Scherer Y K, Shimmel S
Rehabil Nurs. 1996 Sep-Oct;21(5):262-6. doi: 10.1002/j.2048-7940.1996.tb00840.x.
The predominant debilitating symptom in patients with chronic obstructive pulmonary disease (COPD) is shortness of breath. Self-efficacy theory has been used in a case study approach to begin examining the expectations of a patient with COPD who attended a pulmonary education program. Mr. M. was selected for the case study because his condition typifies many of the problems encountered by patients with COPD. Mr. M.'s self-confidence in managing his breathing difficulty was measured by using the COPD Self-Efficacy Scale (CSES) before an educational program began and again 1 month and 6 months after the program. The CSES measures patients' confidence in their ability to manage or avoid breathing difficulty in a variety of situations. Mr. M.'s scores on the CSES improved in most areas. Incorporating programs to increase patients' self-efficacy may have implications for rehabilitation nurses who help patients with COPD manage their breathing difficulty.
慢性阻塞性肺疾病（COPD）患者最主要的致残症状是呼吸急促。自我效能理论已被用于一项案例研究中，以开始研究参加肺部教育项目的COPD患者的期望。选择M先生进行案例研究，是因为他的病情代表了COPD患者遇到的许多问题。在教育项目开始前、项目开始1个月和6个月后，使用慢性阻塞性肺疾病自我效能量表（CSES）测量M先生应对呼吸困难的自信心。CSES衡量患者在各种情况下应对或避免呼吸困难的能力的信心。M先生在CSES上的得分在大多数方面都有所提高。纳入提高患者自我效能的项目可能会对帮助COPD患者应对呼吸困难的康复护士产生影响。
