CAJ | 학술논문

目的：探讨以家庭为背景的自我效能训练对稳定期COPD患者生活质量的影响。方法将82例稳定期COPD患者按随机对照原则分为观察组与对照组，对观察组患者实施以家庭为背景的自我效能训练，对照组则进行常规教育。比较干预前后两组患者自我效能及生存质量改善情况。结果干预后8周，观察组患者自我效能及其各维度评分、SGRQ除活动能力维度外（P＞0．05），总分及其他各维度得分均较对照组显著提高，差异有显著意义（P＜0．05）。结论以家庭为背景的自我效能训练，可提高COPD对症状管理的自信心，改善患者的生存质量。
목적：탐토이가정위배경적자아효능훈련대은정기COPD환자생활질량적영향。방법장82례은정기COPD환자안수궤대조원칙분위관찰조여대조조，대관찰조환자실시이가정위배경적자아효능훈련，대조조칙진행상규교육。비교간예전후량조환자자아효능급생존질량개선정황。결과간예후8주，관찰조환자자아효능급기각유도평분、SGRQ제활동능력유도외（P＞0．05），총분급기타각유도득분균교대조조현저제고，차이유현저의의（P＜0．05）。결론이가정위배경적자아효능훈련，가제고COPD대증상관리적자신심，개선환자적생존질량。
Objective To study the effect of family based self-efficacy training on the quality of life for patients with stable chronic obstructive pulmonary disease (COPD) .Method Eighty-two patients with COPD were randomly divided into two groups .The patients in the intervention group received family based self-efficacy training in the families .While the control group was carried on the conventional education .Before and after intervention ,the self-efficacy and quality of life were compared between the two groups .Result The were significant differences on the score of self-efficacy and its dimensions ,total score of quality of life in intervention group 8 weeks after the interven-tion(P<0 .05) .There was no significant difference in SGRQ dimensions except for actions between the two groups (P>0 .05) .Conclusion The family based self-efficacy training can enhance the self-confidence of the symptom man-agement for COPD patients ,then improved the patient's quality of life .