Kogan H N, Betrus P A
ANS Adv Nurs Sci. 1984 Jul;6(4):55-73.
The use of self-management training as a mode of nursing action capitalizes on the current participative response of consumers of health. Self-management training offers guidance to alter physiological processes, cognitions, behavioral habits, and emotions by self-regulation. Especially responsive are patients with symptoms of stress disorders. Evaluation of this mode of nursing action focuses on the amount of reduction of stress responses and retention of training. The outcome for 322 patients demonstrates highly significant changes on multiple measures (P = .0001). Furthermore, at 6-month follow-up, the status of 182 patients was maintained or improved (P = .001). A comparison group, tested prior to and after a waiting period, showed no improvement.
将自我管理培训作为一种护理行动模式，利用了当前健康消费者的参与性反应。自我管理培训通过自我调节提供指导，以改变生理过程、认知、行为习惯和情绪。压力障碍症状患者对此反应尤为明显。对这种护理行动模式的评估侧重于压力反应的减少量和培训的保持情况。322名患者的结果显示，多项指标有非常显著的变化（P = 0.0001）。此外，在6个月的随访中，182名患者的状况得以维持或改善（P = 0.001）。一个对照组在等待期前后进行测试，结果没有改善。
