Department of Family Medicine, Université de Sherbrooke, Sherbrooke, Québec, Canada.
J Eval Clin Pract. 2010 Dec;16(6):1301-8. doi: 10.1111/j.1365-2753.2009.01332.x. Epub 2010 Aug 19.
RATIONALE, AIMS AND OBJECTIVES: Enablement is an intervention by which the health care provider recognizes, promotes and enhances patients' ability to control their health and life. An abundant health literature suggests that enablement is associated with good outcomes. In this review, we aimed at identifying and comparing instruments that assess enablement in the health care context.
We conducted a systematic literature review using Medline, Embase, Cochrane, Cinahl and PsycINFO databases, 1980 through March 2009, with specific search strategy for each database. Citations were included if they reported: (1) development and/or validation of an instrument; (2) evaluation of enablement in a health care context; and (3) quantitative results following administration of the instrument. The quality of each main retained citation was assessed using a modified version of the Standards for Reporting of Diagnostic Accuracy.
Of 3135 citations identified, 53 were retrieved for detailed evaluation. Four articles were included. Two instruments were found: the Patient Empowerment Scale (PES) and the Empowering Speech Practices Scale (ESPS). Both instruments assessed enablement in hospital setting, one from the inpatient's perspective (PES) and the other from both perspectives (ESPS).
Two instruments assess enablement in hospital setting. No instrument is currently available to assess enablement in an ambulatory care context.
背景、目的和目标：赋权是一种干预措施，通过这种措施，医疗服务提供者认识、促进和增强患者控制自己的健康和生活的能力。丰富的健康文献表明，赋权与良好的结果有关。在本次综述中，我们旨在确定和比较评估医疗环境中赋权的工具。
我们使用 Medline、Embase、Cochrane、Cinahl 和 PsycINFO 数据库进行了系统的文献综述，时间范围为 1980 年至 2009 年 3 月，每个数据库都有特定的搜索策略。如果报告了以下内容，则将引文包括在内：(1) 工具的开发和/或验证；(2) 在医疗保健环境中评估赋权；以及 (3) 工具管理后的定量结果。使用诊断准确性报告标准的修改版本评估每个主要保留引文的质量。
在 3135 条引文识别中，有 53 条被检索进行详细评估。有 4 篇文章被纳入。发现了两种工具：患者赋权量表（PES）和赋权演讲实践量表（ESPS）。这两种工具都在医院环境中评估赋权，一种是从住院患者的角度（PES），另一种是从两个角度（ESPS）。
有两种工具评估医院环境中的赋权。目前没有评估门诊护理环境中赋权的工具。
