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分析并绘制慢性病管理背景下以患者为中心的护理研究图谱。

Analysis and mapping the research landscape on patient-centred care in the context of chronic disease management.

机构信息

Department of Physiology and Pharmacology/Toxicology, Division of Biomedical Sciences, College of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.

出版信息

J Eval Clin Pract. 2024 Jun;30(4):638-650. doi: 10.1111/jep.13988. Epub 2024 Apr 3.

DOI:10.1111/jep.13988
PMID:38567707
Abstract

RATIONALE

Patient-centred care has emerged as a transformative approach in managing chronic diseases, aiming to actively involve patients in their healthcare decisions.

AIMS AND OBJECTIVES

This study was conducted to analyse and map the research landscape on patient-centred care in the context of chronic disease management.

METHODS

This study used Scopus to retrieve the relevant articles. The analysis focused on the growth pattern, highly cited articles, randomised clinical trials, patients and providers perspectives, facilitators and barriers, frequent author keywords, emerging topics, and prolific countries and journals in the field.

RESULTS

In total, 926 research articles met the inclusion criteria. There was a notable increase in the number of publications over time. Cancer had the highest number of articles (n = 379, 40.9%), followed by diabetes mellitus, and mental health and psychiatric conditions. Studies on patient-centred care in diabetic patients received the highest number of citations. The results identified 52 randomised controlled trials that covered four major themes: patient-centred care for diabetes management, shared decision-making in mental health and primary care, shared decision-making in cancer care, and economic evaluation and cost-effectiveness. The study identified 51 studies that examined the impact of tools such as computer-based systems, decision aids, smartphone apps, and online tools to improve patient-centred outcomes. A map of author keywords showed that renal dialysis, HIV, and atrial fibrillation were the most recent topics in the field. Researchers from the United States contributed to more than half of the retrieved publications. The top active journals included "Patient Education and Counselling" and "Health Expectations".

CONCLUSION

This study provides valuable insights into the research landscape of patient-centred care within the context of chronic diseases. The current study provided a comprehensive overview of the research landscape on patient-centred care, which can empower patients by raising their awareness about clinical experiences and outcomes.

摘要

背景

以患者为中心的护理已成为管理慢性病的一种变革性方法,旨在让患者积极参与自己的医疗决策。

目的和目标

本研究旨在分析和绘制以患者为中心的护理在慢性病管理背景下的研究现状。

方法

本研究使用 Scopus 检索相关文章。分析重点是增长模式、高引文章、随机临床试验、患者和提供者的观点、促进因素和障碍、常见作者关键词、新兴主题以及该领域的多产国家和期刊。

结果

共有 926 篇研究文章符合纳入标准。随着时间的推移,出版物数量显著增加。癌症(n=379,40.9%)的文章数量最多,其次是糖尿病,以及心理健康和精神疾病。关于糖尿病患者以患者为中心护理的研究获得了最多的引用。结果确定了 52 项随机对照试验,涵盖了四个主要主题:糖尿病管理中的以患者为中心的护理、精神健康和初级保健中的共同决策、癌症护理中的共同决策,以及经济评估和成本效益。研究确定了 51 项研究,这些研究检验了计算机系统、决策辅助工具、智能手机应用程序和在线工具等工具对改善以患者为中心的结果的影响。作者关键词图谱显示,肾脏透析、艾滋病毒和心房颤动是该领域的最新主题。来自美国的研究人员贡献了检索到的出版物的一半以上。最活跃的期刊包括“患者教育与咨询”和“健康期望”。

结论

本研究提供了有关以患者为中心的护理在慢性病背景下的研究现状的宝贵见解。本研究提供了以患者为中心的护理研究现状的全面概述,通过提高患者对临床经验和结果的认识,使患者获得更多的自主权。

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