exercise. These results provide initial evidence that our program was effective, although the small sample size and lack of control group indicate the need for further research.
该研究的目的是确定一个成人哮喘自我管理项目是否能显著改善参与者的心理状况。一小群成年人连续7周每周会面2小时。干预技术包括互动讨论、问题解决、社会支持以及行为矫正程序。行为矫正程序包括家庭作业任务，要求参与者自我监测并记录哮喘特定行为（呼气峰值流量监测、避免/消除哮喘触发因素以及控制药物依从性）和一般生活方式行为（饮水、洗手和锻炼）。配对样本t检验表明，生活质量、抑郁和自我效能感等结果有统计学意义上的显著改善。在知识和行为方面发现了显著增加，如峰值流量监测和日常锻炼频率。这些结果提供了初步证据，表明我们的项目是有效的，尽管样本量小且缺乏对照组表明需要进一步研究。
