慢性病患者的自我护理行为相关的因素:系统性审查
Mella Riski1, Irma Melyani Puspitasari1,2, Cherry Rahayu3
1Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Sumedang, West Java, 45363, Indonesia.
BMC nephrology
|April 25, 2025
概括
了解影响慢性病患者自我护理行为 (SCB) 的因素是关键. 年龄和教育显著影响SCB,突出需要量身定制的患者教育和咨询.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 慢性病 (CKD) 给全球健康带来了巨大的负担,增加了心血管风险,发病率,死亡率和医疗保健成本.
- 有效的自我护理行为 (SCB) 对于管理CKD,减轻其不良影响和改善患者的治疗结果至关重要.
- 在CKD患者中确定SCB的决定因素对于开发有针对性的干预措施至关重要.
研究的目的:
- 系统地分析和识别影响慢性病 (CKD) 诊断患者自我护理行为 (SCB) 的多方面的因素.
- 提供当前证据关于在CKD群体中与SCB相关的因素的全面概述.
主要方法:
- 在PubMed和EBSCO数据库上进行了系统的文献搜索,涵盖了所有出版年至2024年6月10日.
- 收录标准集中在以英语出版的全文文章上,没有出版年限.
- 对所选的研究进行了数据提取和合成,以确定与SCB相关的因素.
主要成果:
- 总共有16项研究符合纳入标准,在初步搜索后产生了510篇文章,并删除了重复的文章.
- 发现许多因素与SCB有关,包括健康素养,社会支持,疾病知识,年龄,职业,收入,婚姻状况,居住地,性别,教育,并发症,吸烟,BMI,项目参与,疾病持续时间,CKD阶段,心理状态,治疗坚持和自我效能.
- 特定的实验室结果,如甘油三,尿液PCR,血红蛋白,和白蛋白水平,也显示了与SCB的关联.
结论:
- 在慢性病 (CKD) 患者中,多种因素显著影响自我护理行为 (SCB).
- 在多项研究中,年龄和教育是与SCB最频繁相关的因素.
- 医疗保健提供者应专注于患者特异性因素,利用教育和咨询来增强SCB并改善CKD管理中的临床结果.
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