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医疗保健专业人员在使用以患者为中心和基于优势的自我管理计划促进慢性病患者的激活和赋权方面的经验。

Health Care Professionals' Experiences of Facilitating Patient Activation and Empowerment in Chronic Illness using a Person-Centered and Strengths-Based Self-Management Program.

机构信息

Professor, 155319Lovisenberg Diaconal University College, Lovisenberggata 15B, 0456 Oslo, Norway.

Assistant Professor, 5928Pace University, College of Health Professions, Lienhard School of Nursing, 861 Bedford Road, Pleasantville, New York 10570.

出版信息

Chronic Illn. 2023 Mar;19(1):250-264. doi: 10.1177/17423953211065006. Epub 2021 Dec 14.

DOI:10.1177/17423953211065006
PMID:34904446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9841460/
Abstract

OBJECTIVE

Patients with chronic illness who are empowered and activated are more likely to engage in self-management in order to stabilise their condition and enhance their quality of life. This study aimed to explore Health Care Professional's (HCP) assessment of a person-centered intervention called 'The Bodyknowledging Program' (BKP) for the facilitation of empowerment and patient activation in the context of chronic illness.

METHODS

This study employed a qualitative process evaluation after programme completion. Data was collected through focus-groups and individual interviews with HCPs and content analysis was used in the analysis.

RESULTS

Four themes were identified: 1) Shifts towards the patient-perspective, 2) The value of a patient-centered conceptual framework, 3) Patient activation through dialogue based support and 4) Challenging competencies. Discussion: This study introduces 'The Bodyknowledging Program' as a useful tool to uncover patients' needs and to activate and empower them to take more responsibility for their health through self-care management. The usability of the new intervention depends on HCP's ability to develop their counselling skills and changing their approach towards utilising patients' individual resources in the promotion of their health.

摘要

目的

有能力且积极主动的慢性病患者更有可能进行自我管理,以稳定病情并提高生活质量。本研究旨在探讨医疗保健专业人员(HCP)对一种名为“身体认知计划”(BKP)的以患者为中心的干预措施的评估,该干预措施旨在促进慢性病患者的赋权和患者激活。

方法

在项目完成后,采用定性过程评估。通过焦点小组和与 HCP 的个别访谈收集数据,并在分析中使用内容分析。

结果

确定了四个主题:1)向患者视角转变,2)以患者为中心的概念框架的价值,3)通过基于对话的支持实现患者激活,4)挑战能力。讨论:本研究介绍了“身体认知计划”,它是一种有用的工具,可以发现患者的需求,并通过自我保健管理激活和赋权他们,让他们对自己的健康负责更多。新干预措施的可用性取决于 HCP 发展咨询技能的能力以及改变他们利用患者个体资源促进健康的方法。

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本文引用的文献

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Effects of Patient Activation Intervention on Chronic Diseases: A Meta-Analysis.患者激活干预对慢性病的影响:一项荟萃分析。
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A systematic scoping review of psychosocial and psychological factors associated with patient activation.系统范围综述心理社会和心理因素与患者激活相关。
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