肝硬化患者的自我管理干预:一个范围审查
Samsam Aden1, Mette Munk Lauridsen, Lea Ladegaard Grønkjær
1Department of Gastroenterology, University Hospital of Southern Denmark, Esbjerg, Denmark.
Hepatology communications
|November 4, 2024
概括
肝硬化患者的自我管理干预措施显示出有前途,改善知识和生活质量. 需要进一步的研究,以提供全面的,量身定制的计划,以提高患者的信心和自我效能,以管理他们的病情.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 慢性疾病管理 慢性疾病管理
- 患者自我管理
背景情况:
- 自主管理对于肝硬化等慢性疾病至关重要,需要患者具备知识,技能和信心,以提高自我效能.
- 关于肝硬化患者自我管理干预的现有文献需要全面概述和识别差距.
研究的目的:
- 描述现有的关于肝硬化患者自我管理干预措施的文献.
- 提供当前自我管理策略的概述,并确定关键概念和研究差距.
主要方法:
- 从2022年11月到2024年9月,使用四个数据库 (CINAHL,Embase,Medline,Scopus) 进行了范围审查.
- 包括2000年以后发表的研究,重点关注肝硬化患者,医疗保健环境中的自我管理和/或自我有效性.
- 遵守系统性审查的首选报告项目和范围审查的元分析扩展 (PRISMA-ScR) 准则.
主要成果:
- 从最初的1012篇文章中,包括了来自7个国家的16项研究,涉及1276名患者.
- 干预措施在设计,交付和重点上有所不同,但在患者的知识和生活质量方面始终有所改善.
- 所有审查的研究都报告了自主管理干预后患者相关和临床结果的积极结果.
结论:
- 自主管理干预措施在肝硬化护理中对患者相关结果产生积极影响.
- 需要更标准化,更全面的干预措施,以适应个体患者的需求.
- 未来的干预措施应优先提高患者的信心,自我效能和特定疾病的管理技能.
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