Bernardin Kaitlyn N, Toews Dorothea N, Restall Gayle J, Vuongphan Lynn
Can J Occup Ther. 2013 Dec;80(5):314-27. doi: 10.1177/0008417413512792.
Self-management is an important emerging intervention for people with human immunodeficiency virus (PHAs). The principles of self-management are consistent with the principles of client-centred occupational therapy.
This scoping review addressed three questions about self-management interventions for PHAs: (a) What knowledge, skills, and attitudes are taught? (b) What outcomes are intended? (c) What are the participation experiences of PHAs?
Questions were searched in six databases. Two researchers independently reviewed abstracts and articles before inclusion. Extracted data were iteratively themed.
Thirty-five articles were included. Interventions taught self-care, interpersonal skills, technical knowledge, cognitive skills, positive attitudes, planning for the future, and role management. Outcomes included well-being, health and illness management, and health services use. Participation experiences reflected social experiences, needs of PHAs, specific needs of women, participation, empowerment, intervention importance, and experiences with service delivery.
Self-management interventions are a promising approach for occupational therapists to enable PHAs' occupational performance goals.
自我管理是针对感染人类免疫缺陷病毒者（PHA）的一种重要的新兴干预措施。自我管理的原则与以客户为中心的职业治疗原则相一致。
本范围综述探讨了关于PHA自我管理干预措施的三个问题：（a）教授了哪些知识、技能和态度？（b）预期的结果是什么？（c）PHA的参与体验如何？
在六个数据库中搜索问题。两名研究人员在纳入之前独立审查摘要和文章。提取的数据进行迭代主题分析。
纳入了35篇文章。干预措施教授了自我护理、人际交往技能、技术知识、认知技能、积极态度、未来规划和角色管理。结果包括幸福感、健康和疾病管理以及卫生服务利用。参与体验反映了社会体验、PHA的需求、女性的特定需求、参与、赋权、干预的重要性以及服务提供的体验。
自我管理干预措施是职业治疗师实现PHA职业表现目标的一种有前景的方法。
