Effect of empowerment-based interventions on self-efficacy and selfcare capacity among patients with sickle cell disease:A randomized controlled trial  

基于赋权理论的护理干预方案在镰状细胞病患者中应用的效果研究

作　　者：Zohour Ibrahim Rashwan Hasan Abdali Khalil Leena Mohamed Khonji Gayathripriya Narayanan Marwan Kamal Altheeb Roseben Pradeep Rajeswari Krishnasamy Magda Mohamed Bayoumi 

机构地区：[1]Pediatric Nursing Specialty,Nursing Department,College of Health and Sport Sciences,University of Bahrain,Zallaq,Kingdom of Bahrain [2]Pediatric Nursing Department,Faculty of Nursing,Alexandria University,Egypt [3]Shaikh Jaber Al-Ahmed Al-Subah Health Centre,Primary Health Care Centres,Barbar,Kingdom of Bahrain [4]Midwifery Specialty,Nursing Department,College of Health and Sport Sciences,University of Bahrain,Zallaq,Kingdom of Bahrain [5]Nursing Department,College of Health and Sport Sciences,University of Bahrain,Zallaq,Kingdom of Bahrain [6]Mental Health Nursing Speciality,Nursing Department,College of Health and Sport Sciences,University of Bahrain,Zallaq,Kingdom of Bahrain [7]Medical-Surgical Nursing Specialty,Nursing Department,College of Health and Sport Sciences,University of Bahrain,Zallaq,Kingdom of Bahrain [8]Medical-Surgical Nursing Department,Faculty of Nursing,Beni-Suef University,Egypt

出　　处：《International Journal of Nursing Sciences》2025年第1期42-50,共9页国际护理科学(英文)

摘　　要：Objective:This study aimed to investigate the effect of empowerment-based interventions on selfefficacy and self-care capacity among adults with sickle cell disease(SCD).Methods:A randomized control trial was conducted[NCT06296654].A total of 76 patients were recruited by using a cluster sampling technique in the two health centers in Bahrain from February to May 2022 and randomly allocated to the intervention group(n=38)or control group(n=38).The intervention group received the empowerment-based intervention implemented through structured small-group discussion sessions,individualized consultations(5A model:assess,advise,agree,assist,and arrange),and follow-up sessions,while the control group received routine health education.The Sickle Cell Self-Efficacy Scale(SCSES)and the Appraisal of the Self-Care Agency Scale-Revised(ASA-R)were measured at baseline and one month after the intervention among two groups of patients.Results:A total of 68 patients completed the study(36 patients in the intervention group and 32 patients in the control group).After the intervention,the score of SCSES in the intervention group was 37.0(35.0,39.8)higher than the control group 28.0(25.2,32.0)(U=-6.121,P<0.001);the score of ASA-R in the intervention group was 61.0(58.3,65.0)higher than the control group 49.0(43.3,53.0)(U=-0.653,P<0.001).Conclusion:Adopting the empowerment-based intervention using the 5As model effectively improves self-efficacy and self-care capacity among patients with SCD.目的探讨以赋权为基础的干预措施对镰状细胞病(sickle cell disease,SCD)患者的自我效能感和自我护理能力的影响。方法该研究为随机对照试验,于2022年2月至5月选取巴林北部省的两所医疗中心76例SCD患者,将其随机分为干预组(n=38)和对照组(n=38)。干预组患者在常规健康教育的基础上实施基于赋权的干预措施,包括结构化的小组讨论、个性化咨询(5A模式,评估、建议、同意、协助和安排)及后续随访。对照组实施常规健康教育。采用镰状细胞自我效能量表(Sickle Cell Self-Efficacy Scale,SCSES)和修订版自我护理能力评估量表(The Appraisal of the Self-Care Agency Scale-Revised,ASA-R)在干预措施实施前及实施后1个月对两组患者进行调查并比较。结果最终68例患者完成研究(干预组36例,对照组32例)。干预后,干预组患者自我效能得分中位数为37.0(35.0,39.8)分高于对照组28.0(25.2,32.0)分(U=-6.121,P<0.001);自我护理能力得分为61.0(58.3,65.0)分高于对照组49.0(43.3,53.0)分(U=0.654,P<0.001)。结论采用基于赋权的护理干预措施可有效提高SCD患者的自我效能感和自我护理能力。

关 键 词：Activities of daily living Sickle cell disease SELF-EFFICACY SELF-CARE 

分 类 号：R73[医药卫生—肿瘤]