College of Nursing, Montana State University, Bozeman, Montana 59717, USA.
Public Health Nurs. 2010 May-Jun;27(3):263-9. doi: 10.1111/j.1525-1446.2010.00852.x.
Appropriate self-management support is needed to help individuals and their families meet the challenges of living with chronic health conditions. Such support is characterized by productive interactions between informed, active individuals, and their health care providers. The purposes of this paper are to describe the challenges to achieving self-management support and a tool, My Health Companion (MHC), which was developed to meet that challenge. The MHC is a paper personal health record designed to help rural women with chronic health conditions to better manage and understand their health information. The selection of content for the MHC was based on the literature, input from health care experts, and chronically ill individuals, and its development incorporated principles of personal health record and clear communication. The MHC was anecdotally shown to be useful to rural women with chronic health conditions in preparing for and enhancing their visits with health care providers. As a source of information, the MHC had potential for: being beneficial to providers in recommending appropriate treatment; contributing to more informed health decision making by ill individuals; and serving as a vehicle for the establishment of more productive interactions that contributed to the achievement of true client-provider partnerships in health care.
适当的自我管理支持对于帮助个人及其家庭应对慢性病带来的挑战非常重要。这种支持的特点是信息灵通、积极主动的个人及其医疗保健提供者之间的富有成效的互动。本文旨在描述实现自我管理支持所面临的挑战，并介绍一种名为“我的健康伴侣”（MHC）的工具，该工具是为了应对这一挑战而开发的。MHC 是一种纸质个人健康记录，旨在帮助患有慢性病的农村妇女更好地管理和理解她们的健康信息。MHC 的内容选择基于文献、医疗保健专家和慢性病患者的意见，其开发融入了个人健康记录和清晰沟通的原则。有证据表明，MHC 对患有慢性病的农村妇女在准备和加强与医疗保健提供者的就诊方面非常有用。作为信息来源，MHC 有可能：对提供者推荐适当的治疗有帮助；有助于慢性病患者做出更明智的健康决策；并作为建立更富有成效的互动的载体，有助于实现医疗保健中真正的医患合作伙伴关系。
