Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
Nurs Open. 2021 Mar;8(2):927-935. doi: 10.1002/nop2.701. Epub 2020 Nov 24.
To evaluate the effects of PCC in the form of structured telephone support on self-reported cardiac self-efficacy in patients with COPD.
We enrolled 105 patients, aged ≥50 years, admitted to hospital and diagnosed with COPD from January 2015 to November 2016. The patients received usual care or PCC via telephone added to usual care. The Swedish Cardiac Self-Efficacy Scale comprising three dimensions (control symptoms, control illness and maintain functioning) was used as outcome measure. Data was collected at baseline, and at 3- and 6-month follow-ups.
At both the 3- and 6-month follow-ups, the intervention group improved significantly more than the control group in the control illness dimension (p = .012 and p = .032, respectively). No differences were found in the other two dimensions.
PCC in the form of structured telephone support increases patients' confidence in managing their illness and may be a feasible strategy to support patients in their homes.
评估结构化电话支持形式的 PCC 对 COPD 患者自我报告的心脏自我效能的影响。
我们纳入了 105 名年龄≥50 岁、因 COPD 住院且被诊断为 COPD 的患者，这些患者来自于 2015 年 1 月至 2016 年 11 月。患者接受常规护理或常规护理加电话 PCC。采用瑞典心脏自我效能量表（包含三个维度：控制症状、控制疾病和维持功能）作为结果测量指标。数据在基线时、3 个月和 6 个月随访时收集。
在 3 个月和 6 个月的随访中，干预组在控制疾病维度上的改善明显优于对照组（p=0.012 和 p=0.032）。在其他两个维度上未发现差异。
结构化电话支持形式的 PCC 增加了患者管理疾病的信心，可能是一种支持患者居家的可行策略。
