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KMID : 0388320010080030324
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Journal of Korean Academy of Fundamental Nursing
2001 Volume.8 No. 3 p.324 ~ p.333
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The Effects of a Self-Management Course on Self-Efficacy, Fatigue, Coping Skills and Self-Care Activities in Patients with Systemic Lupus Erythematosus
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Abstract
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Purpose: A quasi-experimental study was conducted to identify the effects on Self-efficacy, Fatigue, Coping Skills and Self-care Activities by Korean patients following a Systemic Lupus Erythematosus Self-Management (SLESM) Course.
Methods: A two group pre-test and post-test design was used. The participants in the study were forty-one people with Systemic Lupus Erythematosis of which 21 subjects were assigned to the experimental group and 20 to the control group. The experimental group received six weekly 2-hour group sessions, while the control group did not receive any intervention. Outcome measures included self-efficacy. Fatigue, coping skills and self-care activities. Baseline demographic and clinical variables did not differ between the two groups.
Results: Patients who participated in the self-management course showed significant decrease in fatigue (p = .038), improvement in self-efficacy (p= .001) and coping skills (p= .048), increase in self-care activities (p= .003), and in the number of types of self-care activities (p = .048).
Conclusion: Self-efficacy, coping skills and self-care activities improved and fatigue was reduced following the SLESM course. This study showed that a SLESM course is a good nursing intervention that can be offered in community settings.
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