慢性病自我管理项目对韩国不同健康素养水平老年人群的疗效
Efficacy of chronic disease self-management program in older Korean adults with low and high health literacy.
作者信息
Kim Su Hyun, Youn Chang Ho
机构信息
College of Nursing, Research Institute of Nursing Science, Kyungpook National University, Daegu, South Korea.
School of Medicine, Kyungpook National University, Daegu, South Korea.
出版信息
Asian Nurs Res (Korean Soc Nurs Sci). 2015 Mar;9(1):42-6. doi: 10.1016/j.anr.2014.10.008. Epub 2015 Feb 18.
PURPOSE
We evaluated the efficacy of the Chronic Disease Self-management Program (CDSMP) among older Korean adults and investigated the question of whether the effects differed according to their levels of health literacy.
METHODS
Measures of self efficacy, physical activity, physical health, and mental health were assessed at baseline, and at 6-week, and 18-week follow up for the CDSMP intervention group (n = 23) and control group (n = 31) according to their health literacy status.
RESULTS
The older adults in the CDSMP intervention group showed significantly higher levels of self efficacy and physical activity at follow up. Participants with low health literacy had greater benefits from the intervention than had those with high health literacy.
CONCLUSIONS
The CDSMP is a beneficial intervention for older Korean adults with chronic disease. Healthcare professionals should encourage older Korean adults with chronic illness to participate in the CDSMP, in particular for those with low health literacy.
目的
我们评估了慢性病自我管理项目（CDSMP）在韩国老年人群中的效果，并研究了其效果是否因健康素养水平不同而存在差异。
方法
根据健康素养状况，对CDSMP干预组（n = 23）和对照组（n = 31）在基线、6周和18周随访时的自我效能感、身体活动、身体健康和心理健康指标进行评估。
结果
CDSMP干预组的老年人在随访时自我效能感和身体活动水平显著更高。健康素养低的参与者从干预中获得的益处比健康素养高的参与者更多。
结论
CDSMP对患有慢性病的韩国老年人是一种有益的干预措施。医疗保健专业人员应鼓励患有慢性病的韩国老年人参与CDSMP，特别是那些健康素养低的人。
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