在慢性病患者的临床环境中实施患者激活措施 (PAM):范围审查
Rachael Kearns1, Ben Harris-Roxas1,2, Julie McDonald1
1Centre for Primary Health Care and Equity, University of New South Wales, Sydney, New South Wales, Australia.
Integrated healthcare journal
|July 13, 2023
概括
患者激活措施 (PAM) 有助于为慢性疾病量身定制健康干预措施. 虽然它在各种干预中使用,但对其对护理质量影响的证据有限,临床医生的看法会影响实施.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者参与 患者参与
- 慢性疾病管理 慢性疾病管理
背景情况:
- 患者激活措施 (PAM) 是一个验证的工具,用于评估患者自我管理的能力.
- 虽然PAM用于衡量干预结果,但其在量身定制护理中的应用理解较少.
- 有效的患者激活对于管理慢性疾病和改善健康结果至关重要.
研究的目的:
- 审查使用PAM来为患有慢性疾病的患者量身定制护理的干预措施的证据.
- 确定实施PAM定制干预措施的推动因素和障碍.
- 评估PAM定制干预措施对护理质量的影响.
主要方法:
- 使用了一个范围审查方法.
- 在Insignia Health网站和Medline数据库上对2004年至2017年间发表的论文进行了搜索.
- 纳入标准集中在经合组织国家,患有慢性病的成年患者和PAM量身定制的干预措施.
主要成果:
- 确定了21篇关于PAM量身定制干预的论文,包括动机面试,健康指导和自我管理计划.
- 组织,临床医生和患者对PAM的看法影响了其实施和使用.
- 关于PAM量身定制干预措施对护理质量影响的证据有限.
结论:
- PAM用于为患有慢性疾病的个人定制干预措施.
- 临床人员对PAM的理解和感知价值是其实施的关键因素.
- 需要进行进一步的研究,以优化PAM定制干预措施的整合到临床实践中,并提高患者护理质量.
关键词:
慢性疾病管理 慢性疾病管理
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