慢性疾患に対する自己管理の介入
Stanton Newman1, Liz Steed, Kathleen Mulligan
1Unit of Health Psychology, Centre for Behavioural and Social Sciences in Medicine, University College London, London, UK. s.newman@ucl.ac.uk
Lancet (London, England)
|October 27, 2004
まとめ
自己管理の介入は,2型糖尿病,関節炎,喘息などの慢性疾患を患っている患者に力を与えます. 効果的なプログラムは指導を提供しますが,これらの自己管理介入の長期的な成果を確保することは,依然として重要な課題です.
科学分野:
- 慢性疾患の管理 慢性疾患の管理
- 患者自己管理の介入 患者自己管理の介入
- 健康心理学 健康心理学について
背景:
- 慢性疾患の管理のための介入の数が増加しています.
- これらの介入は,患者に対して重大な責任を課し,自己管理介入と呼ばれる.
- 2型糖尿病,関節炎,喘息に注目してください.
研究 の 目的:
- 自己管理介入の背景,内容,および有効性を検討する.
- 異なる慢性疾患における介入を比較する.
- 効果的な介入の構成要素を特定する.
主な方法:
- 既存の自己管理介入のレビュー.
- 介入内容と目的の分析.
- 介入の有効性の評価 介入の有効性の評価
主要な成果:
- 介入の内容と強度は,疾患管理の目標によって異なります.
- 同じ病気のカテゴリー内でさえも,有意な差異が観察されました.
- 糖尿病と喘息の介入は,状態のコントロールに焦点を当て,関節炎の介入は,複雑な痛みと障害管理に取り組んでいます.
結論:
- 効果的な介入は,将来のプログラム開発の指針を提供します.
- 自己管理介入の結果の長期的な持続可能性は,さらなる研究のための重要な分野です.
- 状態特有の目標を理解することは,効果的な介入設計に不可欠です.
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