HAN Seneca, HAN University of Applied Sciences, Professor Molkenboerstraat 3, PO Box 6960, 6503 GL, Nijmegen, The Netherlands.
J Occup Rehabil. 2013 Jun;23(2):189-99. doi: 10.1007/s10926-013-9450-0.
The objective of this study is to investigate the effect of a Self-Management Program for workers with a chronic disease. This program is based on the Chronic Disease Self-Management Program of Stanford University, modified for workers with a chronic somatic disease.
In a randomized controlled trial, the effectiveness of a Self-Management Program was evaluated. Participants were randomly assigned to the experimental group (n = 57) and the control group (n = 47). The experimental group received an intervention, the control group received care as usual. Primary outcome measures were self-efficacy at work and the attitude towards self-management at work. Secondary outcomes were the SF-12 health survey questionnaire, job satisfaction and intention to change job. The results were measured at baseline, after the intervention and 8 months after the intervention.
The attitude towards self-management at work (enjoyment) improved after 8 months for the intervention group (p = 0.030). No other outcome variable differed significantly. As an interaction effect, it was found that low educated workers developed a better physical health quality (SF-12) in the intervention group compared with the control group. The attitude towards self-management at work (importance) improved in the intervention group for older and female workers and the attitude toward enjoying self-management at work improved for female workers only.
The results show that low educated workers, older workers and women benefit significantly more from the training than higher educated workers, younger workers and men.
本研究旨在探讨针对慢性病患者的自我管理计划的效果。该计划基于斯坦福大学的慢性病自我管理计划，并针对患有慢性躯体疾病的患者进行了修改。
采用随机对照试验，评估了自我管理计划的有效性。参与者被随机分配到实验组（n=57）和对照组（n=47）。实验组接受干预，对照组接受常规护理。主要结局指标是工作中的自我效能感和工作中的自我管理态度。次要结局指标是 SF-12 健康调查问卷、工作满意度和改变工作的意愿。结果在基线、干预后和干预 8 个月时进行测量。
干预 8 个月后，实验组的工作自我管理态度（享受）有所改善（p=0.030）。其他结果变量没有显著差异。作为交互效应，发现与对照组相比，低教育程度的工人在干预组中表现出更好的生理健康质量（SF-12）。实验组中年龄较大的和女性工人的工作自我管理态度（重要性）有所改善，只有女性工人的工作自我管理享受态度有所改善。
结果表明，与高学历、年轻工人和男性相比，低学历、年龄较大的女性工人从培训中获益更多。
