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首页> 外文期刊>Journal of advanced nursing >Effects of a self-management course for patients with systemic lupus erythematosus.
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Effects of a self-management course for patients with systemic lupus erythematosus.

机译：自我管理过程对系统性红斑狼疮患者的影响。

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BACKGROUND: For people living with systemic lupus erythematosus, the disease's potential variety and severity of manifestations and unpredictable course present challenges and repercussions in all arenas of life. AIM: A quasi-experimental study was conducted to examine the effects of a systemic lupus erythematosus self-management course for Korean patients on fatigue, coping skills, self-efficacy, depression, pain and disease activity. METHODS: In a two-group pre- and post-test design, a total of 41 participants were assigned to the experimental group (21 participants) and to the control group (20 participants). The experimental group received six weekly 2-hour sessions for groups of 10-15 literate adults of all ages, while the control group did not receive any intervention. Outcome measures included fatigue, coping skills, self-efficacy, depression, pain and disease activity. RESULTS: Patients who participated in the self-management course showed significant improvement in fatigue (P = 0.049), coping skills (P = 0.007), self-efficacy (P = 0.001), and depression (P = 0.025). There were no significant changes in pain and disease activity after the intervention. CONCLUSIONS: The systemic lupus erythematosus self-management course had effects in reducing fatigue and depression and improving coping skills and self-efficacy. This course is potentially a good nursing intervention that can be offered in community settings.
机译：背景：对于患有系统性红斑狼疮的人来说，该疾病的潜在表现形式和严重程度以及不可预知的病程在生活的各个领域都带来了挑战和影响。目的：进行了一项准实验研究，以检查韩国患者全身性红斑狼疮自我管理过程对疲劳，应对技能，自我效能，抑郁，疼痛和疾病活动的影响。方法：在两组的测试前和测试后设计中，共有41名参与者被分配到实验组（21名参与者）和对照组（20名参与者）。对于所有年龄段的10-15位识字的成年人，实验组每周接受两次为时2小时的训练，而对照组则未接受任何干预。结果指标包括疲劳，应对技巧，自我效能感，抑郁，疼痛和疾病活动。结果：参加自我管理课程的患者在疲劳（P = 0.049），应对技巧（P = 0.007），自我效能感（P = 0.001）和抑郁（P = 0.025）方面均有明显改善。干预后疼痛和疾病活动没有明显变化。结论：系统性红斑狼疮的自我管理过程在减轻疲劳和抑郁，提高应对技巧和自我效能方面具有作用。这门课程可能是一项很好的护理干预措施，可以在社区中提供。

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