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初级治疗中对慢性阻塞性肺病(COPD)或慢性心力衰竭(CHF)患者进行自我管理的复杂干预可改善患者对自己选择活动的表现和满意度:纵向随访
Author(s) -
Zakrisson AnnBritt,
Arne Mats,
Hasselgren Mikael,
Lisspers Karin,
Ställberg Björn,
Theander Kersti
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13899
Subject(s) - medicine , copd , physical therapy , intervention (counseling) , randomized controlled trial , self management , patient satisfaction , quality of life (healthcare) , self efficacy , social support , nursing , psychology , machine learning , computer science , psychotherapist
Aim To test a self‐management intervention in primary health care ( PHC ) for patients with chronic obstructive pulmonary disease ( COPD ) or chronic heart failure ( CHF ) on self‐efficacy, symptoms, functioning, and health. Background Patients with COPD or CHF experience often the same symptoms such as shortness of breath, cough, lack of energy, dry mouth, numbness or tingling in hands and feet, pain and sleeping problems. Design A multicentre randomized control trial. Method The trial was conducted with one intervention group ( N = 73) and one control group ( N = 77). The trial was performed from September 2013–September 2015 at nine PHC centres in three county councils in Sweden. At baseline patients with COPD and CHF experienced any symptom. Follow‐ups were performed after 3 months and 1 year. The intervention was structured on Bandura's theory of self‐efficacy in six meetings and individual action plans based on personal problems were performed and discussed. Results At baseline, there were no differences between the groups except for SF‐36 social function. After 3 months, the intervention group improved performance and satisfaction with regard to own selected activities, otherwise no differences were found. Conclusion When designing a program, the patient's own difficulties must be taken into consideration if person‐centred care is to be established. It is feasible to include both patients with COPD and CHF in the same group in PHC. Healthcare professionals need supervision in pedagogics during intervention in self‐management.