Lorber Mateja, Reljić Nataša Mlinar, Kegl Barbara, Fekonja Zvonka, Štiglic Gregor, Davey Adam, Kmetec Sergej
Faculty of Health Sciences, University of Maribor, 2000 Maribor, Slovenia.
College of Health Sciences, University of Delaware, Newark, DE 19716, USA.
Healthcare (Basel). 2024 Feb 23;12(5):526. doi: 10.3390/healthcare12050526.
Over the last decade, the inadequacy and unsustainability of current healthcare services for managing long-term co-morbid and multi-morbid diseases have become evident.
This study, involving 426 adults with at least one non-communicable disease in Slovenia, aimed to explore the link between quality of life, life satisfaction, person-centred care, and non-communicable disease management.
Results indicated generally positive perceptions of quality of life, general health, and life satisfaction of individuals with non-communicable diseases. Participants assessed their physical health as the highest of the four quality of life domains, followed by the environment, social relations, and psychological health. Significant differences occurred in life satisfaction, general health, quality of life, and person-centred care for managing non-communicable diseases. But, there were no significant differences in person-centred care according to the living environment. The study revealed a positive association between person-centred care and effective non-communicable disease management, which is also positively associated with quality of life, general health, and life satisfaction.
Person-centred care is currently the most compassionate and scientific practice conceived, representing a high ethical standard. However, implementing this approach in healthcare systems requires a cohesive national strategy led by capable individuals to foster stakeholder collaboration. Such an approach is crucial to address the deficiencies of existing healthcare services and ensure person-centred care sustainability in non-communicable disease management.
在过去十年中，当前医疗服务在管理长期合并症和多重合并症疾病方面的不足和不可持续性已变得明显。
这项研究涉及斯洛文尼亚426名患有至少一种非传染性疾病的成年人，旨在探讨生活质量、生活满意度、以患者为中心的护理与非传染性疾病管理之间的联系。
结果表明，非传染性疾病患者对生活质量、总体健康状况和生活满意度普遍持积极看法。参与者将身体健康评为生活质量四个领域中最高的，其次是环境、社会关系和心理健康。在生活满意度、总体健康状况、生活质量以及管理非传染性疾病的以患者为中心的护理方面存在显著差异。但是，根据生活环境，以患者为中心的护理方面没有显著差异。该研究揭示了以患者为中心的护理与有效的非传染性疾病管理之间存在正相关，而这也与生活质量、总体健康状况和生活满意度呈正相关。
以患者为中心的护理是目前设想的最具同情心和科学性的做法，代表了很高的道德标准。然而，在医疗系统中实施这种方法需要由有能力的个人领导的凝聚性国家战略，以促进利益相关者的合作。这种方法对于解决现有医疗服务的不足以及确保非传染性疾病管理中以患者为中心的护理的可持续性至关重要。
