Lightfoot Courtney J, Nair Devika, Bennett Paul N, Smith Alice C, Griffin Anthony D, Warren Madeleine, Wilkinson Thomas J
Leicester Kidney Lifestyle Team, Department of Health Sciences, University of Leicester,Leicester LE1 7RH, UK.
Leicester NIHR Biomedical Research Centre, Leicester LE5 4PW, UK.
Kidney Dial. 2022 Mar;2(1):91-105. doi: 10.3390/kidneydial2010012. Epub 2022 Mar 3.
The importance of patient activation (i.e., the knowledge, skills, and confidence one has in managing one's own healthcare) in people with long-term conditions, including kidney disease, is growing. Enabling and empowering patients to take a more active role in their health and healthcare is the focus of person-centred care. Patient activation is recognised as a key construct of self-management, as to effectively self-manage a long-term condition, it is required to enable individuals to actively participate in treatment decisions, prevent complications, and manage risk factors. Identifying an individual's level of activation can help guide and tailor care, and interventions aimed at increasing patient activation may improve patient engagement and health outcomes. In this review, we explore the concepts of patient activation and self-management, the relationship between patient activation and self-management, interventions aimed at improving these, and what these mean to people living with kidney disease.
患者激活（即个人在管理自身医疗保健方面所具备的知识、技能和信心）在包括肾病在内的慢性病患者中愈发重要。使患者能够并授权他们在自身健康和医疗保健中发挥更积极的作用是以人为本的医疗保健的核心。患者激活被视为自我管理的关键要素，因为要有效自我管理慢性病，就需要使个人能够积极参与治疗决策、预防并发症并管理风险因素。确定个人的激活水平有助于指导和定制护理，旨在提高患者激活水平的干预措施可能会改善患者参与度和健康结果。在本综述中，我们探讨患者激活和自我管理的概念、患者激活与自我管理之间的关系、旨在改善这些方面的干预措施，以及这些对肾病患者意味着什么。
