在家庭环境中进行气管切除术的患者的自我管理:一个范围审查
Sandra Weidlich1, Jens Pfeiffer2, Christiane Kugler3
1Faculty of Medicine, Department of Oto-Rhino-Laryngology, Medical Center - University of Freiburg, Freiburg, Germany.
Journal of patient-reported outcomes
|October 12, 2023
概括
这项研究为在家进行气管切除术的患者提供了以患者为中心的自我管理模式. 它综合了研究,以创建一个框架,支持患者有效管理他们的健康和技能.
科学领域:
- 医疗保健管理的管理
- 患者自我管理
- 气管切除术护理 护理
背景情况:
- 气管切除术患者在家庭护理方面需要显著的自我管理技能.
- 现有的文献缺乏一个全面的模型,以患者为中心的结果在气管切除术自我管理.
研究的目的:
- 开发一个以患者为中心的结果模型,用于空气管切除术患者在家庭环境中的自我管理.
- 确定和综合这些人群所需的关键自我管理任务和技能.
主要方法:
- 使用四个主要数据库 (Medline,CINAHL,PsycINFO,Cochrane Library) 对2000年以来发表的研究进行了全面的范围审查.
- 审查遵循PRISMA-ScR和JBI指导方针,使用基于Lorig和Holman自我管理模型的PCC数据提取和框架合成方案.
主要成果:
- 包括来自17个国家的34篇出版物,包括定量,定性和混合方法研究.
- 确定了关键的自我管理维度,包括管理治疗方案 (28 篇文章),角色/行为变化 (27 篇文章) 和管理情绪 (16 篇文章).
- 开发了一个中心模型,强调患者是执行自我管理任务和利用技能的核心代理人.
结论:
- 本范围审查提供了首个全面的概述和在家进行气管切除术患者自我管理的模型.
- 开发的理论模型可以指导未来的实证干预研究,以增强患者为中心的结果,为人与气管切除术.
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