The Effects of the Self-Efficacy Method on Adult Asthmatic Patient Self-Care Behavior

Su-Yueh Chen; Sheila Sheu; Ching-Sheng Chang; Tung-Heng Wang; Ming-Shyan Huang

doi:10.1097/NRJ.0b013e3181fbe33f

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医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

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The Effects of the Self-Efficacy Method on Adult Asthmatic Patient Self-Care Behavior

自我效能方案增进成人气喘病患自我照顾行为之成效

陈素月(Su-Yueh Chen) ；许淑莲(Sheila Sheu) ；张景盛(Ching-Sheng Chang) ；王东衡(Tung-Heng Wang) ；黄明贤(Ming-Shyan Huang)

The Journal of Nursing Research ； 18 卷 4 期 (2010 / 12 / 01) ， P266 - 274

英文 DOI： 10.1097/NRJ.0b013e3181fbe33f

自我效能方案；成人气喘；自我照顾行为； self-efficacy intervention ； adult asthma ； self-care behaviors

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摘要 │ 参考文献 (16) │ 被引用文献 (6) │ 国际计量

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Background: The prevalence of asthma and associated mortality is higher among adults than among children, as are associated morbidity and hospital readmission rates. The literature shows that promoting patient self-care behaviors and self-efficacy helps reduce recurrence and hospital readmission rates. Therefore, self-care behaviors and self-efficacy represent critical issues in successful asthma management.
Purpose: This study was developed to investigate the effects of a self-efficacy intervention on (a) the self-care behaviors of adult asthma patients and (b) the self-efficacy of adult asthmatic patients. The study used a pretest-posttest experimental design.
Methods: A total of 60 asthma outpatients who visited the chest medicine division of a medical center in Kaohsiung City between March 2, 2009, and January 31, 2010, were assessed. Patients were randomly divided into two groups (experimental and control), with 30 patients assigned to each. Experimental group participants received the self-efficacy intervention program, which included watching a 15- to 20-minute DVD, received a healthcare booklet on self-efficacy for adult asthmatic patients, were asked to share their illness experience with support groups, and received medical follow-ups by telephone. Control group patients received conventional health education administered by the outpatient department. Study instruments included a self-care behavior scale for adult asthmatic patients (content validity index=.95, Cronbach's a=.82) and a self-efficacy scale for adult asthmatic patients (content validity index =.98, Cronbach's a=.82).
Results: The two key findings of this study were as follows: (a) There was a significant improvement in the self-care behaviors of patients who received self-efficacy intervention in terms of medication adherence (p=.008), self-monitoring (p=.000), avoidance of antigens (p=.001), regular follow-up visits (p=.000), and regular exercise (p=.016); and (b) the program improved participant self-efficacy in terms of both asthma attack prevention (p=.030) and management during asthma attacks (p=.017).
Conclusions: On the basis of these results, self-efficacy intervention has been demonstrated a beneficial addition to adult asthmatic patient self-care regimens.

参考文献 ( 16 ) 〈TOP〉

Department of Health, Taiwan, ROC. (2003). Asthma prevention. Retrieved January 31, 2009, from http://www.bhp.doh.gov.tw/health91/1-6-6.htm (Original work published in Chinese)
Bandura, A.(2006).Toward a psychology of human agency.Perspective on Psychological Science,1(2),164-180.
Bandura, A.(1997).Self-efficacy: The exercise of control.New York:W.H. Freeman and Company.
Bandura, A.(1977).Self-efficacy: Toward a unifying theory of behavior change.Psychological Review,84(2),191-215.
Bursch, B.,Schwankovsky, L.,Gilbert, J.,Zeiger, R.(1999).Construction and validation of four childhood asthma selfcare scales: Parent barriers, child and parent self-efficacy, and parent belief in treatment efficacy.Journal of Asthma,36(1),115-128.

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