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斯坦福慢性病模型对沙特阿拉伯行为和临床指标的影响:一项前瞻性准实验研究。

Effects of the Stanford Chronic Conditions Model on Behavioral and Clinical Indicators in Saudi Arabia: A Prospective Quasi-Experimental Study.

作者信息

Bahari Ghareeb, Kerari Ali, Alsadoun Ahmed, Alnassar Muhanna

机构信息

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

Medical Surgical Department, College of Nursing, King Saud University, Riyadh, Saudi Arabia.

出版信息

J Multidiscip Healthc. 2025 Jan 16;18:147-156. doi: 10.2147/JMDH.S501331. eCollection 2025.

Abstract

PURPOSE

This study aimed to evaluate the 6-month impact of the Chronic Disease Self-Management Program based on the Stanford chronic condition model on behavioral and clinical indicators in individuals with chronic illnesses.

PATIENTS AND METHODS

This prospective, quasi-experimental study was conducted in primary healthcare centers located in Riyadh, Saudi Arabia. A total of 110 adults aged 18 years or older, living with at least one chronic disease, and receiving treatment at a primary healthcare center were included. We compared patients who received the Chronic Disease Self-Management Program with those who received the usual care from primary healthcare centers. Data analysis included analysis of descriptive and covariance statistics.

RESULTS

The analysis of covariance indicated that individuals who received the Chronic Disease Self-Management Program had significantly lower systolic (F=5.60, p<0.05) and diastolic blood pressure (F=7.60, p<0.01). These patients were more likely to adopt healthy behaviors to manage their chronic illnesses (F=11.17, p<0.01). However, no significant differences were observed in the HbA1c values of the patients.

CONCLUSION

We recommend incorporating the Stanford Chronic Disease Self-Management Program into patient education to foster peer support for effective chronic disease management.

摘要

目的

本研究旨在评估基于斯坦福慢性病模型的慢性病自我管理项目对慢性病患者行为和临床指标的6个月影响。

患者与方法

本前瞻性、准实验性研究在沙特阿拉伯利雅得的初级医疗保健中心进行。共纳入110名18岁及以上、患有至少一种慢性病且在初级医疗保健中心接受治疗的成年人。我们将接受慢性病自我管理项目的患者与接受初级医疗保健中心常规护理的患者进行了比较。数据分析包括描述性统计和协方差统计分析。

结果

协方差分析表明,接受慢性病自我管理项目的个体收缩压(F = 5.60,p < 0.05)和舒张压(F = 7.60,p < 0.01)显著降低。这些患者更有可能采取健康行为来管理他们的慢性病(F = 11.17,p < 0.01)。然而,患者的糖化血红蛋白值未观察到显著差异。

结论

我们建议将斯坦福慢性病自我管理项目纳入患者教育,以促进同伴支持,实现有效的慢性病管理。

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