Wu C-J Jo, Chang A M
School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Australian Catholic University, (Brisbane campus), Australia.
Int Nurs Rev. 2014 Sep;61(3):336-43. doi: 10.1111/inr.12104. Epub 2014 May 22.
This paper analyses and illustrates the application of Bandura's self-efficacy construct to an innovative self-management programme for patients with both type 2 diabetes and coronary heart disease.
Using theory as a framework for any health intervention provides a solid and valid foundation for aspects of planning and delivering such an intervention; however, it is reported that many health behaviour intervention programmes are not based upon theory and are consequently limited in their applicability to different populations. The cardiac-diabetes self-management programme has been specifically developed for patients with dual conditions with the strategies for delivering the programme based upon Bandura's self-efficacy theory. This patient group is at greater risk of negative health outcomes than that with a single chronic condition and therefore requires appropriate intervention programmes with solid theoretical foundations that can address the complexity of care required.
The cardiac-diabetes self-management programme has been developed incorporating theory, evidence and practical strategies.
This paper provides explicit knowledge of the theoretical basis and components of a cardiac-diabetes self-management programme. Such detail enhances the ability to replicate or adopt the intervention in similar or differing populations and/or cultural contexts as it provides in-depth understanding of each element within the intervention.
Knowledge of the concepts alone is not sufficient to deliver a successful health programme. Supporting patients to master skills of self-care is essential in order for patients to successfully manage two complex, chronic illnesses.
Valuable information has been provided to close the theory-practice gap for more consistent health outcomes, engaging with patients for promoting holistic care within organizational and cultural contexts.
本文分析并阐述了班杜拉自我效能感理论在一项针对2型糖尿病和冠心病患者的创新性自我管理项目中的应用。
将理论作为任何健康干预的框架，可为规划和实施此类干预的各个方面提供坚实且有效的基础；然而，据报道，许多健康行为干预项目并非基于理论，因此在适用于不同人群方面受到限制。心脏-糖尿病自我管理项目是专门为患有双重疾病的患者制定的，其项目实施策略基于班杜拉的自我效能感理论。这一患者群体比患有单一慢性病的患者面临更负面健康结果的风险，因此需要有坚实理论基础、能应对所需护理复杂性的适当干预项目。
心脏-糖尿病自我管理项目的制定融合了理论、证据和实践策略。
本文提供了关于心脏-糖尿病自我管理项目理论基础和组成部分的明确知识。这些细节增强了在相似或不同人群和/或文化背景下复制或采用该干预措施的能力，因为它提供了对干预中每个要素的深入理解。
仅了解概念不足以实施成功的健康项目。支持患者掌握自我护理技能对于患者成功管理两种复杂的慢性病至关重要。
提供了有价值的信息，以缩小理论与实践之间的差距，实现更一致的健康结果，在组织和文化背景下与患者合作以促进整体护理。
