Effects of Self-Management Education on Self-Efficacy and Quality of Life in Patients with Ulcerative Colitis: A Randomized Controlled Clinical Trial.
Mahboobeh Magharei, Sakineh Jaafari, Parisa Mansouri and 2 others
PMID 30643831WHAT IT FOUND
Structured self-management education for ulcerative colitis improved self-efficacy and quality of life at one month versus routine care.
It combined disease teaching, problem solving, decision making, cognitive therapy, reinforcement of positive abilities and relaxation.
Key findings
01Self-management education improved overall self-efficacy, stress reduction and decision-making scores immediately and one month after the intervention compared with routine care; positive attitude scores did not differ significantly.
02Quality of life and its four dimensions were significantly better in the intervention group immediately and one month after the intervention.
03Self-efficacy and quality of life were positively correlated in patients with ulcerative colitis (r=0.32; P=0.01).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
Only 64 of the 84 recruited patients remained after 20 exclusions. Follow-up was only one month, so longer-term effects on quality of life are unknown. Patients were recruited by convenient sampling from one referral centre in Iran, so results may not apply to other populations. The trial was single-blind, and the paper did not state that patients or providers were blinded to group assignment. The intervention combined disease information, problem-solving, decision-making, cognitive therapy, reinforcement of positive abilities and muscle relaxation, so the contribution of any single component cannot be separated.
The easy way to misread this
Do not read this as proof that any one part of the programme works. The intervention combined disease information, problem-solving, decision-making, cognitive therapy, reinforcement of positive abilities and muscle relaxation, and only 64 of the 84 recruited patients remained after 20 exclusions, with one-month follow-up.