Effects of nurse-initiated telephone follow-up on self-efficacy among patients with chronic obstructive pulmonary disease.
Effects of nurse-initiated telephone follow-up on self-efficacy among patients with chronic obstructive pulmonary disease.
复制标题
护士发起的电话随访对慢性阻塞性肺疾病患者自我效能的影响。
作者：
Kwan Wai Wong;F. Wong;M. Chan
目标
本文报告了一项研究，旨在确定护士发起的电话随访计划是否可以提高患者在管理呼吸困难方面的自我效能，并减少卫生保健服务的使用。
背景
慢性阻塞性肺病是一个世界性的健康问题，已被贴上负担疾病的标签。由于害怕活动引起的呼吸困难，慢性阻塞性肺病患者缺乏进行日常活动的信心。对心脏病和糖尿病患者的研究表明，电话随访护理是提高自我效能的有效方法。然而，对慢性阻塞性肺疾病患者进行的此类研究很少。
方法
这是一项随机对照研究。共有60名慢性阻塞性肺病患者(30名电话随访，30名对照)从香港一家急诊医院招募。采用中国人自我效能感量表评定自我效能感。衡量卫生保健使用情况的指标是急诊室就诊次数、住院次数和医生非计划就诊次数。
调查结果
电话随访患者的自我效能感得分较对照组显著提高(U=272.5，P=0.009)。多因素回归分析显示，电话随访(Beta=0.33，CI：0.19~0.48，P=0.001)、肺康复计划(Beta=0.44，CI：0.16~0.72，P=0.003)、吸烟(Beta=0.34，CI：0.09~0.57，P=0.009)和医疗保健使用(Beta=-0.27，CI：-0.47~-0.07，P=0.008)是预测患者自我效能的显著因素。
结论
护士发起的电话随访护理有效地提高了管理呼吸困难的自我效能感。这项研究需要在其他环境中重复进行，以加强其外部效度。
AIM
This paper reports a study to determine whether a nurse-initiated telephone follow-up programme could increase patients' self-efficacy in managing dyspnoea and decrease health care service use.
BACKGROUND
Chronic obstructive pulmonary disease is a worldwide health problem and has been labelled a burdensome disease. Because of the fear of activity-induced dyspnoea, patients with chronic obstructive pulmonary disease lack the confidence to perform daily activities. Studies of cardiac and diabetic patients have shown that telephone follow-up care is an effective approach to increasing self-efficacy. However, little such research has been done with patients with chronic obstructive pulmonary disease.
METHODS
This was a randomized controlled study. A total of 60 participants (30 telephone follow-up, 30 control) with chronic obstructive pulmonary disease were recruited from an acute care hospital in Hong Kong. The Chinese Self-Efficacy Scale was used to assess self-efficacy. Measures of health care use were numbers of visits to an accident and emergency department, hospitalizations, and unscheduled visits by physicians.
FINDINGS
The self-efficacy scores (U = 272.5, P = 0.009) of patients who were followed up by telephone improved significantly compared with those of patients in the control group. Multiple regression analyses showed that telephone follow-up (Beta = 0.33, CI: 0.19-0.48, P = 0.001), the pulmonary rehabilitation programme (Beta = 0.44, CI: 0.16-0.72, P = 0.003), smoking (Beta = 0.34, CI: 0.09-0.57, P = 0.009), and health care use (Beta = -0.27, CI: -0.47-(-0.07), P = 0.008) were significant factors in predicting patient self-efficacy.
CONCLUSIONS
Nurse-initiated telephone follow-up care was effective in increasing self-efficacy in managing dyspnoea. The study needs to be replicated in other setting to strengthen its external validity.
影响因子：
9.6
作者：
WIGAL, JK;CREER, TL;KOTSES, H
通讯作者：
KOTSES, H
冠状动脉吸烟干预研究 (CASIS)：5 年随访。
DOI：
10.1037//0278-6133.17.5.476
发表时间：
1998
期刊：
Health psychology : official journal of the Division of Health Psychology, American Psychological Association
影响因子：
--
作者：
Rosal,MC;Ockene,JK;Ma,Y;Hebert,JR;Ockene,IS;Merriam,P;Hurley,TG
通讯作者：
Hurley,TG