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慢性病自我管理项目对提高患者自我效能和健康相关行为的有效性:一项准实验研究。

The Effectiveness of the Chronic Disease Self-Management Program in Improving Patients' Self-Efficacy and Health-Related Behaviors: A Quasi-Experimental Study.

作者信息

Kerari Ali, Bahari Ghareeb, Alharbi Kholoud, Alenazi Latifah

机构信息

Nursing Administration and Education Department, College of Nursing, King Saud University, Riyadh 11421, Saudi Arabia.

出版信息

Healthcare (Basel). 2024 Apr 3;12(7):778. doi: 10.3390/healthcare12070778.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6a2/11011545/3e222f84c76f/healthcare-12-00778-g001.jpg

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