自决理论干预心血管疾病的自我护理:一个系统的审查
Yasser Saeedian1, Anjali Agarwal2, Paul Jansons3
1Institute for Physical Activity and Nutrition, Deakin University, Geelong, Victoria, Australia.
Patient education and counseling
|April 29, 2025
概括
自决理论 (SDT) 的干预措施显示出改善心血管疾病 (CVD) 自护的潜力,特别是通过支持患者的自主权. 然而,有限的研究和多样化的方法阻止了关于有效性的坚定结论.
科学领域:
- 健康心理学 心理健康心理学
- 行为医学是一种行为医学.
- 心脏病学 心脏病学
背景情况:
- 心血管疾病 (CVD) 是一个主要的全球健康问题.
- 有效的自我护理对于二次心血管疾病预防至关重要,但长期坚持是具有挑战性的.
- 自决理论 (SDT) 为理解健康行为动机提供了一个框架.
研究的目的:
- 系统地审查基于SDT的干预措施对心血管疾病患者自我护理的有效性.
- 评估对全球自我护理措施和特定活动的影响.
主要方法:
- 在2024年8月在多个数据库 (MEDLINE,CINAHL,Embase等) 进行了系统的文献搜索. ) 的情况.
- 包括随机对照试验和集群随机试验,评估成人心血管疾病患者的SDT干预措施.
- 选了251个出版物,最终包括7项研究在审查中.
主要成果:
- 在研究中观察到SDT原则的不一致应用.
- 支持自主是干预的常见因素.
- 三项研究显示,全球自我护理有所改善;两项研究显示,身体活动有所改善;另一些研究显示,对身体活动,饮食或吸烟没有显著影响.
结论:
- 基于SDT的干预措施有望提高心血管疾病自我护理.
- 方法上的异质性和少量研究限制了最终的结论.
- 医疗保健专业人员应支持持续自我护理的自主性,能力和相关性.
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