PDF(Pubmed)
Abstract：
Objective: Health coaching has the potential to improve self-management abilities (SM) in patients with Chronic Obstructive Pulmonary Disease (COPD). Patient engagement with health care providers has a beneficial effect on patient outcomes. We examined the association of patient engagement with the health coach on SM abilities in patients with COPD. Methods: We analyzed the association between the degree of engagement measured by the Working Alliance Inventory (WAI-SR) and the SM measured by the Self-Management-Ability-Scale-30 (SMAS-30) at the end of a COPD health coaching intervention. Results: The cohort included 146 moderate to severe COPD patients. The WAI-SR total score was 85% of the maximum possible scores indicating a high degree of engagement between the health coach and the patients. The WAI-SR Task and Bond domains were positively associated with SM abilities after adjusting for lung function (FEV1 %) and depression symptoms (PHQ-2). Conclusion: The degree of engagement between a health coach and patients is associated with the perception of SM abilities in patients with COPD. Our results may inform self-management intervention and clinical practice.
摘要：
目的：健康教练有可能提高慢性阻塞性肺疾病（COPD）患者的自我管理能力（SM）。患者与医疗保健提供者的参与对患者的预后具有有益的影响。我们研究了患者参与与健康教练对COPD患者SM能力的关系。方法：我们分析了在COPD健康教练干预结束时，通过工作联盟量表（WAI-SR）测量的参与度与通过自我管理能力量表30（SMAS-30）测量的SM之间的关联。结果：该队列包括146例中度至重度COPD患者。WAI-SR总得分是最大可能得分的85％，表明健康教练和患者之间的高度参与。调整肺功能（FEV1％）和抑郁症状（PHQ-2）后，WAI-SR任务和Bond域与SM能力呈正相关。结论：健康教练和患者之间的参与程度与COPD患者对SM能力的感知有关。我们的结果可能为自我管理干预和临床实践提供信息。
