健康和健康辅导的摘要:2023年附录
Abd Moain Abu Dabrh1,2, Jocelyn M Weiss3, Bala Munipalli2
1Division of Nephrology & Hypertension, Mayo Clinic, Jacksonville, Florida, USA.
健康与健康辅导 (HWC) 有效地改善了患者为中心的结果和生物标志物在各种疾病,包括糖尿病和心脏病. 2023年附录扩大了这一证据基础,突出了HWC.
科学领域:
- 健康和健康指导教练
- 预防性护理 预防性护理
- 慢性疾病管理 慢性疾病管理
背景情况:
- 2017年摘要和2019年附录将健康和健康辅导 (HWC) 确立为一个有价值的资源.
- 自2017年以来,HWC研究领域继续扩大,需要更新证据审查.
研究的目的:
- 通过纳入2018年至2022年发表的研究来更新和扩大HWC有效性的证据基础.
- 评估HWC对既定和新出现的健康状况以及以患者为中心的结果的影响.
主要方法:
- 在扩展数据库中进行了全面的文献搜索.
- 文章被分为八种既定的健康状况和两个新类别:呼吸系统疾病和慢性疼痛.
- 分析了212篇文章的结果,包括115个随机对照试验 (RCT).
主要成果:
- HWC在改善以患者为中心的结果方面表现出有效性,如慢性护理管理,药物坚持,自我有效性和生活质量.
- 对代用生物标记物观察到积极影响,特别是在糖尿病,高血压和心血管护理方面.
- 摘要现在包括超过480篇文章,超过140个RCT,展示了HWC日益增长的作用.
结论:
- 医疗卫生是慢性疾病管理,预防性护理和全身健康的关键干预措施.
- 未来的研究应该专注于改进辅导方法,长期成果和成本效益.
- 证据基础支持HWC在各种医疗保健环境和人群中不断扩大的实用性.
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