Kerari Ali, Bahari Ghareeb, Alharbi Kholoud, Alenazi Latifah
Nursing Administration and Education Department, College of Nursing, King Saud University, Riyadh 11421, Saudi Arabia.
Healthcare (Basel). 2024 Apr 3;12(7):778. doi: 10.3390/healthcare12070778.
The Stanford Chronic Disease Self-Management Program (CDSMP) is a valuable educational resource for supporting patients' self-management behaviors. However, no evidence supporting its effectiveness in the Saudi Arabian population exists. Therefore, this study aimed to evaluate the effectiveness of the 6-month CDSMP in individuals with chronic conditions in Saudi Arabia within a primary care context. A quasi-experimental design was conducted in 110 adults living with ≥1 chronic disease in Saudi Arabia. The patients in the experimental group (n = 45) participated in a six-session CDSMP, whereas those in the control group (n = 65) continued their usual care. Baseline and 6-month assessments were conducted using relevant questionnaires to assess outcome measures. Analysis of covariance revealed that the participants who underwent the CDSMP had significantly higher self-efficacy levels in managing their conditions (F = 9.80, < 0.01) and a greater tendency to adopt healthy behaviors to successfully manage their chronic illnesses (F = 11.17, < 0.01). The participants who underwent the CDSMP also showed significant improvements in all health-related outcomes compared with those in the control group ( < 0.01). These findings indicated that the program had a positive effectiveness in self-efficacy, self-management behaviors, and health-related outcomes among adults with chronic diseases in Saudi Arabia. The CDSMP may be integrated into primary care settings to help patients successfully manage their chronic conditions.
斯坦福慢性病自我管理项目(CDSMP)是支持患者自我管理行为的宝贵教育资源。然而,尚无证据支持其在沙特阿拉伯人群中的有效性。因此,本研究旨在评估在沙特阿拉伯初级保健环境下,为期6个月的CDSMP对慢性病患者的有效性。对沙特阿拉伯110名患有≥1种慢性病的成年人进行了准实验设计。实验组(n = 45)的患者参加了为期六节的CDSMP,而对照组(n = 65)的患者继续接受常规护理。使用相关问卷进行基线和6个月评估,以评估结果指标。协方差分析显示,接受CDSMP的参与者在管理自身疾病方面的自我效能水平显著更高(F = 9.80,< 0.01),并且更倾向于采取健康行为来成功管理慢性病(F = 11.17,< 0.01)。与对照组相比,接受CDSMP的参与者在所有与健康相关的结果方面也有显著改善(< 0.01)。这些结果表明,该项目在沙特阿拉伯慢性病成年人的自我效能、自我管理行为和与健康相关的结果方面具有积极效果。CDSMP可整合到初级保健环境中,以帮助患者成功管理慢性病。