针对阻塞性睡眠呼吸暂停患者的基于自我有效性的干预措施:系统性审查
Min-Eun Cho1, Sun-Kyung Hwang2
1College of Nursing, Pusan National University, Republic of Korea.
Asian nursing research
|September 11, 2024
概括
自我有效性干预改善了阻塞性睡眠呼吸暂停 (OSA) 管理. 使用更多的行为改变技术 (BCT) 和理论来源可以提高有效性,提高患者对治疗的坚持.
科学领域:
- 睡眠医学 睡眠医学
- 行为科学 行为科学
- 健康心理学 心理健康心理学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍的睡眠障碍,需要有效的管理策略.
- 自我有效性,患者对自己成功的能力的信念,对于管理OSA等慢性疾病至关重要.
- 了解增强自我效能的干预措施对于改善OSA患者的治疗坚持和结果至关重要.
研究的目的:
- 系统地审查针对被诊断患有阻塞性睡眠呼吸暂停 (OSA) 的患者的基于自我疗效的干预措施.
- 确定使用的自我有效性促使技术数量与OSA管理中的主要结果变量之间的关系.
- 为设计更有效的OSA自我有效性干预提供理论基础.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 分析了对OSA患者自我疗效干预的实验研究.
- 在EMBASE,CINAHL,PubMed,SCOPUS和Web of Science数据库中进行了搜索,直到2023年12月,使用行为变化技术 (BCT) 分类法和自我有效性理论来分类干预措施.
主要成果:
- 从最初选的6968篇文章中,包括了11项研究 (1304名参与者).
- 最常见的BCT是"如何执行行为指令"",暴露"和"社会支持".
- 显示显著自我有效性改善的研究平均使用了6.0个BCT和3.2个理论来源,而在没有结果的研究中使用了4.8个BCT和2.8个来源.
结论:
- 基于自我有效性的干预措施显示出在管理阻塞性睡眠呼吸暂停 (OSA) 中具有显著的潜力.
- 更多的行为改变技术 (BCT) 和理论来源的多样性与更有效的自我有效性干预相关.
- 临床医生应将各种BCT和四种自我有效性促进来源纳入OSA干预措施,以提高患者的自我有效性和治疗坚持.
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