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"自我护理"在健康中的无处不在:为什么具体性很重要

Laura Ferguson¹, Michelle E Anderson¹, Krishni Satchi²

¹Institute on Inequalities in Global Health, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Global public health

|January 12, 2024

概括

这项研究通过分析性和生殖健康之外的91个定义来澄清自我护理的定义. 它提出了一个多层次的框架,以更好地理解医疗保健中的自我护理.

科学领域:

公共卫生公共卫生
卫生政策卫生政策
卫生社会学卫生社会学

背景情况:

越来越多的人对自我护理的兴趣与缺乏定义共识形成鲜明对比.
世界卫生组织 (WHO) 提供了定义,最初专注于性和生殖健康和权利 (SRHR),后来扩大到一般健康.

研究的目的:

清单,整合和分析SRHR领域之外的自我护理定义.
建立一个强大的和广泛适用的自我护理的理解.
发展自我照顾的多层次概念化.

主要方法:

一项探索性研究,采用对同行评审和灰色文献的务实审查.
搜索了2009年至2021年间出版的自我护理的定义和概念化.
从116个出版物中提取数据,确定了91个不同的定义.

主要成果:

确定了自我护理定义的三个主要变化领域:直接与描述性,个人/人际/结构上下文,以及广泛与专题特定.
在分析的定义中揭示了反复出现的主题和方法.
从116个出版物中找到91个定义.

结论:

提出了多层次的概念化,将自我护理视为医疗保健的一个方面,在多个层面 (个人,人际,机构) 运作,并以不同的方式影响特定的健康环境.
这种可适应的框架旨在改善所有人的健康和福祉.
强调自我护理与与健康有关的人权之间的联系.

关键词:

自我照顾 - 自我照顾基于社区的护理.医疗保健医疗保健医疗保健患者为中心的护理.以人为中心的护理.

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