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慢性疾患における自己効能と自己管理に対するナラティブベースの介入の効果: システマティック・レビューとメタ分析
Zhuangyan Yao1,2, Edmond Pui Hang Choi2, Do Do Wai Nei Chow2
1Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Applied psychology. Health and well-being
|February 18, 2026
まとめ
ネラティブ・インターベンションは,慢性疾患の患者の自己効能と自己管理の行動を著しく改善します. これらの発見は,ストーリーテリングが患者の成果と治療計画への遵守を改善する可能性を強調しています.
科学分野:
- 健康科学 保健科学 保健科学とは
- 心理学 心理学とは
- 公衆衛生は公衆衛生である.
背景:
- 慢性疾患は,世界的な健康に重大な負担を及ぼしており,効果的な患者支援戦略が必要である.
- 自己効能と自己管理の行動は,慢性疾患の管理と患者の成果の改善に不可欠です.
- 現在の介入は,慢性疾患の管理の心理的および行動的側面を完全に扱っていない可能性があります.
研究 の 目的:
- 慢性疾患の成人の自己効能と自己管理行動に対する物語的介入の影響を体系的にレビューし,メタ分析する.
- ネラティブベースのアプローチの有効性を定量化するために,ランダム化制御試験 (RCT) の証拠を合成する.
- 物語的介入の効果に影響を与える潜在的な緩和要因を探求する.
主な方法:
- 2025年まで,複数のデータベース (EMBASE,コクラン図書館,CINAHL,PsycINFO,CNKI,PubMed) で体系的な文献検索を行う.
- 慢性疾患を持つ成人の患者がナラティブ介入を受けているランダム化比較試験 (RCT) を含む.
- ランダム効果のメタ解析とメタ回帰でデータをまとめて,異質性と緩和効果を評価する.
主要な成果:
- 叙述的な介入は,慢性疾患の患者における自己効能 (SMD=0.66) と自己管理行動 (SMD=1.73) を著しく改善した.
- サブグループ分析は,高所得から中所得の国や特定の疾患グループ (心臓病,がん,脳卒中) で自己効能がより大きく改善されたことを示した.
- 神経疾患やがんの患者で自己管理に対する有意な効果が観察され,介入の種類,期間,および公表期間によって異なる.
結論:
- ネラティブベースの介入は,慢性疾患を持つ個人の自己効能と自己管理行動の改善に希望を示しています.
- ネラティブ介入の有効性は,国民所得水準や特定の疾患の特徴などの要因によって影響を受けることがあります.
- これらの発見を確認し,観察された異質性を考慮して,最適な実装戦略を探求するために,さらなる高品質の研究が正当化されています.
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