在初级保健中,患者对慢性疾病的自我管理
Thomas Bodenheimer1, Kate Lorig, Halsted Holman
1Department of Family and Community Medicine, University of California, San Francisco, USA. tbodie@earthlink.net
JAMA
|November 19, 2002
概括
自主管理教育使患有慢性疾病的患者有能力改善健康结果和生活质量. 这种专注于解决问题的方法比传统的患者教育更有效.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者教育 患者教育
- 慢性疾病管理 慢性疾病管理
背景情况:
- 患有慢性疾病的患者每天都积极自我管理他们的疾病.
- 在慢性疾病护理中,患者与专业人士的合作模式正在出现.
- 自主管理教育补充了传统的患者教育.
研究的目的:
- 评估慢性疾病自我管理教育的有效性.
- 将自我管理教育与仅为信息的患者教育进行比较.
- 探索自我管理教育对临床结果和成本的影响.
主要方法:
- 审查来自受控临床试验的证据.
- 对教学自我管理技能的课程进行分析.
- 评估患者确定的问题解决策略.
主要成果:
- 自主管理教育比仅仅信息教育更能改善临床结果.
- 自主管理教育可以降低关节炎和成人喘等疾病的成本.
- 多条件自我管理计划显示出改善结果和降低成本的潜力.
结论:
- 自主管理教育提高了患者的自我效能和解决问题的能力.
- 这种教育方法对于改善慢性疾病患者的生活质量至关重要.
- 自主管理教育将成为初级保健的关键组成部分.
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