Department of Health Care and Nursing Science, School for Public Health and Primary Care: CAPHRI, Maastricht University, Maastricht, The Netherlands.
Heart Lung. 2009 Nov-Dec;38(6):499-512. doi: 10.1016/j.hrtlng.2009.01.007. Epub 2009 Apr 2.
This study assessed the feasibility of the Chronic Disease Self-Management Program (CDSMP) among patients with congestive heart failure (CHF). The program emphasizes patients' central role and responsibility in managing their illness.
Patients were randomly assigned to the program, which was led by a cardiac nurse specialist and a CHF patient. Data on performance according to protocol, adherence, and opinion about the program were collected among 186 patients and 18 leaders.
Eighty percent of the group sessions were carried out largely according to protocol. Three fourths of the patients attended at least 4 of the 6 sessions. Female sex and lower New York Heart Association classification predicted good attendance.
Directly after the program and at 12-month follow-up, approximately three fourths of the patients stated that they had benefited from the program. Recommendations mainly concerned spending more time on several program topics and specifying patient-selection criteria in more detail. The program was considered feasible.
本研究评估充血性心力衰竭（CHF）患者实施慢性病自我管理计划（CDSMP）的可行性。该计划强调患者在管理自身疾病中的核心作用和责任。
将患者随机分配至该计划，由心脏专科护士和 CHF 患者共同领导。对 186 名患者和 18 名领导进行了与方案执行情况、依从性以及对该计划的看法有关的数据收集。
80%的小组课程基本按照方案进行。四分之三的患者参加了至少 6 次课程中的 4 次。女性和较低的纽约心脏协会（NYHA）分级预测了良好的出席率。
在计划结束后和 12 个月随访时，约有四分之三的患者表示从该计划中受益。建议主要涉及在几个计划主题上投入更多时间，并更详细地明确患者选择标准。该计划被认为是可行的。
