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慢性肾病患者的自我管理支持:患者视角

Self-management support for people with chronic kidney disease: Patient perspectives.

作者信息

Havas Kathryn, Bonner Ann, Douglas Clint

机构信息

School of Nursing, Queensland University of Technology, Victoria Park Rd, Kelvin Grove QLD, 4059, Australia.

出版信息

J Ren Care. 2016 Mar;42(1):7-14. doi: 10.1111/jorc.12140. Epub 2015 Sep 24.

Abstract

BACKGROUND

Self-management of chronic kidney disease (CKD) is crucial for health outcomes and people need to be effectively supported by healthcare professionals (HCPs). Some programmes designed to improve self-management have been implemented, but people with the disease are rarely consulted regarding what they desire from these programmes.

OBJECTIVES

To provide a synthesis of the literature on preferences for self-management support of people with CKD.

DESIGN

An integrative review.

METHODS

Four databases (MedLine, CINAHL, PsycARTICLES and PsycINFO) were searched using relevant search terms.

RESULTS

The search strategy identified 1,913 records, of which 12 studies met inclusion criteria. Ten themes were identified as important areas to be addressed by self-management interventions. In addition, patient suggestions for implementation of such interventions are discussed.

CONCLUSION

The principles of a person-centred approach ought to frame the support provided by HCPs when supporting those with CKD to better self-manage.

摘要

背景

慢性肾脏病(CKD)的自我管理对健康结局至关重要,患者需要医疗保健专业人员(HCPs)的有效支持。一些旨在改善自我管理的项目已经实施,但很少就患者对这些项目的期望征求他们的意见。

目的

综合有关CKD患者自我管理支持偏好的文献。

设计

综合综述。

方法

使用相关检索词检索四个数据库(MedLine、CINAHL、PsycARTICLES和PsycINFO)。

结果

检索策略识别出1913条记录,其中12项研究符合纳入标准。确定了十个主题,作为自我管理干预应解决的重要领域。此外,还讨论了患者对实施此类干预的建议。

结论

在支持CKD患者更好地进行自我管理时,以患者为中心的方法原则应构成HCPs提供支持的框架。

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