CAJ | 학술논문

目的：探讨结构式家庭疗法对出院冠心病患者健康行为及自我效能的影响。方法整群抽样选择120例冠心病患者，按照随机数字表法分为观察组与对照组，每组60例。对照组采用常规的冠心病患者社区教育方法，观察组在对照组的基础上采用结构式家庭疗法，采用健康行为量表( HPLP)和自我护理能力测定表( ESCA)对患者的健康行为和自我效能进行系统评分，比较两组患者的健康行为和自我效能的差异。结果干预6个月后，观察组患者健康行为总分、自我效能总分均高于对照组，两组比较差异有统计学意义(P<0.01)。结论结构式家庭疗法作为一种延续性护理方案能够提升出院冠心病患者的健康行为和自我效能。
목적：탐토결구식가정요법대출원관심병환자건강행위급자아효능적영향。방법정군추양선택120례관심병환자，안조수궤수자표법분위관찰조여대조조，매조60례。대조조채용상규적관심병환자사구교육방법，관찰조재대조조적기출상채용결구식가정요법，채용건강행위량표( HPLP)화자아호리능력측정표( ESCA)대환자적건강행위화자아효능진행계통평분，비교량조환자적건강행위화자아효능적차이。결과간예6개월후，관찰조환자건강행위총분、자아효능총분균고우대조조，량조비교차이유통계학의의(P<0.01)。결론결구식가정요법작위일충연속성호리방안능구제승출원관심병환자적건강행위화자아효능。
Objective To investigate the effects of structural family therapy on health behavior and self-efficacy of discharged patients with coronary heart disease ( CHD) . Methods The cluster sampling method was used to select 120 patients with CHD who were randomly divided into observation group and control group, 60 cases in each group. The patients of control group utilized conventional methods of community education, the patients of observation group were taken structural family therapy based on the interventions of control group and we used the health behavior scale ( HPLP) and exercise of self-care agency ( ESCA) system to compare patients the differences of health behavior and self-efficacy between two groups systematically. Results After 6 months interventions, total scores of health behavior and self-efficacy in the observation group were higher than those of the control group (P <0. 01). Conclusions Structural family therapy as a continuity nursing scheme can significantly improve the health of patients with coronary heart disease behavior of discharge and self-efficacy.