Self-management of heart disease by older adults
Self-management of heart disease by older adults
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DOI：
10.1177/0164027597193005
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发表时间：
1997-09-01
影响因子：
2.6
通讯作者：
Santinga, JT
中科院分区：
文献类型：
--
作者：
Clark, NM;Janz, NK;Santinga, JT
A randomized, controlled trial involving 636 older individuals was conducted to evaluate an intervention to enhance self-management of heart disease. Program participants experienced less impact of illness on their psychosocial functioning (p less than or equal to .05), especially their emotional behavior (p less than or equal to .05) and alertness (p less than or equal to .01). Compared to controls, male program participants experienced improvements in their physical functioning, specifically their ability to ambulate (p less than or equal to .05) and the frequency and severity of their symptoms. Female program participants did not experience gains in physical functioning. Most group differences emerged by 12 months and decayed by the 18-month final evaluation. To accurately assess the pattern of change associated with a program of this type, evaluation over at least 18 months following program completion may be needed. Separate interventions for older men and women with heart disease appear warranted, as do follow-up activities at strategic points in time to sustain program effects.
