为患有炎症性关节炎的患者开发复杂的跨学科护士协调的自我管理 (INSELMA) 干预措施
Jette Primdahl1,2,3, Ann Bremander4,5,6,7, Oliver Hendricks4,5
1Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Engelshøjgade 9A, Sønderborg, 6400, Denmark. jprimdahl@danskgigthospital.dk.
BMC health services research
|January 17, 2024
概括
这项研究开发了跨学科护士协调的自我管理 (INSELMA) 干预措施,以改善炎症性关节炎患者的生活质量. INSELMA的目标是促进自我管理和减少疾病的影响,解决除了炎症控制之外的未满足的患者需求.
科学领域:
- 类风湿病学 类风湿病学
- 护理 护理 护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有炎症性关节炎 (IA) 的患者经历了除了炎症之外的未满足需求,包括身体,心理和社会影响.
- 目前的治疗方法往往无法解决IA对患者生活的全面影响.
研究的目的:
- 为具有重大疾病影响的IA患者开发复杂的跨学科护士协调自我管理 (INSELMA) 干预.
- 为常规门诊护理提供附加治疗,重点关注整体患者福祉.
主要方法:
- 这项研究遵循了英国医学研究委员会的复杂干预框架.
- 利益相关者研讨会 (n=38),包括患者,临床医生和管理人员,知情干预开发.
- 理论框架包括自我效能,接受和承诺治疗以及健康素养.
主要成果:
- INSELMA干预包括由护士领导的生物心理社会评估,目标设定和多学科团队协调.
- 它包括跨学科会议和为期6个月的目标实现期.
- 该干预旨在加强自我管理,减少IA的影响 (疼痛,疲劳),改善生活质量,心理健康和工作能力.
结论:
- 该INSELMA干预措施是与包括患者研究合作伙伴在内的各种利益相关者合作开发的.
- 它提供了识别的机制,以提高AI患者的自我管理和生活质量.
- 该干预措施已准备好进行可行性测试,医疗保健专业人员已接受其交付培训.
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