上海慢性病自我管理项目对自我效能的影响评价

目的　评价上海慢性病自我管理健康教育项目实施 6个月之后在改变患者自我效能方面的效果。方法　按照社区随机对照试验研究设计 ,将 954名患有高血压病、心脏病、关节炎、中风、哮喘、糖尿病、慢性阻塞性肺病 (COPD)等疾病自愿参加该项目的慢性病人 ,随机分为干预组和对照组。采用协方差的秩检验 ,比较了有基线和 6个月之后两次问卷调查数据的 4 30名干预组患者和 34 9名对照组患者在项目实施 6个月之后在自我效能评分方面的变化。结果　干预组患者的症状管理自我效能和疾病共性管理自我效能评分 6个月的增加值 ,分别比对照组高出 0 6 9分和 0 6 3分 (P值均 <0 0 1)。结论　上海慢性病自我管理项目可提高参加者对疾病管理的自我效能

The Impact of Shanghai Chronic Disease Self-Management Program on Self Efficacy

Objectives To evaluate the six month impact of Shanghai Chronic Disease Self Management Program on self efficacy Methods The study was a community based randomized controlled trial 954 volunteer participants with hypertension, heart disease, arthritis, stroke, asthma, diabetes, and COPD, were randomized to treatment group or control group Analysis of covariance based on Rank Scores(Cochran Mantel Haenszel Statistics) was used to compare six month changes of self efficacy for 430 treatment subjects and 349 control subjects who complete 6 month study Results Compared with controls, treatment group significantly increased 0 69 and 0 63 scores separately in self efficacy to manage symptom and self efficacy to manage disease in general(all P<0 01) Conclusions Shanghai Chronic Disease Self Management Program improved participants' self efficacy after 6 month implementation