Marques Maria do Céu, Pires Rute, Perdigão Miguel, Sousa Luis, Fonseca César, Pinho Lara Guedes, Lopes Manuel
Nursing Department, Universidade de Évora, 7000-811 Évora, Portugal.
Comprehensive Health Research Centre (CHRC), Universidade de Évora, 7000-811 Évora, Portugal.
J Pers Med. 2021 Dec 3;11(12):1289. doi: 10.3390/jpm11121289.
Patient-centered care is essential in high-quality health care, as it leads to beneficial outcomes for patients. The objective of this review is to systematize indicators for the care of patients with cardiometabolic diseases based on patient-centered care, extending from the stages of diagnostic evaluation and care planning to intervention. An integrative literature review was conducted by searching seven scientific databases, and a narrative analysis was performed. A total of 15 articles were included, and indicators related to diagnosis and care planning/intervention were extracted. In the planning of care centered on the person with cardiometabolic diseases, the individuality, dynamics of the processes, flexibility and the participation of all stakeholders should be taken into account. The needs of the person must be addressed through the identification of problems; establishment of individual goals; shared decision making; information and education; systematic feedback; case management; meeting the patient's preferences and satisfaction with care; engagement of the family; and therapeutic management. The indicators for intervention planning extracted were behavioral interventions, therapeutic management programs, lifestyle promotion, shared decision making, education patient and information, interventions with the use of technology, promotion of self-management, program using technology, therapeutic relationship, therapeutic adherence programs and specialized intervention.
以患者为中心的护理在高质量医疗保健中至关重要,因为它能为患者带来有益的结果。本综述的目的是基于以患者为中心的护理,将心脏代谢疾病患者护理的指标系统化,范围从诊断评估和护理计划阶段到干预阶段。通过检索七个科学数据库进行了综合文献综述,并进行了叙述性分析。共纳入15篇文章,并提取了与诊断和护理计划/干预相关的指标。在以心脏代谢疾病患者为中心的护理计划中,应考虑个体性、过程的动态性、灵活性以及所有利益相关者的参与。必须通过识别问题、确立个体目标、共同决策、信息与教育、系统反馈、病例管理、满足患者对护理的偏好和满意度、让家庭参与以及治疗管理来满足患者的需求。提取的干预计划指标包括行为干预、治疗管理项目、生活方式促进、共同决策、患者教育与信息、技术应用干预、自我管理促进、技术应用项目、治疗关系、治疗依从性项目和专业干预。