固体器官移植后的自我管理方面 - - 范围审查
Stefan Jobst1, Christiane Kugler1, Anne Rebafka1
1Institute of Nursing Science, Faculty of Medicine, University of Freiburg, Breisacher Str. 153, 79110 Freiburg, Germany.
Nursing reports (Pavia, Italy)
|August 27, 2025
概括
实体器官移植患者需要终身自我管理, 包括医疗,情感和社会方面. 目前的研究重点是医疗管理,强调需要更广泛的以患者为中心的护理策略.
科学领域:
- 移植医学
- 健康心理学
- 患者自我管理研究
背景情况:
- 固体器官移植可以提高存活率,
- 现有的自我管理模式是针对某些移植类型 (如脏,肝脏) 的,缺乏通用框架.
- 优化移植后护理需要对所有实体器官移植患者的自我管理有全面的了解.
研究的目的:
- 在实体器官移植受体中构思自我管理.
- 确定与移植自我管理相关的研究背景,方法和出版物类型.
- 描述移植后自我管理的核心方面.
主要方法:
- 采用了一个范围审查方法.
- 一个系统的搜索策略确定了相关文献.
- 使用定性内容分析和演性-诱导性编码来绘制自我管理领域.
主要成果:
- 在43个国家超过43年发表的742项研究被纳入其中,2016年后的出版物激增.
- 研究主要集中在脏 (61%),肝脏 (22%),心脏 (21%) 和肺部 (16%).
- 确定了四个自我管理领域:医疗治疗方案,传记工作,新的生活角色和通用自我管理技能.
结论:
- 移植后的自我管理是多方面的, 整合医疗,情感,社会和行为因素.
- 目前的研究不成比例地强调医疗治疗方案的管理.
- 需要进一步的研究来探索全方位的,以患者为中心的自我管理方面.
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