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[患者教育]

[Patient education].

作者信息

Faller H, Reusch A, Vogel H, Ehlebracht-König I, Petermann F

机构信息

Institut für Psychotherapie und Medizinische Psychologie der Universität Würzburg, Arbeitsbereich Rehabilitationswissenschaften, Würzburg.

出版信息

Rehabilitation (Stuttg). 2005 Oct;44(5):277-286. doi: 10.1055/s-2005-866954.

Abstract

Patient education is considered to be a major feature of medical rehabilitation in chronic disorders. The rehabilitation sciences research programme funded by the German Pension Insurance scheme and the Federal Ministry of Education and Research comprises a considerable number of evaluation studies carried out with methodological rigor. Over two funding periods, patient education programmes were developed and evaluated with respect to their medical, psychosocial, occupational and economic effects. In this article, a conceptual definition of patient education is presented. Then, the aims and results of ten patient education studies of the funding programme as well as of several implementation projects are described. When integrating these results into previous research taking both a national and international perspective, it can be concluded that patient education programmes are effective regarding medical psychosocial and socio-economic outcomes, although effects sizes may vary. However, in some disorders the state of the research is still unsatisfactory and results are either scarce or heterogeneous. In particular, it is unclear whether such programmes are widely used in medical rehabilitation on a routine basis. Several education programmes provide train-the-trainer opportunities, others are still in the process of development or evaluation. Implementation projects such as those described in the article are aimed at closing these gaps and disseminating research results into the practice of rehabilitation.

摘要

患者教育被视为慢性疾病医学康复的一个主要特征。由德国养老保险计划和联邦教育与研究部资助的康复科学研究项目包含大量经过严格方法学开展的评估研究。在两个资助期内,对患者教育项目的医学、心理社会、职业和经济影响进行了开发和评估。本文给出了患者教育的概念性定义。然后,描述了资助项目的十项患者教育研究以及若干实施项目的目标和结果。当将这些结果纳入从国内和国际视角进行的先前研究时,可以得出结论,尽管效应大小可能有所不同,但患者教育项目在医学心理社会和社会经济结果方面是有效的。然而,在某些疾病方面,研究状况仍然不尽人意,结果要么稀少,要么参差不齐。特别是,尚不清楚此类项目是否在医学康复中得到常规广泛应用。一些教育项目提供培训培训师的机会,其他项目仍在开发或评估过程中。本文所述的实施项目旨在填补这些空白,并将研究结果推广到康复实践中。

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