Cheng Winnie Lai-Sheung
School of Nursing, Tung Wah College, Hong Kong.
Geriatr Nurs. 2018 Mar-Apr;39(2):143-150. doi: 10.1016/j.gerinurse.2017.07.007. Epub 2017 Aug 18.
Goal setting is a strategy that can enhance performance. The purpose of this study was to examine how engaging older adults with chronic illness in setting goals for their care would affect their performance in achieving those goals. This study employed a quasi-experimental design with repeated measures to evaluate the effect of an intervention, namely mutual goal-setting (MGS) practice, on elderly patients with chronic illness. Eighty such patients receiving nursing care at home were recruited for the study. Repeated measures showed that the intervention group achieved a higher percentage of their goals, though insignificant group and time interaction effects between groups were found in perceived functional disability, perceived functional health and self-efficacy in self-managing chronic illness. The findings of this study with a specific group, namely elderly patients with chronic illness, support the general premise that patients who participate in determining their care are more likely to improve in physical and mental well-being.
目标设定是一种可以提高绩效的策略。本研究的目的是探讨让患有慢性病的老年人参与设定其护理目标如何影响他们实现这些目标的表现。本研究采用了带有重复测量的准实验设计,以评估一种干预措施,即共同目标设定(MGS)实践,对患有慢性病的老年患者的效果。该研究招募了80名在家接受护理的此类患者。重复测量结果显示,干预组实现目标的百分比更高,不过在感知功能残疾、感知功能健康和慢性病自我管理的自我效能方面,未发现组间显著的组间和时间交互效应。这项针对特定群体(即患有慢性病的老年患者)的研究结果支持了这样一个普遍前提,即参与确定自身护理的患者更有可能在身心健康方面得到改善。