An evaluation of a self-management program for adults with asthma.

An evaluation of a self-management program for adults with asthma.
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DOI:
10.1177/105477389700600304
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发表时间:
1997-08-01
影响因子:
1.7
通讯作者:
Sereika, S M
Sereika, S M
中科院分区:
医学4区
文献类型:
--
作者:
Berg, J;Dunbar-Jacob, J;Sereika, S M

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本研究的目的是评估自我管理计划对中重度哮喘成人患者吸入、处方、非急诊药物依从性、哮喘症状和气道阻塞的影响。在这项对照实验研究中,来自农村社区的55名受试者被随机分为两组。自我效能理论是本研究的理论框架。主要测量指标包括定量吸入器(MDI)时序,一份关于哮喘日常关注的杂志,以及一个评估气道阻塞的峰值流量计。次要指标包括哮喘自我管理评估工具(ASMAT)和哮喘管理自我效能量表(SEAMS)。这些措施在干预前后完成。使用描述性和推断性统计的数据分析显示,接受自我管理计划的受试者增加了对吸入药物的依从性(U = 271,p = 0.043)。
The purpose of this study was to evaluate the impact of a self-management program for adults with moderate to severe asthma on compliance with inhaled, prescribed, nonemergency medications; asthma symptoms; and airway obstruction. In this controlled experimental study, 55 subjects from a rural community were randomized to one of two groups. Self-efficacy theory served as the framework for this study. Primary measures included the Metered Dose Inhaler (MDI) Chronolog, a journal of daily asthma concerns, and a peak-flow meter to appraise airway obstruction. Secondary measures included the Asthma Self-Management Assessment Tool (ASMAT) and the Self-Efficacy for Asthma Management Scale (SEAMS). These measures were completed pre- and post-intervention. Data analysis using descriptive and inferential statistics revealed that subjects receiving the self-management program increased compliance with inhaled medications (U = 271, p = .043).