改善临床患者激活和加强健康结果:准实验研究的发现
Saad Mohammad Alsaad1,2, Malak Fahad Almalki3, Malak Awadh Alotaibi4
1Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh 12373, Saudi Arabia.
Journal of clinical medicine
|January 10, 2026
概括
使用患者激活措施 (PAM-13) 的定制干预措施显著改善了沙特阿拉伯的患者参与和自我管理. 活化水平较低的患者表现出最显著的收益.
科学领域:
- 医疗保健管理的管理
- 患者参与 患者参与
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医疗保健系统的复杂性给质量改善带来了挑战.
- 患者激活措施 (PAM-13) 评估患者与医疗保健的互动.
- 在沙特阿拉伯的三级保健机构中对PAM-13的有限评估.
研究的目的:
- 评估PAM-13在沙特大学家庭医学中心的可行性和可接受性.
- 评估基于PAM-13的干预措施对患者参与,激活,自我管理和参与的影响.
- 在三级医疗保健背景下,检查患者在常规护理中的激活.
主要方法:
- 准实验性研究 (2024年11月至2025年6月).
- 在糖尿病,老年病和一般家庭医学部门进行分层集群采样.
- 干预组获得了基于PAM-13分数的定制支持;对照组没有.
主要成果:
- 干预组患者激活得分显著改善 (p=0.004).
- 观察到的最大激活收益是在最初较低的PAM-13分数 (1和2级) 的患者身上.
- 临床结果 (血压,葡萄糖,胆固醇) 没有显著的短期变化.
结论:
- 以PAM-13为指导的干预措施有效地提高了第三级护理中的患者激活率.
- 参与和自我管理的改善是显而易见的,特别是对不太活跃的患者来说.
- 需要进一步研究多个中心的长期可持续性和临床影响.
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