TY - JOUR
T1 - Effectiveness of a nurse-led multidisciplinary self-management program for patients with coronary heart disease in communities
T2 - A randomized controlled trial
AU - Jiang, Wenhui
AU - Zhang, Yanan
AU - Yan, Fanghong
AU - Liu, Huan
AU - Gao, Rong
N1 - Publisher Copyright:
© 2019 Elsevier B.V.
PY - 2020/4
Y1 - 2020/4
N2 - Objective: To examine the effectiveness of a nurse-led multidisciplinary self-management program (NMSP) on self-management behaviors, self-efficacy, health-related quality of life (HRQoL) and unplanned health service utilization (HSU) among Chinese patients with coronary heart disease (CHD) in communities. Methods: A randomized controlled trial with repeated measurements was used. A convenience sample of 144 participants was recruited from a community health center in China. All participants were randomly assigned to an intervention group (n = 72) in the newly developed NMSP or a control group (n = 72) in routine care. Outcome measurement was performed at baseline, 3 months and 6 months using Coronary Artery Disease Self-Management Scale (CADSs), Self-efficacy for Chronic Disease 6-item Scale (SECD6), and Short Form-12 health survey questionnaire (SF-12). Results: Over the six months, the two groups reported significant differences in disease medical and emotional management of CADSs, confidence in symptom and disease management of SECD6, physical and mental component summary of SF-12, as well as emergency and outpatient visits of unplanned HSU. Conclusions: The NMSP improves self-management behaviors, self-efficacy, HRQoL and reduces unplanned HSU among CHD patients in communities. Practice implications: This study provides an effective approach to empower CHD patients with emphasizing on collaboration support of health professionals in communities.
AB - Objective: To examine the effectiveness of a nurse-led multidisciplinary self-management program (NMSP) on self-management behaviors, self-efficacy, health-related quality of life (HRQoL) and unplanned health service utilization (HSU) among Chinese patients with coronary heart disease (CHD) in communities. Methods: A randomized controlled trial with repeated measurements was used. A convenience sample of 144 participants was recruited from a community health center in China. All participants were randomly assigned to an intervention group (n = 72) in the newly developed NMSP or a control group (n = 72) in routine care. Outcome measurement was performed at baseline, 3 months and 6 months using Coronary Artery Disease Self-Management Scale (CADSs), Self-efficacy for Chronic Disease 6-item Scale (SECD6), and Short Form-12 health survey questionnaire (SF-12). Results: Over the six months, the two groups reported significant differences in disease medical and emotional management of CADSs, confidence in symptom and disease management of SECD6, physical and mental component summary of SF-12, as well as emergency and outpatient visits of unplanned HSU. Conclusions: The NMSP improves self-management behaviors, self-efficacy, HRQoL and reduces unplanned HSU among CHD patients in communities. Practice implications: This study provides an effective approach to empower CHD patients with emphasizing on collaboration support of health professionals in communities.
KW - Coronary heart disease
KW - Health-related quality of life
KW - Multidisciplinary team
KW - Self-efficacy
KW - Self-management
UR - https://www.scopus.com/pages/publications/85075330079
U2 - 10.1016/j.pec.2019.11.001
DO - 10.1016/j.pec.2019.11.001
M3 - 文章
C2 - 31727391
AN - SCOPUS:85075330079
SN - 0738-3991
VL - 103
SP - 854
EP - 863
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 4
ER -