Nelson E C, McHugo G, Schnurr P, Devito C, Roberts E, Simmons J, Zubkoff W
Am J Public Health. 1984 Dec;74(12):1357-62. doi: 10.2105/ajph.74.12.1357.
We conducted a trial to evaluate the impact of medical self-care education on 330 elders whose average age was 71. The test group participated in a 13-session educational intervention with training in clinical medicine, life-style, and use of health services. The comparison group received a two-hour lecture-demonstration. Both groups were assessed pre-intervention, post-intervention, and one year after entry. The results indicate medical self-care instruction: produces substantial improvements, that were sustained for one year, in health knowledge, skills performance, and skills confidence; stimulates many attempts to improve life-style; and generates improvements in life quality. The program had little influence on utilization of medical care or health status.
我们进行了一项试验，以评估医学自我护理教育对330名平均年龄为71岁的老年人的影响。试验组参加了为期13节的教育干预课程，内容包括临床医学、生活方式及健康服务使用方面的培训。对照组接受了两小时的讲座演示。两组在干预前、干预后及入组一年后均接受了评估。结果表明，医学自我护理指导：在健康知识、技能表现和技能信心方面产生了显著改善，且这种改善持续了一年；激发了许多改善生活方式的尝试；并提高了生活质量。该项目对医疗护理的利用或健康状况影响甚微。
