自我管理对胃食管反流病患者的自我效能及临床症状的响

Effect of a self-management program on a self-efficacy and clinical symptoms among patients with gastroesophageal reflux disease

目的:探讨自我管理对胃食管反流病(gastroesophageal reflux disease,GEFD)患者的自我效能及临床症状的影响。方法:130例胃食管反流病患者随机分为干预组和对照组。在常规门诊药物治疗基础上,对干预组实施自我管理干预,给予对照组常规指导。比较干预前后两组患者自我效能、自我管理行为及临床症状改善情况。结果:干预后12周,干预组自我管理行为、自我效能水平及临床症状优于对照组(P<0.05)。结论:自我管理能增强GERD患者的自我效能水平,提高患者的自我管理行为能力,从而改善GERD患者的临床症状,值得临床推广。

Objective： To explore the effect of a self-management program on self-efficacy and clinical symptoms among patients with gastroesophageal reflux disease （gastroesophagcal reflux disease, GERD）. Methods： 130 GERD patients were divided into two groups randomly. In addition to drug therapy and routine health education, a self-management program was provided for the patients in the experimental group. The patients＇ self-efficacy, self-management behaviors and clinical symptoms were compared between the two groups. Results： The level of self-efficacy, self-management behaviors and the improvement of clinical symptoms in the experimental group were significantly better than those of the control group（P〈0.05） after 12 weeks intervention. Conclusion： The self-management program can improve the level of self-efficacy, self-management behaviors and relive clinical symptoms in GERD patients. It is worth of clinical promotion.