基于慢性病护理模式的随访对慢性阻塞性肺疾病患者自我效能及患者报告结局的影响：一项随机对照研究。
The effect of Chronic Care Model-based follow-up on self-efficacy and patient-reported outcomes in COPD patients: a randomized controlled study.
作者信息
Sazak Yasemin, Olgun Nermin
机构信息
Department of Nursing, Faculty of Health Sciences, Kahramanmaraş İstiklal University, Menderes Mah, Cumhuriyet Bulvarı 46036, Sokak No: 7, Kahramanmaraş, 46100, Türkiye.
Department of Nursing, Faculty of Health Sciences, Hasan Kalyoncu University, Gaziantep, Türkiye.
出版信息
BMC Nurs. 2025 May 22;24(1):578. doi: 10.1186/s12912-025-03247-x.
AIM
This study evaluated the effects of Chronic Care Model-based follow-up on self-efficacy and patient-reported outcomes in COPD patients.
METHODS
This study was a randomized controlled trial conducted at the Chest Diseases Outpatient Clinic between January 2022 and July 2022. Four components of the Chronic Care Model were used in the study. Patients in the intervention group were given training, and phone calls were made every two weeks. Short informative messages were sent once a week, and the patients were followed up for three months. No intervention was made in the control group.
RESULTS
The study was completed with 31 interventions and 30 control patients. The intervention was determined to increase patients' self-efficacy. There were also positive effects on patient-reported outcomes. Patients' satisfaction with care was found to be at a high level. It was found that the walking distance of the patients increased.
CONCLUSIONS
Our study revealed that using Chronic Care Model-based follow-up in practice may benefit patients. More studies involving the application of the Chronic Care Model in COPD patients are needed to support our research results.
CLINICAL TRIAL REGISTRATION
Before starting the study, ClinicalTrials.gov was recorded (NCT05029557, Registration Date: August 26, 2021, https://clinicaltrials.gov/ ).
目的
本研究评估基于慢性照护模式的随访对慢性阻塞性肺疾病（COPD）患者自我效能感及患者报告结局的影响。
方法
本研究为2022年1月至2022年7月在胸科门诊进行的一项随机对照试验。研究采用了慢性照护模式的四个组成部分。干预组患者接受培训，每两周进行一次电话随访。每周发送一次简短的信息，对患者进行为期三个月的随访。对照组未进行干预。
结果
本研究共纳入31例干预组患者和30例对照组患者。研究确定干预可提高患者的自我效能感。对患者报告结局也有积极影响。发现患者对护理的满意度较高。还发现患者的步行距离增加。
结论
我们的研究表明，在实践中采用基于慢性照护模式的随访可能使患者受益。需要更多涉及慢性照护模式在COPD患者中应用的研究来支持我们的研究结果。
临床试验注册
在研究开始前，已在ClinicalTrials.gov上进行记录（NCT05029557，注册日期：2021年8月26日，https://clinicaltrials.gov/ ）
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