在系统性审查中评估的多重疾病综合护理模型:范围审查
Anke Rohwer1, Ingrid Toews2, Jeannine Uwimana-Nicol3,4
1Centre for Evidence-based Health Care, Division Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa. arohwer@sun.ac.za.
综合型多病症护理模式的差异很大. 这次审查确定了六个共同的组成部分,但发现缺乏关于改善患者和卫生系统结果的有效元素的明确证据.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 综合护理模式 综合护理模式
- 多重病态管理多重病态管理
背景情况:
- 全球多种疾病的增加需要有效的护理干预措施.
- 综合护理模式显示出改善患者和卫生系统结果的希望.
- 综合护理模式的定义,组成部分和有效性存在显著差异.
研究的目的:
- 描述和绘制护理综合模型的定义,特征,组件和报告的影响.
- 确定综合护理系统性审查 (SRs) 中的共同元素.
- 综合综合关于综合护理对多病患者有效性的发现.
主要方法:
- 在2022年5月之前发表的系统审查 (SRs) 的范围审查.
- 搜索了多个数据库,包括PubMed,Embase和Cochrane.
- 包括评估初级保健中综合护理的成人和患有多种疾病的儿童的SR.
主要成果:
- 包括22个SR,综合护理的定义有很大的差异.
- 确定了六个共同的组成部分:所涉及的疾病,服务地点,服务类型,涉及的专业人员,护理协调和患者参与.
- 有效性各不相同,一些SR报告了好处,而另一些则与其他护理模型相比没有发现差异.
结论:
- 综合护理模式是异质的,缺乏标准化的报告.
- 没有足够的信息来确定综合护理的有效组成部分.
- 需要对干预组件及其结果进行详细,标准化和透明的报告至关重要.
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