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題名:The Effects of the Self-Efficacy Method on Adult Asthmatic Patient Self-Care Behavior    
自我效能方案增進成人氣喘病患自我照顧行為之成效
著者:Su-Yueh Chen(陳素月) ;Sheila Sheu(許淑蓮) ;Ching-Sheng Chang(張景盛) ;Tung-Heng Wang(王東衡) ;Ming-Shyan Huang(黃明賢)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:自我效能方案 ; 成人氣喘 ; 自我照顧行為 ; self-efficacy intervention ; adult asthma ; self-care behaviors
刊名:The Journal of Nursing Research
卷期:18卷4期(2010.10)
頁碼:266-274
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

背 景成人氣喘罹患人數及死亡率較兒童高,發病率及再住院率亦有增加趨勢,文獻指出提 昇氣喘病患自我照顧行為及自我效能,可以降低氣喘病患發病率及再住院率,因此自 我照顧行為及自我效能為氣喘病患重要的照護議題。 目 的本研究目的為探討自我效能介入方案⑴對成人氣喘病患自我照顧行為之影響;⑵對成 人氣喘病患自我效能之影響。 方 法本研究採兩組前後測之實驗設計法,2009年3月2日至2010年1月31日於高雄市某醫學中 心胸腔內科門診60位氣喘病患,隨機分為實驗組及控制組各30人。實驗組接受自我效 能介入方案,包括觀看15-20分鐘的DVD影帶、提供成人氣喘自我效能衛教手冊、病 友團體經驗分享、參與電話訪談;控制組接受傳統的門診衛教方案。研究工具為成人 氣喘病患自我照顧行為量表(CVI .95,Cronbach’s α值為 .82),及成人氣喘病患自我 效能量表(CVI .98,Cronbach’s α值為 .82)。 結 果結果顯示:⑴自我效能方案對成人氣喘病患所有自我照顧行為,包括遵從服藥(p = .008)、自我監控(p = .000)、遠離過敏原(p = .001)、定期返診(p = .000)及規律 的運動(p = .016)均有顯著性進步;⑵自我效能方案對成人氣喘病患的預防氣喘發作 (p = .030)及氣喘發作時的處理(p = .017)自我效能均有顯著性進步。 結 論依本研究之自我效能方案可作為成人氣喘自我照顧臨床實務之參考。
Background: The prevalence of asthma and associated mortality is higher among adults than among children, as are associated morbidity and hospital readmission rates. The literature shows that promoting patient self-care behaviors and selfefficacy helps reduce recurrence and hospital readmission rates. Therefore, self-care behaviors and self-efficacy represent critical issues in successful asthma management. Purpose: This study was developed to investigate the effects of a self-efficacy intervention on (a) the self-care behaviors of adult asthma patients and (b) the self-efficacy of adult asthmatic patients. The study used a pretestYposttest experimental design. Methods: A total of 60 asthma outpatients who visited the chest medicine division of a medical center in Kaohsiung City between March 2, 2009, and January 31, 2010, were assessed. Patients were randomly divided into two groups (experimental and control), with 30 patients assigned to each. Experimental group participants received the selfefficacy intervention program, which included watching a 15- to 20-minute DVD, received a healthcare booklet on selfefficacy for adult asthmatic patients, were asked to share their illness experience with support groups, and received medical follow-ups by telephone. Control group patients received conventional health education administered by the outpatient department. Study instruments included a selfcare behavior scale for adult asthmatic patients (content validity index = .95, Cronbach’s ! = .82) and a self-efficacy scale for adult asthmatic patients (content validity index = .98, Cronbach’s ! = .82). Results: The two key findings of this study were as follows: (a) There was a significant improvement in the self-care behaviors of patients who received self-efficacy intervention in terms of medication adherence (p = .008), self-monitoring (p = .000), avoidance of antigens (p = .001), regular follow-up visits (p = .000), and regular exercise (p = .016); and (b) the program improved participant self-efficacy in terms of both asthma attack prevention (p = .030) and management during asthma attacks (p = .017). Conclusions: On the basis of these results, self-efficacy intervention has been demonstrated a beneficial addition to adult asthmatic patient self-care regimens.


    

本卷期目次
The Journal of Nursing Research 18卷4期 (2010.10)
Family Resources and Parental Health in Families of Children with Duchenne Muscular Dystrophy/ Jih-Yuan ChenMary-Jo Clark
The Experience of Applying a Narrative Research Approach with Older People/ Ming-Yi HsuBrendan McCormack
School-Based Lived Experiences of Adolescents with Type 1 Diabetes: A Preliminary Study/ Yueh-Ling WangSharon A. BrownSharon D. Homer
The Effects of the Self-Efficacy Method on Adult Asthmatic Patient Self-Care Behavior/ Su-Yueh ChenSheila SheuChing-Sheng ChangTung-Heng WangMing-Shyan Huang
Sleep Quality, Fatigue, and Related Factors among Perimenopausal Women in Taipei City/ Yu-Chia ChangHei-Jen JouMei-Chun HsiaoLee-Ing Tsao
Sleep Hygiene Education: Efficacy on Sleep Quality in Working Women/ Pao-Hui ChenHung-Yu KuoKe-Hsin Chueh
Sexual Cognitive Predictors of Sexual Communication in Junior College Adolescents: Medical Student Perspectives/ Jiunn-Horng LouSheng-Hwang ChenHsing-Yi YuYen-Chin LinRen-Hau Li
The Revised Critical Thinking Skills Scale for a Life-and-Death Course: Preliminary Scale Refinement/ Huei-Lih HwangHuey-Shyan LinHsiu-Hung Wang
 
   
 
   

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