Barnason Susan, White-Williams Connie, Rossi Laura P, Centeno Mae, Crabbe Deborah L, Lee Kyoung Suk, McCabe Nancy, Nauser Julie, Schulz Paula, Stamp Kelly, Wood Kathryn
Circ Cardiovasc Qual Outcomes. 2017 Jun;10(6). doi: 10.1161/HCQ.0000000000000025.
The burden of cardiovascular disease as a chronic illness increasingly requires patients to assume more responsibility for their self-management. Patient education is believed to be an essential component of cardiovascular care; however, there is limited evidence about specific therapeutic patient education approaches used and the impact on patient self-management outcomes.
An integrative review of the literature was conducted to critically analyze published research studies of therapeutic patient education for self-management in selected cardiovascular conditions. There was variability in methodological approaches across settings and disease conditions. The most effective interventions were tailored to individual patient needs, used multiple components to improve self-management outcomes, and often used multidisciplinary approaches.
This synthesis of evidence expands the base of knowledge related to the development of patient self-management skills and provides direction for more rigorous research. Recommendations are provided to guide the implementation of therapeutic patient education in clinical practice and the design of comprehensive self-management interventions to improve outcomes for cardiovascular patients.
作为一种慢性病，心血管疾病的负担日益加重，越来越需要患者对自身管理承担更多责任。患者教育被认为是心血管护理的重要组成部分；然而，关于所采用的具体治疗性患者教育方法及其对患者自我管理结果的影响，证据有限。
对文献进行综合综述，以批判性地分析已发表的关于特定心血管疾病中自我管理的治疗性患者教育的研究。不同环境和疾病状况下的方法存在差异。最有效的干预措施是根据个体患者需求定制的，使用多个组成部分来改善自我管理结果，并且经常采用多学科方法。
这一证据综合扩展了与患者自我管理技能发展相关的知识基础，并为更严谨的研究提供了方向。提供了相关建议，以指导临床实践中治疗性患者教育的实施以及全面自我管理干预措施的设计，从而改善心血管疾病患者的结局。
