在初级保健中实施治疗性患者教育 (TPE),从专业人士的角度来看:叙述性审查
Delphine Kirkove1,2, Nancy Durieux3, Emmanuel Allory2,4,5
1Department of Public Health, University of Liège, Liège, Belgium.
Patient preference and adherence
|June 10, 2025
概括
治疗性患者教育 (TPE) 对于慢性疾病管理是有效的,但在初级保健中未得到充分利用. 障碍包括时间和资源,而团队支持和共同的价值观促进了它的实施.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 患者教育 患者教育
背景情况:
- 治疗性患者教育 (TPE) 是一种经过验证的慢性疾病管理策略.
- 目前TPE的实施集中在医疗保健结构中,在初级保健机构的整合有限.
- 这种差距阻碍了社区一级有效的慢性疾病管理.
研究的目的:
- 确定在慢性疾病管理的初级保健中应用TPE的障碍和促进因素.
- 了解影响TPE在非专业环境中的采用和有效性的因素.
- 为改善初级保健中的TPE治疗策略提供信息.
主要方法:
- 在Medline,Scopus和Embase进行了系统的叙事审查.
- 质量评估遵循叙事评论文章 (SANRA) 质量评估尺度.
- 数据分析使用了患者教育研究特征 (PERC) 网格和理论领域框架 (TDF).
主要成果:
- 初级保健中的TPE通常是不发达的,以个人为中心,并依赖于基本的信息方法.
- 主要障碍包括缺乏时间,资源,分散的系统和个人技能缺口 (TDF领域:环境背景和个人技能).
- 促进者涉及社会因素,如团队价值观,管理支持,TPE参考和实践社区支持.
结论:
- 在初级保健中成功开发TPE需要功能资源 (例如资金) 和通过共同价值观进行规范整合.
- 解决发现的障碍和利用促进者对于有效的TPE实施至关重要.
- 让初级保健专业人员参与共建过程和动员环境是必不可少的.
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