Siantz Elizabeth, Aranda María P
University of Southern Californa School of Social Work.
University of Southern Californa School of Social Work.
Gen Hosp Psychiatry. 2014 May-Jun;36(3):233-44. doi: 10.1016/j.genhosppsych.2014.01.014. Epub 2014 Feb 10.
While there is strong evidence in support of chronic disease self-management programs, much less is available with regard to individuals living with serious mental illness (SMI). The objectives of this review are to identify and appraise chronic disease self-management studies tested with samples of US adults living with SMI. We include an appraisal of methodological quality of the chronic disease self-management (CDSM) studies that met our final criteria.
Systematic search methods were utilized to identify intervention studies published before 2012 that describe CDSM outcomes for adults with SMI.
Eighteen unduplicated articles were identified that included outcomes of CDSM studies, while 10 met all inclusion criteria. Favorable treatment effects were observed for adults with SMI across 10 studies that took place in different types of clinical settings. CDSM studies that met all search criteria had a wide range of methodological quality, indicating that this is a nascent field of study.
Given the high chronic disease burden experienced by individuals with SMI combined with our nations health care reform, emphasis on self-management to improve population health, coupled with advancing the quality of research to evaluate CDSM programs for adults with SMI, is critically needed.
虽然有强有力的证据支持慢性病自我管理项目，但针对患有严重精神疾病（SMI）的个体的相关研究却少得多。本综述的目的是识别和评估针对患有SMI的美国成年样本进行的慢性病自我管理研究。我们对符合最终标准的慢性病自我管理（CDSM）研究的方法学质量进行了评估。
采用系统检索方法，识别2012年之前发表的描述患有SMI的成年人CDSM结果的干预研究。
识别出18篇不重复的文章，其中包含CDSM研究的结果，10篇符合所有纳入标准。在不同类型临床环境中进行的10项研究中，观察到患有SMI的成年人有积极的治疗效果。符合所有检索标准的CDSM研究在方法学质量上有很大差异，表明这是一个新兴的研究领域。
鉴于患有SMI的个体所承受的高慢性病负担，再加上我国的医疗保健改革，迫切需要强调自我管理以改善人群健康，同时提高评估针对患有SMI的成年人的CDSM项目的研究质量。
