基于社区的小组干预对慢性疾病自我管理在脆弱人群中的影响
Sophie A Korenhof1, Ellen V Rouwet1, Liset E M Elstgeest1,2
1Department of Public Health, Erasmus University Medical Center, Rotterdam, Netherlands.
Frontiers in public health
|September 6, 2023
概括
一个为期6周的慢性疾病自我管理计划 (CDSMP) 改善了慢性疾病的欧洲成年人的自我效能,心理健康和生活质量. 生活方式的风险因素需要进一步的干预,以获得更好的健康结果.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性非传染性疾病 (NCDs) 导致全球74%的死亡,主要与可修改的行为有关.
- 自主管理是NCD预防的关键,慢性疾病自主管理计划 (CDSMPs) 在改善健康行为和结果方面取得了成功.
研究的目的:
- 评估一个为期6周的CDSMP对自我效能,健康行为,心理健康,人力资源质量和责任的影响,在患有慢性疾病的欧洲弱势群体中.
主要方法:
- 在五个欧洲国家进行了为期6个月的前性队列研究,采用单组前后设计.
- 基于社区的CDSMP的目标是患有慢性疾病和低社会经济地位的成年人,以及照顾者.
- 结果通过基线和6个月后的自我报告问卷进行评估.
主要成果:
- 在自我效能,心理健康 (减轻抑郁症),HR-QoL和健康责任 (例如沟通,理解信息) 中观察到显著的改善.
- 医疗保健利用率下降,医生访问,急救访问和住院之夜减少.
- 没有注意到饮食,体育活动,物质使用或睡眠/疲劳的显著变化.
结论:
- 六周的CDSMP有效地提高了自我效能,心理健康,人力资源质量和健康责任,在多样化的欧洲慢性疾病人口中.
- 针对生活方式风险因素的有针对性的干预措施是必要的,以进一步改善整体健康结果.
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