基于家庭的透析和以人为中心的护理:一个范围审查
Beate Nygaard-Andersen1, Astrid Torbjørnsen1, Peter Forde Hougaard1
1Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.
Nephron
|March 3, 2025
概括
以人为中心的护理干预措施可以通过让患者参与决策和治疗来改善家庭透析管理. 需要更多的干预措施,以充分支持患者在家中管理他们的疾病和健康.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 患者为中心的护理
- 医疗服务研究 医疗服务研究
背景情况:
- 家庭透析管理需要患者参与治疗决策和健康管理.
- 以人为中心的护理 (PCC) 干预措施强调患者伙伴关系和共享健康规划.
- 预计PCC将提高患者在家庭透析设置中的自我管理能力.
研究的目的:
- 识别和绘制现有的证据,以个人为中心的护理干预在家中进行透析.
- 了解患者参与这些干预措施中的决策,治疗和健康管理的程度.
主要方法:
- 使用了跟随Arksey和O'Malley的范围审查方法.
- 在没有语言或时间限制的情况下,在Medline,CINAHL和Scopus进行了系统的文献搜索.
- 数据提取和合成使用NVIVO和关系分析框架.
主要成果:
- 16篇文章符合来自9443项已识别的研究的纳入标准.
- 确定了13种不同的以人为中心的护理干预措施.
- 干预主要集中在透析方式选择 (8) 和治疗/疾病管理 (6) 上,仅限于开始后的决定 (1).
- 五项干预表明与增加的家庭透析患者数量存在正相关性.
结论:
- 对于家庭透析患者的以人为中心的护理存在一个显著的差距.
- 干预措施需要加强,以更好地让患者参与正在进行的治疗,疾病和健康管理决策.
- 进一步开发PCC干预措施对于优化家庭透析护理至关重要.
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