定义固体器官移植接受者的自我管理:混合方法研究
Katie Brunner1, Lydia Weisschuh1, Stefan Jobst1
1Institute of Nursing Science, University Medical Centre, Albert-Ludwigs University Freiburg, Breisacher Straße 153, 79110 Freiburg, Germany.
Nursing reports (Pavia, Italy)
|April 23, 2024
概括
对于实体器官移植患者来说,制定一个全面的自我管理定义至关重要. 这项研究确定了当前定义中的独特属性和局限性,以改善患者护理和结果.
科学领域:
- 移植护理 移植护理
- 患者自我管理
- 健康心理学 心理健康心理学
背景情况:
- 固体器官移植 (SOTx) 患者需要广泛适应生活方式和自我护理.
- 目前关于自我管理 (SM) 的定义可能只关注药物坚持,可能会忽视SOTx接受者的关键方面.
- 有效的护理沟通依赖于对患者自我管理的强有力的理解.
研究的目的:
- 整理和批判性地分析现有的固体器官移植患者自我管理的定义.
- 为了确定独特的SOTx人群的自我管理属性.
- 为SOTx患者制定一个全面的自我管理工作定义.
主要方法:
- 混合方法审查,包括二次数据分析,文献分析和专家小组咨询.
- 对不断变化的定义内容,概念和应用上下文进行批判性解释.
- 识别了八个定义和63个引用的定义来源.
主要成果:
- 现有的自我管理定义被发现对SOTx群体有局限性.
- 确定的人口特异性属性包括优化移植结果,健康行为,控制,结构,纪律,患者动机,自我效能和认知功能.
- 不充分定义的方面包括设置,时间维度,概念交互,干预和可衡量的结果.
结论:
- 对于固体器官移植患者,需要更全面的自我管理定义.
- 整合特定于SOTx的属性对于改善患者护理和结果至关重要.
- 进一步的研究应该探索这些独特属性的相关性,以定义这个人群的自我管理.
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