A test of Braden's Self-Help Model in adults with chronic pain.
A test of Braden's Self-Help Model in adults with chronic pain.
复制标题
对患有慢性疼痛的成人进行布雷登自助模型的测试。
DOI：
10.1111/j.1547-5069.2000.00153.x
复制
发表时间：
2000
期刊：
影响因子：
--
通讯作者：
S. LeFort
中科院分区：
文献类型：
--
作者：
S. LeFort
目的
在特发性慢性疼痛患者样本中检验Braden自助模型中的假设关系。在不同的社会文化、经济、气候和卫生系统环境下，对各种临床人群的理论解释和预测进行测试，为不同人群中基础理论的适用性提供了证据。
设计
这项研究是一个更大的随机对照试验的一部分，以社区为基础的护理心理教育干预：慢性疼痛自我管理计划（CPSMP）。1995-1996年在加拿大纽芬兰收集了测试前和测试后的数据。
方法
参与者完成了一系列有效和可靠的自我报告工具，以测量疼痛，残疾，不确定性，足智多谋，自我效能，成人角色行为和生活满意度。自助模式进行了两次测试，第一次与前测数据（N = 110），第二次与3个月后测数据（N = 102）后，一半的样本参加了CPSMP干预。因果模型路径分析采用社会科学统计软件包（SPSS）程序进行，拟合优度检验采用EQS for Windows进行。
结果
结果支持了自助模型中假设的整体关系模式。该模型的两个主要结果（自助：42%至53%，生活质量：45%至47%）的方差解释量与其他研究的结果一致。拟合优度指数显示模型与数据，特别是后测数据充分拟合。
结论
布雷登的自助模式似乎是强大的，在各种临床人群中，不同的设置和环境条件，并提供了一个有用的框架，以指导护理心理教育干预慢性疾病。
PURPOSE
To test hypothesized relationships in Braden's Self-Help Model in a sample of people with idiopathic chronic pain. Testing theoretical explanations and predictions with various clinical populations under different sociocultural, economic, climatic, and health system environments provides evidence about the applicability of the underlying theory among diverse populations.
DESIGN
This study was part of a larger randomized, controlled trial of a community-based nursing psycho-educational intervention: the Chronic Pain Self-Management Program (CPSMP). Pretest and posttest data were collected in 1995-1996 in Newfoundland, Canada.
METHODS
Participants completed a battery of valid and reliable self-report instruments to measure pain, disability, uncertainty, resourcefulness, self-efficacy, adult role behaviors, and life satisfaction. Two tests of the self-help model were performed, the first with pretest data (N = 110) and the second with 3-month posttest data (N = 102) after half the sample had participated in the CPSMP intervention. Causal modeling path analysis was done with the Statistical Package for the Social Sciences (SPSS) program and tests of goodness-of-fit were conducted using EQS for Windows.
RESULTS
Results supported the overall hypothesized pattern of relationships in the self-help model. Amounts of variance explained in the two major outcomes of the model (self-help: 42% to 53% and life quality: 45% to 47%) were consistent with results from other studies. Indices of goodness of fit showed an adequate fit of the model to the data, particularly the posttest data.
CONCLUSIONS
Braden's Self-Help Model appears to be robust in a variety of clinical populations, among different settings and environmental conditions, and provides a useful framework to guide nursing psycho-educational interventions in chronic illness.