与行为改变支持的自我管理干预对慢性呼吸道疾病患者长期坚持治疗的影响:系统性审查
Mihoko Fujii1, Jiro Nakano2, Yoshiharu Tanaka3
1Doctoral Program in Nursing, National College of Nursing, Japan.
GHM open
|March 27, 2025
概括
在慢性呼吸道疾病患者中,自我管理干预措施与行为改变支持改善了药物坚持和戒烟. 这些量身定制的干预措施显示出更好的健康结果的长期有效性.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 行为科学 行为科学
- 健康心理学 心理健康心理学
背景情况:
- 慢性呼吸道疾病需要有效的患者自我管理策略.
- 药物坚持和戒烟对于管理这些疾病至关重要.
- 行为改变支持是改善患者结果的重要组成部分.
研究的目的:
- 评估自我管理干预措施与行为改变支持对慢性呼吸道疾病患者的药物坚持和戒烟的影响.
- 为了确定这些干预中使用的健康行为变化理论和技术.
- 分析这些支持性干预的交付方法.
主要方法:
- 系统审查和随机对照试验 (RCT) 的元分析,已公布至2021年11月.
- 搜索的数据库:PubMed/MEDLINE,科克兰图书馆,CINAHL,以及佩德罗.
- 包括评估自我管理干预措施的RCT,包括对药物坚持,吸入器使用和戒烟的行为改变支持.
主要成果:
- 涉及5223篇文章的15个RCT符合纳入标准.
- 干预经常包括行为改变技术 (BCT),如社会支持,教学指导和目标设定.
- 分析证实了在干预后六个多月对药物坚持,正确使用吸入器和戒烟的积极影响.
结论:
- 个别定制的自我管理干预措施,包括行为改变支持是有效的.
- 这些干预措施显著改善了慢性呼吸道疾病患者的长期药物坚持和戒烟率.
- 这些发现支持将行为改变原则纳入慢性呼吸道疾病管理计划.
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