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国家以人为本的护理评估和实施研究中心:第一组干预研究的内容。

A national research centre for the evaluation and implementation of person-centred care: Content from the first interventional studies.

机构信息

Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.

Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

出版信息

Health Expect. 2020 Oct;23(5):1362-1375. doi: 10.1111/hex.13120. Epub 2020 Aug 18.

Abstract

BACKGROUND

Person-centred care (PCC) has been suggested as a potential means to improve the care of patients with chronic and long-term disorders. In this regard, a model for PCC was developed by the University of Gothenburg Centre for Person-Centred Care (GPCC).

OBJECTIVE

The present study aimed to explore the theoretical frameworks, designs, contexts and intervention characteristics in the first 27 interventional studies conducted based on the ethics for person-centredness provided by the GPCC.

DESIGN

Cross-sectional study.

SETTING AND PARTICIPANTS

A questionnaire to the principal investigators of the 27 intervention studies financed by the GPCC and conducted between 2010 and 2016.

MAIN OUTCOME MEASURES

Theoretical frameworks, contexts of studies, person-centred ethic, and outcome measures.

RESULTS

Most of the interventions were based on the same ethical assumptions for person-centredness but theories and models in applying the interventions differed. All studies were controlled; 12 randomized and 15 quasi-experimental. Hospital in- and outpatient and primary care settings were represented and the outcome measures were related to the specific theories used. A complexity in designing, introducing and evaluating PCC interventions was evident.

CONCLUSION

The frameworks, designs and interventions in the studies were in line with the established ethical basis of PCC, whereas outcome measures varied widely. Consensus discussions among researchers in the field are needed to make comparisons between studies feasible.

PATIENT OR PUBLIC CONTRIBUTIONS

Patients or the public made no direct contributions, although most of the studied projects included such initiatives.

摘要

背景

以患者为中心的护理(PCC)已被提议作为改善慢性和长期疾病患者护理的一种潜在手段。在这方面,哥德堡大学以患者为中心护理中心(GPCC)制定了一个 PCC 模型。

目的

本研究旨在探讨基于 GPCC 提供的以患者为中心的伦理原则进行的前 27 项干预研究中的理论框架、设计、背景和干预特征。

设计

横断面研究。

设置和参与者

对 27 项由 GPCC 资助并于 2010 年至 2016 年期间进行的干预研究的主要研究者进行问卷调查。

主要观察指标

理论框架、研究背景、以患者为中心的伦理和结果测量。

结果

大多数干预措施基于相同的以患者为中心的伦理假设,但应用干预措施的理论和模型有所不同。所有研究均为对照研究;12 项为随机对照,15 项为准实验。涵盖了医院门诊和住院及初级保健环境,结果测量与使用的特定理论相关。设计、引入和评估 PCC 干预措施的复杂性显而易见。

结论

研究中的框架、设计和干预措施符合既定的 PCC 伦理基础,而结果测量则差异很大。需要在该领域的研究人员之间进行共识讨论,以使研究之间的比较成为可能。

患者或公众的贡献

患者或公众没有直接做出贡献,尽管大多数研究项目都包含此类举措。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3577/7696144/6a6587769cee/HEX-23-1362-g001.jpg

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