痛风中自我管理行为的决定因素:一个范围广泛的综述
Jeffrey van der Ven1, Bart J F van den Bemt1, Marcel Flendrie2
1Sint Maartenskliniek and Radboud University Medical Centre, Nijmegen, The Netherlands.
Arthritis care & research
|October 18, 2024
概括
鉴定痛风患者自我管理行为的可修改决定因素至关重要. 关键因素包括知识,信仰,社会支持和环境环境,以改善健康结果.
科学领域:
- 类风湿病学 类风湿病学
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 痛风管理需要有效的患者自我管理.
- 了解可修改的决定因素是改善自我管理行为的关键.
研究的目的:
- 确定痛风患者自我管理行为可修改的决定因素.
主要方法:
- 对四个数据库 (Medline,Embase,PsycINFO,CINAHL) 的系统审查.
- 包括56项研究 (27项定性,29项定量).
- 使用理论领域框架 (TDF) 进行决定性识别和合成.
主要成果:
- 八个关键主题出现了:知识,接受,信念,对变化的抵抗,情绪,社会支持,环境和自我调节.
- 定量数据将12个TDF领域与自我管理联系起来,主要是药物坚持.
- 没有确定技能和目标的定量决定因素.
结论:
- 干预目标应侧重于知识,信仰,态度,环境因素和社会支持.
- 这些领域对于加强痛风患者的自我管理至关重要.
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