慢性病心力衰竭的自我管理:对绩效差距和新兴解决方案的叙述性审查
Sanjana S Nelogal1, Sai Teja Yedam2, Srija Reddy Koppula3
1Internal Medicine, Salmani Hospital, Ranebennur, India.
Medicine
|December 30, 2025
概括
优化心力衰竭自我管理需要综合患者教育,生活方式改变和数字工具. 解决差异和让护理人员参与是改善患者结果和生活质量的关键.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 心力衰竭 (HF) 构成了全球严重的健康负担.
- 尽管取得了进展,但慢性疾病自我管理在HF面临着在多个层面上持续存在的差距.
- 有效的自我管理对于改善HF患者的治疗结果和生活质量至关重要.
研究的目的:
- 审查和综合各种心力衰竭自我管理策略对心力衰竭有效性的证据.
- 检查教育,生活方式修改,数字健康和心理社会支持的作用.
- 确定影响自我管理的挑战和差异,并建议未来的研究方向.
主要方法:
- 对2000年至2025年间出版的文献进行叙述性综述.
- 包括随机试验,系统审查,准则声明和定性研究.
- 综合有关患者教育,生活方式改变,药物坚持,数字健康和心理社会支持的证据.
主要成果:
- 患者教育,结构化炼和饮食变化始终改善HF患者的临床和生活质量结果.
- 数字健康干预措施看起来有前途,但长期有效性有变化.
- 与社会经济地位,文化,健康素养和技术获取相关的差异影响了自我管理的普及和有效性.
结论:
- 优化高频自我管理需要一个整体的,以患者为中心的方法,将基于证据的策略与实施科学的整合.
- 解决成本,可扩展性,可持续性和患者确定的需求 (简化方案,护理人员参与,量身定制的教育) 是必不可少的.
- 未来的研究应该专注于数字健康,护理人员-患者二元,以及文化适应的干预措施,以减少差异并增强长期成果.
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