Jansson Inger, Fors Andreas, Ekman Inger, Ulin Kerstin
1 Institute of Health and Care Science, University of Gothenburg, Sweden.
2 Centre for Person-Centred Care, University of Gothenburg, Sweden.
Eur J Cardiovasc Nurs. 2018 Feb;17(2):114-122. doi: 10.1177/1474515117718415. Epub 2017 Jun 28.
Personalised care planning is argued for but there is a need to know more about what the plans actually contain.
To describe the content of person-centred health, plans documented at three healthcare levels for patients with acute coronary syndrome.
Patients with acute coronary syndrome aged under 75 years and admitted to two coronary care units at a university hospital were enrolled in the study. This retrospective descriptive study documented 89 person-centred health plans at three healthcare levels: hospital, outpatient and primary care. In total, 267 health plans were reviewed and a quantitative content analysis conducted. The health plans included commonly formulated goals, patients' own resources and support needed.
The health plan goals were divided into three categories: lifestyle changes, illness management and relational activities. The most frequently reported goal for better health was increased physical activity, followed by social life/leisure activities and return to paid professional work. In order to reach the goals, patients identified three ways: own resources, family and social support and healthcare system, in total three categories. The most frequently reported own capability was self-motivation. Spouses and children were important sources of family and social support. The most frequently reported healthcare support was cardiac rehabilitation.
In traditional care and treatment plans devised by health professionals, patient goals often comprise behavioural changes. When patients identify their own goals and resources with the help of professionals, they include maintaining social relations and being able to return to important activities such as work.
人们主张进行个性化护理规划，但有必要更多地了解这些规划实际包含的内容。
描述针对急性冠状动脉综合征患者在三个医疗保健层面记录的以患者为中心的健康计划的内容。
纳入一所大学医院两个冠心病监护病房收治的75岁以下急性冠状动脉综合征患者进行研究。这项回顾性描述性研究记录了在医院、门诊和初级保健三个医疗保健层面的89份以患者为中心的健康计划。共审查了267份健康计划并进行了定量内容分析。健康计划包括共同制定的目标、患者自身的资源以及所需的支持。
健康计划目标分为三类：生活方式改变、疾病管理和人际关系活动。最常报告的促进健康的目标是增加身体活动，其次是社交生活/休闲活动以及重返有薪职业工作。为了实现这些目标，患者确定了三种方式：自身资源、家庭和社会支持以及医疗保健系统，共三类。最常报告的自身能力是自我激励。配偶和子女是家庭和社会支持的重要来源。最常报告的医疗保健支持是心脏康复。
在健康专业人员制定的传统护理和治疗计划中，患者目标通常包括行为改变。当患者在专业人员帮助下确定自己的目标和资源时，这些目标包括维持社会关系以及能够重返工作等重要活动。
