某社区慢性病自我管理健康教育对自我效能的影响

目的 ]　评价社区慢性病自我管理健康教育项目对改变患者自我效能的效果。　 方法 ]　按照社区随机对照试验研究设计 ,将 2 97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 )等疾病并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 ,比较有基线和 6个月后两次问卷调查数据的 12 8名干预组病人和 12 7名对照组病人于项目实施 6个月之后在自我效能方面的变化。　 结果 ]　干预组病人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 1.0 8分和 1.0 7分 (P值均 <0 .0 1)。　 结论 ]　慢性病自我管理项目实施 6个月后改善了参加者对疾病管理的自我效能

The impact of chronic disease self- management health education program on self efficacy

Objective] To evaluate the six month impact of chronic disease self-management health education program on self efficacy. Methods] The study was a community based randomized controlled trial. 297 volunteer participants with either hypertension, heart disease, arthritis, stroke, asthma, diabetes or COPD, were randomized to treatment group or control group. Analysis of covariance based on rank scores (Cochran-Mantel-Haenszel Statistics) was used to compare changes in six month of self-efficacy for 140 treatment subjects and 129 control subjects who completed 6 month study. Results] Compared with the controls, the treatment group increased 1.08 and 1.07 scores respectively in self-efficacy to manage symptom and self-efficacy to manage disease in general difference significant (both P<0.01). Conclusion] Chronic disease self-management health education program conducted in Pudong New Area in Shanghai improved participants' self-efficacy in 6 month implementation.