A REEXAMINATION OF THE EFFECTIVENESS OF SELF-CARE EDUCATION FOR PERSONS WITH ARTHRITIS
A REEXAMINATION OF THE EFFECTIVENESS OF SELF-CARE EDUCATION FOR PERSONS WITH ARTHRITIS
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DOI：
10.1002/anr.1780320608
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发表时间：
1989-06-01
影响因子：
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通讯作者：
BRUNNER, CM
中科院分区：
文献类型：
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作者：
GOEPPINGER, J;ARTHUR, MW;BRUNNER, CM
我们检验了2种关节炎自我护理干预模式的有效性，家庭研究模式和小组模式。对参加这些项目的关节炎患者的疾病诊断和持续时间、自我护理行为、自觉无助、社会支持、治疗选择和正规教育水平的影响进行了评估。在最初的实验研究中采用了前测-后测控制组设计;在纵向研究中采用了比较组设计。374名受试者完成了干预和12个月的研究随访。我们发现，干预模式对关节炎知识，自我护理行为，感知无助和疼痛有统计学显著的积极影响。这些发现并没有改变时，教育水平，疾病诊断和持续时间，非正式的社会支持，治疗选择的影响进行控制。小组干预更有效地带来了初步改善apin和抑郁症，而家庭研究干预更有效地保持改善感知无助。无助感和自我照顾行为的变化似乎可以部分解释观察到的疼痛改善。
We examined the effectiveness of 2 models of arthritis self-care intervention, the home study model and the small group model. The effects of disease diagnosis and duration, self-care behavior, perceived helplessness, social support, treatment choice, and formal education level in outcomes among persons with arthritis who participated in these programs were evaluated. A pretest-posttest control group design was utilized in the initial experimental study; comparison group designs were used in the longitudinal studies. Three hundred seventy-four subjects completed the interventions and 12 months of research followup. We found that the intervention models had a statistically significant positive impact on arthritis knowledge, self-care behavior, perceived helplessness, and pain. These findings did not vary when the effects of education level, disease diagnosis and duration, informal social support, and treatment choice were controlled. The small group intervention was more effective in bringing about initial improvements in apin and depression, whereas the home study intervention was more effective in maintaining improvements in perceived helplessness. Changes in perceived helplessness and self-care behavior appear to explain in part the observed improvement in pain.