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一项针对泰国心肌梗死患者心脏康复的自我效能增强计划的随机对照试验。

Randomized controlled trial of a self-efficacy enhancement program for the cardiac rehabilitation of Thai patients with myocardial infarction.

作者信息

Vibulchai Nisakorn, Thanasilp Sureeporn, Preechawong Sunida

机构信息

Adult and Elderly Nursing Department, Srimahasarakham Nursing College, Mahasarakham, Thailand.

Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand.

出版信息

Nurs Health Sci. 2016 Jun;18(2):188-95. doi: 10.1111/nhs.12243. Epub 2015 Sep 29.

DOI:10.1111/nhs.12243
PMID:26415520
Abstract

This study examined the effects of a self-efficacy enhancement program for the cardiac rehabilitation of Thai patients who had a myocardial infarction. Sixty-six hospitalized patients of various ages and both genders were randomly assigned to either an experimental or a control group. Participants in the experimental group took part in three individualized in-hospital education sessions and three weekly sessions of telephone counseling. The control group primarily engaged in a supervised exercise and activities of a daily living performance regimen, and received education in this regard. Self-efficacy and functional status were measured via questionnaire. Four weeks after discharge, the experimental group was found to have significantly higher total self-efficacy and functional status scores than the control group. In addition, the experimental group exhibited significantly higher subscale scores on social activity, household tasks, occupation, and exercise self-efficacy than the control group. These results indicate that the program is effective in improving the self-efficacy and functional status of Thai patients who have had a myocardial infarction.

摘要

本研究考察了一项自我效能增强计划对泰国心肌梗死患者心脏康复的影响。66名不同年龄、性别的住院患者被随机分为实验组或对照组。实验组的参与者参加了三次个性化的院内教育课程以及每周三次的电话咨询。对照组主要参与有监督的日常锻炼和日常生活活动,并接受这方面的教育。通过问卷调查来测量自我效能和功能状态。出院四周后,发现实验组的总自我效能和功能状态得分显著高于对照组。此外,实验组在社交活动、家务任务、职业和运动自我效能方面的子量表得分也显著高于对照组。这些结果表明,该计划在改善泰国心肌梗死患者的自我效能和功能状态方面是有效的。

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