深圳地区实施慢性病自我管理项目的效果

目的：观察慢性病自我管理健康教育项目（CDSMP）对改善社区内慢性病患者与健康相关的生活质量和自我效能的效果。方法：将来自3个社区内77例不同慢性病患者随机分为干预组38例和对照组39例。干预组接受连续7周、1次/周、2.5h/次的CDSMP项目培训;对照组接受连续7周、1次/周、1.5h/次的简化太极拳（24式太极拳）培训,分别于培训前后接受简明健康状况量表（SF-36）和自我效能测量表（SEM）的评估。结果：培训3周后,干预组在SF-36中3项及总分、SEM中2项评分均显著优于对照组（P〈0.05）。结论：CDSMP可改善社区内慢性病患者与健康相关的生活质量及提升自我管理效能。

The Effects of Chronic Disease Self-management Program for Chinese Patients in Shenzhen

Objective: To investigate the effects of the chronic disease self-management program on a group of Chinese participants who suffered from chronic diseases.Methods: A total of 77 participants were recruited from 3 communities in Shenzhen city in China and were randomly assigned into intervention and control groups with 38 and 39 participants respectively.The intervention group received the chronic disease self-management program once(2.5 h) every week for 7 weeks.The control group received Tai Ji training once(1.5 h) every week for 7 weeks during the same period.The short form of health survery-36 and the self efficacy measurement were used to measure the effects of the program before and 3 weeks after the test.Results: For the short form of health survery-36,there were significant differences in sub-scale of physical function,role emotional,reported health condition and total scores between two groups after the test (P<0.05);significant differences in sub-scale of physical function,role emotional,vitality and total scores in intervention group before and after test(P<0.05);significant differences in sub-scale of bodily pain and vitality(P<0.05).For the self efficacy measurement,there were significant differences in two items of perform self-management behavior and management illness(P<0.05) between two groups after test;significant differences in perform self-management behavior in intervention group before and after test(P<0.05).Conclusion: Chronic disease self-management program can improve a group of Chinese participants' health related quality of life and self efficacy in 3 weeks after the intervention.