识别肝脏脑病变自我管理的机会:混合方法系统审查和综合
Kathleen P Ismond1, Jude A Spiers2, Puneeta Tandon1
1Division of Gastroenterology, Liver Unit, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Canadian liver journal
|July 28, 2023
概括
改善肝硬化肝脏脑病变 (HE) 的自我管理需要更好的患者教育. 医疗保健提供者必须在每一次接触时都系统地解决HE问题,以提高患者的理解和结果.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 患者自我管理
- 卫生教育卫生教育教育
背景情况:
- 肝硬化脑病 (HE) 对肝硬化患者及其护理人员来说是一个重大挑战.
- 识别可修改的因素对于改善高等教育自我管理策略至关重要.
研究的目的:
- 综合现有的研究现实世界HE行为,知识和经验.
- 确定提高高等教育自主管理的关键因素.
主要方法:
- 进行了系统的混合方法文献综合.
- 定量和定性数据被批判性地评估,分析和并置.
- 综合了发现,以产生交叉分析主题和行动声明.
主要成果:
- 定量合成揭示了患者对HE和治疗坚持程度的低意识,以及不同的医生方法.
- 定性综合表明患者/护理人员对卫生保健意识低,对自我管理不熟悉.
- 出现了两个关键的自我管理主题:普遍的患者教育和在医疗保健接触中系统的HE讨论.
结论:
- 刻意,以患者为导向的HE信息在所有医疗保健接触中都是必不可少的.
- 改善高等教育和医疗保健提供者的持续参与可以提高患者的治疗成果,减少护理负担.
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