The Third Comprehensive Care Unit, West China Hospital, Sichuan University, Chengdu, China.
West China School of Nursing, Sichuan University, Chengdu, China.
J Clin Nurs. 2019 Nov;28(21-22):3840-3847. doi: 10.1111/jocn.15002. Epub 2019 Aug 1.
To explore the effectiveness of a health education programme by telephone follow-up on the self-efficacy of patients with rheumatoid arthritis (RA).
Self-efficacy is increasingly perceived to be a cornerstone in improving the capacity of self-management. However, a paucity of research has demonstrated the effectiveness of health education by the use of a telephone follow-up for RA patients in China.
This study was a randomised control trial.
Recruited patients were randomly divided into control and intervention groups. The intervention group accepted health education by telephone follow-up four times after the patients were discharged. The patients in the control group only accepted telephone follow-up once after they were discharged. Self-efficacy was measured by the use of the Rheumatoid Arthritis Self-Efficacy Questionnaire (RASE), and data were collected at the day before the discharge, the 12th week and the 24th week after patients were discharged. The CONSORT checklist was used to check the procedure.
A total of 92 discharged patients with rheumatoid arthritis were enrolled. The sociodemographic indexes of the control and intervention groups had no significant differences at baseline (p > .05). The RASE score of the intervention group was higher than that of the control group (p < .05) at the 12th week and the 24th week.
The HET improved the self-efficacy of the discharged patients with RA in the 12th week and the 24th week after discharge. This study demonstrated that our HET can improve the short-term and long-term effects of self-efficacy, which implies that the clinical nursing staff should increase the frequency of HET to improve the patients' knowledge and abilities of self-management.
Patients with RA will benefit from a health education programme by telephone follow-up; thus, it is necessary for nursing managers to implement this programme.
探讨电话随访健康教育方案对类风湿关节炎（RA）患者自我效能的影响。
自我效能感越来越被认为是提高自我管理能力的基石。然而，在中国，使用电话随访对 RA 患者进行健康教育的有效性研究甚少。
本研究为随机对照试验。
招募的患者被随机分为对照组和干预组。干预组在患者出院后接受 4 次电话随访健康教育。对照组患者仅在出院后接受 1 次电话随访。采用类风湿关节炎自我效能量表（RASE）测量自我效能，在患者出院前、第 12 周和第 24 周收集数据。采用 CONSORT 清单检查程序。
共纳入 92 例出院的类风湿关节炎患者。对照组和干预组的社会人口学指标在基线时无显著差异（p>.05）。干预组的 RASE 评分在第 12 周和第 24 周均高于对照组（p<.05）。
HET 在出院后第 12 周和第 24 周提高了出院 RA 患者的自我效能。本研究表明，我们的 HET 可以提高自我效能的短期和长期效果，这意味着临床护理人员应增加 HET 的频率，以提高患者的自我管理知识和能力。
RA 患者将从电话随访健康教育方案中受益，因此护理管理人员有必要实施该方案。
