Improvement and Backsliding after Chronic-disease Self-management Education in Japan: One-year Cohort Study / 재활간호학회지
Korean Journal of Rehabilitation Nursing
;
: 42-51, 2017.
Artigo
em Coreano
| WPRIM
| ID: wpr-652837
ABSTRACT
PURPOSE:
In people who have chronic diseases, disabilities, and rehabilitation needs, self-management education can improve health and health-related behavior, and it can reduce the utilization of healthcare services. The purpose of this research was to assess the long-term effects of chronic-disease self-management education in Japan.METHODS:
This study included 184 adults living with various chronic medical conditions who participated in the Chronic Disease Self-Management Program (CDSMP) in Japan. Data were collected before the program began, and then collected 3 more times over 1 year.RESULTS:
Healthcare-service utilization was low at baseline, and it did not change. Self-evaluated health status, health-related distress, coping with symptoms, communication with doctors, and self-efficacy to manage symptoms all improved after the program. However, there was backsliding in all of the outcomes that had improved.CONCLUSION:
Some benefits of this program can last for at least 1 year, but interventions to prevent attenuation may be needed. For economic evaluations, research should focus on populations with higher baseline levels healthcare-service utilization, including use of rehabilitation services. Also, more attention should be focused on the longer-term decay or persistence of the program's benefits, particularly regarding on preventing and reducing disabilities and with regard to rehabilitation needs.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Reabilitação
/
Autocuidado
/
Educação de Pacientes como Assunto
/
Doença Crônica
/
Estudos de Coortes
/
Análise Custo-Benefício
/
Atenção à Saúde
/
Educação
/
Japão
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
/
Fatores de risco
Limite:
Adulto
/
Humanos
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Korean Journal of Rehabilitation Nursing
Ano de publicação:
2017
Tipo de documento:
Artigo
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