考察DVD技术与纸质材料相比，在农村慢性阻塞性肺疾病患者自我管理教育中的效果。
Examining the efficacy of DVD technology compared to print-based material in COPD self-management education of rural patients.
作者信息
Stellefson Michael, Chaney Beth H, Chaney J Don
出版信息
Calif J Health Promot. 2009 Dec;7(2):26-42.
Abstract
A pilot study (n = 41) was conducted to test the effects of three educational treatments (DVD vs. Pamphlet vs. DVD + Pamphlet) on health-related quality of life (HRQoL), COPD information needs and self-efficacy among a referred sample of Certified Federal Rural Health Clinic patients (mean age = 61.51 years ± 6.29 years; ~61% female) suffering from COPD using a randomly-assigned, multiple-group pretest-posttest design with a control group. A MANCOVA testing planned multivariate contrasts determined patients receiving a DVD reported statistically significant higher levels of lung-specific physical functioning as compared to patients receiving a Pamphlet. Additionally, DVD patients reported clinically significant improvements on two dimensions of lung-specific HRQoL. No such improvements occurred within the Pamphlet and Control groups. The provision of self-management education as compared to usual care, however, did not improve the outcome variables examined.
摘要
一项试点研究（n = 41）采用随机分配的多组前测-后测设计并设有对照组，以测试三种教育方式（DVD、宣传册、DVD + 宣传册）对经转诊的患有慢性阻塞性肺疾病（COPD）的联邦农村健康诊所患者（平均年龄 = 61.51岁 ± 6.29岁；约61%为女性）的健康相关生活质量（HRQoL）、COPD信息需求及自我效能的影响。一项检验计划多变量对比的多因素协方差分析确定，与接受宣传册的患者相比，接受DVD的患者在肺部特定身体功能方面的水平在统计学上显著更高。此外，接受DVD的患者在肺部特定HRQoL的两个维度上有临床显著改善。宣传册组和对照组未出现此类改善。然而，与常规护理相比，提供自我管理教育并未改善所检查的结果变量。
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