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提高慢性阻塞性肺疾病患者的健康素养和自我效能感

Promoting Health Literacy and Perceived Self-Efficacy in People with Chronic Obstructive Pulmonary Disease.

作者信息

Aliakbari Fatemeh, Tavassoli Elahe, Alipour Forouzan Mohammad, Sedehi Morteza

机构信息

Community Oriented Nursing Midwifery Research Center, Shahrekord, Iran.

Social Determinants of Health Research Center, Shahrekord, Iran.

出版信息

Iran J Nurs Midwifery Res. 2022 Aug 9;27(4):331-336. doi: 10.4103/ijnmr.ijnmr_34_21. eCollection 2022 Jul-Aug.

Abstract

BACKGROUND

Chronic Obstructive Pulmonary Disease (COPD) is an irreversible condition and it is of great importance for the patients to practice self-care. Given the impact of inadequate health literacy on people's self-efficacy in a self-care program, the aim of this study was to improve health literacy and self-efficacy in people with COPD.

MATERIALS AND METHODS

The present quasi-experimental study was conducted on 70 patients with COPD admitted to Shahrekord educational hospitals in 2019. Using random allocation software, the samples were randomly divided into intervention and control groups. Data collection tools included three questionnaires including demographic, health literacy, and perceived self-efficacy questionnaires. A training program, with three weekly sessions of theoretical and practical trainings, was conducted for the intervention group in classes in the hospital. The time of each session was 40 min. Data were collected three times i.e., before, immediately after, and three months after the trainings. Data were analyzed by means of SPSS 21 statistical software using descriptive and inferential statistics.

RESULTS

Before the intervention, the mean scores of perceived self-efficacy and health literacy did not differ significantly between the two groups, but after the intervention, the scores of the members in the intervention group increased significantly ( = 62.15, < 0.05).

CONCLUSIONS

The results of the study indicated an increase in the scores of perceived self-efficacy and health literacy in people with COPD. The use of targeted educational interventions can have a positive effect on the treatment and control of the disease.

摘要

背景

慢性阻塞性肺疾病(COPD)是一种不可逆的病症,患者进行自我护理非常重要。鉴于健康素养不足对人们在自我护理计划中的自我效能感的影响,本研究的目的是提高COPD患者的健康素养和自我效能感。

材料与方法

本准实验研究于2019年对70名入住沙赫雷克德教育医院的COPD患者进行。使用随机分配软件将样本随机分为干预组和对照组。数据收集工具包括三份问卷,即人口统计学问卷、健康素养问卷和自我效能感感知问卷。在医院的课堂上为干预组开展了一个培训项目,包括每周三次的理论和实践培训课程。每次课程时长为40分钟。在培训前、培训后立即以及培训后三个月进行了三次数据收集。使用SPSS 21统计软件通过描述性和推断性统计分析数据。

结果

干预前,两组的自我效能感感知平均得分和健康素养得分无显著差异,但干预后,干预组成员的得分显著提高(=62.15,<0.05)。

结论

研究结果表明COPD患者的自我效能感感知得分和健康素养得分有所提高。使用有针对性的教育干预措施对该疾病的治疗和控制可产生积极影响。

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