探索影响多发性硬化症生活方式管理的社会生态因素:范围审查
Sarah Manche1, Yasmine Probst1
1School of Medical, Indigenous and Health Sciences, University of Wollongong, Northfields Avenue, Wollongong, NSW 2522, Australia.
Multiple sclerosis and related disorders
|September 14, 2023
概括
有效的多发性硬化症 (MS) 自主管理需要在社会生态框架内了解个人的生活方式因素. 解决个人情况和动机可以提高MS患者的自我效能和健康行为.
科学领域:
- 神经免疫学 神经免疫学
- 康复科学 康复科学 康复科学
- 公共卫生 公共卫生
背景情况:
- 多发性硬化症 (MS) 是一种慢性自身免疫性神经退行性疾病,影响全球超过290万人.
- 目前的护理重点是疾病修饰疗法和支持自我管理,包括改变生活方式.
- 关于MS管理中的各种生活方式因素的证据仍在不断发展.
研究的目的:
- 使用社会生态模型,研究影响多发性硬化症 (MS) 自治的因素.
- 绘制个人,人际,组织,社区和政策层面的健康行为影响的地图.
- 了解这些因素如何影响MS自我管理策略的有效性.
主要方法:
- 按照乔安娜·布里格斯研究所的指导方针进行了全面的范围审查.
- 通过对六个数据库进行系统搜索,确定了9241篇文章;51篇被纳入最终分析.
- 通过社会生态模型的五个层次的透镜分析了结果.
主要成果:
- 确定了所有社会生态层面的复杂的生活方式因素网络,影响了MS自我管理行为.
- 这些因素逐渐导致自我身份或可访问性原则.
- 这些原则随后影响了个人自我效能和MS自我管理的整体有效性.
结论:
- 多发性硬化症的护理需要个性化,考虑个人背景和适当的管理策略.
- 医疗保健提供者应将对生活方式影响的意识纳入协调自主管理支持中.
- 以人为中心的护理,解决健康行为改变的障碍和动机,对于有效的MS自我管理至关重要.
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