J Korean Acad Fundam Nurs.  2001 Dec;8(3):324-333.

The Effects of a Self-Management Course on Self-Efficacy, Fatigue, Coping Skills and Self-Care Activities in Patients with Systemic Lupus Erythematosus

  • 1College of Nursing, The Catholic University of Korea, Korea. sky@cmc.cuk.ac.kr


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.
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.
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).
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.


Systemic Lupus Erythematosus; Health Promotion; Korea
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