School of Nursing, University of Sherbrooke, Longueuil, Québec, J4K 0A8, Canada.
School of Nursing, University of Sherbrooke, Sherbrooke, Québec, J1H 5N4, Canada.
Patient Educ Couns. 2020 Oct;103(10):1961-1982. doi: 10.1016/j.pec.2020.06.020. Epub 2020 Jun 22.
To explore which dimensions of the person-centered approach (PCA) are adopted in self-management interventions, how they are applied, and its outcomes.
A review team carried out a scoping review using the methodology of Arksey and O'Malley on diabetes mellitus type 2, person-centered care, and self-management.
Of the 364 titles identified, 22 articles were included in this review. No study contained all five dimensions described by the person-centered framework. Some dimensions seemed difficult to assess, mainly having a sympathetic presence and engagement. The application of the five PCA dimensions are presented. Although the authors claimed their intervention to be person-centered, none used a specific tool to measure person-centered care in a holistic way.
Although the guidelines recommend a PCA to professionals, there is a gap with practice, professionals having difficulty adopting and measuring this approach.
Some strategies to facilitate the adoption of a PCA with people living with type 2 diabetes are proposed. These can help researchers and clinicians develop a PCA, by identifying the care delivery processes necessary to provide it. It seems important for researchers to measure whether their intervention is truly person-centered, using holistic tools and combining different methods (observation, questionnaire, interview).
探讨以患者为中心的方法（PCA）在自我管理干预中的采用情况，以及其应用方式和效果。
综述团队采用 Arksey 和 O'Malley 的方法，对 2 型糖尿病、以患者为中心的护理和自我管理进行了范围综述。
在 364 个标题中，有 22 篇文章被纳入本次综述。没有研究包含 PCA 框架描述的所有五个维度。有些维度似乎难以评估，主要是缺乏同情和参与。呈现了五个 PCA 维度的应用。尽管作者声称他们的干预是以人为中心的，但没有一个使用特定的工具全面衡量以患者为中心的护理。
尽管指南建议专业人员采用 PCA，但实践与理论之间存在差距，专业人员在采用和衡量这种方法方面存在困难。
提出了一些促进 2 型糖尿病患者采用 PCA 的策略。这些策略可以帮助研究人员和临床医生通过确定提供 PCA 所需的护理提供过程来制定 PCA。研究人员使用整体工具并结合不同方法（观察、问卷、访谈）来衡量他们的干预措施是否真正以患者为中心，这似乎很重要。
