在糖尿病足管理的5级参与框架中的合作和伙伴关系:以患者为导向的范围审查
Virginie Blanchette1, Shweta Todkar2, Magali Brousseau-Foley3
1Department of Human Kinetics and Podiatric Medicine, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada; Department of Family Medicine and Emergency Medicine, Université Laval, Québec, Canada; VITAM---Centre de recherche en santé durable, Research Centre, Québec, Canada.
Canadian journal of diabetes
|July 12, 2023
概括
患者参与糖尿病足 (DFU) 护理至关重要,但研究不足. 目前的研究重点是直接护理和自我管理,对不同患者特征或对健康结果的影响数据有限.
科学领域:
- 医学研究 医学研究
- 患者参与策略 患者参与策略
- 糖尿病足管理 糖尿病足管理
背景情况:
- 糖尿病足 (DFU) 存在复杂的管理挑战.
- 有效的DFU治疗需要强大的患者参与.
- 当前的患者参与往往以个人咨询为中心.
研究的目的:
- 记录患者参与DFU管理的五个层面:直接护理,组织,政策,研究和教育.
- 确定加强患者参与DFU护理的策略.
- 使用适应的参与框架进行分析.
主要方法:
- 进行了从创立到2022年4月的文献范围审查.
- 采用了乔安娜·布里格斯研究所的方法和以患者为导向的方法.
- 使用了DFU利益相关者商和PROGRESS+因子用于股权镜头.
主要成果:
- 涉及214名患者的15项研究符合资格标准.
- 大多数参与发生在直接医疗保健层面,主要是通过自我管理.
- 没有研究报告患者参与对健康结果的直接影响.
结论:
- 很少有研究详细介绍患者的特征;参与的患者通常是来自高收入国家的中年男性,2型糖尿病管理不良.
- 在所有DFU护理层面对患者参与的严格研究很少.
- 迫切需要改进研究报告和不同患者群体的参与.
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